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HomeMy WebLinkAboutAgreement A-24-533 Amendment I to Agreement 23-296 with Turning Point.pdf Agreement No. 24-533 1 AMENDMENT NO. 1 TO SERVICE AGREEMENT 2 This Amendment to Service Agreement is dated October 8, 2024 and is between 3 Turning Point of Central California, Inc, a California non-profit corporation ("Contractor"), and the 4 County of Fresno, a political subdivision of the State of California ("County"). 5 Recitals 6 A. On June 20, 2023, the County and the Contractor entered into an Agreement to operate 7 a Forensic Behavioral Health Continuum of Care for certain Fresno County residents, which is 8 County agreement number 23-296 ("Agreement"). The Agreement provides for substance use 9 disorder and co-occurring mental health outpatient (SUD/MH OP), full service partnership 10 (FSP), and assertive community treatment (ACT) services under California Assembly Bill (AB) 11 109 Public Safety Realignment and the Post-Release Community Supervision Act of 2011, and 12 mental health diversion under AB1810, California Senate Bill (SB) 317 and Penal Code Section 13 1001.36. 14 B. The Mental Health Court Diversion Pilot program funding was built into the Turning Point 15 FSP/ACT budget for Fiscal year 2023-2024 as a 1-year extension. The Department of State 16 Hospitals (DSH) has entered into an agreement with Fresno County through Agreement 20-340 17 as amended by Amendment 24-307 on June 1811, 2024, allowing the drawdown and 18 continuation of funding for the Diversion Pilot program through June 30, 2025. 19 C. The County and the Contractor now desire to amend the Agreement to extend the 20 Mental Health Diversion Court pilot program funding by 1 year through to June 30, 2025. 21 The parties therefore agree as follows: 22 1. All references in the Agreement to Exhibit J-1, shall be deemed references to "Exhibit J- 23 1 a." Exhibit J-1 a is attached and incorporated by this reference. 24 2. A portion of Section 4.3 of the Agreement located on page twelve (12) lines nine (9) 25 through twenty (20) is deleted and replaced with the following: 26 "The maximum compensation payable to the Contractor under this Agreement for 27 FSP/ACT Non-Medi-Cal Support Services for the period of July 1, 2023 through June 30, 2024 28 is One Million, Seven Hundred Forty-Seven Thousand, Four Hundred Eighty-Three and No/100 1 1 Dollars ($1,747,483.00). The maximum compensation payable to the Contractor under this 2 Agreement for FSP/ACT Non-Medi-Cal Support Services for the period of July 1, 2024 through 3 June 30, 2025 is One Million, Nine Hundred Forty-Two Thousand, Eight Hundred Sixty-Two and 4 No/100 Dollars ($1,942,862.00). If performance standards are met and this Agreement is 5 extended for additional twelve (12) month terms pursuant to Article 5.2, the maximum 6 compensation payable to the Contractor under this Agreement for FSP/ACT services for each 7 subsequent twelve (12) month period is One Million, Seven Hundred Forty-Seven Thousand, 8 Four Hundred Eighty-Three and No/100 Dollars ($1,747,483.00), which is not a guaranteed sum 9 but shall be paid only for services rendered and received." 10 3. A portion of Section 4.6 of the Agreement located on page thirteen (13) lines nine (9) 11 through twelve (12) is deleted and replaced with the following: 12 4.6 Total Maximum Compensation. In no event shall the maximum contract 13 amount for all the services provided by the Contractor to County under the terms and 14 conditions of this Agreement be in excess of Twenty-Seven Million, Two Hundred, 15 Ninety-Two Thousand, Four Hundred, Three and No/100 Dollars ($27,292,403.00) 16 during the entire term of this Agreement. 17 4. Line 4 located on Page A-2-1 of Exhibit A-2 of the Agreement is deleted and replaced 18 with the following: 19 "Scope of Work Term: July 1, 2024 — June 30, 2025" 20 5. Paragraph 3 located on Page A-2-1 of Exhibit A-2 of the Agreement is deleted and 21 replaced with the following: 22 "DSH has contracted with the Department of Behavioral Health (DBH) to extend the 23 available funding into Fiscal Year 2024-2025" 24 6. When both parties have signed this the Agreement, the Agreement and this Amendment 25 No. 1 together constitute the Agreement. 26 7. The Contractor represents and warrants to the County that: 27 a. The Contractor is duly authorized and empowered to sign and perform its obligations 28 under this Amendment. 2 1 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 2 to do so and his or her signature on this Amendment legally binds the Contractor to 3 the terms of this Amendment. 4 8. The parties agree that this Amendment may be executed by electronic signature as 5 provided in this section. 6 a. An "electronic signature" means any symbol or process intended by an individual 7 signing this Amendment to represent their signature, including but not limited to (1) a 8 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 9 electronically scanned and transmitted (for example by PDF document) version of an 10 original handwritten signature. 11 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 12 equivalent to a valid original handwritten signature of the person signing this 13 Amendment for all purposes, including but not limited to evidentiary proof in any 14 administrative or judicial proceeding, and (2) has the same force and effect as the 15 valid original handwritten signature of that person. 16 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 17 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 18 2, Title 2.5, beginning with section 1633.1). 19 d. Each party using a digital signature represents that it has undertaken and satisfied 20 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 21 through (5), and agrees that each other party may rely upon that representation. 22 e. This Amendment is not conditioned upon the parties conducting the transactions 23 under it by electronic means and either party may sign this Amendment with an 24 original handwritten signature. 25 9. This Amendment may be signed in counterparts, each of which is an original, and all of 26 which together constitute this Amendment. 27 28 3 1 10. The Agreement as amended by this Amendment No. 1 is ratified and continued. All 2 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and 3 effect. This Amendment is effective retroactively to July 1, 2024. 4 [SIGNATURE PAGE FOLLOWS] 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4 1 The parties are signing this Amendment No. 1 on the date stated in the introductory 2 clause. 3 TURNING POINT OF CENTRAL COUNTY OF FRESNO 4 CALIFORNIA, INC 5 .e g ��h^ Nathan Magsig, Chairman of the Board of Ryan Banks, Chief Executive Officer Supervisors of the County of Fresno 7 615 S. Atwood St. Attest: 8 Visalia, CA 93277 Bernice E. Seidel Clerk of the Board of Supervisors 9 County of Fresno, State of California 10 - 11 'Oeptity 12 For accounting use only: 13 Org No.: 56302081 (DMC); 56302070 (AB109 OP/FSP/ACT); 56304784 (MHSA OP); 56304525 (MHSA FSP/ACT); 56302362 (WPCL); 56302361 (DSH) 14 Account No.: 7295/0 Fund No.: 0001 15 Subclass No.: 10000 16 17 18 19 20 21 22 23 24 25 26 27 28 4 Document ID:f73 e9aecc4ea31510ala989e4a6f3befll3de24fOa4cl89dd59t7f2c8bba8 Page 4 Exhibit J-1 a Page 1 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.69 $ 8,429 $ 8,429 1102 Administrative Assistant 0.60 14,809 14,809 1103 Program Bookkeeper 0.60 14,809 14,809 1104 Secretary 0.60 11,866 11,866 1105 - - 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.49 $ 49,913 $ 49,913 Acct# Program Position FTE Admin Program Total 1116 Assistant Program Director 0.60 $ 32,832 $ 32,832 1117 Program Director 0.60 40,058 40,058 1118 Mental Health Specialist 0.69 190,506 190,506 1119 Supervising Personal Services Coordinator 0.60 23,174 23,174 1120 Peer Support 0.69 37,537 37,537 1121 Mental Health Professional 0.69 82,173 82,173 1122 Nurse 0.69 34,277 34,277 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 4.55 $ 440,557 $ 440,557 Admin Program Total Direct Personnel Salaries Subtotal 7.04 $ 49,913 $ 440,557 $ 490,470 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,663 $ 14,684 $ 16,347 1202 Worker's Compensation 591 5,225 5,816 1203 Health Insurance 7,393 65,257 72,650 1204 Other(Dental) 580 5,119 5,699 1205 Other(ACI) 17 147 164 1206 1 Other(Accrued Paid Leave) 5,546 1 48,946 54,492 Direct Employee Benefits Subtotal: $ 15,790 $ 139,378 $ 155,168 Direct Payroll Taxes&Expenses: r Description Admin Program Total OASDI $ 931 $ 7,097 $ 8,028 FICA MEDICARE 410 30,594 31,004 SUI 938 7,146 8,084 Other(specify) - - - Other(specify) 1306 Other(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 2,279 44,837 47,116 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 67,982 $ 624,772 $ 692,754 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 10%1 90% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 2 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support 657,230 2003 Client Transportation&Support 7,782 2004 Clothing&Hygiene 5,559 2005 Education Support 11,118 2006 lEmployment Support 3,558 2007 Household Items for Clients - 2008 Medication Supports 95,613 2009 Program Supplies-Medical 2,445 2010 Utility Vouchers 21,346 2011 Client Activities 11,118 2012 Client Personal Needs 2,446 2013 Client Food 5,847 2014 Client Physical Exams 10,840 2015 Client Testing Materials 1,779 2016 Other(specify) I - DIRECT CLIENT CARE TOTAL $ 836,681 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 3,551 3002 Printing/Postage 369 3003 Office,Household&Program Supplies 3,408 3004 Advertising - 3005 Staff Development&Training 3,071 3006 Staff Mileage 402 3007 Subscriptions&Memberships 302 3008 Vehicle Maintenance/Fuel/Insurance 10,373 3009 Recruitment 2,485 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 23,961 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 319 4002 Rent/Lease Building 52,847 4003 Rent/Lease Equipment 336 4004 Rent/Lease Vehicles 9,755 4005 Security 554 4006 Utilities 11,243 4007 Equipment Maintenance 402 4008 Other(specify) - 4009 Other(specify) 4010 Other(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 75,456 5000:DIRECT SPECIAL EXPENSES r Line Item Description Amount Consu tant Networ &Data Management $ 199 HMIS(Health Management Information System) - Contractual/Consulting Services (Specify) - Translation Services 1,527 O/S Labor Phychiatrist 47,416 5006 Other(specify) - 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL: $ 49,142 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 3 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 2,060 6003 Accounting/Bookkeeping - 6004 External Audit 418 6005 Insurance(Specify): - 6006 Payroll Services 2,349 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 972 6010 Indirect 252,624 6011 Other(specify) - 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 258,423 INDIRECT COST RATE 15.34% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 671 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 lAssetsover$5,000/unit(Specify) 7007 Expendable Equipment 5,774 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 6,445 TOTAL PROGRAM EXPENSES $ 1,942,862 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 Realignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL a 754,483 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Clientlnsurance - 8403 Grants(Specify)-CCP AB109 993,000 8404 Other(Specify)-DSH Diversion 195,379 8405 Other(Specify) - OTHER REVENUE TOTALI$ 1,188,379 TOTAL PROGRAM FUNDING SOURCES: $ 1,942,862 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 4 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to CCP&DSH 0.38 Allocation to FSC FSP FFP 0.17 OP 0.45 Total 1.00 Position Contract#/Name/Department/County FTE% Administrative Assistant Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Tota I Position Contract#/Name/Department/County FTE% Program Bookkeeper Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Assistant Program Director Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Total Position Contract#Name Department County FTE% Program Director Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Total Position Contract# Name Department County FTE% Case Manager A I I ocation to CCP 371 0.69 Allocation to FSC FSP FFP 0.31 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 5 of 77 Total Position Contract#/Name/Department/County FTE% Supervising Personal Services Coordinator Allocation to CCP&DSH 0.60 Allocation to FSC FSP FFP 0.27 W PCL 0.13 Total JO Position Contract#/Name/Department/County FTE% Peer Support Allocation to CCP&DSH 0.69 Allocation to FSC FSP FFP 0.31 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to CCP&DSH 0.69 Allocation to FSC FSP FFP 0.31 Total Position Contract#/Name/Department/County FTE% Nurse Allocation to CCP&DSH 0.52 Allocation to FSC FSP FFP 0.23 OP 0.25 Total Position Contract#/Name/Department/County FTE% Total Position Contract# Name Department County FTE% Total Position Contract# Name Department County FTE% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 6 of 77 Total Position Contract#/Name/Department/County FTE Total Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 8 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 625,634 Administrative Positions 44,895 1101 Records Technician 7,582 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Administrative Assistant 13,320 The Administrative Assistant will oversee the support staff and will help with all support staff duties.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Program Bookkeeper 13,320 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 Secretary 10,673 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 396,261 1116 Assistant Program Director 29,531 The Asssitant Program Director will supervise staff and assist the Program Director. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 36,030 The Program Director oversees the program and the hiring,training and supervising of staff.When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Mental Health Specialist 171,351 Mental Health Specialist will carry a caseload while also specializing in linking and providing services to those interested in engagement in employment and education services. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 20,844 Provides supervision to all Mental Health Specialists to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Assistant Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 1120 Peer Support 33,763 Serves as a client advocate and provides information and peer support to clients throughout their recovery process. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 73,911 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 9 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 30,831 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 1201 Retirement 14,705 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 5,232 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 65,351 10-5950 Health Insurance:Agency cost for health insurance including Vision These are non-treatment related costs. 1204 Other(Dental) 5,127 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment related costs. 1205 Other(ACI) 147 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Other(Accrued Paid Leave) 49,017 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 44,899 1301 OASDI 7,107 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 30,636 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 7,156 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 754,483 2001 Child Care - 2002 Client Housing Support 593,075 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 7,000 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing&Hygiene 5,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support 10,000 10-7150 Client Educational Material:Cost of course fees and educational materials distributed to clients and prospective clients.Including court ordered educational class. 2006 Employment Support 3,200 10-7022 Client Employment Support:Cost of client pre-employment preparation and employment retention.(Examples:job search and interview attire,work boots and tools required for employment,etc.) 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 10 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 86,000 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense for a specific client.(Examples:co-pays*,prescription/lab work not covered by insurance,over-the-counter medications*,first aid kit/supplies for client's use at home, etc.)*if allowable per contract 2009 Program Supplies-Medical 2,199 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2010 Utility Vouchers 19,200 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security deposits. 2011 Client Activities 10,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Personal Needs 2,200 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license, clients household cleaning products/house supplies/kitchen supplies for their own home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I funds,laptop,tablet,etc.) 2013 Client Food 5,259 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Client Physical Exams 9,750 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB testing. 2015 Client Testing Materials 1,600 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 21,553 3001 Telecommunications 3,194 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 332 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FeclEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,065 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cost of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 2,763 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 362 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 272 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance/Fuel/Insurance 9,330 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 2,235 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.)These are non- treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 11 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 67,870 4001 Building Maintenance 287 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs.These are non-treatment related costs. 4002 Rent/Lease Building 47,534 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 302 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles 8,774 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of agency vehicles. 4005 Security 498 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 10,113 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 362 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 44,202 5001 Consultant(Network&Data Management) 179 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 1,374 Paid to outside vendors for translation/interpreter services.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 5005 O/S Labor Phychiatrist 42,649 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 227,943 6001 Administrative Overhead - 6002 Professional Liability Insurance 1,857 10-6370 Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 377 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 12 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6005 Insurance(Specify): - 6006 Payroll Services 2,117 10-6482 Payroll Software&Support.These are non-treatment related costs. 6007 Depreciation Provider-Owned Equipment to be Used - 6008 Personnel Indirect Salaries&Benefits - 6009 Licenses 876 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 222,716 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) - 6012 Other(specify) 6013 Others eci - 7000:DIRECT FIXED ASSETS 5,798 7001 Computer Equipment&Software - 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 604 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifes an of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Expendable Equipment 5,194 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 r)thArknArifv1 TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,942,862 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,942,862 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 13 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.69 $ 7,582 $ 7,582 1102 Administrative Assistant 0.60 13,320 13,320 1103 Program Bookkeeper 0.60 13,320 13,320 1104 Secretary 0.60 10,673 10,673 1105 - - 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.49 $ 44,895 $ 44,895 Acct# Program Position FTE Admin Program Total 1116 Assistant Program Director 0.60 $ 29,531 $ 29,531 1117 Program Director 0.60 36,030 36,030 1118 Mental Health Specialist 0.69 171,351 171,351 1119 Supervising Personal Services Coordinator 0.60 20,844 20,844 1120 Peer Support 0.69 33,763 33,763 1121 Mental Health Professional 0.69 73,911 73,911 1122 Nurse 0.69 30,831 30,831 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 4.55 $ 396,261 $ 396,261 Admin Program Total Direct Personnel Salaries Subtotal 7.04 $ 44,895 $ 396,261 $ 441,156 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,496 $ 13,209 $ 14,705 1202 Worker's Compensation 532 4,700 5,232 1203 Health Insurance 6,650 58,701 65,351 1204 Other(Dental) 522 4,605 5,127 1205 Other(ACI) 15 132 147 1206 1 Other(Accrued Paid Leave) 4,988 44,029 49,017 Direct Employee Benefits Subtotal: $ 14,203 $ 125,376 $ 139,579 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 723 $ 6,384 $ 7,107 1302 FICA/MEDICARE 3,118 27,518 30,636 1303 SUI 728 6,428 7,156 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) - Direct Payroll Taxes&Expenses Subtotal: $ 4,569 $ 40,330 $ 44,899 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 63,667 $ 561,967 $ 625,634 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program 10% 90% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1a Page 14 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 593,075 2003 Client Transportation&Support 7,000 2004 Clothing&Hygiene 5,000 2005 Education Support 10,000 2006 Employment Support 3,200 2007 Household Items for Clients - 2008 Medication Supports 86,000 2009 Program Supplies-Medical 2,199 2010 Utility Vouchers 19,200 2011 Client Activities 10,000 2012 Client Personal Needs 2,200 2013 Client Food 5,259 2014 Client Physical Exams 9,750 2015 Client Testing Materials 1,600 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 754,483 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 3,194 3002 Printing/Postage 332 3003 Office,Household&Program Supplies 3,065 3004 Advertising - 3005 Staff Development&Training 2,763 3006 1 Staff Mileage 362 3007 Subscriptions&Memberships 272 3008 Vehicle Maintenance/Fuel/Insurance 9,330 3009 Recruitment 2,235 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 21,553 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 287 4002 Rent/Lease Building 47,534 4003 Rent/Lease Equipment 302 4004 Rent/Lease Vehicles 8,774 4005 Security 498 4006 Utilities 10,113 4007 Equipment Maintenance 362 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j$ 67,870 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 179 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 1,374 5005 O/S Labor Phychiatrist 42,649 5006 1 Other(specify) - 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 44,202 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 15 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and onlythis line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 1,857 6003 Accounting/Bookkeeping 6004 External Audit 377 6005 Insurance(Specify): - 6006 Payroll Services 2,117 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 876 6010 Indirect 222,716 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) - INDIRECT EXPENSES TOTAL $ 227,943 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 604. 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 1 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 5,194 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,798 TOTAL PROGRAM EXPENSES $ 1,747,483 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL $ 754,483 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify)-CCP AB109 993,000 8404 Other(Specify)-DSH Diversion 8405 Other(Specify) OTHER REVENUE TOTAL $ 993,000 TOTAL PROGRAM FUNDING SOURCES: $ 1,747,483 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 16 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to CCP 0.38 Allocation to FSC FSP UP 0.17 OP 0.45 Total 1.00 Position Contract#/Name/Department/County FTE% Administrative Assistant Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Program Bookkeeper Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Assistant Program Director Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 17 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Supervising Personal Services Coordinator Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Peer Support Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Total 1.00 Position Contract#/Name/Department/County nO.23 o Nurse Allocation to CCP Allocation to FSC FSP UP OP Total 1.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 18 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 19 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 625,634 Administrative Positions 44,895 1101 Records Technician 7,582 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Administrative Assistant 13,320 The Administrative Assistant will oversee the support staff and will help with all support staff duties.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Program Bookkeeper 13,320 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 Secretary 10,673 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1105 0 1106 10 1107 0 1108 0 1109 0 1110 0 1111 0 L111 0 0 0 0 Program Positions 396,261 1116 Assistant Program Director 29,531 The Asssitant Program Director will supervise staff and assist the Program Director. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 36,030 The Program Director oversees the program and the hiring,training and supervising of staff.When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Mental Health Specialist 171,351 Mental Health Specialist will carry a caseload while also specializing in linking and providing services to those interested in engagement in employment and education services. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 20,844 Provides supervision to all Mental Health Specialists to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Assistant Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 1120 Peer Support 33,763 Serves as a client advocate and provides information and peer support to clients throughout their recovery process. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 73,911 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 20 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 30,831 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 1201 Retirement 14,705 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 5,232 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 65,351 10-5950 Health Insurance:Agency cost for health insurance including Vision These are non-treatment related costs. 1204 Other(Dental) 5,127 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment related costs. 1205 Other(ACI) 147 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Other(Accrued Paid Leave) 49,017 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 44,899 1301 OASDI 7,107 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 30,636 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 7,156 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 754,483 2001 Child Care - 2002 Client Housing Support 593,075 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 7,000 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing&Hygiene 5,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support 10,000 10-7150 Client Educational Material:Cost of course fees and educational materials distributed to clients and prospective clients.Including court ordered educational class. 2006 Employment Support 3,200 10-7022 Client Employment Support:Cost of client pre-employment preparation and employment retention.(Examples:job search and interview attire,work boots and tools required for employment,etc.) 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 21 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 86,000 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense for a specific client.(Examples:co-pays*,prescription/lab work not covered by insurance,over-the-counter medications*,first aid kit/supplies for client's use at home, etc.)*if allowable per contract 2009 Program Supplies-Medical 2,199 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2010 Utility Vouchers 19,200 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security deposits. 2011 Client Activities 10,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Personal Needs 2,200 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license, clients household cleaning products/house supplies/kitchen supplies for their own home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I funds,laptop,tablet,etc.) 2013 Client Food 5,259 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Client Physical Exams 9,750 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB testing. 2015 Client Testing Materials 1,600 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 21,553 3001 Telecommunications 3,194 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 332 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,065 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cost of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 2,763 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 362 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 272 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance/Fuel/Insurance 9,330 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 2,235 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.)These are non- treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 22 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 67,870 4001 Building Maintenance 287 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs.These are non-treatment related costs. 4002 Rent/Lease Building 47,534 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 302 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles 8,774 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of agency vehicles. 4005 Security 498 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 10,113 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 362 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 44,202 5001 Consultant(Network&Data Management) 179 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 1,374 Paid to outside vendors for translation/interpreter services.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 5005 O/S Labor Phychiatrist 42,649 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 227,943 6001 Administrative Overhead 6002 Professional Liability Insurance 1,857 10-6370Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 377 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 23 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6005 Insurance(Specify): - 6006 Payroll Services 2,117 10-6482 Payroll Software&Support.These are non-treatment related costs. 6007 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 876 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 222,716 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) 6012 her(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 5,798 7001 Computer Equipment&Software - 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 604 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 5,194 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,747,483 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,747,483 BUDGET CHECK: Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 24 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.69 $ 7,582 $ 7,582 1102 Administrative Assistant 0.60 13,320 13,320 1103 Program Bookkeeper 0.60 13,320 13,320 1104 Secretary 0.60 10,673 10,673 1105 - - 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 2.49 $ 44,895 $ 44,895 Acct# Program Position FTE Admin Program Total 1116 Assistant Program Director 0.60 $ 29,531 $ 29,531 1117 Program Director 0.60 36,030 36,030 1118 Mental Health Specialist 0.69 171,351 171,351 1119 Supervising Personal Services Coordinator 0.60 20,844 20,844 1120 Peer Support 0.69 33,763 33,763 1121 Mental Health Professional 0.69 73,911 73,911 1122 Nurse 0.69 30,831 30,831 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 4.55 $ 396,261 $ 396,261 Admin Program Total Direct Personnel Salaries Subtotal 7.04 $ 44,895 $ 396,261 $ 441,156 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,496 $ 13,209 $ 14,705 1202 Worker's Compensation 532 4,700 5,232 1203 Health Insurance 6,650 58,701 65,351 1204 Other(Dental) 522 4,605 5,127 1205 Other(ACI) 15 132 147 1206 1 Other(Accrued Paid Leave) 4,988 44,029 49,017 Direct Employee Benefits Subtotal: $ 14,203 $ 125,376 $ 139,579 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 723 $ 6,384 $ 7,107 1302 FICA/MEDICARE 3,118 27,518 30,636 1303 SUI 728 6,428 7,156 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) - Direct Payroll Taxes&Expenses Subtotal: $ 4,569 $ 40,330 $ 44,899 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 63,667 $ 561,967 $ 625,634 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program 10% 90% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1a Page 25 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 593,075 2003 Client Transportation&Support 7,000 2004 Clothing&Hygiene 5,000 2005 Education Support 10,000 2006 Employment Support 3,200 2007 Household Items for Clients - 2008 Medication Supports 86,000 2009 Program Supplies-Medical 2,199 2010 Utility Vouchers 19,200 2011 Client Activities 10,000 2012 Client Personal Needs 2,200 2013 Client Food 5,259 2014 Client Physical Exams 9,750 2015 Client Testing Materials 1,600 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 754,483 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 3,194 3002 Printing/Postage 332 3003 Office,Household&Program Supplies 3,065 3004 Advertising - 3005 Staff Development&Training 2,763 3006 1 Staff Mileage 362 3007 Subscriptions&Memberships 272 3008 Vehicle Maintenance/Fuel/Insurance 9,330 3009 Recruitment 2,235 3010 Other(specify) - 3011 Other(specify) 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 21,553 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 287 4002 Rent/Lease Building 47,534 4003 Rent/Lease Equipment 302 4004 Rent/Lease Vehicles 8,774 4005 Security 498 4006 Utilities 10,113 4007 Equipment Maintenance 362 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j$ 67,870 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 179 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 1,374 5005 O/S Labor Phychiatrist 42,649 5006 1 Other(specify) - 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 44,202 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 26 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and onlythis line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 1,857 6003 Accounting/Bookkeeping 6004 External Audit 377 6005 Insurance(Specify): - 6006 Payroll Services 2,117 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 876 6010 Indirect 222,716 6011 Other(specify) - 6012 Other(specify) - 6013 1 Other(specify) INDIRECT EXPENSES TOTAL $ 227,943 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 604. 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 1 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 5,194 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,798 TOTAL PROGRAM EXPENSES $ 1,747,483 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL $ 754,483 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify)-CCP AB109 993,000 8404 Other(Specify)-DSH Diversion 8405 Other(Specify) OTHER REVENUE TOTAL $ 993,000 TOTAL PROGRAM FUNDING SOURCES: $ 1,747,483 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 27 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to CCP 0.38 Allocation to FSC FSP UP 0.17 OP 0.45 Total 1.00 Position Contract#/Name/Department/County FTE% Administrative Assistant Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Program Bookkeeper Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Assistant Program Director Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 28 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Supervising Personal Services Coordinator Allocation to CCP 0.60 Allocation to FSC FSP UP 0.27 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE% Peer Support Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to CCP 0.69 Allocation to FSC FSP UP 0.31 Total 1.00 Position Contract#/Name/Department/County nO.23 o Nurse Allocation to CCP Allocation to FSC FSP UP OP Total 1.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 28 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 29 of 77 Forensic Continuum of Care FSP/ACT Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 625,634 Administrative Positions 44,895 1101 Records Technician 7,582 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Administrative Assistant 13,320 The Administrative Assistant will oversee the support staff and will help with all support staff duties.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Program Bookkeeper 13,320 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 Secretary 10,673 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1105 0 1106 10 1107 0 1108 0 1109 0 1110 0 1111 0 L111 0 0 0 0 Program Positions 396,261 1116 Assistant Program Director 29,531 The Asssitant Program Director will supervise staff and assist the Program Director. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 36,030 The Program Director oversees the program and the hiring,training and supervising of staff.When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Mental Health Specialist 171,351 Mental Health Specialist will carry a caseload while also specializing in linking and providing services to those interested in engagement in employment and education services. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 20,844 Provides supervision to all Mental Health Specialists to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Assistant Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 1120 Peer Support 33,763 Serves as a client advocate and provides information and peer support to clients throughout their recovery process. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 73,911 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 30 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 30,831 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 1201 Retirement 14,705 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 5,232 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 65,351 10-5950 Health Insurance:Agency cost for health insurance including Vision These are non-treatment related costs. 1204 Other(Dental) 5,127 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment related costs. 1205 Other(ACI) 147 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Other(Accrued Paid Leave) 49,017 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 44,899 1301 OASDI 7,107 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 30,636 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 7,156 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 754,483 2001 Child Care - 2002 Client Housing Support 593,075 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 7,000 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing&Hygiene 5,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support 10,000 10-7150 Client Educational Material:Cost of course fees and educational materials distributed to clients and prospective clients.Including court ordered educational class. 2006 Employment Support 3,200 10-7022 Client Employment Support:Cost of client pre-employment preparation and employment retention.(Examples:job search and interview attire,work boots and tools required for employment,etc.) 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 31 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 86,000 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense for a specific client.(Examples:co-pays*,prescription/lab work not covered by insurance,over-the-counter medications*,first aid kit/supplies for client's use at home, etc.)*if allowable per contract 2009 Program Supplies-Medical 2,199 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2010 Utility Vouchers 19,200 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security deposits. 2011 Client Activities 10,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Personal Needs 2,200 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license, clients household cleaning products/house supplies/kitchen supplies for their own home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I funds,laptop,tablet,etc.) 2013 Client Food 5,259 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Client Physical Exams 9,750 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB testing. 2015 Client Testing Materials 1,600 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 21,553 3001 Telecommunications 3,194 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 332 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,065 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cost of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 2,763 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 362 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 272 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance/Fuel/Insurance 9,330 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 2,235 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.)These are non- treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 32 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 67,870 4001 Building Maintenance 287 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs.These are non-treatment related costs. 4002 Rent/Lease Building 47,534 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 302 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles 8,774 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of agency vehicles. 4005 Security 498 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 10,113 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 362 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 44,202 5001 Consultant(Network&Data Management) 179 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 1,374 Paid to outside vendors for translation/interpreter services.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non- billable related costs to be able to continue to provide continuity of care. 5005 O/S Labor Phychiatrist 42,649 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 227,943 6001 Administrative Overhead 6002 Professional Liability Insurance 1,857 10-6370Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 377 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 33 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6005 Insurance(Specify): - 6006 Payroll Services 2,117 10-6482 Payroll Software&Support.These are non-treatment related costs. 6007 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 876 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 222,716 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) 6012 her(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 5,798 7001 Computer Equipment&Software - 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 604 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 5,194 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,747,483 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,747,483 BUDGET CHECK: Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 34 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.12 $ 4,810 $ 4,810 1102 Secretary 0.26 10,182 10,182 1103 Bookkeeper 0.26 11,804 11,804 1104 - - 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796 Acct# Program Position FTE Admin Program Total 1116 Intake Assistant 0.26 $ 26,082 $ 26,082 1117 Program Director 0.26 23,695 23,695 1118 Case Manager 0.28 26,972 26,972 1119 Supervising Personal Services Coordinator 0.28 18,180 18,180 1120 Substance Abuse Counselor 0.28 67,080 67,080 1121 Mental Health Professional 0.27 67,041 67,041 1122 Nurse 0.06 7,025 7,025 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - - Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075 Admin Program Total Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,164 $ 7,507 $ 8,671 1202 Worker's Compensation 414 2,671 3,085 1203 Health Insurance 4,846 31,264 36,110 1204 Dental Insurance 380 2,453 2,833 1205 ACI 12 75 87 1206 lAccrued Paid Leave 1 3,879 1 25,023 1 28,902 Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 562 $ 3,628 $ 4,190 1302 FICA/MEDICARE 2,424 15,640 18,064 1303 SUI 566 3,653 4,219 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 41,043 $ 327,989 $ 369,032 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 11% 89% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 35 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support 120,000 2003 Client Transportation&Support 500 2004 Clothing,Food,&Hygiene 1,000 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 2012 Client Testing Material 9,850 2013 Client Food 300 2014 Other(specify) - 2015 Other(specify) 2016 Other(specify) I - DIRECT CLIENT CARE TOTAL $ 136,950 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,204 3002 Printing/Postage 706 3003 Office,Household&Program Supplies 3,888 3004 Advertising - 3005 Staff Development&Training 1,957 3006 1 Staff Mileage 372 3007 Subscriptions&Memberships 106 3008 Vehicle Maintenance 936 3009 Recruitment 692 3010 Outreach&Engagement 147 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 11,008 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 80 4002 Rent/Lease Building 20,846 4003 Rent/Lease Equipment 519 4004 Rent/Lease Vehicles - 4005 Security 453 4006 Utilities 5,819 4007 Equipment Maintenance 626 4008 Depreciation 159 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 26 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 5006 1 OS Labor Physician 3,304 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 36 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate Administrative Overhead 6002 Professional Liability Insurance 2,277 6003 Accounting/Bookkeeping - 6004 External Audit 346 6005 Insurance(Specify): - 6006 Payroll Services 1,928 6007 Depreciation(crovme,-Owned equipment to be usedfor Program Purposes) 6008 Personnel(indirect Salaries&Benefits) - 6009 Licenses 5,384 6010 Indirect 75,924 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) - INDIRECT EXPENSES TOTAL $ 85,859 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 2,583 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) 7007 Expendable Equipment 3,382 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,965 TOTAL PROGRAM EXPENSES $ 658,250 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees 8402 Clientlnsurance 8403 Grants(Specify)-CCP AB109 658,250 8404 Other(Specify) 8405 Other(Specify) - OTHER REVENUE TOTAL $ 658,250 TOTAL PROGRAM FUNDING SOURCES: $ 658,250 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 37 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2023-24 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to FSC OP MH FFP 0.08 Allocation to FSC OP MH CCP 0.02 Allocation to FSC OP SUD FFP 0.25 Allocation to FSC OP SUD CCP 0.10 Allocation to FSC FSP CCP&DSH 0.38 Allocation to FSC FSP FFP 0.17 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Bookkeeper Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Intake Assistant Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.57 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 38 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to FSC OP MH FFP 0.17 A19Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.22 Total 1.00 Position Contract#/Name/Department/County FTE% Nurse Allocation to FSC OP MH FFP 0.04 Allocation to FSC OP MH CCP 0.01 Allocation to FSC OP SUD FFP 0.14 Allocation to FSC OP SUD CCP 0.05 Allocation to FSC FSP CCP&DSH 0.52 Allocation to FSC FSP FFP 0.23 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 39 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 40 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 369,032 Administrative Positions 26,796 1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 236,075 1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services include completeing all new admissions in a timely manner with the goal of opening the client.Any additional funds outside of Medi-Cal are used for this/these positions for non treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of staff. When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to needed medical,social,housing,economic,educational and other services as directed by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake Assistant to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment services in accordance with program requirements and ADP licensing.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 41 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 - Direct Employee Benefits 1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are non-treatment related costs. 1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance. 1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 26,473 1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 136,950 2001 Child Care - 2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2009 Program Supplies-Medical 2010 Utility Vouchers Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 42 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Other(specify) - 2015 Other(specify) 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 11,008 3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cast of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.) 3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach and engagement events/activities.These are non-treatment related costs. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,502 4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,co2 alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs. 4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 43 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles - 4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of the Agency's tangible assets.These are non-treatment related costs. 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 20,934 5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by contracted Physician working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 85,859 6001 Administrative Overhead - 6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. 6005 Insurance(Specify): - 6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs. 6007 1 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) - 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 5,965 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 44 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 45 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.12 $ 4,810 $ 4,810 1102 Secretary 0.26 10,182 10,182 1103 Bookkeeper 0.26 11,804 11,804 1104 - - 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796 Acct# Program Position FTE Admin Program Total 1116 Intake Assistant 0.26 $ 26,082 $ 26,082 1117 Program Director 0.26 23,695 23,695 1118 Case Manager 0.28 26,972 26,972 1119 Supervising Personal Services Coordinator 0.28 18,180 18,180 1120 Substance Abuse Counselor 0.28 67,080 67,080 1121 Mental Health Professional 0.27 67,041 67,041 1122 Nurse 0.06 7,025 7,025 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - - Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075 Admin Program Total Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,164 $ 7,507 $ 8,671 1202 Worker's Compensation 414 2,671 3,085 1203 Health Insurance 4,846 31,264 36,110 1204 Dental Insurance 380 2,453 2,833 1205 ACI 12 75 87 1206 lAccrued Paid Leave 1 3,879 1 25,023 1 28,902 Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 562 $ 3,628 $ 4,190 1302 FICA/MEDICARE 2,424 15,640 18,064 1303 SUI 566 3,653 4,219 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 41,043 $ 327,989 $ 369,032 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 11% 89% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 46 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support 120,000 2003 Client Transportation&Support 500 2004 Clothing,Food,&Hygiene 1,000 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 2012 Client Testing Material 9,850 2013 Client Food 300 2014 Other(specify) - 2015 Other(specify) 2016 Other(specify) I - DIRECT CLIENT CARE TOTAL $ 136,950 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,204 3002 Printing/Postage 706 3003 Office,Household&Program Supplies 3,888 3004 Advertising - 3005 Staff Development&Training 1,957 3006 1 Staff Mileage 372 3007 Subscriptions&Memberships 106 3008 Vehicle Maintenance 936 3009 Recruitment 692 3010 Outreach&Engagement 147 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 11,008 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 80 4002 Rent/Lease Building 20,846 4003 Rent/Lease Equipment 519 4004 Rent/Lease Vehicles - 4005 Security 453 4006 Utilities 5,819 4007 Equipment Maintenance 626 4008 Depreciation 159 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 26 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 5006 1 OS Labor Physician 3,304 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 47 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 2,277 6003 Accounting/Bookkeeping - 6004 External Audit 346 6005 Insurance(Specify): - 6006 Payroll Services 1,928 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 6010 Indirect 75,924 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) - INDIRECT EXPENSES TOTAL $ 85,859 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 2,583 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) 7007 Expendable Equipment 3,382 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,965 TOTAL PROGRAM EXPENSES $ 658,250 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Clientlnsurance 8403 Grants(Specify)-CCP AB109 658,250 8404 Other(Specify) - 8405 Other(Specify) - OTHER REVENUE TOTAL $ 658,250 TOTAL PROGRAM FUNDING SOURCES: $ 658,250 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 48 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to FSC OP MH FFP 0.08 Allocation to FSC OP MH CCP 0.02 Allocation to FSC OP SUD FFP 0.25 Allocation to FSC OP SUD CCP 0.10 Allocation to FSC FSP CCP&DSH 0.38 Allocation to FSC FSP FFP 0.17 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Bookkeeper Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Intake Assistant Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.57 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 49 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.22 Total 1.00 Position Contract#/Name/Department/County FTE% Nurse Allocation to FSC OP MH FFP 0.04 Allocation to FSC OP MH CCP 0.01 Allocation to FSC OP SUD FFP 0.14 Allocation to FSC OP SUD CCP 0.05 Allocation to FSC FSP CCP&DSH 0.52 Allocation to FSC FSP FFP 0.23 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 50 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 51 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2024-25 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 369,032 Administrative Positions 26,796 1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 236,075 1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services include completeing all new admissions in a timely manner with the goal of opening the client.Any additional funds outside of Medi-Cal are used for this/these positions for non treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of staff. When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to needed medical,social,housing,economic,educational and other services as directed by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake Assistant to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment services in accordance with program requirements and ADP licensing.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 52 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are non-treatment related costs. 1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance. 1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 26,473 1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 136,950 2001 Child Care - 2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 53 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2009 Program Supplies-Medical 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Other(specify) - 2015 Other(specify) 2016 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 11,008 3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cost of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.) 3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach and engagement events/activities.These are non-treatment related costs. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,502 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 54 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs. 4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles - 4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of the Agency's tangible assets.These are non-treatment related costs. 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 20,934 5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by contracted Physician working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 85,859 6001 Administrative Overhead - 6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. 6005 Insurance(Specify): - 6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs. 6007 1 Depreciation(Provider-Owned Equipment to be Used Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 55 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) - 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 5,965 7001 Computer Equipment&Software - 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 56 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.12 $ 4,810 $ 4,810 1102 Secretary 0.26 10,182 10,182 1103 Bookkeeper 0.26 11,804 11,804 1104 - - 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796 Acct# Program Position FTE Admin Program Total 1116 Intake Assistant 0.26 $ 26,082 $ 26,082 1117 Program Director 0.26 23,695 23,695 1118 Case Manager 0.28 26,972 26,972 1119 Supervising Personal Services Coordinator 0.28 18,180 18,180 1120 Substance Abuse Counselor 0.28 67,080 67,080 1121 Mental Health Professional 0.27 67,041 67,041 1122 Nurse 0.06 7,025 7,025 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - - Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075 Admin Program Total Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,164 $ 7,507 $ 8,671 1202 Worker's Compensation 414 2,671 3,085 1203 Health Insurance 4,846 31,264 36,110 1204 Dental Insurance 380 2,453 2,833 1205 ACI 12 75 87 1206 lAccrued Paid Leave 1 3,879 1 25,023 1 28,902 Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 562 $ 3,628 $ 4,190 1302 FICA/MEDICARE 2,424 15,640 18,064 1303 SUI 566 3,653 4,219 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 41,043 $ 327,989 $ 369,032 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 11% 89% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 57 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support 120,000 2003 Client Transportation&Support 500 2004 Clothing,Food,&Hygiene 1,000 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 2012 Client Testing Material 9,850 2013 Client Food 300 2014 Other(specify) - 2015 Other(specify) 2016 Other(specify) I - DIRECT CLIENT CARE TOTAL $ 136,950 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,204 3002 Printing/Postage 706 3003 Office,Household&Program Supplies 3,888 3004 Advertising - 3005 Staff Development&Training 1,957 3006 1 Staff Mileage 372 3007 Subscriptions&Memberships 106 3008 Vehicle Maintenance 936 3009 Recruitment 692 3010 Outreach&Engagement 147 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 11,008 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 80 4002 Rent/Lease Building 20,846 4003 Rent/Lease Equipment 519 4004 Rent/Lease Vehicles - 4005 Security 453 4006 Utilities 5,819 4007 Equipment Maintenance 626 4008 Depreciation 159 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 26 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 5006 1 OS Labor Physician 3,304 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 58 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 2,277 6003 Accounting/Bookkeeping - 6004 External Audit 346 6005 Insurance(Specify): - 6006 Payroll Services 1,928 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 6010 Indirect 75,924 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) - INDIRECT EXPENSES TOTAL $ 85,859 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 2,583 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) 7007 Expendable Equipment 3,382 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,965 TOTAL PROGRAM EXPENSES $ 658,250 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Clientlnsurance 8403 Grants(Specify)-CCP AB109 658,250 8404 Other(Specify) - 8405 Other(Specify) - OTHER REVENUE TOTAL $ 658,250 TOTAL PROGRAM FUNDING SOURCES: $ 658,250 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 59 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to FSC OP MH FFP 0.08 Allocation to FSC OP MH CCP 0.02 Allocation to FSC OP SUD FFP 0.25 Allocation to FSC OP SUD CCP 0.10 Allocation to FSC FSP CCP&DSH 0.38 Allocation to FSC FSP FFP 0.17 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Bookkeeper Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Intake Assistant Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.57 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 60 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.22 Total 1.00 Position Contract#/Name/Department/County FTE% Nurse Allocation to FSC OP MH FFP 0.04 Allocation to FSC OP MH CCP 0.01 Allocation to FSC OP SUD FFP 0.14 Allocation to FSC OP SUD CCP 0.05 Allocation to FSC FSP CCP&DSH 0.52 Allocation to FSC FSP FFP 0.23 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 61 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 62 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2025-26 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 369,032 Administrative Positions 26,796 1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 0 1105 0 1106 0 1107 0 1108 0 1109 10 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 236,075 1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services include completeing all new admissions in a timely manner with the goal of opening the client.Any additional funds outside of Medi-Cal are used for this/these positions for non treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 23,695 1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to needed medical,social,housing,economic,educational and other services as directed by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake Assistant to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment services in accordance with program requirements and ADP licensing.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 63 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 1 - Direct Employee Benefits 1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are non-treatment related costs. 1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance. 1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 26,473 1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 136,950 2001 Child Care - 2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2009 Program Supplies-Medical 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 64 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Other(specify) - 2015 Other(specify) 2016 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 11,008 3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cast of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.) 3010 Outreach&Engagement 147 10-6693 O&E Client Needs:Cost related to services and supplies used during outreach and engagement events/activities.These are non-treatment related costs. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,502 4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs. 4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 65 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of the Agency's tangible assets.These are non-treatment related costs. 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 20,934 5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by contracted Physician working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 85,859 6001 Administrative Overhead 6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. 6005 Insurance(Specify): - 6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs. 6007 Depreciation(Provider-Owned Equipment to be Used - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) - 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 5,965 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 66 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 67 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Records Technician 0.12 $ 4,810 $ 4,810 1102 Secretary 0.26 10,182 10,182 1103 Bookkeeper 0.26 11,804 11,804 1104 - - 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796 Acct# Program Position FTE Admin Program Total 1116 Intake Assistant 0.26 $ 26,082 $ 26,082 1117 Program Director 0.26 23,695 23,695 1118 Case Manager 0.28 26,972 26,972 1119 Supervising Personal Services Coordinator 0.28 18,180 18,180 1120 Substance Abuse Counselor 0.28 67,080 67,080 1121 Mental Health Professional 0.27 67,041 67,041 1122 Nurse 0.06 7,025 7,025 1123 - - 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 - - Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075 Admin Program Total Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 1,164 $ 7,507 $ 8,671 1202 Worker's Compensation 414 2,671 3,085 1203 Health Insurance 4,846 31,264 36,110 1204 Dental Insurance 380 2,453 2,833 1205 ACI 12 75 87 1206 lAccrued Paid Leave 1 3,879 1 25,023 1 28,902 Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ 562 $ 3,628 $ 4,190 1302 FICA/MEDICARE 2,424 15,640 18,064 1303 SUI 566 3,653 4,219 1304 Other(specify) - - - 1305 Other(specify) 1306 1 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 41,043 $ 327,989 $ 369,032 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 11% 89% Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 68 of 77 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support 120,000 2003 Client Transportation&Support 500 2004 Clothing,Food,&Hygiene 1,000 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients - 2008 Medication Supports 4,300 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 2012 Client Testing Material 9,850 2013 Client Food 300 2014 Other(specify) - 2015 Other(specify) 2016 Other(specify) I - DIRECT CLIENT CARE TOTAL $ 136,950 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,204 3002 Printing/Postage 706 3003 Office,Household&Program Supplies 3,888 3004 Advertising - 3005 Staff Development&Training 1,957 3006 1 Staff Mileage 372 3007 Subscriptions&Memberships 106 3008 Vehicle Maintenance 936 3009 Recruitment 692 3010 Outreach&Engagement 147 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 11,008 4000:DIRECT FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 80 4002 Rent/Lease Building 20,846 4003 Rent/Lease Equipment 519 4004 Rent/Lease Vehicles - 4005 Security 453 4006 Utilities 5,819 4007 Equipment Maintenance 626 4008 Depreciation 159 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 26 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 5006 1 OS Labor Physician 3,304 5007 Other(specify) 5008 Other(specify) DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 69 of 77 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 2,277 6003 Accounting/Bookkeeping - 6004 External Audit 346 6005 Insurance(Specify): - 6006 Payroll Services 1,928 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 6009 Licenses 5,384 6010 Indirect 75,924 6011 Other(specify) - 6012 Other(specify) 6013 Other(specify) INDIRECT EXPENSES TOTAL $ 85,859 INDIRECT COST RATE 15.00% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data - 7003 Furniture&Fixtures 2,583 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) 7007 Expendable Equipment 3,382 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 5,965 TOTAL PROGRAM EXPENSES $ 658,250 PROGRAM FUNDING SOURCES 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 ISABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention&Early Intervention 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Clientlnsurance 8403 Grants(Specify)-CCP AB109 658,250 8404 Other(Specify) - 8405 Other(Specify) - OTHER REVENUE TOTAL $ 658,250 TOTAL PROGRAM FUNDING SOURCES: $ 658,250 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 70 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE% Records Technician Allocation to FSC OP MH FFP 0.08 Allocation to FSC OP MH CCP 0.02 Allocation to FSC OP SUD FFP 0.25 Allocation to FSC OP SUD CCP 0.10 Allocation to FSC FSP CCP&DSH 0.38 Allocation to FSC FSP FFP 0.17 Total 1.00 Position Contract#/Name/Department/County FTE% Secretary Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Bookkeeper Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Intake Assistant Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.57 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Program Director Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.21 Total 1.00 Position Contract#/Name/Department/County FTE% Case Manager Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 71 of 77 Total 1.00 Position Contract#/Name/Department/County FTE Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72 Allocation to FSC OP SUD CCP 0.28 Total 1.00 Position Contract#/Name/Department/County FTE% Mental Health Professional Allocation to FSC OP MH FFP 0.17 Allocation to FSC OP MH CCP 0.05 Allocation to FSC OP SUD FFP 0.56 Allocation to FSC OP SUD CCP 0.22 Total 1.00 Position Contract#/Name/Department/County FTE% Nurse Allocation to FSC OP MH FFP 0.04 Allocation to FSC OP MH CCP 0.01 Allocation to FSC OP SUD FFP 0.14 Allocation to FSC OP SUD CCP 0.05 Allocation to FSC FSP CCP&DSH 0.52 Allocation to FSC FSP FFP 0.23 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE% Total 0.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 72 of 77 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 73 of 77 Forensic Continuum of Care SUD/MH OP Turning Point of Central California,Inc. Fiscal Year(FY)2026-27 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 369,032 Administrative Positions 26,796 1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for the program.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients, etc.Any additional funds outside of Medi-Cal are used for this/these positions for non- treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 236,075 1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services include completeing all new admissions in a timely manner with the goal of opening the client.Any additional funds outside of Medi-Cal are used for this/these positions for non treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of staff. When a staff takes leave,the program is not changed since it's already been accrued.Our Positions are based on class/step,some might be less and some might be more,all according to the person's experience and education when they come to work for Turning Point.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to needed medical,social,housing,economic,educational and other services as directed by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake Assistant to ensure client care,maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment services in accordance with program requirements and ADP licensing.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in identifying treatment plan goals according to diagnosis. MHP also provides individual and group therapy as client requests,while also providing program support to assist clients in crisis. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 74 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning Point policies and procedures,providing training and ensuring accurate charting in accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These are non-treatment related costs. 1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance. These are non-treatment related costs. 1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are non-treatment related costs. 1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance. 1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These are non-treatment related costs. 1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they accrue on a monthly basis.These are non-treatment related costs. Direct Payroll Taxes&Expenses: 26,473 1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old- Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare). These are non-treatment related costs. 1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid.These are non- treatment related costs. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 136,950 2001 Child Care - 2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel charges,room&board,board&care,etc.) 2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus tokens/passes,taxi,other public transportation,bicycles,etc.) 2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant, grooming supplies,hair accessories,diapers,etc.) 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 75 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or clients at the program location to meet program objective.Such items are to remain at the program location and not sent home with the client.Such items include,but are not limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable per contract*,etc. 2009 Program Supplies-Medical 2010 Utility Vouchers - 2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events. (Examples:cable bill,food/drinks/utensils/decorations needed for a specific client event,incentive rewards,cash reinforcer,admission fees to events,etc.) 2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer, used to determine treatment required for clients. 2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients. (Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for clients) 2014 Other(specify) - 2015 Other(specify) 2016 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 11,008 3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet, phone,fax,cell phones,etc.)These are non-treatment related costs. 3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S. Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related costs. 3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House Supplies:Cost of supplies used by staff during their scheduled work hours.These items are normally used to operate the building at the program location.These items are to remain at program location and not sent home with client.10-6120 Program Supplies: Cost of any items normally used by clients or to directly benefit the clients to meet program objectives while receiving services.These items are to remain at the program location and not sent home with the client.10-6243 General Supplies:Cost of items generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost of items or services to maintain the esthetics of the premises.These are non-treatment related costs. 3004 Advertising - 3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials. (Examples:certification,training,books,etc.)*May include cost of room rental.These are non-treatment related costs. 3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance with FPM section 1005.These are non-treatment related costs. 3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples: magazine,newspaper,memberships,etc.)These are non-treatment related costs. 3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost of parts,supplies and labor associated with maintenance and repair of vehicles used by Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are non-treatment related costs. 3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses. (Examples:newspaper ad,urine screening,background check,etc.) 3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach and engagement events/activities.These are non-treatment related costs. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,502 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 76 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance. (Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project,in this case use 6603,or projects over$2,000.00 that will require the procurement process and a WIP to be completed.These are non-treatment related costs. 4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases from outside sources.These are non-treatment related costs. 4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made for furniture and equipment leases from outside sources.(Examples:high capacity copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler, postage meter,etc.)These are non-treatment related costs. 4004 Rent/Lease Vehicles - 4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for building alarms and other security measures.(Examples:security/surveillance equipment,service and installation,safes,locks,padlocks,etc.)These are non- treatment related costs. 4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are non-treatment related costs. 4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose, filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment related costs. 4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of the Agency's tangible assets.These are non-treatment related costs. 4009 Other(specify) - 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 20,934 5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti- virus,LogMeln,web filter,etc.)This account should not be used for the purchase of computers and related accessories.Computer accessories such as a mouse,keyboard and speakers must be coded to 6190.These are non-treatment related costs. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services - 5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by contracted Psychiatrist working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by contracted Physician working as independent agents.Any additional funds outside of Medi-Cal are used for this/these positions for non-treatment and/or non-billable related costs to be able to continue to provide continuity of care. 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 85,859 6001 Administrative Overhead - 6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non- treatment related costs. 6003 Accounting/Bookkeeping - 6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related costs. 6005 Insurance(Specify): - 6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs. 6007 1 Depreciation(Provider-Owned Equipment to be Used Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit J-1 a Page 77 of 77 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6008 Personnel(Indirect Salaries&Benefits) - 6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples: Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance, facility inspections,vehicle registration,etc.)These are non-treatment related costs. 6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs. 6011 Other(specify) - 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 5,965 7001 Computer Equipment&Software - 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than$5000 per item.(Examples:small desk, portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs, bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional information,see procedures section 0900)These are non-treatment related costs. 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) - 7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher, computer,monitor,keyboard,mouse,speakers and other computer accessories including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp, fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator, dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related costs. 7008 Other(specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020