HomeMy WebLinkAboutAgreement A-24-424 Standard Agreement with CDSS.pdf Agreement No. 24-424
State of California — Health and Human Services Agency California Department of Social Services
STANDARD AGREEMENT
GRANT AGREEMENT NUMBER
ALLOC-23-0002
GRANT Z(NEW) ❑ (AMENDED)
1. This Agreement is entered between the State Agency and the Grantee named below:
State Agency's Name
California Department of Social Services
Grantee's Name
County of Fresno
2. The term of this Agreement is:
Start Date Through End Date
July 1, 2023 June 30, 2028
3. The maximum amount of this Agreement is: $8,500,000
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by
this reference made a part of the Agreement.
Exhibits Title Pages
Exhibit A Scope of Work (SOW) 11
Exhibit A-1 Final Work Plan 16
Exhibit A-2
Exhibit A-3
Exhibit A-4
Exhibit B Budget Detail 3
Exhibit B-1 Budget Table 7
Exhibit B-2 Budget Narrative 1
Exhibit B-3
Exhibit B-4
Exhibit C General Terms and Conditions 4
Exhibit C-1 Attachment I - Grantee Certification Clauses 5
Exhibit C-2
Exhibit D Special Terms and Conditions 4
Exhibit D-1
Exhibit D-2
Exhibit E
Exhibit E-1
Exhibit E-2
GA 2 (9/19) Page 1 of 2
State of California — Health and Human Services Agency California Department of Social Services
Exhibits Title Pages
Exhibit F
Exhibit F-1
Exhibit F-2
Exhibit G
Exhibit G-1
Exhibit G-2
Exhibit H
Exhibit H-1
Exhibit H-2
Exhibit I
Exhibit 1-1
Exhibit 1-2
Items shown with an asterisk(*), are hereby incorporated by reference and made part of this agreement
as if attached hereto.
These documents can be viewed athttps://www.dgs.ca.goy/OLS/Resources
IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.
GRANTEE
Grantee's Name (if other than an individual, state whether a corporation, partnership, etc.)
County of Fresno
Grantee's Business Address City State Zip
P.O. Box 24055 Fresno, CA 93779
Printed Name Of Person Signing Title
Nathan Magsig Chairman of the Board of Supervisors of the County of Fresno
Grantee Authorized Signature Date Signed ATTEST:
6- BERNICE E.SEIDEL
Clerk of the Board of Supervisors
STATE OF CALIFORNIA County of Fresno,State of California
Agency Name
California Department of Social Services
Agency Business Address City State Zip
744 P St Sacramento, CA 95814
Printed Name Of Person Signing Title
Agency Authorized Signature Date Signed
Exemption or Other (If applicable)
GA 2 (9/19) Page 2 of 2
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 1 of 11
EXHIBIT A
(Grant Agreement)
SCOPE OF WORK
A. BACKGROUND AND PURPOSE
The System of Care (SOC) provides the statutory and policy framework to ensure that
services and supports provided to foster youth and their families are tailored towards the
goal of achieving permanency in a stable, nurturing, and permanent family. In the years
since implementing the Continuum of Care Reform through Assembly Bill (AB) 403
(Chapter 773, Statutes of 2015) and Senate Bill (SB) 794 (Chapter 425, Statutes of
2015), California has made clear and impactful progress in developing alternative,
therapeutic, family-based placement options for foster youth. Assembly Bill (AB) 2083
(Chapter 815, Statutes of 2018) built upon SOC efforts by promoting a coordinated,
timely, and trauma-informed system-of-care approach for children and youth in foster care
who have experienced severe trauma.
Despite these advancements, some child welfare and/or probation involved youth may
have urgent and complex needs that are not immediately able to be met in a family
setting and require short-term intensive stabilization and transition support in a trauma-
focused residential treatment setting. To support California's commitment to keep youth in
families to the greatest extent practicable based on the best interests of the youth, and to
provide for innovative and constructive approaches to therapeutic treatments, Assembly
Bill (AB) 153 (Chapter 86, Statutes of 2021) requires the California Department of Social
Services (CDSS), jointly with the State Department of Health Care Services (DHCS), to
establish the Children's Crisis Continuum Pilot Program (Welfare and Institutions Code
(WIC) section 16550 et seq.). The pilot program shall be implemented until June 30,
2028.
The purpose of the pilot program is to allow counties, or regional collaboratives of
counties, to develop a highly integrated continuum of services designed to serve foster
youth who are in crisis. The pilot program's intention is to address perceived gaps in the
continuum of care, including services and placements, so that behavioral (including
mental health and substance use disorders), developmental, and physical health needs of
foster youth are better met and that there are no gaps in the continuum of care.
The main goals of the pilot include:
1. The development of a trauma-focused system of care through which intensive care,
qualified supervision, and behavioral health services are provided in a home
environment including on-site crisis response to respond to and de-escalate
circumstances in which foster youth are experiencing behavioral health
symptoms/conditions causing distress, with the goal of preventing hospitalizations and
unnecessary interactions with law enforcement; and,
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 2 of 11
EXHIBIT A
(Grant Agreement)
2. The implementation of a network of services so that when a youth requires a higher or
lower level of intervention, the movement within the levels of services and between
levels of care is not disrupted or delayed by the need to arrange for provision of
services and care or locate appropriate placements that include or can accommodate
the provision of services and care.
B. TERMS AND CONDITIONS
The CDSS and County of Fresno (Grantee) enter into this Grant Agreement (Agreement) for
the Grantee to provide a Children's Crisis Continuum Pilot Program ("the pilot" or "the pilot
program"), which is a continuum of services, including crisis stabilization, therapeutic
interventions, and specialized programming to permit the seamless transition between
placement settings and programs for the appropriate treatment of foster youth. Grantee shall
ensure that all the necessary services and supports are available and provided within the
continuum.
The CDSS shall award the amount of$8,500,000 to County of Fresno for the grant period of
July 1, 2023 through June 30, 2028. The funds provided for services pursuant to this
Agreement shall be for the sole purpose of providing a highly integrated continuum of
caret for the foster youth served in the pilot program. The Grantee shall develop a continuum
of care that is designed in compliance with all applicable state and federal laws to permit
seamless transitions between treatment settings and programs for the
appropriate treatment of foster youth. Funding received from the CDSS pursuant to the
pilot may be used to supplement but shall not be used to supplant existing funding. Except as
otherwise provided, the Grantee shall provide a Children's Crisis Continuum Pilot Program,
which shall include, at a minimum:
1. Crisis Stabilization Units2 which must provide service activities that include but are not
limited to assessment, collateral, therapy, and referral for up to 23 hours and 59 minutes
for youth experiencing a mental health crisis, serve no more than eight foster youth, be
licensed as a 24-hour health care facility or hospital-based outpatient program or provider
site and be co-located with, or within 30 miles of, a psychiatric health facility or other
secure hospital alternative setting that is capable of meeting the needs of youth
experiencing a mental health crisis. If the youth's exhibiting symptoms have not subsided
within 23 hours and 59 minutes, youth shall be transitioned to a setting that is able to
For the purposes of the Children's Crisis Continuum Pilot Program, the California Department of Social
Services defines "continuum of care" as an integrated system of care that guides and tracks foster youth over
time through a comprehensive array of foster care placements and behavioral health supports and services
spanning all levels of intensity of care.
2 Although the California Department of Social Services would like to see a full continuum, per WIC Section
16553(b)(2), the Department may award a county whose Children's Crisis Continuum Pilot Program does not
include a psychiatric health facility and a crisis stabilization unit, or a psychiatric health facility on its own.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 3 of 11
EXHIBIT A
(Grant Agreement)
meet the needs of the youth. Grantee must comply with all regulations contained in
Chapter 11 (commencing with Section 1810.100) of Division 1 of Title 9 of the
California Code of Regulations that are applicable to the provision of crisis stabilization,
and specifically including Section 1810.210. Relevant regulations include, but are not
limited to, the following: 9 CCR 1840.338 and 1840.348.
2. Psychiatric Health Facilities3 which must provide a secure, highly individualized,
therapeutic, hospital-like setting for foster youth who require inpatient treatment and
serve no more than four youth at a time. The psychiatric health facility shall be
integrated with community-based supports and tiered placement settings, including
Intensive Services Foster Care (ISFC) and Enhanced ISFC homes. The psychiatric
health facility shall be licensed by DHCS and shall be operated in accordance with
Chapter 9 (commencing with Section 77001) of Division 5 of Title 22 of the California
Code of Regulations. Additional relevant citations include but are not limited to:
0 9 CCR 1810.237 and 1840.370.
• Welfare and Institutions Code (WIC) section 16553(b)(1)(C)(iii)
3. Crisis Residential Programs which must provide short-term, highly individualized
stabilization and support for foster youth who do not require inpatient treatment, but
are experiencing acute mental health crisis, serve no more than four youth at a time,
and shall be designed to reduce the reliance for care in emergency rooms and
psychiatric hospitals. The crisis residential program shall be operated in accordance
with all statutes and regulations governing the placements of foster youth, including
the California Community Care Facilities Act (Article 1 (commencing with Section
1500) of Chapter 3 of Division 2 of the Health and Safety Code). The crisis residential
program shall be operated in accordance with all statutes and regulations governing
its licensure category, including, for short-term residential therapeutic programs, the
interagency placement committee process established pursuant to WIC section 4096.
Additional relevant citations include but are not limited to, 9 CCR 1840.356 and
1840.364.
4. Intensive Services Foster Care Homes which must be designed to step youth down to
a less restrictive placement, have the capacity to maintain at least two times the
amount of homes as the number of beds in the residential treatment setting used in
the pilot, and have in-home staff available 24 hours a day, 7 days week to provide
care, behavioral support, permanency services, specialty mental health services and
educational services.
3 Although the California Department of Social Services would like to see a full continuum, per WIC Section
16553(b)(2), the Department may award a county whose Children's Crisis Continuum Pilot Program does not
include a psychiatric health facility and a crisis stabilization unit, or a psychiatric health facility on its own.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 4 of 11
EXHIBIT A
(Grant Agreement)
5. Community-based Supportive Services which must provide intensive transition
planning and aftercare services using a team approach; provide integrated transition
services and supports prior to and after transitions between levels of care; provide an
intensive transition planning team consisting of, at a minimum, a mental health
professional with a master's degree who is either licensed or license-eligible, a
support counselor with a bachelor's degree, and a peer partner, that may serve up to
four foster youth at a time and shall have the ability to support foster youth in any out-
of-home treatment setting in the continuum of care;4 work in collaboration with county
child welfare agency, probation department, and mental health plan to provide at least
six months of aftercare services; provide mobile crisis response and/or crisis response
teams that are available 24 hours a day, 7 days a week to respond to foster youth
experiencing crisis in the community; provide access to non-clinical services,
including, but not limited to the following:
• Mentoring programs
• Faith-based/cultural activities
• Volunteer opportunities
1 . Term:
a. The term of this Agreement shall be July 1, 2023 through June 30, 2028.
2. Grantee Final Work Plan and Budget:
a. Grantee shall prepare and submit to the CDSS a Final Work Plan and Budget prior
to the execution of this Agreement, which shall describe how the Grantee will
provide the services in the Scope of Work and shall include key dates addressing
the implementation of the following:
1) Existing capacity and program sustainability.
2) A plan to leverage existing infrastructure.
3) A plan to implement service components and ensure staff capacity.
4) A plan to fill identified existing gaps in both staff and services capacity.
5) Ability to administer the program, in full.
6) Ability to oversee all levels of the continuum of care.
4 Although the California Department of Social Services would like participants to implement the intensive
transition planning team as described above, per WIC Section 16553(b)(1)(E)(iv), the Department may award a
county whose Children's Crisis Continuum Pilot Program has an alternate proposal for transition planning
services, including modified standards.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 5 of 11
EXHIBIT A
(Grant Agreement)
7) A detailed program plan budget including budget line items, a budget narrative,
and a subcontractor table for the Children's Crisis Continuum Pilot Program.
8) Ability to partner and collaborate with county child welfare, behavioral health
(including both mental health and substance use disorder prevention,
treatment, and recovery services), probation, regional centers, and education
departments in the design, delivery, and evaluation of the pilot program.
b. Grantee may modify the Final Work Plan only with prior written consent from the
CDSS. Approved modifications to the Final Work Plan shall not require a formal
amendment to the Agreement.
c. The CDSS may share the Final Work Plan and Budget with the DHCS.
C. GRANTEE RESPONSIBILITIES
In addition to the requirements set forth above, the Grantee shall-
1. Undertake, carry out, and complete, in a competent and satisfactory manner, all the
work and services set forth in this Agreement.
2. Acquire prior written approval from the CDSS before utilizing the services of a
subcontractor. The subcontractor must be an individual or non-profit organization.
Entering into this Agreement with the CDSS does not constitute written approval of any
proposed subcontractor.
3. Grantees approved to subcontract shall:
a. Ensure that at all times during the term of this Agreement, subcontractors maintain
the qualifications required to provide the services for which the Grantee receives
funding.
b. Provide to CDSS a signed agreement between Grantee and each subcontractor
within 90 days of the final execution of the agreement that describes the services to
be provided by the subcontractor pursuant to this Agreement, and the
compensation to be received by the subcontractor for performing said services.
c. Assume responsibility for all work performed under this Agreement. If any
subcontractor fails to perform any work in a manner satisfactory to the CDSS, the
Grantee shall remove the subcontractor immediately upon written request of the
CDSS and the subcontractor shall not be re-employed in the work of the Grantee
required under this Agreement.
d. Verify status and/or satisfactory completion of the activities by subcontractor before
submitting an Invoice Claim Form or report, which includes the subcontractor
activities.
e. Not substitute any subcontractor without advance written consent of the CDSS.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 6 of 11
EXHIBIT A
(Grant Agreement)
f. Ensure that the subcontractor complies with all applicable state and federal laws
and regulations, and any other relevant guidance set forth by the CDSS or the
DHCS.
g. Ensure that if multiple subcontractors are involved with performance of activities
described in the Agreement, that such subcontractors will develop and enter into
Memorandum of Understanding or other business agreements between
themselves that defines the processes and procedures for provision of services to
foster youth, including, but not limited to the
• Case Planning
• Care Coordination
• Intensive Transition Planning
• Assessment
• Transportation between service settings
• Information sharing
• Data collection and dissemination
4. Maintain records of any and all services performed for a period not less than three (3)
years after final payment or a longer retention period, if applicable.
5. Provide the CDSS with unrestricted access to all documents, files, reports, materials,
and data developed by the Grantee or their subcontractor within five (5) business days
of request.
6. Certify the eligibility of Children's Crisis Continuum Pilot Program participants and
maintain certification documents.
7. Collaborate with relevant county departments including child welfare, mental health plan,
Substance Use Disorder(SUD) treatment plan (either Drug Medi-Cal or Drug Medi-Cal
Organized Delivery System), behavioral health, probation, regional center, and education
in the design, delivery, and evaluation of the pilot program.
8. Submit Children's Crisis Continuum Pilot Program Quarterly Progress Reports in the
format and within the time frames specified by the CDSS. Reports must address how
the Grantee is meeting the objectives of the Children's Crisis Continuum Pilot Program
and shall include, but not be limited to, qualitative and quantitative youth-specific
information and data, and information that may pertain to the overall continuum pilot,
consistent with the evaluation criteria set forth in WIC section 16555, and any other
outcomes reporting that the CDSS and the DHCS requires.
NOTE: Grantee's Quarterly Progress Reports are an integral part of the State's
ability to meet Children's Crisis Continuum Pilot Program reporting
requirements.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 7 of 11
EXHIBIT A
(Grant Agreement)
9. To the extent that Medi-Cal services are provided through the pilot program, ensure
that service providers comply with all relevant state and federal Medi-Cal (Medicaid)
laws, including applicable subregulatory guidance, contracts, and state plan
provisions. Nothing in this Agreement shall be construed as an exemption for
compliance with these state and federal Medi-Cal (Medicaid) laws.
10. To the extent that services are provided through licensed or certified mental health
facilities and/or substance use disorder treatment facilities, ensure that all services are
provided in compliance with relevant licensing laws and subregulatory guidance.
Nothing in this Agreement shall be construed as an exemption for compliance with
state and federal laws pertaining the provision of services in licensed or certified
mental health facilities or substance use disorder treatment facilities.
11 . Submit Children's Crisis Continuum Pilot Program Final Progress Report in the format
and within the time frame specified by the CDSS. Report must address how the
Grantee met the objectives of the Children's Crisis Continuum Pilot Program and shall
include, but shall not be limited to, qualitative and quantitative youth-specific
information and data, and information that may pertain to the overall pilot program,
consistent with the evaluation criteria set forth in WIC section 16555, and any other
outcomes reporting that the CDSS and the DHCS requires.
12. Provide Children's Crisis Continuum Pilot Program proposed budget narrative for the
FY 2023-28 project period that shows the correlation between the proposed budget,
project activities, and the pilot program components and supporting documentation in
the format specified and within the time frames specified by the CDSS.
13. Meet with CDSS and DHCS staff upon request and/or as necessary regarding the
operation of the Children's Crisis Continuum Pilot Program. Such meetings shall
include any technical assistance sessions, learning sessions, or webinars related to
the pilot provided by the CDSS or any of its subcontractors.
14. Reimburse the CDSS and/or the DHCS for any disallowed costs as determined by a
state and/or federal audit or review.
15. Participate and present at conferences and workshops, at the request of the CDSS, in
order to disseminate and share Children's Crisis Continuum Pilot Program activities,
program knowledge, and best practices; and network and exchange information with
other organizations regarding the Children's Crisis Continuum Pilot Program.
16. Meet, collaborate to develop procedures for data collection and dissemination,
disseminate data to, and collaborate with any subcontractors hired by the CDSS to
conduct evaluation(s) of the Children's Crisis Continuum Pilot Program, including the
Interim Report as described in WIC section 16555.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 8 of 11
EXHIBIT A
(Grant Agreement)
D. CDSS RESPONSIBILITIES
1. Provide program consultation and technical assistance to the Grantee upon request.
A CDSS Grant Manager will be assigned to assist the Grantee. The Grant Manager
will be the primary contact responsible for consultation and assistance to the program.
2. Monitor and evaluate the Grantee's performance, expenditures, and service levels for
compliance with Grant requirements. The CDSS and any of its subcontractors may
review data, materials, and publications used by the Children's Crisis Continuum Pilot
Program, etc., and all fiscal records related to the Children's Crisis Continuum Pilot
Program. Grant monitoring shall be accomplished in a manner, location, and time at
the sole discretion of the CDSS.
3. Provide the Grantee with reporting time frames for submission of reports.
4. Evaluate Grantee's Quarterly Progress Report and Final Work Plan for compliance
and provide a written response within 30 business days of receipt if the report is
determined inconsistent with reporting requirements.
5. Review the proposed budget narrative that shows the correlation between the
proposed budget, project activities, and the pilot program components submitted by
Grantee for allowable costs and approve as appropriate, as determined in the CDSS'
sole discretion, and conditioned on the availability of funds. In the event an audit or a
review establishes the costs were not allowable, the CDSS will work with the Grantee
to ensure the return of any improper payment or overpayment.
6. Retain the right to modify the program and this Scope of Work based on the results of
its evaluation and review. The CDSS may use the results of monitoring reviews in
future grant decisions. The evaluation shall include, but is not limited to, Grant
compliance, effectiveness of planning, and program outcomes.
E. MUTUAL RESPONSIBILITIES
1. Amendments to the Scope of Work must be initiated in writing by either the CDSS or
the Grantee and must be approved in writing by the CDSS before any changes can be
implemented.
2. Each party shall give to the other party ten (10) days prior written notice of a change in
the Program Representative.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 9 of 11
EXHIBIT A
(Grant Agreement)
F. ALLOWABLE ACTIVITIES
Allowable activities shall support the Grantee's capacity to provide short-term crisis
stabilization, therapeutic intervention, and specialized programming in an unlocked, staff-
secured setting with a high degree of supervision and structure and the goal of supporting
the rapid and successful transition of the child back to the community. The activities must
include treatment options that are needed to support California's commitment to keep
youth in families to the greatest extent possible based on the best interest of the youth.
Allowable activities may include, but are not limited to:
1. Maintenance of a case management system or strategy to ensure continuity of care
for youth throughout the continuum;
2. Implementation of family supports and services to keep youth in family settings from
escalating to more restrictive settings;
3. Services to conduct intensive family finding and engagement to support permanency
and foster connections;
4. Providing medically necessary behavioral health supports and services, including
specialty mental health services, consistent with all state and federal Medicaid
requirements;
5. Services to ensure access to educational services, permanency services, behavioral
support services, intellectual/developmental delay services, and other community-
based services;
6. Services to support implementation of culturally and linguistically responsive and
competent treatment across all programs in the pilot.
G. ADDITIONAL TERMS AND CONDITIONS
In addition to the requirements set forth above, the Grantee shall:
1. Expend funds as described in the Scope of Work and Exhibit B — Budget Detail, the
Payment Provisions of this Agreement, and Grantee's Final Work Plan and Budget,
unless prior written permission is granted by the CDSS.
2. Ensure that any amendments to the Scope of Work be initiated in writing by either the
CDSS or the Grantee, and be approved in writing by CDSS, before any changes can
be implemented.
3. Maintain and manage records of Children's Crisis Continuum Pilot Program activities
and expenditures in accordance with all applicable state and federal privacy laws.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 10 of 11
EXHIBIT A
(Grant Agreement)
4. Comply with any written response from the CDSS to the Grantee's reports, including
requested due dates for any additional information or required reports.
5. Return any improper payment or overpayment upon request and within the timeframe
specified by the CDSS and/or the DHCS.
ALLOC-23-0002 Exhibit A
CDSS/County of Fresno Page 11 of 11
EXHIBIT A
(Grant Agreement)
H. PROGRAM REPRESENTATIVES
The Program Representatives during the term of the Agreement shall be:
CDSS Grantee
John Gugino Renee Ramirez
Associate Governmental Program Analyst Division Chief Department of Social
Policy and Technical Assistance Bureau Services, County of Fresno
Child Well Being Continuum
744 P Street, MS 8-3-570 380 W. Ashlan Ave Bldg. 5
Sacramento, CA 95814 Fresno, CA 93612
(916) 261-0339 (559) 600-4009
ChildrensCrisisContinuumPiloto_dss.ca.gov ram irra a_fresnocountyca.gov
Either party may change the Program Representative but is required to provide written
notification of the change to the other party within ten (10) business days_ Approved
changes shall not require an amendment to this Agreement.
ALLOC-23-0002 Exhibit A - Attachment 1
CDSS/County of Fresno Page 1 of 16
EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
A. Pilot Overview:
1. A brief narrative description of the county or region's need for the CCCPP, the
objectives of the Grantee's pilot, and how pilot will achieve the objectives.
Fresno County lacks Emergency Enhanced-Intensive Services Foster Care (E-E-ISFC),
a Children's Crisis Residential Program (CCRP), Enhanced Intensive Services Foster
Care (E-ISFC), and the Core Teams necessary to ensure continuity of care and provide
support services through each youth's involvement in the Crisis Continuum.
As a result, youth and families are not consistently offered the responsive and trauma-
informed services they deserve. Youth in crisis are compelled to stay overnight in
County offices. Counties are paying exorbitant rates for youth to be served in chaotic
hospital Emergency Departments because other, more appropriate crisis services are
not available. Youth are experiencing avoidable contact with law enforcement, and
youth are staying in Short Term Residential Therapeutic Programs (STRTPs) for
periods of time longer than necessary to address their crisis needs. There are also all-
too-common instances when STRTPs provide 14-day notices that they are not able to
sufficiently meet the needs of specific youth in care, which results in youth sometimes
staying weeks in County offices or days in hospital Emergency Departments.
In 2021, twenty-two (22) youth stayed overnight in Fresno County Child Welfare
Services (CWS) offices; for 21 of those youth, their stays exceeded three (3) nights. The
average length of stay was 16 nights for youth who stayed in the office on 2-5 different
occasions. For the three (3) youth who stayed in the office on 8 or more occasions, the
length of stay was 24 nights, 38 nights, and 115 nights, respectively. Most youth staying
in CWS offices did so due to a lack of bed availability and/or a program's inability to
successfully meet the needs of the youth. It is the intent of Fresno County to build and
sustain a system that ensures this practice is safely ameliorated.
The gap in seamless care coordination is evidenced by the fact that of 325 Fresno
children entering care between 7/1/2021 and 9/30/2021, only 53% received a Child and
Family Team (CFT) meeting, and just 13% received a CFT meeting within 60 days of
placement. Permanency and connectedness to both family and non-relative supports
often lead to positive behavioral health outcomes for youth. Additionally, being able to
incorporate youth and family support network voice into the treatment and care plans for
youth is integral to success and sustainability. Expediting CFT engagement can only
benefit young people in care.
Fresno County is committed to ensuring youth receive the services they need in the least
restrictive settings and without involving law enforcement wherever possible. Data from the
admission log of Fresno's existing Crisis Stabilization Unit demonstrates that over the last two
fiscal years, on average, 41.9% of clients overstayed the allowable 23 hour 59 minutes, and
nearly 10% of all referrals came directly from law enforcement. These numbers represent
opportunities to provide additional discharge options offering multiple tiers of support, as well
1
ALLOC-23-0002 Exhibit A - Attachment 1
CDSS/County of Fresno Page 2 of 16
EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
as the opportunity to increase crisis response team(s) capacity and reduce reliance on law
enforcement— particularly for mental and/or behavioral health crises.
Fresno County's Children's Crisis Continuum Pilot Program addresses these gaps and
needs by introducing the missing crisis services in combination with a seamless and
fully integrated care management structure. The Children's Crisis Residential Program
and Enhanced ISFC programs provide intensive, individualized supports in licensed
facilities for young people who do not require treatment in locked, inpatient facilities but
who are not yet ready to step-down into lower levels of care, such as ISFC homes or
STRTPs.
Further, by introducing what can be likened to intensive Wraparound services through
Core Team services, youth and families in the Pilot Program receive a single point of
care management and thus seamless service delivery that will follow them throughout
the service continuum. The clinicians, counselors, and peer support comprising Core
Teams will be committed to engaging as quickly as possible with CFTs and service
providers and will provide 24/7 rapid response to urgent needs, permanency support
services, and coordination of care. This model lessens the reliance on law enforcement,
further engages the youth with their natural network of support and provides continuity
of care that lessens the demand on young people as they move through the Crisis
Continuum.
To support the Pilot Program's integrated care management structure, providers will
enter into inter-agency Memorandums of Understanding (MOUs) that clearly delineate
roles, responsibilities, processes, and procedures for such items as care coordination,
transition planning, capacity management, and communication.
2. A brief narrative description of the facilities, programs, and services that will
compose the Grantee's children's crisis continuum of care for the CCCPP,
including any subcontractors that will be utilized. This should include, but not
be limited to, any of the following that will be utilized as part of the CCCPP:
• Psychiatric Health Facility(PHF)
Fresno County will continue to utilize its existing Psychiatric Health Facility (PHF) for
youth, currently run by Central Star Behavioral Health. The Central Star Behavioral
Health PHF provides services for up to 16 youth at any given time and there will be a
prioritization of youth who will be served by this Pilot Program.
The Central Star Behavioral Health PHF team includes a Discharge Coordinator, who
begins the discharge process at assessment and participates in interdisciplinary
meetings and collaborates and communicates with internal and external resources in
preparation for the youth's release. Together with the PHF Family Advocate and
Transition Age Youth (TAY) Peer Support Specialist (as applicable), the PHF teams will
work closely with the youth's Core Team and CFT to ensure that, upon discharge, youth
receive the appropriate placement and/or services based on their presentation of need.
Fresno County believes that discharge planning — for any Crisis Continuum program -
begins at intake, so throughout a youth's time in a PHF, youth and families receive
2
ALLOC-23-0002 Exhibit A - Attachment 1
CDSS/County of Fresno Page 3 of 16
EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
individualized treatment, psychiatric services, and linkage to community-based supports
to aid in the provision of ongoing care and treatment, toward the goal of discharge into
less restrictive care settings.
• Crisis Stabilization Unit(CSU)
Fresno County will continue to utilize the existing Crisis Stabilization Unit. Youth served
by this Pilot Program will be prioritized. Fresno County's CSU operates twenty-four (24)
hours per day, seven (7) days per week, with services provided by Exodus Foundation,
Inc. The dedicated county capacity at the Fresno County's CSU is 16 youth at any
given time. If the CSU determines it cannot ameliorate the youth's symptoms within 23
hours and 59 minutes and the youth requires an inpatient locked facility, a CSU nurse
will initiate the process of discharging the youth to an inpatient facility. If it is
determined that care in an inpatient, locked facility is not necessary, CSU staff begin
the discharge process. Throughout the discharge process, CSU staff continue to
provide stabilizing interventions, ongoing assessment and multi-disciplinary evaluation,
development of an individual-centered safety and treatment plan with a multi-
disciplinary team - including collaboration with peer and family advocates which will
incorporate the youth's Child and Family Team (CFT) and Core Team supports. The
CSU can provide the assessment and entry point to the appropriate level of services
while the Core Team will manage any transition between service settings.
• Children's Crisis Residential Program (CCRP)
Identified as an existing gap in Crisis Continuum services, a Children's Crisis
Residential Program (CCRP) will be established in Fresno County. Fresno County will
release a Request for Proposal (RFP) seeking to establish a CCRP. The CCRP will
serve up to four youth, ideally in a duplex (or similar) setting with no more than two
youth in each unit. The CCRP will adopt the same high-level, individualized staffing
requirements as a PHF. CCRP staff will work closely with youth, Core Teams, and
CFTs to identify and integrate appropriate community-based supports, such as
Substance Use Disorder Treatment programs. Staff will assist youth to connect with
supports and services, such as Mobile Response and Therapeutic Behavioral
Services (TBS), that they can continue to access after transitioning out of the CCRP.
Additionally, the Enhanced Interagency Placement Committee will be integrated into
treatment planning, with Core Team, CFT, and CCRP support, to determine the
appropriate placement setting for each youth — with the goal of achieving the least-
restrictive placement setting based on individualized needs. The CCRP will be a
short-term, intensive service. The medical necessity of youth enrolled in this program
will be re-evaluated every ten (10) days. Leveraging its own multidisciplinary team,
the CCRP will work collaboratively with youth, their families and caregivers, Core
Teams, CFTs, and community supports to create a sustainable plan for the youth's
transition home or to an alternative permanency setting.
Fresno County believes that our region needs a level of care that is a step between an
acute psychiatric setting such as a Psychiatric Health Facility (PHF) and the community-
based outpatient settings, including those with intensive wraparound supports. Fresno
County does not have a Children's Crisis Residential Program (CCRP), and this is the
level of care that we think may best fill this particular gap in the behavioral health crisis
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
services and acute care continuum. In order to address this gap, Fresno County will
release a solicitation to identify and contract with a community-based organization
(CBO) to provide CCRP services.
Fresno County has identified several barriers to implementation of a CCRP, including
but not limited to: (1) identifying a property for the CCRP; (2) secure capital funds to
renovate a property to meet programmatic standards; and (3) identify a funding
source(s) to make the CCRP fiscally sustainable beyond the duration of the CCCPP.
During the course of the CCCPP, Fresno County will work with CBOs, the CDSS, the
DHCS, and other relevant entities to overcome identified barriers and implement a
CCRP. Fresno County will have CCRP services in place no later than Q4 of the 2024-
25 FY. Should Fresno County encounter barriers that would compromise this projected
timeline, we will immediately contact the CDSS for technical assistance and/or support.
As Fresno County works toward implementing a CCRP, we would like to use CCCPP
funding to implement an Enhanced Short Term Residential Treatment Program (E-
STRTP) as an interim strategy to ensure that foster youth have access to crisis services
in a residential setting through the course of the Pilot. Fresno County will model the E-
STRTP's mental health program on that of a CCRP, replicating many of the services
and supports of such a program. Fresno County will approach implementation of the E-
STRTP from a Quality Improvement model to evaluate efficacy of interventions and
transfer this learning to implementation of the CCRP. When the CCRP is ready to begin
accepting placements, Fresno County will transition funding resources from the E-
STRTP to develop and operationalize the CCRP. During the course of the CCCPP,
Fresno County will provide the CDSS updates on the progress of implementation of the
CCRP as needed.
• Intensive Services Foster Care (ISFC) Homes
Through this Pilot Program Fresno County seeks to increase and enhance available
ISFC level of care through the implementation of sixteen (16) Enhanced ISFC (E-ISFC)
homes for supporting youth with intensive needs for up to one year of stabilizing
placement, and eight (8) Emergency Enhanced ISFC (E-E-ISFC) homes, with the
capacity and support to care for one youth in the case of emergency for up to 30 days.
E-E-ISFC placements will serve to immediately address any urgent placement needs
that arise and will only be used on short-term bases for youth who may otherwise be
facing unnecessarily extended stays in secure facilities and as an alternative to short-
term congregate care settings. The key difference between E-ISFC and E-E-ISFC will
be the duration of stay, otherwise the service structure will be virtually identical. Fresno
County already has robust ISFC programming consisting of 14 Foster Family Agency
(FFA) providers with the capacity for 132 ISFC placements, and the County currently
operates an ISFC program with a capacity to serve 90 youth. These ISFC services will
continue to be used by Fresno County. Fresno County is in the process of contracting
with Aspiranet and Promesa for E-E- ISFC services, with the intention to additionally
contract with these agencies for E-ISFC homes, once the E-E-ISFC program is
operational. E-ISFC and E-E-ISFC caregivers will have educational, professional, or
lived experience with youth that helps them to understand and respond to the needs of
the youth placed in their care. Each E-ISFC and E-E-ISFC home in the Children's
Crisis Continuum will have at least one dedicated resource parent who does
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
not work outside of the home. Support staff teams will be assigned to each E-ISFC and
E-E-ISFC home and staff will be available to provide support and services in the home
24 hours a day, 7 days a week. Each team will include a Clinician, Lead Youth
Counselor, day/evening Youth Counselors and overnight Youth Counselors, overseen
by a Program Supervisor. To augment the level of support and therapeutic intervention
available, the youth's Core Team will also function as a Mobile Response team and will
be available to provide services and support in the home 24 hours per day, seven days
per week.
• Community-based supportive services including wraparound, aftercare, Family
Urgent Response System (FURS), or Mobile Response Teams (MRTs)
Mobile Response/FURS: Currently, Mobile Response services and Family Urgent
Response Services (FURS) are already available 24 hours a day, 7 days a week.
Fresno County contracts with Kings View to provide crisis response services.
The Mobile Response Team services are designed to: (1) Prevent placement
disruption; preserve the relationship between the young person and their caregiver; (2)
Provide trauma-informed service alternatives for families who previously resorted to
calling 911 or law enforcement; (3) Reduce hospitalizations and placement in out-of-
home facilities; promote healing as a family; improve retention of current resource
caregivers; and, generally, (4) Promote placement stability for youth.
Mobile Response and FURS are the first line of intervention in the Crisis Continuum,
available 24/7 to receive phone calls, assess crises, and provide in-person de-
escalation, stabilization, conflict resolution, and support services.
Core Teams: Fresno County will contract with Wraparound providers for Core Team
services, which will be available 24/7 for Pilot Program youth and families. An RFP has
been released for Fresno County's Wraparound program and is anticipated to begin
between July and September 2024 and will include the provision for Core Team
enhancement.
Each youth and family participating in the Pilot Program will be supported by a Core
Team, which will be assigned by the Pilot Program's Operations Director as soon as a
youth enters the Crisis Continuum and will stay with the young person and family
throughout the youth's tenure in the Program. Core Teams provide 24/7 community-
based support and a single point of care management for every youth and family
throughout their participation in the Pilot Program. Core Teams help to set, track, and
maintain treatment goals throughout service settings, regardless of any fluctuation in
acuity of need. Core Teams will be comprised of six staff members: one Masters-level
licensed or license-eligible clinician, one peer counselor and/or parent partner, two
Bachelors-level counselors, and two Child and Family Specialists (CFS) to provide
services such as Therapeutic Behavioral Services (TBS). The intensity of services the
Core Teams provide is based on the needs of the child in order to reduce duplication
or overlap of services and resources. Core Teams will also provide immediate
intervention to assist with minimizing risk, supporting youth permanency, preventing
repeated hospitalizations, stabilizing behavioral health needs, and improving youth
functioning across life domains.
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
B. Personnel and Material Resources:
1. A narrative description of the personnel and other resources required to
complete the project. Grantee shall describe how the personnel and other
resources will be utilized to fulfill the Scope of Work.
The Pilot Program Operations Director, a county position based in Fresno County, will
be responsible for the implementation of the full Crisis Continuum Pilot Program. This
person will ensure that all Pilot Program elements are implemented according to the
methodology plan, timeline, and budget approved by CDSS. The Pilot Program
Operations Director will work collaboratively across county systems and subcontractors
to ensure effective service delivery.
As mentioned above, each youth is supported by a Core Team, which consists of one
Masters-level licensed or license-eligible clinician, one peer counselor and/or parent
partner, two Bachelors-level counselors, and two Child and Family Specialists (CFS).
Each Core Team supports four families at a time.
The Direct Program Services Team is responsible for implementation of the Crisis
Residential and E-ISFC program models and is comprised of the following positions
employed by contracted providers:
Program Directors and Assistant Directors are responsible for the oversight of
their assigned Crisis Residential or E-ISFC programs. The Program Director and
Assistant Directors comprise the leadership teams in these programs. The team will
be hands on, and in-program to help ensure safety and guide practice. These
leaders are responsible for ensuring programs meet all regulatory and accreditation
requirements from all applicable entities including Community Care Licensing,
Department of Health Care Services, and national accrediting organizations.
Assistant Directors will oversee Medi-Cal compliance and supervise Clinicians and
Program Supervisors. The Crisis Residential Program Director will be a CDSS
Certified Administrator.
Program Supervisors ensure that day-to-day operations are effectively
implemented and will provide mentoring as needed. Program Supervisors will also
provide direct care and supervision as needed and be responsible for monitoring
documentation and supervising counselors.
Clinicians provide individual therapy, family therapy, and treatment plans for each
youth, and assist staff with progress notes.
Lead Counselors oversee daily implementation of program services and will
supervise counseling staff.
Counselors will implement treatment plans, supervise, and care for the youth in
placement, providing daily activities and documenting all Medi-Cal services
provided.
CFS Counselors will be assigned to one specific youth. Youth benefit from the
consistent attention provided by One-to-One CFS Counselors.
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
Overnight Counselors will be awake and available to care for youth having difficulty
during the night.
Program Assistants will support staff with all administrative tasks and assist the Health
Information Specialist with Medi-Cal billing.
Health Information Specialists are responsible for reviewing and accurately billing all
Medi-Cal services.
Cook is responsible for preparing meals for the residential program, including meal
planning and grocery shopping.
Facility Manager responsible for ensuring that Pilot Program facilities are always in good
repair.
Program Evaluation Analyst responsible for collecting and analyzing data for program
quality and to ensure contract compliance.
In addition to highly individualized behavioral health treatment plans, all foster youth benefit
from ongoing, developmentally appropriate, non-clinical services, supports and activities
that enhance their connections to communities and adults who care about them. The Pilot
Program heavily leverages the home-based care model of Enhanced ISFC, and the
healing and connective benefits youth can glean from connection to non- clinical
Enhanced ISFC (E-ISFC) caregivers. E-ISFC caregivers have education, professional, or
lived experience working with youth that helps them to understand and respond to the
needs of young people placed in their care. In addition to their commitment to providing
care regardless of behavioral challenges that emerge, E-ISFC caregivers successfully
complete rigorous supplemental training on top of traditional ISFC certification and are
generously compensated to fulfill the E-ISFC caregiver role as a full-time commitment. In
this way, youth in E-ISFC programs benefit from relational connectivity from a stable,
present adult who cares about them and liaises between a youth's Core Team and
relevant clinical providers, but provides empathic, non-clinical support to high-needs youth
in a highly supported home-based care placement. E-ISFC caregivers will also work in
close coordination with a youth's Core Team to ensure youth are connected to robust
extracurricular activities and services that are appropriate to their needs and relevant to
their cultural identities and interests.
Non-clinical Pilot Program support staff also include Department Directors from Fresno
County, one of whom also holds the role of Public Guardian for Fresno, as well as
Executive Directors of the many providers enlisted in this effort, delivering acute
psychiatric services, crisis stabilization, crisis residential, Core Team services, mobile
response, E-ISFC, and other services. Non- clinical staff includes members of Fresno
County's Interagency Leadership Teams, whose collaborative contributions to the
development and case-specific execution of this program will meet the cross-system
needs of youth that may have historically been sent out of state for services.
Additional non-clinical staff include Probation Officers and Public Guardians supporting
the initiative with their specific roles and perspectives. These individuals and agencies
complement and coordinate with the clinical care teams to strengthen supports for high-
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(FINAL WORK PLAN)
needs youth, providing the holistic expertise necessary for an integrated continuum of
services.
Additionally, non-clinical supports may include housing, basic needs,
educational/vocational programs, community recreational programs, gang prevention
and victim services (e.g., CSEC). Fresno County and partners benefit from non-
clinical supports from a range of stakeholders. This Pilot Program leverages family
finding and engagement activities throughout a youth's time in the Continuum, driving
community connectivity.
For non-urgent placement in the Enhanced Short Term Residential Therapeutic
Program (E-STRTP) / Children's Crisis Residential Program (CCRP) and Enhanced
Intensive Services Foster Care (E-ISFC), the Counties will implement practices required
in WIC Sections 4096 and 11462.01 (regarding placements in Short Term Residential
Therapeutic Programs (STRTPs) and Intensive Services Foster Care (ISFC) homes).
The Pilot Program's formal eligibility review process will consist of Child and Family
Teams (CFTs) and Core Teams working collaboratively with Fresno County's
Interagency Placement Committee (IPC) to formally identify those youth in need of E-
STRTP / CCRP and E-ISFC placement. This multi-departmental group will be known as
the Enhanced IPC. IPCs are multi-agency, multi-disciplinary teams that support youth
with significant behavioral, emotional, and/or developmental needs through a
collaborative review process whereby the youth's treatment and placement needs are
determined. This Enhanced IPC will collaborate with the Operations Director and Lead
to determine or confirm when a youth's treatment needs require services provided
through the Crisis Continuum, utilizing Qualified Individual (QI) Assessments and CANS
data (where available). The Enhanced IPC will meet as needed and only regarding
placements that impact the Pilot Program.
The Pilot Program Advisory Group is a separate entity that will support the continuous
improvement of service design and delivery, and act as an oversight and accountability
body. The Advisory Group will include representatives from Fresno County's
Interagency Leadership Teams (ILTs), parent and peer partners, Tribal leadership,
LGBTQIA+ representatives, and community-based providers. The Advisory Group will
assist with Pilot implementation outreach and rollout, provide guidance and support in
ensuring the Crisis Continuum meets the unique needs of foster youth and families, and
will be available for ongoing individual technical assistance and case consultation for
youth involved in the Pilot Program.
2. Provide a list of the subcontractors that will be involved in implementing the pilot
Subcontractors for this engagement include the many providers contracted by the
County to deliver services. Many of the existing services in the Counties will remain
intact and will be used to support the Crisis Continuum of Care. The funding being
requested is to introduce new and enhanced services into the Continuum, and the
Counties will be using an RFP/RFI process to establish contracts for these new
services. Agency subcontractors are listed below:
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CDSS/County of Fresno Page 9 of 16
EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
• Central Star Behavioral Health
• Exodus Recovery
• Kings View Behavioral Health Systems
• California Psychological Institute
• Pacific Clinics
• Turning Point of Central California
• Aspiranet (pending finalized contract)
• Promesa Behavioral Health (pending finalized contract)
i. Provide detail on what activities the subcontractor will be involved in and what
their role is.
Subcontractor County Programs and Services Role (Status)
Activities
Central Star Fresno Youth Psychiatric Health Contracted
Behavioral Health Facility PHF Service Provider
SB 163 Wraparound Contracted
Services Service Provider
Specialty Mental Health Contracted
Services SMHS Service Provider
Court-Specific Services for Contracted
Child-Welfare Impacted Service Provider
Youth & Families
Exodus Recovery Fresno Crisis Stabilization (CSU) Contracted
Service Provider
Kings View Fresno Family Urgent Response Contracted
Behavioral Health System (FURS) Service Provider
Systems Mobile Response Contracted
Service Provider
CA Psychological Fresno SMHS Contracted
Institute Service Provider
Court-Specific Services for Contracted
Child-Welfare Impacted Service Provider
Youth & Families
Pacific Clinics Fresno SMHS Contracted
Service Provider
Court-Specific Services for Contracted
Child-Welfare Impacted Service Provider
Youth & Families
Turning Point of Fresno SMHS Contracted
Central California Service Provider
Court-Specific Services for Contracted
Child-Welfare Impacted Service Provider
Youth & Families
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(FINAL WORK PLAN)
Aspiranet Fresno Enhanced Intensive
Services Foster Care Contracting in
ISFC Process
Emergency Enhanced
ISFC
Promesa Behavioral Fresno Enhanced Intensive
Health Services Foster Care
ISFC Contracting in
Emergency Enhanced Process
ISFC
Fresno Enhanced Short Term
Residential Therapeutic
TBD Program (E-STRTP) / Pending RFP
Children's Crisis Process
Residential Program
CCRP
TBD Fresno Core Team Services Pending RFP/RFI
Process
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN)
ii. Provide a list of each subcontractor's key personnel. Explain their role in the pilot
program.
Subcontractor Key Personnel Title Role
Central Star Solane Ruiz, Administrator Oversees and manages
Behavioral Health LCSW day-to-day operations of
the adolescent
Psychiatric Health
Facility PHF programs.
Stephanie Discharge Oversees and manages
Rodriguez Coordinator discharge process,
beginning at initial
assessment; in
preparation for the
youth's release
Jennifer Seidel, Administrator Oversees and manages
LMFT day-to-day operations of
the Community Services
programs.
Xee Thao, LMFT Program Director Program Director of
Wraparound Services:
Fresno County.
Patrick Neely, Program Director Program Director of
LMFT Community Services:
Fresno County.
Exodus Recovery Avneet K. Khinda, Program Oversees and manages
RH, MSN Director/Director compliance with relevant
of Nursing statutes, and day-to-day
operations of the Crisis
Services Unit (CSU).
Kings View Heather Program Manager Oversees and manages
Behavioral Health Rodriguez, LMFT FURS and Community-
Systems Based Mobile Crisis
Response in Fresno
County.
CA Psychological Michelle Zavala Administrative Oversees and manages
Institute Director the day-to-day
operations of their
program.
Julie Torok- Clinical Director Clinical Director and
Mangasarian, licensed therapist
LMFT overseeing and
managing services in
Fresno County.
Pacific Clinics Marilyn Sliney, Regional Provides operational
LMFT Executive Director oversight for the region.
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Elika Beckwith, Clinical Director I Oversees clinical staff
LMFT and daily operations;
ensures fiscal and
contractual compliance.
Turning Point of David Tan, LMFT Regional Director Provides operational
Central California oversight for the region.
Marcos Gonzalez, Program Director Oversees clinical staff
LMFT and daily operations;
ensures fiscal and
contractual compliance.
Additional key personnel will be added once the RFP/RFI process is complete, and
providers are identified for Children's Crisis Residential services, Core Team Services,
and Enhanced (including Emergency Enhanced) Intensive Services Foster Care.
3. Provide a list of the key personnel from each county involved in the pilot
i. Provide detail as to their role in the pilot.
County Leadership: Fresno County
Sanja Bugay, Director of Social Services
Sanja Bugay is the Director of Social Services in Fresno County. Sanja has a
demonstrated history of committing resources to improve services in Child Welfare, with
specific emphasis on meeting the needs of foster youth with complex needs. Sanja will
provide executive leadership and, in partnership with our other collaborative leaders, will
be responsible for oversight and implementation of this grant.
Susan Holt, Director of Behavioral Health
Susan Holt is the Fresno County Director of Behavioral Health and Public Guardian. For
this engagement, Susan will provide executive leadership and, in partnership with our
other collaborative leaders, will be responsible for oversight and implementation of this
grant.
Kirk Haynes, Chief of Probation
Chief Probation Officer Kirk Haynes oversees a department whose primary
responsibilities include providing protection for the community, support for victims, and
an array of services to the Courts. The Probation Officers supervise approximately
15,000 adult and juvenile clients on court-ordered probation or under other diversion
programs. For this engagement, the Chief will help to ensure the close collaboration of
juvenile justice partners and services.
Renee Ramirez, Pilot Program Operations Director, Department of Social Services,
a Division Chief with Fresno County DSS, has implemented and/or managed numerous
policy and procedures in Emergency Response and Family Reunification. Renee has
served as the Court liaison to Dependency Court and has been instrumental in the
Department's current effort to establish a transitional shelter. Renee's extensive
experience will be valuable to the implementation of this grant in her role as Operations
Director for the Pilot Program.
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(FINAL WORK PLAN)
4. Provide a list of material resources needed to implement the pilot
i. Material resources include any facilities or sites that will be utilized as part of
the pilot. Please provide an address and contact information for each facility.
Subcontractor Contracting Programs and Address and Phone
County Services Number
Central Star Fresno PHF 4411 E Kings Canyon Rd
Behavioral Health Building 319
Fresno, CA 93702
(559) 600-2382 x100
Wraparound 2934 N. Fresno Street
Fresno, CA 93703
(559) 549-6697
SMHS 3343 West Shaw Ave
Court-Specific Suite 102
Services for Child- Fresno, CA 93711
Welfare Impacted (559) 558-4051
Youth & Families
Exodus Fresno CSU 4411 E Kings Canyon Rd
Fresno, CA 93702
Kings View Fresno FURS 7170 N. Financial Dr.
Ste. 110 Fresno, CA
Mobile Response 93720
(559) 256-0115
CA Psychological Fresno SMHS 1470 W. Herndon
Institute Court-Specific Avenue
Services for Child- Suite 300
Welfare Impacted Fresno, CA 93711
Youth & Families (559) 256-2000
Pacific Clinics Fresno SMHS 6051 N. Fresno St.
Court-Specific Suite 201
Services for Child- Fresno, CA 93710
Welfare Impacted (559) 248-8550
Youth & Families
Turning Point of Fresno SMHS 1690 W. Shaw Avenue
Central California Suite 201
Court-Specific Fresno, CA 93711
Services for Child- (559) 732-8086
Welfare Impacted
Youth & Families
Fresno County Fresno Administrative Office 205 W. Pontiac Way
Department of Social Clovis, CA 93612
Services (559) 600-2300
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EXHIBIT A, ATTACHMENT I
(FINAL WORK PLAN) Fresno CCCPP Methodology Table Revised
C. Fresno Methodology Table 1
ID Activity Description Date Responsible
Part
1 Pilot Program Kick-Off Meeting Key stakeholder kick-off meeting,including providers,counties,and other stakeholders Q1 FY 23/24 Fresno County
Establish Advisory Group comprised of ILT representatives from both counties,parent Q4 FY 23/24 Fresno Count 2 Establish Advisory Group and peer partners,Tribal leadership,LGBT11IA+representatives,and community-based y
roviders to assist with uidin the Pilot im lamentation
2.1 Advisory Group Kick-Off Identify facilitator.Establish roles,responsibilities,and meeting logistics. Q1 FY 24/255 Pilot Program Operations Director
2.2 Advisory group ongoing meetings Provide oversight of pilot implementation. Ongoing: Monthly Pilot Program Operations Director
2.3 Develop and Enter into lnter-ProviderMOU Fresno and Countyw ill provideassistancetodevelop and implementanMOUbetweenprovideis. Q1 FY 24/25 Selected provider(s)
3 Establish Enhanced Interagency Establish the Enhanced PC composed of Fresno County's IPC. Q4 FY 23/24 Fresno County
Placement Committee
3.1 EIPC Kick-Off Meeting Establish roles, responsibilities,and meeting logistics. Q4 FY 23/24 EIPC
3.2 EIPC ongoing meetings Conduct ongoing meetings as needed for placements that cross county lines. Ongoing:As needed EIPC
Request Complex Care Capacity
4 Building allocation Request allocation to support the startup and development of the full children's crisis continuum Q1 FY 23/24 Fresno County DSS
Draft and submit application for CCCB allocation to support Emergency E-ISFC
4.1 Complete CCCB request:Fresno County and E-STRTP startup. Q1 FY 23/24 Fresno County DSS&Probation
Establish Core Team Services Establish Core Team model across the continuum utilizing wraparound providers and
5 ("Super Wraparound") adding new provider contracts/agreements Q1 FY 25-24 Fresno County
Fresno release county-specific solicitations that include Core Team services(may be part
5.1 Create new rapacity for Core Teams of a—comprehensive solicitation);select provider,complete contractinglagreement process Q 1 &Q2 FY 23/24 Fresno County DSS&DBH
Prepare staff and site prior to launchProvider(s)to hire and onboard new staff and ensure all necessary approvals are in place,
5.2 of Core Teams including Medi-Cal site certification Q1 &Q2 FY 23/24 Selected provider(s)
5.3 Core Teams service launch Launch Core Team services. Q2&Q3 FY 24/25 Selected provider(s)
Establish Enhanced Intensive Establish contracts/agreements with FFA provider(s)to develop short-teen"emergency"E
6 Services Foster Care homes ISFC homes(less than 30 days)and long-term(more than 30 days)E-ISFC homes. Q4 FY 23/24 Fresno County
6.1 Release Fresno solicitation:E-ISFC Draft and release solicitation for 16 E-ISFC homes and 8 E-E-ISFC homes Q1 FY 23/24 Fresno County DSS&DBH
6.2 Select Fresno provider:E-ISFC Select provider(s)for E-ISFC.Complete contracting/agreement process. Q1 FY 23/24 Fresno County DSS&DBH
6.3 Seek approval for IMC Program Rates Complete and submit applications for IMC Program Rate for E-ISFC placements Q2 FY 23/24 Fresno County DSS/Selected providers)
6.4 Identify physical site for E-ISFC Provider and/or county will identify and procure site for E-ISFC homes,if needed. Q1 FY 24/25-Ongoing Fresno County DSS/Selected provider(s)
homes,if needed
Hire and onboard new staff;recruit and train E-ISFC parents;ensure all necessary
6.5 Prepare parents,staff,and site prior approvals are in place,including Medi-Cal site certification and revised FFA Program Q1 FY 24/25 Fresno County DSS/Selected provider(s)
to launch: Statement and Plan of operation,if necessary
6.6 Service Launch:E-ISFC Launch E-ISFC& E-E-ISFC services. 02&Q3 FY 24/25 Fresno County DSS/Selected providers)
&E-E-ISFC
7 Develop Enhanced Short Term Develop E-STRTP with a capacity to serve four youth. Q4 FY 23/24 Fresno County DSS&DBH&Probation
Residential Treatment
7.1 Release solicitation for Fresno Draft and release solicitation of E-STRTP Q1 FY 24/25 Fresno County DBH(as lead entity)
Coun E-STRTP
7.2 Select E-STRTP Provider Select E-STRTP provider;negotiate and execute the contract. Q2&Q3 FY 24/25 Fresno County DBH(as lead entity)
7.3 Seek Approval for IMC Complete and submit applications for IMC Program Rate for E-STRTP Q2 FY 24/25 Fresno County DSS/Selected Provider
Program Rates placements
7.4 E-STRTP Quality Engage in E-STRTP quality improvement process in preparation Q2&03 FY 24/25 Fresno County/Selected Provider
Improvement for program transition.
7.5 E-STRTP Transition to CCRP Transition E-STRTP to Children's Crisis Residential Program Q1 FY 25/26 Fresno County/Selected Provider
CCRP
8 Data Planning Develop and implement plan to collect,analyze,and report date related to Q4 FY 23/24 Fresno County
impact of pilot program
Collect,analyze,and report Collect data utilizing multiple sources related to the program and client outcomes.
8.1 v p Ongoing: Monthly Fresno County
data Aggregate and analyze data.
8.2 Report data to Advisory Group Submit aggregated reports to the advisory group to inform discussion and Ongoing:Quarterly Fresno County
recommendations.
8.3 Report progress to CDSS Aggregate monthly data(related to program and client outcomes)and generate quarterly Ongoing:Quarterly Fresno DSS
reports for CDSS.
8.4 Final Progress Report Submit Final Progress Report to CDSS at termination of Pilot Q4 FY 27/28 Fresno DSS
Program
9 Additional Pilot Program Additional Pilot Program services not funded by the CCCPP Ongoing Fresno County
Service Components rant
9.1 Continue Fresno Psychiatric Fresno County to utilize existing contract with provider for PHF. Ongoing Fresno County/Provider
Health Facility
I 9.2 Continue Fresno Crisis Fresno County to utilize existing contract with provider for CSU. Ongoing Fresno County/Provider
Stabilization Unit
9.3 Continue Fresno Mobile Fresno County to utilize existing contract with provider for Ongoing Fresno County/Provider
Response Mobile Crisis Response
14
ALLOC-23-0002 Exhibit A-Attachment 1
CDSS/County of Fresno EXHIBIT A, ATTACHMENT I Page 15 of 16
(FINAL WORK PLAN)
D. Fresno Timeline Table 1 Fresno CCCPP Timeline Revised
CCCPP Timeline Key
Letter Meaning
S Start
I In Progress
E End
S/E Start/End
CCCPP Timeline FY 2023-24 thru FY 2027-28
ID Activity Responsible FY 2023-24 1 FY 2024-25 FY 2025-26 FY 2026-27 FY 2027-28
Party Q1 Q21 Q31 Q41 Q1 I Q2I Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
1 Pilot Program Kick-Off Fresno County S/E
2 Establish Advisory Group Fresno County S/E
2.1 Advisory Group Kick-Off Pilot Program Operetions Director S/E
2.2 Advisorygroupang.ingmeelings Pilot Program Operation,Dimoror S I I E
Develop and Enter into Inter-Provid S E
2.3 MOu Fresno Counlyl Selected,,, ider
Establish Enhanced Interagency S/E
3 Placement committee Fresno County
3.1 EIPC Kick-Off Meeting EIPC S/E
3.2 EIPC ongoing meetings EIPC S I I I I I I I I I 1 I 1 1 1 E
Request Complex Care Capacity Fresno County DSS
4 Building S/E
Complete CCCB request:Fresno
4.1 County Fresno County DSS&Probation S E
Establish Core Team Services
5 (super Wrep roune) Fresno County S/E
Create new capacity for Core Fresno County DSS&DBH
5.1 Teams S/E
Prepare staff and site prior to Iaunc S E
5.2 ofC rs Selected provider(s)
5.3 CoreT.—mrvioa launch Selected provider(s) S I I I I I I I I I I I I I E
Establish Enhanced Intensive
6 ServicesFosm,Cam Fresno County S/E
Release Fresno solicitation:E.
6.1 ISFC&E-E-ISFC Fresno County DSS&DBH S/E
select Fresno provider E-ISFC&E-
6.2 EISFC Fresno County DSS&DBH S/E
Seek approval for IMC Program
6.3 Rates r.e__'yoSSIS.I.-dPc dehel S/E
Identiyphysi-I ft for EISFC caunry Dssf selec�ea prwidehel S/E
6.4 homeAdriesded �e^e
Prepare parents,staff,and."pit. aunty Dssf selected prwidehe
6.5 toI..nch reBeD S/E
1.
ALLOC-23-0002 Exhibit A-Attachment 1
CDSS/County of Fresno Page 16 of 16
EXHIBIT A,ATTACHMENT I
D.Timeline Table 2 (FINAL WORK PLAN) Fresno CCCPP Timeline Revised
CCCPP Timeline Key
Letter Meaning
S Start
I In Progress
E End
S/E Start/End
CCCPP Timeline FY 2023-24 thru FY 2027-28
Responsible FY 2023-2024 FY 2024-2025 FY 2025-2026 FY 2026-2027 FY 2027-2028
ID Activity Party Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 I Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
6.6 S—a Launch:E-ISFC&E-E- Fresno County DSS/Selected ISFCC ovider s I I I S I I I II I II II I I I I I E
7 Develop Enhanced Short Tenn Fresno County DSS B DBH& I S/E
Residential Treatrnent Pro ra Probadon
7.1 Release sok Ration from Fresno Fresno County DBH(as lead S/E
C'U'ty entity)
7.2 Select E-STRTP proAder Fresno County DBH(asleadentity) S E
7.3 Seek approval for IMC Progra Fresno County DSS I Selected S/E
Rates for E-STRTP rovider II
7.4 E-STRTP Quality Fre
sno county I selectee I I �I
Im rOVement provider
7.5 E-STRTP Transition to CCRP Fresno county I Selected I I I I I I I SSE
rovlder
8 Data Planning Fresno County IS/E I I I I I I I I I I I
8.1 Collect,analyze,and Fresno County S I I I I I I I I I I I I I I I I E
report data
8.2 Rep.HdatatoAdvisorygroup Fresno County I I I S I I I I I I I I I I I I I I I I I I I I I I I I I I I I E
8.3 Real Pro ress to Report Fresno DSS I I I I I H-1
I�8.4 Final Progress Report Fresno DSS S/E
9 Additional Pilot Program I I I S I I I I I I I I I I I I I I E
Service Component Fresno County
9.1 1Continue Fresno
Psychiatric Hospital Fresno County
Facility
9.2 Continue Fresno Crisis Fresno Count I
Stabilization Unit y
9.3 Continue Fresno Mobile Fresno Count I I I I
Response y
ALLOC-23-0002 Exhibit B
CDSS/County of Fresno Page 1 of 3
EXHIBIT B
BUDGET DETAIL AND PAYMENT PROVISIONS
A. Term:
1. The term of this Agreement shall be July 1, 2023 through June 30, 2028.
B. Invoicing and Payment
1. The maximum amount payable under this Agreement shall not exceed
$8,500,000.00.
2. For services satisfactorily rendered, and upon receipt and approval of the
invoice(s), CDSS agrees to pay the Grantee for said services in accordance with the
Final Work Plan and Budget.
3. Funding for necessary travel expenses and per diem are included in this Agreement
and will be reimbursed at rates established by the California Department of Human
Resources for comparable classes. (See
http://www.calhr.ca.gov/employees/Pages/travel-rules-excluded.aspx). Grantee will
itemize travel expenses, including receipts, and submit to CDSS Program Grant
Manager for approval. This approval, including itemization and receipts must be
attached to the invoice submitted for payment.
No travel outside the State of California by Grantee shall be reimbursed unless there
is prior written authorization from CDSS.
4. Grantee shall submit the request for payment using an invoice and supporting
documentation on a quarterly basis as specified by the CDSS.
5. Invoices shall include the Agreement Number ALLOC-23-0002 and Index code 9990
and shall be electronically submitted on Grantee's letterhead as specified by the
CDSS. Any invoices submitted without the above referenced information may be
returned to the Grantee for further re-processing.
6. Invoice payment will be conditioned upon the timely receipt by the CDSS of the
quarterly progress reports and final report from the Grantee within the specified due
dates and in the manner acceptable by the CDSS. If acceptable reports are not
received or a request for an extension of a due date has not been granted by the
CDSS, invoices will not be processed and will be returned to the Grantee.
C. State Budget Contingency Clause
1 . It is mutually agreed that if the Budget Act of the current year and/or any subsequent
years covered under this agreement does not appropriate sufficient funds for the
program, this Agreement shall be of no further force and effect. In thisR@M"-,9Qq$S
shall have no liability to pay any funds whatsoever to Grantee
ALLOC-23-0002 Exhibit B
CDSS/County of Fresno Page 2 of 3
EXHIBIT B
or to furnish any other considerations under this Agreement and Grantee shall
not be obligated to perform any provisions of this Agreement.
2. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes
of this program, CDSS shall have the option to either cancel this Agreement with
no liability occurring to the State or offer an agreement amendment to Grantee to
reflect the reduced amount.
D. Budget Modification Without Written Amendment
Line item shifts of up to fifteen percent (15%) of the grant total are allowable, subject to
the prior review and approval of the CDSS Project Manager. Line item shifts that meet
these criteria do not require a formal grant amendment. Any line item shift exceeding
this amount must be executed through a formal grant amendment. All requests for line
item shifts must be submitted in writing and include a substantial justification for the
shift. If the Agreement is formally amended for any other purpose, all line item shifts
agreed to by the parties and not previously included in an amendment must be
included in the amendment.
E. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified by
Government Code Chapter 4.5, commencing with Section 927.
F. Review
CDSS reserves the right to review service levels and billing procedures as they impact
charges against this agreement.
G. Final Billing
Invoices for services must be received by CDSS within 90 days following each state
fiscal year (July 1 through the following June 30), or 90 days following the end of the
grant term, whichever comes first. The final invoice must include the statement
"Final Billing."
H. Nonresident Tax Withholdings
Payments to all nonresidents may be subject to withholding. Nonresident payees
performing services in California or receiving rent, lease, or royalty payments from
property (real or personal) located in California will have seven percent of their total
payments withheld for state income taxes. However, no withholding is required if total
payments to the payee are $1,500 or less for the calendar year.
Revised:9-2-16
ALLOC-23-0002 Exhibit B
CDSS/County of Fresno Page 3 of 3
EXHIBIT B
I. Advance Payment
Upon execution of this Agreement, Grantee may request an advance payment,
not to exceed fifteen percent (15%) of the total award amount, contingent upon
CDSS approval. The advance payment request must include a detailed justification
for the need and the purpose of the advance. The advance payment amount shall
be deducted by CDSS from invoices submitted during the grant term. CDSS shall
ascertain that sufficient funds remain to be claimed by Grantee to fully liquidate the
advance payment.
Revised:9-2-16
ALLOC-23-0002 Exhibit B-Attachment 1
CDSS/County of Fresno EXHIBIT B,ATTACHMENT I Page 1 of 7
A. Budget Table (FINAL WORK PLAN) CCCPP Budget Table
Deliverable Existing Funding
Item ID Pilot Expenditure Existing Funding Source(s) Amount Project Total
1.Personnel(Salary&Benefits)
Pilot Program Operations Director 1 375,000.00 County General Fund 120,000.00 495,000.00
26%Benefits 1 97,500.00 County General Fund 31,200.00 128,700.00
Subtotal Personnel(Salaries and
Benefits) 472,500.00 151,200.00 623,700.00
2.Pilot Program Expenses
N/A N/a N/A N/A -
Subtotal Pilot Program Expenses - -
3.Subcontractors
Fresno County CORE Teams(Intensive 5.1 Medi-Cal,Wraparound,County
Wraparound)contract(s) 750,931.82 General Fund 2,791,276.18 3,542,208.00
Enhanced Short Term Residential
Therapeutic Program(E-STRTP)/ Medi-Cal,IV-E FFP,County
Children's Crisis Residential(CCRP) 7'2 General Fund,Complex Care
contract 2,733,750.00 Capacity Building allocation 7,369,319.08 10,103,069.08
Medi-Cal,IV-E FFP,County
Fresno Count E-ISFC contracts 6.3 4,495,568.18 General Fund 13,649,413.43 18,144,981.61
Total Subcontractor Expenses 7,980,250.00 22,960,008.65 30,940,258.65
4.Operating Expenses
N/A
5.Total Direct Charges(sum of 1-4) 8,452,750.00 23,111,208.65 31,563,958.65
6.Indirect Cost Rate 47,250.00 1 N/A N/A 47,250.00
7.Total(Sum of 5-6) 8,500,000.00 1 1 23,111,208.65 1 31,611,208.65
ALLOC-23-0002 Exhibit B-Attachment 1
CDSS/County of Fresno EXHIBIT B,ATTACHMENT I Page 2 of 7
Children's Crisis Continuum Pilot Program-County of Fresno-Exhibit B(Attachment 1)
Countv of Fresno-Line Item Expenses bv Fiscal Year FY
Pilot Program Operations Director-
$472,500.00 0 0 0 0 $472,500
Salary&Benefits
Fresno County Core Teams(intensive $750,931.82 0 0 0 0 $750,932
Wraparound)Contracts
Enhanced Short Term Residential
Therapeutic Program(E- $2,733,750.00 0 0 0 0 $2,733,750
STRTP)/Children's Crisis Residential
Program(CCRP)Contract
Fresno County E-ISFC contract(s) $4,495,568.18 0 0 0 0 $4,495,568
Indirect Cost Rate $47,250.00 1 0 1 0 1 0 0 $47,250
County of Fresno-Total Grant Expenses by FY
FY 2023-24 $8,500,000.00
FY 2024-25 $0.00
FY 2025-26 $0.00
FY 2026-27 $0.00
FY 2027-28 $0.00
County of Fresno-Total Grant Expenses by Line Item
Line Item Expenses(All
Pilot Program Operations Director-
Salary&Benefits $472,500
Fresno County Core Teams(Intensive $750,932
Wraparound)Contracts
Enhanced Short Term Residential
Therapeutic Program(E- $2,733,750
STRTP)/Children's Crisis Residential
Program(CCRP)Contract
Fresno County E-ISFC Contract(s) $4,495,568
Indirect Costs $47,250
TOTAL $8,500,000
ALLOC-23-0002 Exhibit B -Attachment 1
CDSS/County of Fresno Page 3 of 7
EXHIBIT B,ATTACHMENT I
Fresno County-Children's Crisis Continuum Pilot Program-Expense Breakdown by Line Item FY 2023-24
Fresno county-children's Crisis continuum Pilot
Program-Expense Breakdown by Line Item FY
2023-24
Pilot Program Operations
Director-Salary& $472,500
Benefits
Fresno County Core Teams
(Intensive Wraparound) $750,932
Contracts
Enhanced Short Term
Residential Therapeutic
Program(E-
STRTP)/Children's Crisis $2,733,750
Residential Program
CCRP Contract
Fresno County E-ISFC $4495,568
ontract(s)
Indirect Cost Rate $47,250
TOTAL(ALL Line Items) 1 $8,500,000
Expense Breakdown for Fresno County Pilot Program Operations Director Salary+Benefits Line Item-FY 2023-24
Line— Allocation for FY 23-24 Annual S,l,r,,Benefits FTE Eq.w.le.l #of Month,Amm.11y Total Allocated Needed
Pilot Program Operations
Director-Salary& $472,500 $94,500.00 s 12 $472,500.00
Benefits
71
Expense Breakdown for Fresno County E-ISFC&E-E-ISFC Contracts FY 2023-24
Total Child& Total subcontractor
Line Item fur FY-�`i T.t1I Pell—el ClIts Total Contract Total Direct Program T.t1I Building,-hiele,cq.ip,cnt FIlilyRel,tcd All...ble(ce.lT,HR, Toml Coal of E-ISFC F-dinil Pilot!Fundmg—ded
Fresno County E-ISFC contractl $4,495,568 1 $12,409,780 $315,030 1 $660,511 1 449,088 1 2,581,100 1 1,729,472 $18,144,981 $13,649,413 $4,495,568
Expense Breakdown for Fresno County Core Teams(Intensive Wraparound)Contracts-FY 2023-24
Lin,Item All—tion for FY 23-24 Total P,,,.nn,l Cost, Total C.nt,.d T-1 Direct Program Total Cost of Core Tea— 'un
'e,I.", Support E.pennes T-1 Building,�ehkle,equipment F..ilyR,I.t,d All—bl,(,.g.IT, C ding(ex.IV-E, Pilet Funding Needed
E.per— A—untir,CEO, CORE Team,
Fresno County Core Teams
in
Wraparound) $750,932 $2,631,730 $45,000 $367,707 $91,140 $40,200 $366,431 $3,542,208 $2,791,276 $750,932
Contracts
Expense Breakdown for Fresno County E-STRTP/CCRP Contract-FY 2023-24
Lin,Itern Allocation for FY 23-24 —.1 Personnel Costs total Contract Total Direct Pmg— Total Building,�0icl,equipment Total Child&Family T"a"""'n""r Total Cost of E- F-dI,g(eg.IV-E, Pilot Funding Needed
—ic.s Co., Support E.pen— Rlllt,d E.perses A""ab'"E.""T.". ITIRTIP/OORP Component Co.tyGF)fr to C-cr Expenses
Enhanced Short Term
Residential Therapeutic
Program(E- $2,733,750 $8,212,267 $221,950 $150,553 $478,500 $97,000 $952,800 $10,103,070 $7,369,319 $2,733,750
STRTP)/Children's Crisis
Residential Program
CCRP Contract
Expense Breakdown for Fresno County Indirect Costs-FY 2023-24
Indirect Cost Rate 1 $47,250 1 $472,500 1 10.00% 1 $47,250 1 $47,250
ALLOC-23-0002 Exhibit B - Attachment 1
CDSS/County of Fresno Page 4 of 7
EXHIBIT B, ATTACHMENT I
Fresno County-Children's Crisis Continuum Pilot Program-Expense Breakdown by Line Item FY 2024-25
Pilot Program Operations Director-Salary&Benefits $0.00 N/A
Fresno County Core Teams(Intensive Wraparound)
Contracts $0.00 N/A
Enhanced Short Term Residential Therapeutic Program
(E-STRTP)/Children's Crisis Residential Program(CCRP) $0.00 N/A
Contract
Fresno County E-ISFC contract(s) $0.00 N/A
Indirect Cost Rate $0.00 N/A
TOTAL(ALL Line Items) $0.00 N/A
ALLOC-23-0002 Exhibit B - Attachment 1
CDSS/County of Fresno Page 5 of 7
EXHIBIT B, ATTACHMENT I
Fresno County-Children's Crisis Continuum Pilot Program-Expense Breakdown by Line Item FY 2025-26
Line Item
Pi lot Program Operations Director-Salary&Benefits • $0.00 N/A
Fresno County Care Teams Intensive Wraparound Contracts $0.00 N/A
Enhanced Short Term Residential Therapeutic Program(E-STRTPi/Children's Crisis $0.00 N/A
Residential Program(CCRP Contract
Fresno County E-ISFC contract(si $0.00 N/A
Indirect Cost Rate $0.00 N/A
TOTAL(ALL Line Items) $0.00 N/A
ALLOC-23-0002 Exhibit B - Attachment 1
CDSS/County of Fresno EXHIBIT B, ATTACHMENT I Page 6 of 7
Fresno County-Children's Crisis Continuum Pilot Program-Expense Breakdown by Line Item FY 2026-27
rEnhanced
ram Operations Director-Salary&Benefits $0.00 N/A
unty Core Teams(Intensive Wraparound)Contracts $0.00 N/A
Short Term Residential Therapeutic Program(E- $0.00 N/A
hildren's Crisis Residential Program(CCRP)Contract
Fresno County E-ISFC contract(s) $0.00 N/A
nd,.ct Cost Rate $0.00 N/A
TOTAL(ALL Line Items) $0.00 N/A
ALLOC-23-0002 Exhibit B - Attachment 1
CDSS/County of Fresno Page 7 of 7
EXHIBIT B, ATTACHMENT I
Fresno County-Children's Crisis Continuum Pilot Program-Expense Breakdown by Line Item FY 2027-28
Pilot Program Operations Director-Salary&Benefits , $0.00 N/A
Fresno County Core Teams(Intensive Wraparound)
Contracts
$0.00 N/A
Enhanced Short Term Residential Therapeutic Program(E-
STRTP)/Children's Crisis Residential Program(CCRP) $0.00 N/A
Contract
Fresno County E-SIC contract(s) $0.00 N/A
Indirect Cost Rate $0.00 N/A
TOTAL(ALL Line Items) $0.00 N/A
ALLOC-23-0002 EXHIBIT B,ATTACHMENT II Exhibit B -Attachment 2
CDSS/County of Fresno (BUDGET NARRATIVE) Page 1 of 1
B. Fresno County-Budget Narrative CCCPP Budget Narrative
Item Deliverable ID Pilot Expenditure Justification/Breakdown
1.Personnel
The Pilot Program Operations Director is a Fresno County Department of Social Services 1.0 FTE employee responsible for the implementation
of the Children's Crisis Continuum Pilot Program.This person works closely with the Pilot Program's Advisory Group,the Enhanced Interagency
Placement Committee,and contracted providers to ensure the program is implemented according to the methodology and timeline tables.This
Pilot Program Operations person is the program's primary contact for the CDSS. Pilot Program funding will cover 75%of the salary and benefits for three years;existing
Director-Salary&Benefits 1 472,500.00 funding sources will cover 25%. Benefits are calculated at 26%.
2.Pilot Program Expenses
N/A JPilot funds will not be used to cover county-incurred pilot program expenses.
3.Subcontractors
Fresno county will contract with provider(s)to implement Core Team services("Super Wraparound").Provider(s)will be responsible for intensive
care coordination and therapeutic intervention for youth in the pilot's continuum of care.Core Teams will consist of masters-level clinicians,
counselors,TBS counselors,and peer partners.Fresno Pilot Program CORE team services are available to youth who cannot access intensive
wraparound services through an existing wraparound contract due to eligibility or availability.Pilot Program funding will support Core Teams for 4
families.The projected cost for Fresno's CORE team for three years is$3,542,208 which includes a startup period where annualized costs are
Fresno County CORE Teams less due to reduced capacity. At full capacity(4 families),the program is projected to cost$1,416,883 annually.The 3-year projected budget
(Intensive Wraparound) includes the following costs:
contract(s) Personnel(salary and benefits):At full capacity,there will be a total of 4.15 FTE.Benefits ratio is projected at 28%. $2,631,730 for three years.
Contract Services(psychiatry,nursing,interpretation,etc.):$45,000 for three years.
Direct program support expenses(staff recruitment and training,staff mileage,phones,office supplies,etc.):$367,707 for three years.
Building,and equipment:$91,140 for three years
Child and Family related expenses(treatment supplies):$40,200 for three years.
Agencv Allocable(agency expenses spread across all agency programs for services such as IT,HR,Accounting,CEO):calculated at 10.4%.
5.1 750,931.82 $366,431 for three years.
Fresno county will contract with a provider to implement an Enhanced Short Term Residential Therapeutic Program(E-STRTP)for up to four
youth.This E-STRTP will transition into a Children's Crisis Residential Program(CCRP)during the course of the Pilot.Pilot funding will support
startup costs and ongoing operational expenses.Madera County may access E-STRTP/CCRP services as-needed utilizing a fee-for-service
Enhanced Short Term structure with existing funding sources.
Residential Therapeutic Total cost for 3 years is projected to be$10,103,069,which includes a startup period where annualized costs are less due to reduced capacity.
Program(E-STRTP)/Children's At full capacity(4 youth),the program is projected to cost$3,906,618 annually.The 3-year projected budget includes the following costs:
Crisis Residential Program Personnel(salary and benefits):At full capacity,there will be a total of 32.35 FTE. Benefits ratio is projected at 28%. $8,212,267 for three years.
(CCRP)contract Contract Services(psychiatry,nursing,interpretation,etc.):$221,950 for three years.
Direct program support expenses(staff recruitment and training,staff mileage,phones,office supplies,etc.):$150,553 for three years.
Building,vehicle,and equipment:Administrative office and E-STRTP/CCRP facility;$478,500 for three years
Child and Family related expenses(food,clothing,personal incidentals,treatment supplies):$87,000 for three years.
Agencv Allocable(agency expenses spread across all agency programs for services such as IT,HR,Accounting,CEO):calculated at 10.4%.
7.2 2,733,750.00 $952,800 for three years.
Fresno county will contract with Foster Family Agency provider(s)to implement Enhanced Intensive Services Foster Care(E-ISFC)to increase
home-based care options for youth in the pilot's continuum of care.
Total cost for 3 years is projected to be$18,144,982,which includes a startup period where annualized costs are less due to reduced capacity.
At full capacity,the program is projected to cost$7,257,993 annually.The 3-year projected budget includes the following costs:Personnel
(salary and benefits):At full capacity,there will be a total of 44.35 FTE.Benefits ratio is projected at 28%. $12,409,780 for three years.
Fresno County E-ISFC Contract Services(psychiatry,nursing,interpretation,etc.):$315,030 for three years.
contract(s) Direct program support expenses(staff recruitment and training,staff mileage,phones,office supplies,etc.):$660,511 for three years.Building,
vehicle,and equipment:$449,088 for three years
Child and Family related expenses(food,clothing,parent monthly payment,parent housing allowance,client personal incidentals,respite,
certified parent training,treatment supplies):$2,581,100 for three years.
Agency Allocable(agency expenses spread across all agency programs for services such as IT,HR,Accounting,CEO):calculated at 10.3%.
$1,729,472 for three years.
6.3 4,495,568.18
4.Operating Ex pen i of funding will not be utilized or county operating expenses.
5.Total Direct Charges 8,452,750.00
e indirect cos is equivalent o 0 of the o s personne costs(salary and benefits).lhese cos s are accrued in the normal conduct o
6.Indirect Cost Rate business that can only be partially attributed to performance of the grant,including payroll handling,accounting personnel,and liability insurance
47.250,00 coverage.
7.Total Sum of 5-6 8,500,000.00
ALLOC-23-0002 Exhibit C
CDSS/County of Fresno Page 1 of 4
EXHIBIT C
GENERAL TERMS AND CONDITIONS
1. APPROVAL: This Agreement is of no force or effect until signed by both parties.
Grantee may not commence performance until such approval has been obtained.
2. AMENDMENT: No amendment or variation of the terms of this Agreement shall be valid
unless made in writing, signed by the parties and approved as required. No oral
understanding or Agreement not incorporated in the Agreement is binding on any of the
parties.
3. ASSIGNMENT: This Agreement is not assignable by the Grantee, either in whole or in
part, without the consent of the State in the form of a formal written amendment.
4. AUDIT: Grantee agrees that the awarding Department, the State, the California State
Auditor, or their designated representative shall have the right to review and to copy any
records and supporting documentation pertaining to the performance of this Agreement.
Grantee agrees to maintain such records for possible audit for a minimum of three (3)
years after final payment or end of the grant term, whichever is later, unless a longer
period of records retention is stipulated. Grantee agrees to allow the auditor(s) access
to such records during normal business hours and to allow interviews of any employees
who might reasonably have information related to such records. Further, Grantee
agrees to include a similar right of the State to audit records and interview staff in any
subgrant related to performance of this Agreement. (Gov. Code § 8546.7, Pub. Contract
Code § 10115 et seq., Cal. Code Regs., tit. 2, § 1896.)
5. INDEMNIFICATION: Grantee agrees to indemnify, defend and save harmless the State,
its officers, agents and employees from any and all claims and losses accruing or
resulting to any and all grantees, subgrantees, suppliers, laborers, and any other
person, firm or corporation furnishing or supplying work services, materials, or supplies
in connection with the performance of this Agreement, and from any and all claims and
losses accruing or resulting to any person, firm or corporation who may be injured or
damaged by Grantee in the performance of this Agreement.
6. DISPUTES: Grantee shall continue with the responsibilities under this Agreement
during any dispute.
7. TERMINATION FOR CAUSE: The State may terminate this Agreement and be relieved
of any payments should the Grantee fail to perform the requirements of this Agreement
at the time and in the manner herein provided. In the event of such termination the State
may proceed with the work in any manner deemed proper by the State. All costs to the
State shall be deducted from any sum due the Grantee under this Agreement and the
balance, if any, shall be paid to the Grantee upon demand.
8. INDEPENDENT CONTRACTOR: Grantee, and the agents and employees of Grantee,
in the performance of this Agreement, shall act in an independent capacity and not as
officers or employees or agents of the State.
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9. RECYCLING CERTIFICATION: The Grantee shall certify in writing, under penalty of
perjury, the minimum, if not exact, percentage of post-consumer material as defined in
the Public Contract Code section 12200, in products, materials, goods, or supplies
offered or sold to the State regardless of whether the product meets the requirements of
Public Contract Code section 12209. With respect to printer or duplication cartridges
that comply with the requirements of section 12156(e), the certification required by this
subdivision shall specify that the cartridges so comply. (Pub. Contract Code § 12205.)
10. NON-DISCRIMINATION CLAUSE: During the performance of this Agreement, Grantee
and its subgrantees shall not deny the grant's benefits to any person on the basis of
race, religious creed, color, national origin, ancestry, physical disability, mental
disability, medical condition, genetic information, marital status, sex, gender, gender
identity, gender expression, age, sexual orientation, or military and veteran status, nor
shall they discriminate unlawfully against any employee or applicant for employment
because of race, religious creed, color, national origin, ancestry, physical disability,
mental disability, medical condition, genetic information, marital status, sex, gender,
gender identity, gender expression, age, sexual orientation, or military and veteran
status. Grantee shall ensure that the evaluation and treatment of employees and
applicants for employment are free of such discrimination. Grantee and subgrantees
shall comply with the provisions of the Fair Employment and Housing Act (Gov. Code §
12900 et seq.), the regulations promulgated thereunder (Cal_ Code Regs., tit. 2, §
11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the
Government Code (Gov. Code §§ 11135-11139.5), and the regulations or standards
adopted by the awarding state agency to implement such article. Grantee shall permit
access by representatives of the Department of Fair Employment and Housing and the
awarding state agency upon reasonable notice at any time during the normal business
hours, but in no case less than 24 hours' notice, to such of its books, records, accounts,
and all other sources of information and its facilities as said Department or Agency shall
require to ascertain compliance with this clause. Grantee and its subgrantees shall give
written notice of their obligations under this clause to labor organizations with which
they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §
11105.)
Grantee shall include the nondiscrimination and compliance provisions of this clause in
all subgrants to perform work under the Agreement_
11. CERTIFICATION CLAUSES: Grantee shall complete the GRANTEE CERTIFICATION
CLAUSES contained in Exhibit C —Attachment 1 of this Agreement.
12. TIMELINESS: Time is of the essence in this Agreement.
13. COMPENSATION: The consideration to be paid Grantee, as provided herein, shall be
in compensation for all of Grantee's expenses incurred in the performance hereof,
including travel, per diem, and taxes, unless otherwise expressly so provided.
14. GOVERNING LAW: This grant is governed by and shall be interpreted in accordance
with the laws of the State of California.
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CDSS/County of Fresno Page 3 of 4
15. ANTITRUST CLAIMS: The Grantee by signing this Agreement hereby certifies that if
these services or goods are obtained by means of a competitive bid, the Grantee shall
comply with the requirements of the Government Code sections set out below.
a. The Government Code chapter on antitrust claims contains the following
definitions:
1) "Public purchase" means a purchase by means of competitive bids of
goods, services, or materials by the State or any of its political
subdivisions or public agencies on whose behalf the Attorney General
may bring an action pursuant to subdivision (c) of section 16750 of the
Business and Professions Code.
2) "Public purchasing body" means the State or the subdivision or agency
making a public purchase. (Gov. Code § 4550.)
b. In submitting a bid to a public purchasing body, the bidder offers and agrees that
if the bid is accepted, it will assign to the purchasing body all rights, title, and
interest in and to all causes of action it may have under section 4 of the Clayton
Act (15 U.S.C. § 15) or under the Cartwright Act (Chapter 2 (commencing with
section 16700) of Part 2 of Division 7 of the Business and Professions Code),
arising from purchases of goods, materials, or services by the bidder for sale to
the purchasing body pursuant to the bid. Such assignment shall be made and
become effective at the time the purchasing body tenders final payment to the
bidder. (Gov. Code § 4552.)
c. If an awarding body or public purchasing body receives, either through judgment
or settlement, a monetary recovery for a cause of action assigned under this
chapter, the assignor shall be entitled to receive reimbursement for actual legal
costs incurred and may, upon demand, recover from the public body any portion
of the recovery, including treble damages, attributable to overcharges that were
paid by the assignor but were not paid by the public body as part of the bid price,
less the expenses incurred in obtaining that portion of the recovery. (Gov. Code §
4553.)
d. Upon demand in writing by the assignor, the assignee shall, within one year from
such demand, reassign the cause of action assigned under this part if the
assignor has been or may have been injured by the violation of law for which the
cause of action arose and (a) the assignee has not been injured thereby, or (b)
the assignee declines to file a court action for the cause of action. (Gov. Code §
4554.)
16. CHILD SUPPORT COMPLIANCE ACT: For any Agreement in excess of $100,000, the
Grantee acknowledges in accordance with Public Contract Code section 7110, that:
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COSS/County of Fresno Page 4 of 4
a. The Grantee recognizes the importance of child and family support obligations
and shall fully comply with all applicable state and federal laws relating to child
and family support enforcement, including, but not limited to, disclosure of
information and compliance with earnings assignment orders, as provided in
Chapter 8 (commencing with section 5200) of Part 5 of Division 9 of the Family
Code; and
b_ The Grantee, to the best of its knowledge, is fully complying with the earnings
assignment orders of all employees and is providing the names of all new
employees to the New Hire Registry maintained by the California Employment
Development Department.
17. UNENFORCEABLE PROVISION: In the event that any provision of this Agreement is
unenforceable or held to be unenforceable, then the parties agree that all other
provisions of this Agreement have force and effect and shall not be affected thereby.
18. PRIORITY HIRING CONSIDERATIONS: If this Grant includes services in excess of
$200,000, the Grantee shall give priority consideration in filling vacancies in positions
funded by the Grant to qualified recipients of aid under Welfare and Institutions Code
section 11200 in accordance with Public Contract Code section 10353.
19. SMALL BUSINESS PARTICIPATION AND DVBE PARTICIPATION REPORTING
REQUIREMENTS:
a. If for this Agreement Grantee made a commitment to achieve small business
participation, then Grantee must within 60 days of receiving final payment under
this Agreement (or within such other time period as may be specified elsewhere
in this Agreement) report to the awarding department the actual percentage of
small business participation that was achieved. (Gov. Code § 14841.)
b. If for this Agreement Grantee made a commitment to achieve disabled veteran
business enterprise (DVBE) participation, then Grantee must within 60 days of
receiving final payment under this Agreement (or within such other time period as
may be specified elsewhere in this Agreement) certify in a report to the awarding
department: (1) the total amount the prime Grantee received under the
Agreement; (2) the name and address of the DVBE(s) that participated in the
performance of the Agreement; (3) the amount each DVBE received from the
prime Grantee; (4) that all payments under the Grant have been made to the
DVBE; and (5) the actual percentage of DVBE participation that was achieved. A
person or entity that knowingly provides false information shall be subject to a
civil penalty for each violation. (Mil. & Vet. Code § 999.5(d); Gov. Code § 14841.)
20. LOSS LEADER: If this Agreement involves the furnishing of equipment, materials, or
supplies then the following statement is incorporated: It is unlawful for any person
engaged in business within this state to sell or use any article or product as a "loss
leader" as defined in section 17030 of the Business and Professions Code. (Pub.
Contract Code § 10344(e).)
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CDSS/County of Fresno Page 1 of 5
EXHIBIT C—ATTACHMENT 1
GRANTEE CERTIFICATION CLAUSES
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly
authorized to legally bind the prospective Grantee to the clause(s) listed below. This
certification is made under the laws of the State of California.
Grantee Name (Printed) Federal ID Number
County of Fresno
By(Authorized Signature)
Printed Name and Title of Person Signing
Nathan Magsig,Chairman of the Board of Supervisors of the County of Fresno
Date Executed Executed in the County of
13 --,2 oa 4 Fresno ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
GRANTEE CERTIFICATION CLAUSES County of Fresno,State of California
ByZL Deputy
1. STATEMENT OF COMPLIANCE: Grantee has, unless exempted, complied with the
nondiscrimination program requirements. (Gov. Code § 12990 (a-f) and Cal. Code
Regs., tit. 2, § 11102.) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REQUIREMENTS: Grantee will comply with the
requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free
workplace by taking the following actions:
a. Publish a statement notifying employees that unlawful manufacture, distribution,
dispensation, possession or use of a controlled substance is prohibited and
specifying actions to be taken against employees for violations.
b. Establish a Drug-Free Awareness Program to inform employees about:
1. the dangers of drug abuse in the workplace;
2. the person's or organization's policy of maintaining a drug-free workplace;
3. any available counseling, rehabilitation and employee assistance programs;
and,
4. penalties that may be imposed upon employees for drug abuse violations.
c. Every employee who works on the proposed Agreement will:
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CDSS/County of Fresno Page 2 of 5
1. receive a copy of the company's drug-free workplace policy statement; and,
2. agree to abide by the terms of the company's statement as a condition of
employment on the Agreement.
Failure to comply with these requirements may result in suspension of payments
under the Agreement or termination of the Agreement or both and Grantee may be
ineligible for award of any future State agreements if the Department determines that
any of the following has occurred: the Grantee has made false certification, or
violated the certification by failing to carry out the requirements as noted above.
(Gov. Code § 8350 et seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Grantee certifies that
no more than one (1) final unappealable finding of contempt of court by a Federal
court has been issued against Grantee within the immediately preceding two-year
period because of Grantee's failure to comply with an order of a Federal court, which
orders Grantee to comply with an order of the National Labor Relations Board. (Pub.
Contract Code § 10296.) (Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE — PRO BONO
REQUIREMENT: Grantee hereby certifies that Grantee will comply with the
requirements of section 6072 of the Business and Professions Code, effective
January 1, 2003.
Grantee agrees to make a good faith effort to provide a minimum number of hours of
pro bono legal services during each year of the grant equal to the lessor of 30
multiplied by the number of full time attorneys in the firm's offices in the State, with
the number of hours prorated on an actual day basis for any grant period of less
than a full year or 10 percent of its grant with the State.
Failure to make a good faith effort may be cause for non-renewal of a state grant for
legal services and may be taken into account when determining the award of future
grants with the State for legal services.
5. EXPATRIATE CORPORATIONS: Grantee hereby declares that it is not an
expatriate corporation or subsidiary of an expatriate corporation within the meaning
of Public Contract Code sections 10286 and 10286.1 and is eligible to contract with
the State of California.
6. SWEATFREE CODE OF CONDUCT:
a. All contractors contracting for the procurement or laundering of apparel,
garments or corresponding accessories, or the procurement of equipment,
materials, or supplies, other than procurement related to a public works contract,
declare under penalty of perjury that no apparel, garments or corresponding
accessories, equipment, materials, or supplies furnished to the State pursuant to
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CDSS/County of Fresno Page 3 of 5
the contract have been laundered or produced in whole or in part by sweatshop
labor, forced labor, convict labor, indentured labor under penal sanction, abusive
forms of child labor or exploitation of children in sweatshop labor, or with the
benefit of sweatshop labor, forced labor, convict labor, indentured labor under
penal sanction, abusive forms of child labor or exploitation of children in
sweatshop labor. The contractor further declares under penalty of perjury that
they adhere to the Sweatfree Code of Conduct as set forth on the California
Department of Industrial Relations website located at www.dir.ca.gov, and Public
Contract Code section 6108.
b. The Grantee agrees to cooperate fully in providing reasonable access to the
Grantee's records, documents, agents or employees, or premises if reasonably
required by authorized officials of the granting agency, the Department of
Industrial Relations, or the Department of Justice to determine the Grantee's
compliance with the requirements under paragraph (a).
7. DOMESTIC PARTNERS: For agreements of $100,000 or more, Grantee certifies
that Grantee is in compliance with Public Contract Code section 10295.3.
8. GENDER IDENTITY: For agreements of $100,000 or more, Grantee certifies that
Grantee is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of
California.
1. CONFLICT OF INTEREST: Grantee needs to be aware of the following provisions
regarding current or former state employees. If Grantee has any questions on the
status of any person rendering services or involved with the Agreement, the
awarding agency must be contacted immediately for clarification.
Current State Employees (Pub. Contract Code § 10410):
1) No officer or employee shall engage in any employment, activity or enterprise
from which the officer or employee receives compensation or has a financial
interest and which is sponsored or funded by any state agency, unless the
employment, activity or enterprise is required as a condition of regular state
employment.
2) No officer or employee shall contract on his or her own behalf as an independent
contractor with any state agency to provide goods or services.
Former State Employees (Pub. Contract Code § 10411):
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1) For the two-year period from the date he or she left state employment, no former
state officer or employee may enter into a contract in which he or she engaged in
any of the negotiations, transactions, planning, arrangements or any part of the
decision-making process relevant to the contract while employed in any capacity
by any state agency.
2) For the twelve-month period from the date he or she left state employment, no
former state officer or employee may enter into a contract with any state agency
if he or she was employed by that state agency in a policy-making position in the
same general subject area as the proposed contract within the 12-month period
prior to his or her leaving state service.
If Grantee violates any provisions of above paragraphs, such action by Grantee shall
render this Agreement void. (Pub. Contract Code § 10420.)
Members of boards and commissions are exempt from this section if they do not
receive payment other than payment of each meeting of the board or commission,
payment for preparatory time and payment for per diem. (Pub. Contract
Code § 10430(e).)
2. LABOR CODE/WORKERS' COMPENSATION: Grantee needs to be aware of the
provisions which require every employer to be insured against liability for Workers'
Compensation or to undertake self-insurance in accordance with the provisions, and
Grantee affirms to comply with such provisions before commencing the performance
of the work of this Agreement. (Labor Code § 3700.)
3. AMERICANS WITH DISABILITIES ACT: Grantee assures the State that it complies
with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination
on the basis of disability, as well as all applicable regulations and guidelines issued
pursuant to the ADA. (42 U.S.C. § 12101 et seq.)
4. GRANTEE NAME CHANGE: An amendment is required to change the Grantee's
name as listed on this Agreement. Upon receipt of legal documentation of the name
change, the State will process the amendment. Payment of invoices presented with
a new name cannot be paid prior to approval of said amendment.
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CDSS/County of Fresno Page 5 of 5
5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a. When agreements are to be performed in the State by corporations, the
Department will be verifying that the Grantee is currently qualified to do business
in California in order to ensure that all obligations due to the State are fulfilled.
b. "Doing business" is defined in Revenue and Taxation Code section 23101 as
actively engaging in any transaction for the purpose of financial or pecuniary gain
or profit. Although there are some statutory exceptions to taxation, rarely will a
corporate contractor performing within the State not be subject to the franchise
tax.
c. Both domestic and foreign corporations (those incorporated outside of California)
must be in good standing in order to be qualified to do business in California.
The Department will determine whether a corporation is in good standing by
calling the Office of the Secretary of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the
State with a copy of a resolution, order, motion, or ordinance of the local governing
body which by law has authority to enter into an agreement, authorizing execution of
the Agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under State law, the Grantee shall not
be: (1) in violation of any order or resolution not subject to review promulgated by
the State Air Resources Board or an air pollution control district; (2) subject to a
cease and desist order not subject to review issued pursuant to section 13301 of the
Water Code for violation of waste discharge requirements or discharge prohibitions;
or (3) finally determined to be in violation of provisions of federal law relating to air or
water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all
grantees that are not another state agency or other governmental entity.
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CDSS/County of Fresno Page 1 of 4
EXHIBIT D
(Standard Agreement)
SPECIAL TERMS AND CONDITIONS
A. Dispute Provisions
1. If the Grantee disputes a decision of the State's designated representative regarding the
performance of this Agreement or on other issues for which the representative is
authorized by this Agreement to make a binding decision, Grantee shall provide written
dispute notice to the State's representative within 15 calendar days after the date of the
action. The written dispute notice shall contain the following information:
a. the decision under dispute;
b. the reason(s) Grantee believes the decision of the State representative to have been in
error (if applicable, reference pertinent grant provisions);
c. identification of all documents and substance of all oral communication which support
Grantee's position; and
d. the dollar amount in dispute, if applicable.
2. Upon receipt of the written dispute notice, the State program management will examine the
matter and issue a written decision to the Grantee within 15 calendar days. The decision
of the representative shall contain the following information:
a. a description of the dispute;
b. a reference to pertinent grant provisions, if applicable;
c. a statement of the factual areas of agreement or disagreement; and
d. a statement of the representative's decision with supporting rationale.
3. The decision of the representative shall be final unless, within 30 days from the date of
receipt of the representative's decision, Grantee files with the California Department of
Social Services a notice of appeal addressed to:
California Department of Social Services
744 P Street, M.S. 9-6-646
Sacramento, CA 95814
Attention: Bureau Chief, Policy and Technical Assistance Bureau
Pending resolution of any dispute, Grantee shall diligently continue all grant
work and comply with all of the representative's orders and directions.
B. Termination of the Agreement
1. This Agreement may be terminated without cause by the State upon 30 days
written notice to the Grantee.
C. Debarment and Suspension
For federally funded agreements, Grantee certifies that to the best of his/her
knowledge and belief that he/she and their principals or affiliates or any
subgrantee utilized under this agreement, are not debarred or suspended from
federal financial assistance programs and activities nor proposed for debarmev ent
a zoos
declared ineligible, or voluntarily excluded from
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CDSS/County of Fresno Page 2 of4
EXHIBIT D
(Standard Agreement)
participation in covered transactions by any federal department or agency. The
Grantee also certifies that it or any of its subgrantees are not listed with any active
exclusions on the System for Award Management (Executive Order 12549, 2 CFR
Parts 180, 376, 417 and 2336).
D. Certification Regarding Lobbying
Applicable to Grants, Subgrants, Cooperative Agreements, and Grants Exceeding
$100,000 in Federal Funds.
1. For Agreements with Grantees who are State entities not under the authority
of the Governor, or cities, private firms or agencies which are receiving in
excess of $100,000 in federal funds from CDSS to perform services. By signing
this Agreement, the Grantee certifies that to the best of his or her knowledge and
belief, that:
a. No Federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of a Federal grant, the making of a Federal
grant, the making of a Federal loan, the entering into of a cooperative
agreement, and the extension, continuation, renewal, amendment, or
modification of a Federal grant, grant, loan, or cooperative agreement.
b. If any funds other than Federal appropriated funds have been paid or will be
paid to any person for influencing or attempting to influence an officer or
employee of any agency, a member of Congress, an officer or employee of
Congress, or an employee of a member of Congress in connection with this
Federal Grant or agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying", in accordance
with its instructions.
c. The Grantee shall require that the language of this certification be included
in the award documents for all covered subawards exceeding $100,000 in
Federal funds at all appropriate tiers and that all subrecipients shall certify
and disclose accordingly.
2. This certification is a prerequisite for making or entering into this transaction
and is imposed by Section 1352, Title 31, U. S. Code. This certification
is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Any person who fails to file the required
certification shall be subject to a civil penalty of no less than $10,000 and not
more than $100,000 for each such failure_
DI. Computer Software Copyrights
Grantee certifies that it has appropriate systems and controls in place toeensure�s
that state funds will not be used in the performance of this grant for the
acquisition, operation or maintenance of computer software in violation of copyright
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CDSS/County of Fresno Page 3 of 4
EXHIBIT D
(Standard Agreement)
F. OMB Audit
Pursuant to Office of Management and Budget (OMB) audit requirement regulations (2 C.F.R.
§ 200.501), non-federal entities that expend $750,000 or more in a year in Federal awards
from all sources combined shall have a single or program-specific audit conducted for that
year in accordance with the provisions of 2 C.F.R. § 200.514 (previously OMB Circular
A-133). All OMB audit reports shall meet the report submission requirements established in
Q.F.R§200.512 and a copy shall be forwarded to CDSS.
G. Subgrantees
(Applicable to agreements in which the Grantee subgrants out a portion of the work.) Nothing
contained in this Agreement or otherwise shall create any contractual relationship between
CDSS and any subgrantees, and no subgrantee shall relieve the Grantee of its responsibilities
and obligations hereunder. The Grantee agrees to be fully responsible to CDSS for the acts
and omissions of its subgrantees and of persons either directly or indirectly employed by any
of them as it is for the acts and omissions of persons directly employed by the Grantee. The
Grantee's obligation to pay its subgrantees is an independent obligation from the obligation
of CDSS to make payments to the Grantee. As a result, CDSS shall have no obligation to pay
or to enforce the payment of any moneys to any subgrantee.
H. Indirect Costs/Administrative Overhead
For agreements with other governmental entities and public universities, indirect costs are
expenses incurred for administrative services such as, but not limited to,
accounting; personnel and payroll administration; accounts payable services;
general and specialized insurance coverage; compliance and regulatory
monitoring; independent audit services, and legal services. Indirect costs are
applied to personnel, operating expenses, supplies, equipment, and travel
expenses. Per State Contracting Manual, Section 3.06.13, agencies shall assure
that all administrative fees are reasonable considering the services being
provided. Agencies may only pay overhead charges on the first $25,000 of each
subgrant. Any subgrantee receiving $25,000 or more must be clearly identified in
the budget display and excluded when the total indirect costs are calculated.
I. Accessibility Requirements
Contractor shall comply with California Government Code sections 7405 and 11135 which
requires, among other things. that Contractor shall comply with the accessibility requirements
of Section 508 of the Federal Rehabilitation Act of 1973, as amended (29 U.S.C. Sec. 794d),
and regulations implementing that act as set forth in Part 1194 of Title 36 of the Federal Code
of Regulations. All Contractor deliverables shall meet the requirements of the Web Content
Accessibility Guidelines 2.0, or a subsequent version, published by the Web Accessibility
Initiative of the World Wide Web Consortium at minimum Level AA success criteria_
Contractor shall respond to and resolve any complaint regarding accessibikly:Qfiitl�cpSoducts
or services that is brought to its attention.
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CDSS/County of Fresno Page 4 of 4
EXHIBIT D
(Standard Agreement)
J. Russia - Ukraine Conflict Economic Sanctions
Contractor shall ensure compliance with economic sanctions imposed by
the U.S_ government in response to Russia's actions in Ukraine, as well as any
sanctions imposed understate law (collectively, economic sanctions). Economic
sanctions include, but are not limited to, refraining from new investments in, and
financial transactions with, Russian institutions or companies that are
headquartered or have their principal place of business in Russia (Russian
entities), and not transferring technology to Russia or Russian entities.
Contractor(s) are further notified that they will be subject to pursuant to Executive
Order (N-6-22) issued March 4, 2022, and any other subsequently issued orders.