HomeMy WebLinkAboutSTATE DPH-California Home Visiting Program_A-25-637.pdf COtj County of Fresno Hall of Records, Room 301
2281 Tulare Street
Fresno,California
601 Board of Supervisors 93721-2198
O� 1$56 O Telephone: (559)600-3529
FRV,t' Minute Order Toll Free: 1-800-742-1011
www.fresnocountyca.gov
December 9, 2025
Present: 5- Vice Chairman Garry Bredefeld, Supervisor Luis Chavez, Supervisor Nathan Magsig,
Chairman Buddy Mendes, and Supervisor Brian Pacheco
Agenda No. 70. Public Health File ID: 25-0865
Re: Approve and authorize the Chairman to execute a retroactive Agreement Funding Application with
California Department of Public Health,for the California Home Visiting Program-Maternal, Infant, and
Early Childhood Home Visiting and California Home Visiting Program-State General Fund-
Evidence-Based Home Visiting programs, effective July 1, 2025 through June 30, 2026($3,889,410)
APPROVED AS RECOMMENDED
Ayes: 5- Bredefeld, Chavez, Magsig, Mendes, and Pacheco
Agreement No. 25-637
County of Fresno Page 76
co
Board Agenda Item 70
O 1856 O
FRE`'�
DATE: December 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Director, Department of Public Health
SUBJECT: Retroactive FY 2025-26 California Home Visiting Program Agreement Funding
Application with California Department of Public Health
RECOMMENDED ACTION(S):
Approve and authorize the Chairman to execute a retroactive Agreement Funding Application with
California Department of Public Health,for the California Home Visiting Program - Maternal, Infant,
and Early Childhood Home Visiting and California Home Visiting Program -State General Fund -
Evidence-Based Home Visiting programs, effective July 1, 2025 through June 30, 2026 ($3,889,410).
There is no additional Net County Cost associated with the recommended action. Approval of the
recommended action will provide the Fresno County Department of Public Health (Department)with
California Department of Public Health (CDPH)funding from the California Home Visiting Program (CHVP) -
Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program and the CHVP State General Fund
(SGF) - Evidence-Based Home Visiting (EBHV) program. The funding will support salary and benefits, and
operational costs to expand the Nurse-Family Partnership (NFP) program services provided by the
Department. The program provides outreach, home visitation, health education and linkage to community
resources for Fresno County pregnant and parenting women and their families. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the
Department would not have sufficient funds to operate these critical programs and will be unable to provide
MIECHV and EBHV services to pregnant and parenting women and their families.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to July 1, 2025. The process for receiving the CHVP MIECHV
and CHVP SGF EBHV funding requires submittal of an Agreement Funding Application (AFA). The
Department received the CHVP AFA on April 25, 2025. The AFA required the State's pre-approval of the
budget and all documents before the item could be presented to your Board for approval. The Department
received the necessary pre-approvals on October 14, 2025 and is bringing this item in accordance with
Agenda Item timelines.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. CDPH is allocating
$895,429 to the Department's CHVP MIECHV program and $2,993,981 to the Department's CHVP SGF
EBHV program for FY 2025-26. Approval of the recommended action will provide funding to support salary
and benefits, and operational costs to expand the NFP services provided by the Department for FY 2025-26.
County of Fresno Page I File Number.25-0865
File Number:25-0865
Both grants allow the Department's indirect cost rate of 24.47%, however, the indirect cost rates were
reduced to 15.47%for CHVP MIECHV and 1.77%for CHVP SGF EBHV to remain within the grant
allocations. Sufficient appropriations and estimated revenues are included in the Department's Org 5620 FY
2025-26 Adopted Budget.
DISCUSSION:
CDPH funding has supported the CHVP in Fresno County since 2012. On June 9, 2020, your Board
accepted SGF from CDPH to expand the CHVP, increasing services in the City of Fresno and a CHVP site
in the City of Selma. On November 16, 2021, your Board approved and accepted a retroactive award funding
for the CHVP SGF Expansion for FY 2020-23. On April 25, 2023, your Board approved and signed the CHVP
SGF Expansion Year 1 AFA, accepting $748,835 in additional allocation to support salary and benefits, and
operational costs to expand the NFP program services provided by the Department for FY 2022-23. On
October 10, 2023, your Board approved and signed the CHVP MIECHV and CHVP SGF EBHV AFA for FY
2023-24, accepting the $2,531,710 allocation to support salary and benefits, and operational costs of the two
programs. On December 3, 2024, your Board approved and signed the CHVP MIECHV and CHVP SGF
EBHV AFA for FY2024-25, accepting the $2,531,711 allocation to support salary and benefits, and
operational costs of the two programs.
The Department provides NFP services countywide. The program provides nurse home visitation services
to low-income, first-time mothers and their families following the evidence based NFP model. From
pregnancy through the child's second birthday, Public Health Nurses (PHN)with specialized training visit
with mothers, fathers, and extended family members to monitor the health of both the mother and child, as
well as the environment. PHNs also provide information on pregnancy, parenting skills, healthy relationships,
disease prevention, and appropriate community services. During their visits, the PHNs encourage positive
health choices, such as:
• Avoiding smoking, drinking, and using drugs;
• Seeking prenatal care;
• Eating nutritious foods;
• Increasing intervals between births; and,
• Setting achievable life goals.
FY 2024-25 CHVP MIECHV Program:
• 42 referrals received and 42 families enrolled into program services;
• 98 families and 80 children served, 46 new clients enrolled, 24 graduated from the program;
• 885 in-person and 156 telehealth home visits completed;
• 28 children born to enrolled families;
• 100% of clients initiated breastfeeding at birth;
• provided 85 infants/toddlers with developmental assessments using the ASQ3 at 4, 10, 18 and 24
months of age and ASQ-Social Emotional at 6, 12, 18 and 24 months of age; and 6 referrals were
made for abnormal ASQ screening; and
• 127 referrals were completed for government assistance, crisis intervention, mental health,
substance use, health care services, education programs and other services including
transportation, housing, and job training.
FY 2024-25 CHVP SGF EBHV Program:
• 60 referrals received and 46 families enrolled into program services;
• 89 families and 65 children served, 46 new clients enrolled, 13 graduated from the program;
• 766 in-person and 72 telehealth home visits completed;
• 25 children born to enrolled families;
• 96.5% of clients-initiate breastfeeding at birth;
County of Fresno Page 2 File Number.25-0865
File Number:25-0865
• provided 54 infants/toddlers with developmental assessments using the ASQ3 at 4, 10, 18 and 24
months of age and ASQ-Social Emotional at 6, 12, 18 and 24 months of age; 5 referrals were made
for abnormal ASQ screening; and
• 53 referrals were completed for government assistance, crisis intervention, mental health, substance
use, health care services, education programs and other services including transportation, housing,
and job training.
In FY 2024-25, the Fresno County CHVP SGF EBHV- Healthy Families Program, began enrolling eligible
moms in December 2024 with the following impact:
• 16 referrals received, 14 were eligible and 9 families enrolled into program services;
• 9 families and 5 children served;
• 90 in-person home visits completed;
• 2 children born to enrolled families;
• 2 moms-initiate breastfeeding at birth;
2 infants up to date on immunizations at 6 months of age;
• provided 4 infants/toddlers with developmental assessments using the ASQ3 at 2, 4, 6, 8, 9, 10, 12,
18 and 24 months of age and ASQ-Social Emotional at 6, 12, 18 and 24 months of age; 2 was
screened at 2 months, 2 were screened at 4, 6, and 8; and no referrals were made for abnormal
ASQ screening; and
• 9 referrals were completed for government assistance, crisis intervention, mental health, substance
use, health care services, education programs and other services including transportation, housing,
and job training.
CHVP provided clients with linkage and health care services and other resources including childcare,job
training, housing, transportation, injury prevention, childbirth and lactation classes/services, charitable and
legal services, as well as early childhood intervention and dental services. Clients were also connected to
crisis intervention services including intimate partner violence, mental health, and substance abuse
cessations.
CDPH will issue the CHVP MIECHV and CHVP SGF EBHV award letter after the Agreement Funding
Application is approved.
REFERENCE MATERIAL:
BAI #61, December 3, 2024
BAI #56, October 10, 2023
BAI #38, April 25, 2023
BAI #35, November 8, 2022
BAI #45, November 16, 2021
BAI #29, June 9, 2020
BAI #34, January 7, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk- FY 2025-26 CHVP Agreement Funding Application with CDPH
CAO ANALYST:
Ron Alexander
County of Fresno Page 3 File Number.25-0865
"rkHealth and Human Services Agency ',
C D P H California Department of Public Health ' . w
°�iroaa`
Erica Pan, MD, MPH Gavin Newsom
Director and State Public Health Officer Governor
April 25, 2025
TO: MATERNAL, CHILD AND ADOLESCENT HEALTH (MCAH)
DIRECTORS/CALIFORNIA HOME VISITING PROGRAM (CHVP) DIRECTORS,
COORDINATORS, OR DESIGNEES
RE: CHVP AGREEMENT FUNDING APPLICATION (AFA) ANNOUNCEMENT FOR
STATE FISCAL YEAR (SFY) 2025-2026
This letter announces the SFY 2025-2026 AFA process that provides allocation and
contract funding updates for the California Department of Public Health, Maternal, Child
and Adolescent Health (CDPH/MCAH) Division's California Home Visiting Programs.
SFY 2025-2026 funding for CHVP programs are as follows:
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
• Agreement number: CHVP 25-XX
State General Fund Evidence Based Home Visiting (SGF EBHV)
• Agreement number: CHVP SGF EBHV 25-XX
State General Fund Innovation Project (SGF INNV 1 .0)
• Agreement number: CHVP SGF INNV 25-XX
State General Fund Innovation Project (SGF INNV 2.0)
• Agreement number: CHVP SGF INNV 25b-XX
Title XIX (TXIX) Funding (if applicable) — There is no cap on the amount you may
request, so long as the agency has the State General Funds and/or available agency
funds to match TXIX. Additionally, the agency's spending plan shall reflect the agency's
ability to spend all of the TXIX amount requested. Fi$Cal requirements impose a March
31 st deadline for all budget revisions (BR) containing a change (either an increase or
decrease) in TXIX funding. This aligns with the Division's requirement to submit all BRs
by March 31St of the Fiscal Year. Note: BR requests will not be accepted until after a Q2
invoice has been submitted.
Please note:
CDPH MCAH, MS 8300 • P.O. Box 997420 • Sacramento, CA 95899-7420 • •
(916) 650-0300 (916) 650-0305 FAX Q IPUABa-
CDPH.ca.gov „Ww .
Q°
MCAH Partners
April 25, 2025
Page 2
CHVP funding allocations cannot be combined but may be braided. Please reach out to
your Program Consultant (PC) for more information.
A new Scope of Work (SOW) and budget template will be provided for each initiative (i.e.,
MIECHV, SGF EBHV, INNV 1.0, and INNV 2.0) on an annual basis. Please reach out to
your PC and Contract Liaison (CL) if you have questions.
AFA Timeline/Important Dates:
Friday, April 25, Release of CHVP SFY 25-26 AFA Notification
2025 The AFA package is included in this email.
Follow the guidelines set forth on the AFA Checklist
regarding what is or is not required for submission.
Please only complete the budget template and SOW
applicable to your County's funding streams (i.e. counties
with MIECHV and INNV 1 .0 funding will only complete the
MIECHV and INNV budget template and the MIECHV and
INNV 1.0 SOW).
Friday, May 2, 2025 Last Day to Register for your AFA Development Support
and Budget Training Meeting — Optional meetings can be
scheduled for technical assistance necessary to complete
local agency budgets. Please reach out to your CL and PC
via email to request a meeting.
**If a meeting is requested, Local CHVP Program and Fiscal
representatives with decision making authority are required
to attend.**
CHVP AFA budget meetings will be offered via TEAMS.
MCAH Partners
April 25, 2025
Page 3
Meetings will be scheduled on a first-come, first-served basis
between:
May 5, 2025 and May 16, 2025
Monday, May 5, CHVP Development Support and Budget Training
2025 - Friday, May Meetings (Optional)
16, 2025
Friday, May 23, AFA Packages Due back to CDPH/CHVP
2025
Monday, May 26, CHVP CUPC AFA Package Review and Approval
2025 process begins
AFA Submission:
Packages are due via email to MCAHFINACT(a_cdph.ca.gov by Friday, May 23,
2025. Please refer to the AFA Checklist instructions for guidance on how to submit your
AFA package. If you have any questions about the AFA process please contact your CL
and PC as soon as possible.
Agencies that opt-in to claiming TXIX and are utilizing a Medi-Cal Percentage (MCP)
other than base must submit a signed justification letter, which provides the rationale
for the intended MCP. This letter must be on county letterhead and include your
justification in claiming each of the various MCPs that are being requested on your
budget. Please note, the letter will not replace the MCP justification area for personnel
on the budget template. We have provided an example letter for your reference titled
"Bean County" letter. Agencies will be authorized via email to invoice for services after
their AFA packages are approved and an approval letter is in place.
We recommend that all LHJs review the Fiscal Administration Policy and Procedure
Manual prior to building and submitting their SFY 25-26 AFAs, as it contains the current
fiscal policies. Older versions should not be referenced.
MCAH Partners
April 25, 2025
Page 4
LHJs will be notified via email when their AFA package is approved. At that time, they
will be permitted to invoice for services retroactively to July 1, 2025, if applicable.
Invoice Submission:
All invoices and supporting documentation must be submitted via email to the MCAH
invoice box: MCAHlnvoices(a-_)cdph.ca.gov. To ensure appropriate processing, please use
the following invoice naming convention for the signed invoice PDF and Excel files, as
well as the subject line of the email:
Agreement Number (space) LHJ Name (space) Fiscal Year (space) Invoice Quarter
Number
Example: CHVP SGF EBHV 25-01 Alameda SFY25-26 Q1
Invoice submission must include:
• Signed cover letter noting invoice amount, invoice period, remit to address,
and any personnel changes
• Signed invoice
• Excel version of the invoice
• Signed and completed TXIX Cover Sheet (if applicable)
• Signed and completed TXIX Attestation form (if applicable)
• TXIX time studies (if applicable)
Invoice Submission Timeline:
Pay Period Duration Due Date
Quarter 1 July— September November 15tn
Quarter 2 October— December February 15tn
Quarter 3 January — March May 15t"
Quarter 4 April — June August 15t"
MCAH Partners
April 25, 2025
Page 5
Thank you for your assistance and timely submission of your AFA package. If you have
any questions or concerns, please contact your Contract Liaison and Program
Consultant.
Sincerely,
Sydney Armendariz, Director
Maternal Child and Adolescent Health Division
Center for Family Health
California Department of Public Health
Agreement No. 25-637
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
MATERNAL, CHILD AND ADOLESCENT HEALTH(MCAH) DIVISION
FUNDING AGREEMENT PERIOD FY 2025-2026
AGENCY INFORMATION FORM
Agencies are required to submit an electronic and signed copy(original signatures only)of this form along with their Annual AFA Package.
Agencies are required to submit updated information when updates occur during the fiscal year. Updated submissions do not require certification signatures.
Any program related information being sent from the CDPH MCAH Division will be directed to all Program Directors.
IDENTIFICATIONAGENCY • - •
Please select the agreement or contract number for each of the applicable programs
MIECHV CHVP 25-10 SGF EBHV CHVP SGF EBHV 25-10
SGF INNV 1.0 N/A SGF INNV 2.0 N/A
Update Effective Date(only required when submitting updates)
Federal Employer ID#: FI$CAL ID#:
Complete Official Agency Name:County of Fresno
Business Office Address:1221 Fulton Street,Fresno,CA 93721
Agency Phone:(559)600-3330 Agency Fax: (559)455-4705
Agency Website:www'fcdph.org
Revised 4/15/2025 Page 1 of 7
APPLICATIONAGREEMENT FUNDING POLICY COMPLIANCE . CERTIFICATION
Update Effective Date(only required when submitting updates)
The undersigned hereby affirms that the statements contained in the Agreement Funding Application (AFA)are true and complete to the best of the
applicant's knowledge.
I certify that these Maternal,Child and Adolescent Health(MCAH)programs will comply with all applicable provisions of Article 1, Chapter 1,Part 2, Division
106 of the Health,and Safety code(commencing with section 123225), Chapters 7 and 8 of the Welfare and Institutions Code(commencing with Sections
14000 and 142), and any applicable rules or regulations promulgated by CDPH pursuant to this article and these Chapters. I further certify that all MCAH
related programs will comply with the most current MCAH Policies and Procedures Manual,including but not limited to,Administration, Federal Financial
Participation(FFP)Section. I further certify that the MCAH related programs will comply with all federal laws and regulations governing and regulating
recipients of funds granted to states for medical assistance pursuant to Title XIX of the Social Security Act(42 U.S.C.section 1396 et seq.). I further agree
that the MCAH related programs may be subject to all sanctions, or other remedies applicable, if the MCAH related programs violate any of the above laws,
regulations,and policies with which it has certified it will comply.
Official authorized to commit the Agency to a CHVP Agreement �J I
Ernest Buddy Mendes Chairman of the Board of Supervie /Y�—•�'�`
Name(Print): Title: Original Signature. Date: �Z
Original Signature of MCAH Director
Go Vue MCAH Director
Name(Print): Title: Original Signature: �' Date:
Revised 4/15/2025 ATTEST: Page 2 of 7
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County of Fresno,State of California
By Deputy
❑ CHECK BOX if remittance address is the same as above
No Has Remittance Address changed from previous Fiscal Year?If YES: Complete CDPH9083 (Item 13 on AFA Checklist)
REMITTANCE ADDRESS
ALL PAYMENTS FROM CDPH TO THE CONTRACTOR SHALL BE SENT TO THE FOLLOWING ADDRESS
Contractor: County of Fresno
Attention: "Cashier" Division Manager
Address: PO BOX 11867, Fresno, CA 93775-1867
Contact Number: (559) 600-6438
Email: dphboap@fresnocountyca.gov
Either party may make changes to the information above by giving written notice to the other party.
Said changes shall not require an amendment to this agreement but will require a new STD204 Payee Data Record or CDPH9083 Government Agency
Taxpayer Form.
Always include this remittance address on your invoice.
Revised 4/15/2025 Page 3 of 7
AUTHORIZEDMIECHV •
Contact F-i:-rs-t Name Last Name Title Budgets
0 1 Email Address
AGENCY David Luchini Public Health .' (559)600-3200 dluchini@fresnocountyca.gov
EXECUTIVE Director YES YES
DIRECTOR
MCAH DIRECTOR Ge Vue MCAH Director 559( )600-6340 gevue@fresnocountyca.gov
Division Manager YES YES
PROJECT Jennifer Day Supervising Public (559)600-5225 jday@fresnocountyca.gov
COORDINATOR Health Nurse NO NO
FISCAL OFFICER Irene Parada Division Manager (559)600-6438 iparada@fresnocountyca.gov
YES YES
FISCAL CONTACT Chashua Lor Senior Staff Analyst chlor@fresnocountyca.gov
YES YES (559)600-6961
CLERK OF THE Bernice Seidel Clerk of the Board of ll/ �. bseidel@fresnocountyca.gov
BOARD or Supervisors NO NO (559)600-1601
CHAIR BOARD OF Ernest Buddy Mendes Chairman of the district4@fresnocountyca.gov
SUPERVISORS Board of Supervisors NO NO (559)600-4000
of the County of
OFFICIAL Ernest Buddy Mendes Chairman of the district4@fresnocountyca.gov
AUTHORIZED TO Board of Supervisors NO NO (559)600-4000
COMMIT AGENCY of the County of
ADDITIONAL
CONTACTS
Select Ye Select Ye
Select Ye Select Ye
Revised 4/15/2025 Page 4 of 7
AUTHORIZEDSGFEBHV
AddressFirst Name Last Name Title Budgets Inv Email
Contact I I Phone
AGENCY EXECUTIVE David Public Health dluchini@fresnocountyca.gov
Director
DIRECTOR Luchini YES YES (559)600-3200
MCAH DIRECTOR Ge Vue MCAH Director YES YES (559)600-6340 gevue@fresnocountyca.gov
Division Manager
PROJECT Jennifer Da Supervising Public NO NO 559 600-5225 jday@fresnocountyca.gov
COORDINATOR y Health Nurse ( )
FISCAL OFFICER Irene Parada Division Manager YES YES (559)600-6438 ',arala@fresnocountyca.gov
FISCAL CONTACT Chashua Lor Senior Staff YES YES (559)600-6961 chlor@fresnocountyca.gov
Analyst ll `
or CLERK OF THE BOARD Bernice Seidel Clerk of the Board NO NO (559)600-1601 bseidel@fresnocountyca.gov
of Supervisors
CHAIR BOARD OF Ernest Buddy Chairman of the Board district4@fresnocountyca.gov
SUPERVISORS Mendes of Supervisors of the NO NO (559)600-4000
County of Fresno
OFFICIAL Ernest Buddy Chairman of the Board district4@fresnocountyca.gov
AUTHORIZED TO Mendes of Supervisors of the NO NO (559)600-4000
COMMIT AGENCY County of Fresno
ADDITIONAL
CONTACTS
Select YE Select YE
Select YE Select YE
Revised 4/15/2025 Page 5 of 7
::J ORIGINAL
�-
Public Health •k ohii Matemal,Child and Adolescent Health Division
BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE
2025-26 ORIGINAL ACTIVE 0.00
Version 7.0-150 Ouaned 4.1.25
Program: California Home Visiting Program(MIECHV) NON-ENHANCED ENHANCED
Agency: CHVP 25-10 FRESNO UNMATCHED FUNDING MATCHING(50150) MATCHING(75/25)
SubK: CHVP-MIECHV AGENCY FUNDS CHVP-Cnty NE CHVP-Cnty E
(1) (2) (3) (6) (7) (10) (11) (14) (15)
TOTAL FUNDING % CHVP-MIECHV % Agency Funds' % Combined % Combined
Fed/AaencV' Fed/Aaenc
ALLOCATIONS) -, 895,429.00 #VALUE!
EXPENSE CATEGORY
(1) PERSONNEL 775,483.57 775,483.57 0.00 0.00 0.00
(11) OPERATING EXPENSES 0,00 0.00 0.00 0.00 0.00
(111) CAPITAL EXPENDITURES 0.00 0.00 0.00 0.00 0.00
(IV) OTHER COSTS 0.00 0.00 0.00 0.00 0.00
(V) INDIRECT COSTS 119,945.43 119,945.43 0.00 0.00 0.00
BUDGET TOTALS* 895,429.00 100.00% 895,429.00 0.00% 0.00 o.DO% 0.00 11 0.00% 0.00
BALANCE(S) 0.00
TOTAL CHVP -MIECHV 895,429.00 sss,42s.00
TOTAL TITLE XIX 0.00 > (50%] 0.00 175%1 0.00
TOTAL AGENCY FUNDS 0.00 o.Oo 150%) OM125%) 0.00
$ 895,429.00 Maximum Amount Payable from State and Federal resources
WE CERTI THAT THIS BUDGET HAS BEEN CONSTRUCTED IN COMPLIANCE WITH ALL MCAH ADMINISTRATIVE AND PROGRAM POLICIES.
q'f zl a-S LQJZ_ 7/z%1-2
AHIPROJECT DIRECTOR'S SIGNATURE DATE AGENCY FISCAL AGENTS SIGNATURE DATE
These amounts contain local revenue submitted for information and matching purposes. MCAH does not reimburse Agency contributions.
STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT CHVP-MIECHV AGENCY CHVP-Cnty NE CHVP-Cnty E
FUNDS
PCA Codes 53128 53162 53163
(1) PERSONNEL 775,483.57 0.00 0.00
(11) OPERATING EXPENSES 0.00 0.00 0.00
(III) CAPITAL EXPENSES 0.00 0.00 0.00
(IV) OTHER COSTS 0.00 0.00 0.00
IV) INDIRECT COSTS 119,945.43 0.00 0.00
Totals for PCA Codes 895,429.00 1 895.429.0011 10.00 0.00
CHVP FY25-26 25-10 Fresno County 05 MIECHV Budget Creation Template 05.27.25.xlsx 1 of 6
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La:ee�n:c o<P�••m--i..• 44t_ ORIGINAL
PUblic Health •)t DPII Maternal,Child and Adolescent Health Division
Program: California Home Visiting Program(MIECHV) UNMATCHED FUNDING NON-ENHANCED ENHANCED
Agency: CHVP 25-10 FRESNO MATCHING(50150) MATCHING(75125)
SubK: CHVP-MIECHV AGENCY FUNDS CHVP-Cnty NE CHVP.Cnty E
(1) (2) (3) (6) (7) (10) (11) (14) (15)
TOTAL FUNDING %. CHVP-MIECHV % Agency Funds` °1u Combined % Combined
Fed/Aclancy, Fed/AOenc
%TRAVEL NON-ENH MATCH %TRAVEL ENH MATCH %PERSONNEL MATCH
(II) OPERATING EXPENSES DETAIL 0.00% 0.00% 0.00%
TOTAL OPERATING EXPENSES 0.00 0.00 0.00 0.00 0.00 Match Ar+i
TRAVEL 0.00 0.00 0.00 0.00
TRAINING 0.00 0.00 0.00 0.00
1 0.00 0.00 0.00
2 0.00 0.00 0.00
3 0.00 0.00 0.00
4 0.00 0.00 0.00
5 0.00 0.00 0.00
6 0.00 0_00 0.00
7 0.00 0.00 0.00
8 0.00 0.00 0.00
9 0.00 0.00 0.00
10 0.00 0.00 0.00
11 0.00 0.00 0.00
12 0.00 0.00 0.00
13 0.00 0.00 0.00
14 0.00 0.00 0.00
15 0.00 0.00 0.00
Unmatched Operating Expenses are not eligible for Federal matching funds(Title XIX). Expenses may only be charged to Unmatched Title V(Col.3),Slate General Funds(Col.5),and/or Agency(Col.7)funds.
(III) CAPITAL EXPENDITURE DETAIL
TOTAL CAPITAL EXPENDITURES 0.00 0.00 0.00
([V) OTHER COSTS DETAIL %PERSONNEL MATCH
o.00%
TOTAL OTHER COSTS 0.00 0.00 0.00 0.00 1 0.00
SUBCONTRACTS
1 0.00 0.00 0.00 0.00
2 0.00 0.00 0.00 0.00
3 0.00 0.00 0.00 0.00
4 0.00 0.00 0.D0 0.00
5 0.00 0.00 0.00 0.00
6 0.00 0.00 0.00 0
7 0.00 0.00 0.00 0
8 0.00 0.00 0.D0 0
OTHER CHARGES M.ch Avaba
1 0.00 0.00 0.00
2 0.00 0.00 0.00
3 0.00 0.00 0.00
4 0.00 0.00 0.00
5 0.00 0.00 0.00
6 0.00 0.00 0.00
7 0.00 0.00 0.00
8 0.00 0.00 0.00
(V) INDIRECT COSTS DETAIL
TOTAL INDIRECT COSTS 119,945.43 119,945.43 0.00 1 0.00
15.47% of Total Wages+Fringe Benefits 119,945.43 100.00% 119,945.43 0.00 1 o.00%1 0.00
CHVP FY25-2625-10 Fresno County 05 MIECHV Budget Creation Template 05.27.25.xlsx 2 Of 6
C-1W.„riw-to., Printed:7128202511:51 AM
�a„ ap o rT JL ORIGINAL
Public Health •)( UI'I I Maternal,Child and Adolescent Health Division
Program: I California Home Visiting Program(MIECHV) NON-ENHANCED ENHANCED
Agency: CHVP 25-10 FRESNO UNMATCHED FUNDING MATCHING(60/60) MATCHING(75125)
SubK: CHVP-MIECHV AGENCY FUNDS CHVP-Cnty NE CHVP.Cnly E
f11 (2) (3) (6) (7) (10) (11) (14) (15)
TOTAL FUNDING % CHVP-MIECHV % Agency Funds' % Combined % Combined
Fed/An.-I Fed/Anent'
(I) PERSONNEL DETAIL
TOTAL PERSONNEL COSTS 775,483.57 775,483.57 0.00 0.00 0.00
FRINGE BENEFIT RATE 70.36% 320,270.57 320,270.57 0.00 0.00 0.00
TOTAL WAGES 455,213.00 455,213.00 0.00 0.00 0.00 a
U� u
FULL NAME TITLE OR CLASSIFICATION ANNUAL r
FTE TOTAL WAGES `� x
(First Name Last Name) (No Acronyms) SALARY 97 n
� Ul
1 Ge Vue MCAH Director/Division Manager(in-kind) 15.00% 0.00 0.00 0.00 0.00 0.00 0.00 82.70% x
2 Jennifer Day Supervising Public Health Nurse 35.00% 162,768.a4 56,969.00 100.00% 56,969.00 0.00 0.00 0.00 82.70% x
3 Sunshine Harder Public Health Nurse II 100.00% 132,748.46 132,748.00 100.00% 132,748.00 0.00 0.00 0.00 82.70% x
4 Cindy Deisher Public Health Nurse 11 100.00% 132,748.46 132,748.00 100.00% 132,749.00 0.00 0.00 0.00 82.70/ x
5 Shelley Teske Public Health Nurse II 100.00% 132,748.46 132,748.00 100.00% 132,748.00 0.00 0.00 0.00 82.70% x
6 Yolanda Garza Office Assistant II(in-kind) 100.00% 0.00 0.00 0.00 0.00 0.00 0.00 82.70% x
7 0.00 0.00 0.00 0.00 0.00 0.00%
8 0.00 0.00 0.00 0.00 0.00 0.00%
9 0.00 0.00 0.00 0.00 0.00 0,00%
10 0.00 0.00 0.00 0.00 0.00 0.00%
11 0.00 0.00 0.00 0.00 0.00 1 0.00%
12 0.00 0.00 0.00 0.00 0.00 0.00
13 0.00 0.00 0,00 0.00 0.00 0.00%
14 0.00 0.00 0.00 0.00 0.00 0.00%
15 0.00 0.00 0.00 0.00 0.00 0.00%
16 0.00 0.00 0.00 0.00 0.00 0.00%
17 0.00 0.00 0.00 0.00 0.00 0.00%
19 0.00 0.00 0.00 0.00 0.00 0.00%
19 0.00 0.00 0.00 0.00 0.00 0.00%
20 0.00 0.00 0.00 0.00 0.00 0.00%
21 0.00 0.00 0.00 0.00 0.00 0,00%
22 0.00 0.00 0.00 0.00 0.00 0.00%
23 0.00 0.00 0.00 0.00 0.00 0.00%
24 0.00 0.00 0.00 0.00 0.00 0.00%
25 0.00 0.00 0.00 0.00 0.00 0.00%
26 0.00 0.00 0.00 0.00 0.00 0.00%
27 0.00 0.00 0.00 0.00 0.00 0.00%
2e 0.00 0.00 0.00 0.00 0.00 0.00%
29 0.00 0.00 0.00 0.00 0.00 0.00%
30 D.DO 0.00 0.00 0.00 0.00 0.00%
31 0.00 0.00 0.00 0.00 0.00 0.00%
32 0.00 0.00 0.00 0.00 0.00 0.00%
33 0.00 0.00 0.00 0.00 0.00 0.00%
34 0.00 0.00 0.00 0.00 0.00 0.00%
35 0.00 0.00 0.00 0.00 0.00 0.00%
36 0.00 0.00 0.00 0.00 0.00 0.00%
37 0.00 0.00 0.00 0.00 0.00 0.00%
38 0.00 0.00 0.00 0.00 0.00 0,00%
39 0.00 0.00 0.00 0.00 0.00 0.00%
40 0.00 0.00 0.00 0.00 0.00 0.00%
41 0.00 0.00 0.00 0.00 0.00 0.00%
42 0.00 0.00 0.00 0.00 0.00 0.00%
CHVP FY25-26 25-10 Fresno County 05 MIECHV Budget Creation Template 05.27.25.xlsx 3 of 6
co�oa.m�,i-io,« Printed:7/281202511,51 AM
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno ® C D P H
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
The purpose of this Scope of Work (SOW) is to provide guidance and outline requirements for implementing early childhood home visiting services
in the California Department of Public Health/California Home Visiting Program (CDPH/CHVP)funded by the federal Maternal, Infant, and Early
Childhood Home Visiting (MIECHV) grant. CHVP MIECHV-funded local health jurisdictions (LHJs) may implement Healthy Families America (HFA)
and/or Nurse-Family Partnership (NFP) evidence-based home visiting (EBHV) programs with fidelity to the model and in accordance with federal
MIECHV and State requirements to achieve positive outcomes. The SOW includes the following goals:
1. Provide leadership and structure to implement CHVP in funded LHJs
2. Integrate the home visiting program into the local early childhood system
3. Monitor federal benchmark measures to demonstrate improvement in maternal and early childhood health
Page 1 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno " CDPH
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
Goals, Objectives,Activities and Deliverables for July 1, 2025—June 30, 2026
Goal 1: Provide leadership and structure . implement
# Objective Activities Deliverables
1.1 The LHJ Maternal, Child, and Adolescent (a) Provide leadership and oversight on all matters Submission of:
Health (MCAH) Director or designee will related to the development, implementation, • Progress Reports
provide effective leadership and operation, administration, and reporting for local e CAB meeting materials
oversight of CHVP1 implementation of home visiting programs . Staffing Reports
following CDPH/CHVP policies and procedures
(P&P) and EBHV model requirements
Participation in:
(b) Attend quarterly CHVP Director calls • Quarterly CHVP Director calls
• Virtual and/or in-person site visits
(c) Participate in ongoing CAB meetings, other local every two years2
community groups, site visits, meetings, and
conferences as directed by CDPH/CHVP
1.2 The LHJ will implement home visiting (a) Review the MCAH Title V Needs Assessment to Submission of:
services, and conduct at least 75% of all determine the community's equity needs • Progress Reports
home visits in person, using culturally • Staffing Reports
responsive practices to ensure that all (b) Participate in opportunities designed to enhance . Staff training logs
interactions, interventions, and service cultural sensitivity through webinars,trainings, . Collect and submit Priority
deliveries effectively meet the diverse and/or conferences Population Data (NFP only)
needs of the communities served
Page 2 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno , CDP H
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
Goal 1: Provide leadership and structure . implement
# Objective Activities Deliverables
(c) Provide culturally responsive services that Data showing that at least 75% of
address the identified cultural needs of families home visits were conducted in-
(e.g. literacy levels, disabilities, military families, person
grandparents, tradition, etc.)
(d) Provide documents in the family's preferred
language, when feasible
(e) Provide translation services when needed
(f) Documents should be written in no more than an
eighth grade reading level and use plain language
(g) Recruit and hire staff that reflect the community
served and/or speak the language of program
participants, when possible
(h) Prioritize populations identified by the Health
Resources and Services Administration (HRSA)
MIECHV program as high-risk populations3
(i) Conduct at least 75% of all home visits in person
Page 3 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno C D P H
California Home Visiting Program—MIECHV X
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
. . v_
# Objective Activities Deliverables
1.3 The LHJ will hire,train, and retain staff to (a) Participate in model required trainings related to Submission of:
comply with selected home visiting screening tools, health assessments, reflective . Progress Reports
model requirements and CDPH/CHVP supervision, data collection tools, and software . Staffing Reports
P&Ps • Training plans
(b) Maintain full staffing capacity to serve families in . Training logs
the home visiting program and adhere to model . Confirmation of a signed county
requirements confidentiality agreement for
(c) All staff will sign a confidentiality agreement at each applicable staff member
the time of hire and annually thereafter
(d) All staff directly serving families will complete
mandated reporter training and comply with all
mandated reporter requirements
1.4 The LHJ will ensure the home visiting (a) Develop and sustain relationships with Submission of
program reaches and maintains appropriate agencies to obtain home visiting . Progress Reports
contracted caseload capacity (CC) participant referrals . Outreach activity logs or plan
• Referral triage plans outlining
(b) Develop a referral triage process for incoming referral process (flow chart,
home visiting participants to ensure families are narrative, etc.)
connected to the program that best meets their
needs
Page 4 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno CDPH
California Home Visiting Program—MIECHVit
Califomia D epartment of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
Goal 1: Provide leadership and structure to implement CHVP in the LHJ
# Objective Activities Deliverables
• Confirmation of signed CHVP
(c) Ensure newly enrolled participants provide Participant Consent Form for
informed consent and sign a CHVP Participant each enrolled participant
Consent Form at enrollment • Data on participant enrollment
and accurate funding information
(d) Develop and utilize a P&P on reaching out to entered into the data system in a
disengaged families in accordance with timely manner
CDPH/CHVP P&P 100-50
1.5 The LHJ will provide oversight and (a) Implement evidence-based home visiting model Submission of:
leadership to ensure selected home requirements in accordance with the selected • Model developer agreement,
visiting model fidelity and quality model(s) fidelity standards accreditation, and/or affiliation
assurance documentation
(b) Monitor subcontracted agencies to ensure
model fidelity standards are met (if applicable)
(c) LHJs interested in implementing a model-
approved enhancement must obtain written
approval from CDPH/CHVP prior to
implementation
1.6 The LHJ will develop and implement (a) Develop and conduct an annual review of local Submission of:
home visiting P&Ps and follow all P&Ps related to home visiting and update as Progress Reports
applicable MCAH and CDPH/CHVP P&Ps needed
Page 5 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno ,�• CDPH
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
implementGoal 1: Provide leadership and structure to# Objective Activities Deliverables
• Updated LHJ P&Ps related to
(a) Conduct an annual review of, and ensure home visiting
compliance with,the CDPH/CHVP P&Ps • Annual confirmation of review of
CDPH/CHVP P&Ps, Local MCAH
(b) Conduct an annual review of, and ensure Program Policies and Procedures,
compliance with,the Local MCAH Programs and the MCAH Fiscal
Policies and Procedures Administration Policy&
Procedure Manual
(c) Conduct an annual review of, and ensure
compliance with, the MCAH Fiscal Administration
P&P Manual
1.7 The LHJ will participate in TA meetings (a) Participate in quality improvement activities Submission of:
and conduct Continuous Quality as directed by CDPH/CHVP • Progress Reports
Improvement (CQI) projects and • CQI monitoring reports, data, and
activities to support program (b) Attend all meetings and site visits, including other requested information
implementation and improvement goals but not limited to:
• Individual TA meetings Participation in:
• Model TA meeting • Individual and group TA meetings
• All LHJ TA meeting • CQI meetings and Learning
• Ad hoc TA meetings Collaborative presentations
Page 6 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno !! C D P H
California Home Visiting Program—MIECHV `X.
California Department of
Puhlic Flealth
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
ProvideGoal 1: leadership
# Objective Activities Deliverables
• In-person or virtual site visit as scheduled
by CDPH/CHVP
(c) Use data to inform and improve program
activities
'The MCAH Director or their designee is required to devote a minimum of 0.05 full-time equivalent (FTE) and a maximum of 0.15 FTE to CHVP
oversight, fostering partnerships and collaboration within the LHJ, and directing the local CHVP community advisory board (CAB). The percentage
FTE dedicated to CHVP budgets should be deducted from the local MCAH budget to ensure the LHJ does not exceed the MCAH Director FTE
requirements as outlined in the Local MCAH Programs Policies and Procedures. If an MCAH Director cannot meet the requirements of the CHVP
SOWs, they can identify a designee, as outlined in the Local MCAH Programs Policy and Procedures. In this situation,the designee, who may be
identified as an MCAH Coordinator or other position, can act as the responsible party for CHVP, and should be designated as such on the CHVP
budget justification.
2If a LHJ establishes a subcontractor to deliver home visiting services, a LHJ representative (ideally the MCAH Director) must be present during all
scheduled group and individual technical assistance (TA) meetings, virtual or in-person visits, and be involved in all programmatic, data, contract,
and fiscal communications with CDPH/CHVP.This requirement ensures that the LHJ maintains oversight and direct involvement in all aspects of the
contracted services, guaranteeing alignment with CDPH/CHVP standards and expectations. Additionally, no more than 10% of the allocation should
be spent on administrative oversight of a subcontractor.
Page 7 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno �® C D P H
California Home Visiting Program—MIECHV ;�
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
3As required by the MIECHV Statute,the following populations must be prioritized for services under the MIECHV program:
• Low-income eligible families
• Eligible families with pregnant women who have not attained age 21
• Eligible families that have a history of child abuse or neglect or have had interactions with child welfare services
• Eligible families that have a history of substance use disorders or are in need of substance use disorder treatment
• Eligible families that have users of tobacco products in the home
• Eligible families that have or have children with low student achievement
• Eligible families with children with developmental delays or disabilities
• Eligible families that include individuals who are serving or formerly served in the Armed Forces, including such families that have members of
the Armed Forces who have had multiple deployments outside of the United States
Page 8 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno C D P H
California Home Visiting Program—MIECHV I
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
Foal 2: Integrate CHVIP into the local early child . . . system
# Objective Activities Deliverables
The LHJ will collaborate with local early (a) Maintain a CAB that includes local early Submission of:
childhood system partners to ensure a childhood system partners and meets at least . Progress Report including CAB
continuum of services for families quarterly to establish appropriate linkages to meeting materials and
referral and service systems to benefit Memoranda of Understanding
participating families (MOUs) and/or other written
agreements
2.1 (b) Meet and work with other local early childhood
system and community partners to coordinate
services to participating families
(c) Develop and implement a transition plan for
families according to model guidance and in
accordance with CDPH/CHVP P&P 200-40
The LHJ will pursue, develop, and (a) Develop and maintain MOUs and/or other Submission of:
maintain relationships with local service written agreements (e.g., letters of support) with . Progress Report including CAB
agencies and referral resources to community agencies and service providers meeting materials, MOUs, and/or
2.2 facilitate participant recruitment other written agreements
• Outreach materials
• Outreach activity logs or plan
Page 9 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno Y" CDPH
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
improvementGoal 3: Monitor federal benchmark measures to show . . . health
# Objective Activities Deliverables
3.1 The LHJ will collect and submit all (a) Complete all model-issued forms and assessment Submission of data to meet MIECHV
information required for HRSA/MIECHV tools as defined by CDPH/CHVP and model-issued quarterly(Form 4) and annual (Form
reporting data collection manual(s) 1 and Form 2) performance
reporting:
(b) Collect and enter federally required priority • Timely and accurate data on
population data for all participants into the participant demographics, service
designated data system utilization, and performance
measures, according to, and with
(c) Submit a complete and accurate quarterly fidelity to,the selected home
staffing report on time visiting model guidelines and
CHVP requirements
• Model required Participant
enrollment and funding
information
• Staffing Reports via SharePoint
• Priority Population data via
SharePoint (NFP only)
3.2 The LHJ will maintain clean and (a) Accurately collect and submit participant data • Demonstrated compliance with
compliant data using selected home visiting model and CHVP data related policies and program
required documents quality measures
Page 10 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno CDPH
California Home Visiting Program—MIECHV
i1 t California men[of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
improvementGoal 3: Monitor federal benchmark measures to show . . . health
# Objective Activities Deliverables
(b) Ensure all data handling complies with . Evidence of data cleaning on a
CDPH/CHVP's security policies, including monthly or quarterly basis using
necessary encryption, access controls, and the CDPH/CHVP data cleaning
regular data system user account audits schedule
• Participate in regular TA
(c) Ensure accuracy and completeness of data input meetings and site visits with
into designated data systems using data quality CDPH/CHVP staff
reports and monitoring
(d) NFP LHJs will coordinate data system
requirements with the NFP National Service
Office
(e) HFA LHJs will coordinate with the CDPH/CHVP
data team to establish buildout/modification in
Efforts to Outcomes (ETO) data system and will
comply with all CHVP HFA Data Collection Manual
requirements
(f) Collect and enter participant data into designated
data systems within seven working days, or as
required by the selected home visiting model
Page 11 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno CDPH
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
improvementGoal 3: Monitor federal benchmark measures to show . . . health
# Objective Activities Deliverables
(g) Provide and/or coordinate with data collection
system owners to provide monthly enrollment
and other requested reports to CDPH/CHVP as
needed
(h) Correct data entry errors and strive to reduce
missing data as directed by the CDPH/CHVP data
team as needed
Page 12 of 14
Confidential-Low
Contract#/LHJ Name: CHVP MIECHV 25-10 County of Fresno ,�, C D P H
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
M onitoring Mechanism Due Date
All reports and documentation must be submitted via SharePoint, unless otherwise directed by CHVP
• July 15, 2025 (for SFY 2024-2025)
• October 15, 2025
Staffing Report . January 15, 2026
• April 15, 2026
Progress Report deliverables and updates:
• CAB roster, minutes, and agendas
• MOUs or other written agreements with community agencies and service
providers
• Outreach materials
• Outreach activity logs or plan . July 15, 2025
• Training plans and logs • January 15, 2026
• Policies and Procedures
• Referral triage plan
• Confirmation of signed CDPH/CHVP Participant Consent Forms
• Confirmation of signed confidentiality agreements for all direct staff
• Confirmation of completed mandated reporter training
• Model Developer agreement, accreditation, and/or affiliation documentation
Priority Population data via SharePoint • July 15, 2025 (FFY 2024-2025 to date)
• NFP only • October 15, 2025 (Final FFY 2024-2025)
• Participant data collection is continuous • January 15, 2026 (FFY 2025-26 to date)
Page 13 of 14
Confidential-Low
Contract#/LHJ Name:CHVP MIECHV 25-10 County of Fresno CDPH
California Home Visiting Program—MIECHV
California Department of
Public Health
California Home Visiting Program
Maternal, Infant, and Early Childhood Home Visiting (MIECHV)
Scope of Work
July 1, 2025- June 30, 2026
1�lal g7nol,rk-t� .w��efc -1.:�r. 17 - _ - _ �D=�9=
All reports and documentation must be submitted via SharePoint, unless otherwise directed by CHVP
• Update data on SharePoint quarterly • April 15, 2026 (IFFY 2025-26 to date)
CQI Learning Collaboratives, monitoring reports, data, and information Upon request
Individual TA meetings Semi-annually(TBD)
Model TA meetings Annually (TBD)
All LHJ meeting Annually(TBD)
Site visits Biennially(TBD)
NOTE: If compliance standards are not met in a timely manner, CDPH/CHVP may require the local agency to participate in an Extra Support Plan
(ESP) process, and/or may temporarily withhold cash payment pending correction of the deficiency; disallowing all or part of the cost of the
activity or action out of compliance; wholly or partly suspending or terminating the award; or withholding further awards.
6z Vue 4_ G
MCAH Director Name MCAH Director Signature Date
Page 14 of 14
Confidential-Low
m ORIGINAL
Public: Health •) M,Im I.ChlldaMAd,4 s tHn*%Divfalon
BUDGET SUMMARY FISCAL YEAR BUDGET BUDGET STATUS BUDGET BALANCE
2025-26 ORIGINAL ACTIVE 0.00
Version 7.0 150 Quan.Jy 4.1.25
Program: California Home Visiting Program(EBHV) UNMATCHED FUNDING NON-ENHANCED ENHANCED
A9en�Y: CHVP 25-10 FRESNO MATCHING(50150) MATCHING(75125)
Sub1C: CHVP-EBHV AGENCYFUNDS CHVP-SGF-NE CHVP-Cnty NE CHVP-SGF-E CHVPLnryE
(1) (2) (3) (6) (7) IS) (a) (10) (11I (12) (13) (14) 115)
om me Combined om me Combined
TOTAL FUNDING % CHVP-EBHV % Agency Funds- 1e Fed/State / F Fed/6tate % I n v
ALLOCATION(S) -� 1,726,616.00 #VALUEI
EXPENSE CATEGORY
(1) PERSONNEL 2,714,012.82 716,810.71 0.00L51.9D%
1,343.180.67 0.00 654,U41.44 0.00
(11)OPERATING EXPENSES 221.401.32 54,012.40 0.00167,388.92 0.00 0.00 0.00
till)CAPITAL EXPENDITURES 0.00 0.00 0.00 0.00 0.00 0.00 0.00
(IV)OTHER COSTS 10,500.00 2,558.85 0.007.941.15 0.00 0.00 0.00
IV) INDIRECT COSTS 48,047.33 12,15W30 0.0035,358.03 0.00 0.00 0.00
BUDGET TOTALS` 2,993,981.47 25.25% 786,071.26 D.-D 0.00 1,553,868.77 0.00% 0.00 21,85% 654,041.44 0,00% 0.00
BALANCE(S) -� 0.00
TOTAL CHVP-EBHV 1,726,516.00 -> 786,071.26 [S-IF 7769734.38 125%) 163,510.36
TOTAL TITLE XIX 1,267.465-47 --- - 150%1 776,934.39 l-I 0.00 (71%) 490.531.08 I75%) 0.00
TOTAL AGENCY FUNDS 0.00 0.00 150%) 0.0o I25%) O.00
$ 2,993,981.47 Maximum Amount Payable from State and Federal resources
WE CERTI THAT THIS BUDGET HAS BEEN CONSTRUCTED IN COMPLIANCE WITH ALL MCAH ADMINISTRATIVE AND PROGRAM POLICIES. (�
Z4 ZS -S � vzs-
AH/PROJECT DIRECTORS SIGNATURE DATE AGENCY FISCAL AGENTS SIGNATURE DATE
These amounts contain b l rewnua.subs MW for mfwma aM matching purposes.MCAH does mt reimburse Agemy c t b ions.
STATE USE ONLY-TOTAL STATE AND FEDERAL REIMBURSEMENT CHVP-EBHV AGENCY CHVPSGF-NE CHVP�nty NE CHVPSGF-E CHVPLn[y E
FUNDS
PCA Codes 51023 51021 53165 51022 53164
(1) PERSONNEL 716,810.71 .3343,180.67 0.00 654,041.44 0.00
(11) OPERATING EXPENSES 54,012.40 167,388,92 0.00 O.Do 0.00
(III) CAPITAL EXPENSES 0.00 0.00 0.00 0.00 0.00
(IV) OTHER COSTS 2.558.85 7,941.15 0.00 0.00 0.00
IV) INDIRECT COSTS 12,689.30 35,35BA3 0.00 0.00 0.00
Totals for PCA Codes 2,993,981.47 786,071.26 1.,53,868.77 0.00 654,041.44 0.00
CHVP FY25-26 25-10 Fresno County05 EBHV Budget Creation Template 07.26.25.yls 1 of 5
Printed:7282025 11:50 AM
Jt ORIGINAL
Public Health e'll'Ii Mal4rrW,Chill and Addauem Meats Dbsion
Program: CallfOrnla HGM Visitlf) Program EBHV UNMATCHED FUNDING NON-ENHANCED ENHANCED
Agency: CHVP 25-10 FRESNO MATCHING(50150) MATCHING(75125)
SubK: CHVP-EBHV AGENCYFUNDS CHVP-SGF-NE CHVP-Cnry NE CHVP-SGF-E CHVP-CntyE
(1) (2) (3) (6) (7) (a) is) (10) o1) (12) (13) (14) 1 t15)
TOTAL FUNDING % CHVP-EBHV % Agency Funds' % d]the Combined % ed 1ne Combined
FedlStafe F d/Agen v' FedlStafe F I cv,
II OPERATING EXPENSES DETAIL %T-A 01-eNHrwrcn %T-V111t N.r _ %PER-NELWTCH
( ) 57.96% 17.55.1. 75.63%
TOTAL OPERATING EXPENSES 221,401.32 54,012.40 0.00 167,388.92 0.00 0.00 0.00 ---
TRAVEL 4,215.00 25.72% 1.084.10 0.00 74.28% 3.130.90 0.00 0.00 000 1,21%
TRAINING 6,099.00 24.37% 1,486.33 0.00 75,63% 4,612.67 0.00 0.00 0.00 0.00%
1 Office Supplies 4.500.00 24.37% 1,096.65 0.00 75.63% 3,403.35 0.00 0,00%
2 Postage 339,00 24.37% 82.61 0.00 75.63% 256.39 0.00 0.00%
3 Printing(Duplication) 417.00 24.37% 101.62 0.00 75.63% 315.38 0.00 0.00%
4 Communication 84,152.00 24.37% 20,507.84 0.00 75,63% 63,644.16 0.00 0.00%
5 Facilities 59,611.00 24.37% 14,527.20 0.00 75.63% 45,083.80 0.00 0.00%
6 Utilities 15,108.32 24.37% 3.681.90 0.00 75.63% 11,426.42 0.00 0.00%
7 Securities 14,254.00 24.37% 3,473.70 0.00 75.63% 10,780.30 0.00 0.00%
6 HFA Affiliation 6,750.00 24.37% 1,644.98 0.00 75,63% 5.105.03 0.00 0.00%
9 NFP Affililation 25,956.00 24.37% 6,325.48 0.00 75.63% 19,630.52 0.00 0.00%
10 0.00 0.00 0.00 0.00
11 0.00 D.D0 0.00 0.00
12 0.00 0.00 0.00 0.00
13 0.00 0.00 0.00 0.00
14 0.00 0.00 0.00 0.00
15 0.00 0.00 0.00 0.00
Unmatched Oo-I ng Exoenses are not eligible for Federal matching funds(Title.XIX).Expenses may only be charged to Unmatched Title V(Col.3).State General Funds(Col.5).and/or Agencv(Col.7)funds.
(III) CAPITAL EXPENDITURE DETAIL
TOTAL CAPITAL EXPENDITURES 0.00 0.00 0.00 O.DO
(IV) OTHER COSTS DETAIL %KR5ONNEL 7S63%1cH
TOTAL OTHER COSTS 10,500.00 2,558.85 0.00 7,941.15 0.00 0.00 0.00
SUBCONTRACTS
1 0.00 0.00 0.00 0.00 0.00 0.00
2 0.00 0.00 0.00 0.00 0.00 0.00
3 0.00 0.00 0.00 0.00 0.00 0.00
4 0.00 0.00 0.00 0.00 0.00 0.00
5 0.00 0.00 0.00 0.00 0.00 0.00
6 0.00 0.00 0.00 0.00 0 0
7 0.00 0.00 0.00 0.00 0 0
8 0.00 0.00 0.00 0.00 0 0
OTHER CHARGES
1 Behavior Motivational Materials 10,D00.00 24.37% 2.437.00 0.00 75.63% 7,563.00 0.00 �0.00%�
2 Client Refreshment 500.00 24.37/. 121.85 0.00 75.63% 378,15 0.00 0.00%
3 0.00 0.00 0.00 0.00
4 0.00 0.00 0.00 0.00
5 D.00 0.00 0.00 0.00
6 0.00 0.00 0.00 0.01)
7 0.0o D.DD D.00 0.00
8 0.00 D.00 0.00 0.00
(V) INDIRECT COSTS DETAIL
TOTALINDIRECTCOSTS 48,047.33 12,689.30 0.00 35,358.03 0.00
1.77% of Total Wages+Fringe Benefits 49,047.33 2641% 12,689.30 0.00 1 73.59% 35,358.03 0.00
CHVP FY25-26 25-10 Fresno County05 EBHV Budget Creation Template 07.28.25.xlsx r2 1,5
9 P Printed:7282025 11:50 AM
_ Jy, ORIGINAL
i•Public Health •)' . l Materml,Childand Adolescent H.M DA on
Prog am: California Home Visiting Program(EBHV) UNMATCHED FUNDING NON-ENHANCED ENHANCED
Aganay: CHVP 25.10 FRESNO MATCHING ISOISO) MATCHING(75125)
SubK: CHVP-EBHV AGENCY FUNDS CHVP-SGF-NE CHVP-Cnty NE CHVP-SGF-E CHVP-CMyE
(1) (2) (3) 16) (7) (5) (9) (10) (11) (12) (13) (14) (15)
TOTAL FUNDING % CHVP-EBHV % Agency Funds' % ombined Combined % Corn me % Combined
Fed/State Fed1Ao n v' Fed/StateFedlAoencr
(I) PERSONNEL DETAIL
TOTAL PERSONNEL COSTS 2.714.032.22 716,810.71 0.00 1,343,180.67 0.00 654,041.44 0.00
FRINGE BENEFIT RATE 73.24% 1,147,416.62 303.47.43 0.00 567,859.05 0.00 276,510.34 0.00
TOTAL WAGES 1,566,616.00 413,763.28 O.DO 775,321.62 0.00 377,531.09 0.00
%FTE TOTAL WAGES
T
FULL NAME TITLE OR CLASSIFICATION ANNUAL(First Name Last Name) (No Acronyms) SALARY1 Ge Vue MCAH Director/Division Manager 15.00% 177.803.00 26.670.00 35.27% 9,406.51 0.00 54.73% 14,596,49 0.00 10.00% 2,667.00 000 82.70% x
2 Jennifer Day Supervising Public Health Nurse 65.00% 162,768.84 105,800.00 17.30% 18.303.40 0.00 51.59% 54,582.22 0.00 31.11% 32,914.38 0.00 94.40% x
3 Lorraine Hardy Supervising Public Health Nurse 85.00% 162,768.84 138,354.00 17.30% 23,935.24 0.00 51.59% 71,376.83 0.00 31.11% 43.041.93 0.00 94.40% x
4 Lupe Wade Public Health Nurse II 100-00% 128.882.00 128.882.00 32.21% 41,512.89 0.00 35.49% 45,740.22 0.00 32,30% 41,628.89 0.00 94.40% X
5 Eileen Murry Public Health Nurse II 100.00% 132,748.46 132,748.00 32.21% 42,758.13 0.00 35.49% 47,112.27 0.00 32.30% 42,877.60 0.00 94.40% x
6 Elizabeth Salorio Public Health Nurse II 100.Do% 132,748.46 132,748.00 32.21% 42,758.13 0.00 35.49% 47.112.27 0.00 32.30% 42,877.60 0.00 94.40% x
7 Rasa Ybarra-Gonzalez Public Health Nurse II 100.00% 132,748.46 132,748.00 32.21% 42,758.13 0.00 35.49% 47,112.27 0.00 32.30% 42,877.60 0.00 94.40% x
8 Melanie Cato Public Health Nurse II 100.00% 132,748.46 132.748.00 26.66% 35,390.62 0.00 32.33% 42,917.43 0.00 41.01% 54,439,95 0.00 94.40% x
9 Bridget Ballesteros Public Health Nurse ll 100.00% 132,741.46 132,748.00 31.60% 41,94B.37 0.00 41.51% 55,103.69 0.00 26.89% 35,695.94 0.00 94,40% x
10 Rachel Nevarez Public Health Nurse If 100.00% 132.748.46 132,748.00 38.35% 50,908.86 0.01) 32.64% 43,320.95 0.00 29.01% 38,510,19 0.00 94.40% x
11 Ah Vang Health Educator 100.00% 81,277.30 81,277.00 17.30% 14,06D.92 0.00 82.70% 67,216.08 O.OD 0.0D 0.00 82.70% x
12 Ana Carbajal Health Education Specialist 100.00% 61,805.00 61,885.DO 17.30% 10,706.11 0.00 82.70% 51.178.90 0.00 O.OD 0.00 82.70% x
13 Nang Thao Health Education Assistant 100.00% 56 853.94 56,854.00 17.30% 9,835.74 0.00 82.70% 47.018.26 0.00 0.00 0.00 82.70% x
14 Vacant Health Education Assistant 100.00% 43.264.00 43,264.00 17.30% 7,484.67 0.00 82.70% 35,779.33 0.00 0.00 0.00 82.70% x
15 Vacant Health Education Assistant 100.00% 43,264.00 43,264.00 17.30% 7,484.67 0.00 8270% 35,779.33 0.00 0.00 0.00 82.70% X
16 Yolanda Garza Office Assistant ll 100.00% 52,791,00 52,791.00 17,30% 9,132.84 0.00 82.70% 43,658.16 0.00 0.00 0.00 82.70% x
17 Christina Wyrick Program Technician II 50.DO% 62,174.00 31.087.00 17.30% 5,378.05 0.00 82.70% 25,708-95 0.00 0.00 D.DO 82.70% x
18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00%
19 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
22 0.00 0.00 0.00 0.00 0.00 0.00 0.09 0.00%
23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00%
24 0.00 0.00 0.00 0.00 0,00 O.DO 0.00 0.00%
25 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.00%
26 0.00 0.00 0.00 0.00 0.00 0.00 O.DO 0.00%
27 0.00 0.00 0.00 0.00 0.00 0.00 0.D0 0.00%
28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
30 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00%
31 0.00 0.00 0.00 0.00 0.00 O.OD 0.00 0.00%
32 0.00 0.00 O.00 0.00 0.00 0.00 0.00 0.00%
33 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
34 0.00 0.00 0.00 0.00 0.00 0.00 O.OD 0.00%
35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
36 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.00%
37 0.00 0.00 1).00 0.00 0.00 0.00 D.00 0.00%
38 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.009
39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
40 0.00 0.00 0.00 0.00 0.00 ODD 0.00 0.00%
41 0.00 D.DD 0.00 0.00 0.00 0.00 0.00 0.00%
42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
44 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.00%
45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
46 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00%
47 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00%
48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
49 0.00 0.00 0.00 D.DO 0.00 0.00 0.00 0.00%
50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
51 0.00 0.00 D.00 0.00 0.00 0.00 D.00 0.00%
52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00%
54 D.Do D.DD 0.00 0.00 0.00 0.00 0.00 0.00%
CHVP FY25-26 25-10 Fresno County 05 EBHV Budget Creation Template 07.28.25.xsx 3 of 5
Printed:728202511:50 AM
y'
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno
C D P H
California Department of
California Home Visiting Program—SGF EBHV At Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
The purpose of this scope of work (SOW) is to provide guidance and outline requirements for implementing early childhood home
visiting services in the California Department of Public Health/California Home Visiting Program (CDPH/CHVP) funded by California
State General Funds (SGF). CHVP SGF-funded local health jurisdictions (LHJs) may implement Healthy Families America (HFA), Nurse-
Family Partnership (NFP), Parents as Teachers (PAT), Family Connects International (FCI), and/or Home Instruction for Parents of
Preschool Youngsters (HIPPY) evidence-based home visiting (EBHV) programs with fidelity to the model and in accordance with State
requirements to achieve positive outcomes.The SOW includes the following goals:
1. Provide leadership and structure to implement CHVP in funded LHJs
2. Integrate the home visiting program into the local early childhood system
3. Collect, enter, and report on all required participant data
4. Provide extra support for staff and families served by Local MCAH home visiting programs through Special Support
Activities
Note: LHJs may spend up to 20% of the SGF EBHV allocation on Special Support Activities, as outlined in Goal 4, below
Page 1 of 14
Confidential-Low
`a CDPH
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno
California Home Visitin Pro ram—SGF EBHV California Department of
g g Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
Goals, Objectives, Activities, and Deliverables for July 1, 2025—June 30, 2026
ProvideGoal 1: _ — -
Al
# Objective Activities Deliverables
The LHJ Maternal, Child, and Adolescent (a) Provide leadership and oversight on all matters Submission of:
Health (MCAH) Director or designee will related to the development, implementation, • Progress Reports
provide effective leadership and operation, administration, and reporting for local e CAB meeting materials
oversight of CHVP 1 implementation of home visiting programs . Staffing Reports
following CDPH/CHVP policies and procedures
1.1 (P&P) and EBHV model requirements Participation in:
• Quarterly CHVP Director calls
(b) Attend quarterly CHVP Director calls . Virtual and/or in-person site
visits z
(c) Participate in ongoing CAB Meetings, other local
community groups, site visits, meetings, and
conferences as directed by CDPH/CHVP
The LHJ will implement home visiting (a) Review the MCAH Title V Needs Assessment to Submission of:
services using culturally responsive determine the community's equity needs • Progress Reports
practices to ensure that all interactions, • Staffing Reports
1.2 interventions, and service deliveries (b) Participate in opportunities designed to enhance a Staff training logs
effectively meet the diverse needs of cultural sensitivity through webinars,trainings, . Collect and submit Priority
the communities served and/or conferences Population Data (NFP only)
Page 2 of 14
Confidential-Low
+'Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno CDPH
��
California Department of
California Home Visiting Program—SGF EBHV Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
ProvideGoal 1:
# Objective Activities Deliverables
(c) Provide culturally responsive services that
address the identified cultural needs of families
(e.g., literacy levels, disabilities, military families,
grandparents,tradition, etc.)
(d) Provide documents in the family's preferred
language, when feasible
(e) Provide translation services when needed
(f) Documents should be written in no more than an
eighth grade reading level and use plain language
(g) Recruit and hire staff that reflect the community
served and/or speak the language of program
participants, when possible
The LHJ will hire, train, and retain staff (a) Participate in model required trainings related to Submission of:
to comply with selected home visiting screening tools, health assessments, reflective • Progress Reports
1.3 model requirements and CDPH/CHVP supervision, data collection tools, and software • Staffing Reports
P&Ps • Training plans
Page 3 of 14
Confidential-Low
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno
CDPH
California Home Visiting Program—SGF EBHV Pulblic ifornia Heal hrtment of
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
,koal 1: Provide leadership and structure to implement CHVP in the LHJ
# Objective Activities Deliverables
(b) Maintain full staffing capacity to serve families in o Training logs
the home visiting program and adhere to model . Confirmation of a signed county
requirements confidentiality agreement for
each applicable staff member
(c) All staff will sign a confidentiality agreement at
the time of hire and annually thereafter
(d) All staff directly serving families will complete
mandated reporter training and comply with all
mandated reporter requirements
The LHJ will ensure the home visiting (a) Develop and sustain relationships with Submission of:
program reaches and maintains appropriate agencies to obtain home visiting • Progress Reports
contracted caseload capacity(CC) participant referrals • Outreach activity logs or plan
Referral triage plans outlining
1.4 (b) Develop a referral triage process for incoming referral process (flow chart,
home visiting participants to ensure families are narrative, etc.)
connected to the program that best meets their . Confirmation of signed CHVP
needs Participant Consent Form for
each enrolled participant
Page 4 of 14
Confidential-Low
CDPContract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno H
California Department of
California Home Visiting Program—SGF EBHV Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
Goal 1: Provide leadership and structure to implement CHVP in the LHJ
# Objective Activities Deliverables
(c) Ensure newly enrolled participants provide • Data on participant enrollment
informed consent and sign a CHVP Participant and accurate funding information
Consent Form at enrollment entered into the data system in a
timely manner
(d) Develop and utilize a P&P on reaching out to
disengaged families in accordance with
CDPH/CHVP P&P 100-50
The LHJ will provide oversight and (a) Implement evidence-based home visiting model Submission of:
leadership to ensure selected home requirements in accordance with the selected • Model developer agreement,
visiting model fidelity and quality model(s) fidelity standards accreditation, affiliation, and/or
assurance endorsement documentation
(b) Monitor subcontracted agencies to ensure model
1.5 fidelity standards are met (if applicable)
(c) LHJs interested in implementing a model-
approved enhancement must obtain written
approval from CDPH/CHVP prior to
implementation
Page 5 of 14
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Contract#/LHJ Name:CHVP SGF EBHV 25-10 County of Fresno ! C D PH
California Home Visiting Program—SGF EBHV k pulblicnia Heal hartment of
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
Goal 1: Provide leadership and structure to implement CHVP in the LHJ
# Objective Activities Deliverables
The LHJ will develop and implement (a) Develop and conduct an annual review of local Submission of:
home visiting P&Ps and follow all P&Ps related to home visiting and update as • Progress Reports
applicable MCAH and CDPH/CHVP P&Ps needed • Updated LHJ P&Ps related to
home visiting
(b) Conduct an annual review of, and ensure . Annual confirmation of review of
compliance with, CDPH/CHVP P&Ps local and CDPH/CHVP P&Ps, Local
1.6 MCAH Program Policies and
(c) Conduct an annual review of, and ensure Procedures, and the MCAH Fiscal
compliance with,the Local MCAH Programs Administration Policy&
Policies and Procedure. Procedure Manual
(d) Conduct an annual review of, and ensure
compliance with,the MCAH Fiscal Administration
P&P Manual
The LHJ will participate in TA meetings (a) Participate in voluntary CQI projects and Submission of:
and conduct Continuous Quality activities in collaboration with CDPH/CHVP • Progress Reports
Improvement (CQI) projects and • CQI information as requested
1.7 activities to support program (b) Attend all meetings and site visits, included but
implementation and improvement goals not limited to: Participation in:
• Individual TA meetings • Individual and group TA meetings
• Model TA meeting • CQI meetings as applicable
Page 6 of 14
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"
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno ��
CDP H
California Department of
California Home Visiting Program—SGF EBHV It
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
leadershipGoal 1: Provide and structure to implement
# Objective Activities Deliverables
• All LHJ TA meeting
• Ad hoc TA meetings
• In-person or virtual site visit as scheduled
by CDPH/CHVP
(c) Use data to inform and improve program
activities
'The MCAH Director or their designee is required to devote a minimum of 0.05 full-time equivalent (FTE) and a maximum of 0.15 FTE to
CHVP oversight,fostering partnerships and collaboration within the LHJ, and directing the local CHVP community advisory board (CAB).
The percentage FTE dedicated to CHVP budgets should be deducted from the local MCAH budget to ensure the LHJ does not exceed the
MCAH Director FTE requirements as outlined in the Local MCAH Programs Policies and Procedures. If an MCAH Director cannot meet the
requirements of the CHVP SOWs, they can identify a designee, as outlined in the Local MCAH Programs Policy and Procedures. In this
situation,the designee, who may be identified as an MCAH Coordinator or other position, can act as the responsible party for CHVP, and
should be designated as such in the CHVP budget justification.
z If a LHJ establishes a subcontractor to deliver home visiting services, a LHJ representative (ideally the MCAH Director) must be present
during all scheduled group and individual technical assistance (TA) meetings, virtual or in-person visits, and be involved in all
programmatic, data, contract, and fiscal communications with CDPH/CHVP. This requirement ensures that the LHJ maintains oversight and
Page 7of14
Confidential-Low
"All I CD P H
Contract#/LHJ Name:CHVP SGF EBHV 25-10 County of Fresno
California Department of
California Home Visiting Program—SGF EBHV Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
direct involvement in all aspects of the contracted services, guaranteeing alignment with CDPH/CHVP standards and expectations.
Additionally, no more than 10% of the allocation should be spent on administrative oversight of a subcontractor.
Goal 2: Integrate the home visiting program into the local early childh. . . system
# Objective Activities Deliverables
The LHJ will collaborate with local early (a) Maintain a CAB that includes local early childhood Submission of:
childhood system partners to ensure a system partners and meets at least quarterly to • Progress Report including CAB
continuum of services for families establish appropriate linkages to referral and meeting materials and
service systems to benefit participating families Memoranda of Understanding
(MOUs) and/or other written
2.1 (b) Meet and work with other local early childhood agreements
system and community partners to coordinate
services to participating families
(c) Develop and implement a transition plan for
families according to model guidance and in
accordance with CDPH/CHVP P&P 200-40
Page 8 of 14
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CContract#/LHJ Name: CHVP SGF EB DPHHV 25-10 County of Fresno ��
ifor
California Home Visitinp Program—SGF EBHV Calblic a Department of
[J i; Publie Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
The LHJ will pursue, develop, and (a) Develop and maintain MOUs and/or other written Submission of:
maintain relationships with local service agreements (e.g., letters of support) with • Progress Report including CAB
agencies and referral resources to community agencies and service providers meeting materials, MOUs,
2.2 facilitate participant recruitment and/or other written
agreements
• Outreach materials
• Outreach activity logs or plan
Goal 3: Collect, enter, and report on all required participant . .
ta
# Objective Activities Deliverables
The LHJ will maintain clean and (a) Accurately collect and submit participant data Submission of timely and
compliant data using selected home visiting model and accurate data on participant
CDPH/CHVP-required documents, as applicable demographics, service
utilization, and performance
3.1 (b) Ensure all data handling complies with measures according to, and
CDPH/CHVP's security policies, including necessary with fidelity to,the selected
encryption, access controls, and regular data home visiting model guidelines
system user account audits and CDPH/CHVP requirements
Page 9 of 14
Confidential-Low
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno ! CDP H
CalifornCalifornia Home VisitingProgram—SGF EBHV PublicHealtartmentof
g Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
0 Collect, • reporton • • participant data
# Objective Activities Deliverables
(c) Ensure accuracy and completeness of data input • Participation in regular TA
into designated data systems using data quality meetings and site visits with
reports and monitoring CDPH/CHVP staff
(d) NFP LHJs will coordinate data system requirements
with the NFP National Service Office
(e) HFA LHJs will coordinate with the CDPH/CHVP data
team to establish buildout/modification in Efforts
to Outcomes (ETO) data system and will comply
with all CHVP HFA Data Collection Manual
requirements
(f) PAT LHJs will coordinate data system requirements
with the PAT National Office for use of the Visit
Tracker Web data system
(g) Collect and enter participant data into designated
data systems within seven working days, or as
required by the selected home visiting model
Page 10 of 14
Confidential-Low
CDP H
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno ��
California Home VisitingProgram—SGF EBHV PubCallicHealt artment of
g Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
Goal 3: Collect, enter, and report on all required participant . .
ta
# Objective Activities Deliverables
(h) Correct data entry errors and strive to reduce
missing data as directed by the CDPH/CHVP data
team as needed
(i) HIPPY and FCI LHJs will provide and/or coordinate
with data collection system owners to provide
monthly enrollment and other requested reports
to CDPH/CHVP as needed
Page 11 of 14
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v' CDPH
Contract#/LHJ Name: CHVP SGF EBHV 25-10 County of Fresno
California Home VisitingProgram—SGF EBHVIlk CaliforniablcDepartment of
ii Public Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
1 . applicable): . staff . families served . Localhome visiting programs . gh Special . . .
ctivities
# Objective Activity Deliverable
The LHJ will use Special Support funds LHJs can spend up to 20% of their SGF EBHV Submission of:
for allowable activities as reflected in allocation on approved Special Support Activities per Special Support Activity Report per
their budget the CHVP Special Support Activity Reference Guide the CHVP Special Support Activity
Reporting Guide
4.1 Special Support Activity categories include:
(a) Additional Staff Costs
(b) Training
(c) Technology
(d) Family Support Materials
LHJ leadership will maintain clean and (a) Collect, maintain, and report use of SGF EBHV Submission of:
compliant Special Support Activity funds for Special Support as outlined in CHVP • Special Support Activity Report
4.2 data, per CDPH/CHVP guidelines Special Support Activity Reference Guide and the . Additional documentation upon
CHVP Special Support Activity Reporting Guide request
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Confidential-Low
"Contract#/LHJ Name: CHVP SGF EBHVCDPH 25-10 County of Fresno �
California Home Visiting Program—SGF EBHV x pulhlicnia Health epartment of
�
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
MonitoringDue Date
All reports and documentation must be submitted via SharePoint, unless otherwise directed by CHVP
Staffing Reports • July 15, 2025 (for SFY 2024-2025)
• October 15, 2025
• January 15, 2026
• April 15, 2026
Progress Report, deliverables, and updates:
• CAB Roster, Minutes, and Agendas
• MOUs or other written agreements with community agencies and service
providers
• Outreach materials
• Outreach activity logs or plan • July 15, 2025 (for SFY 2024-25)
• Training plans and logs • January 15, 2026
• Policies and Procedures
• Referral Triage Plan
• Confirmation of signed CDPH/CHVP Participant Consent Forms
• Confirmation of signed confidentiality agreements for all direct staff
• Model Developer agreement, accreditation, endorsement, and/or affiliation
documentation
Special Support Activity Report (if applicable) • July 15, 2025 (for SFY 2024-25)
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Contract#/LHJ Name: CHVP SGF EB " CDPHHV 25-10 County of Fresno
California Department ofCalifornia Home Visiting Program—SGF EBHV Public
Health
California Home Visiting Program
State General Fund (SGF) Evidence-Based Home Visiting (EBHV)
Scope of Work
July 1, 2025- June 30, 2026
Monitoring Mechanism Due Date
All reports and documentation must be submitted via SharePoint, unless otherwise directed by CHVP
Priority Population Survey(NFP only) • July 15, 2025 (for SFY 2024-25)
0 January 15, 2026 (SFY 2025-26 to date)
CQI monitoring reports, data, and information Upon Request
Individual TA meetings Semi-annually(TBD)
Model TA meetings Annually (TBD)
All LHJ TA meeting Annually (TBD)
Site Visit TBD
NOTE: If compliance standards are not met in a timely manner, CDPH/CHVP may require the local agency to participate in an Extra Support Plan
(ESP) process, and/or may temporarily withhold cash payment pending correction of the deficiency; disallowing all or part of the cost of the
activity or action out of compliance; wholly or partly suspending or terminating the award; or withholding further awards.
6_ 24 2is
MCAH Director Name MCAH Director Signature Date
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Agreement Between the County of Fresno and the California Department of
Public Health
Allocation Name: California Home Visiting Program — Maternal, Infant, and Early
Childhood Home Visiting (MIECHV) and California Home Visiting Program —
State General Funds (SGF) — Evidence-Based Home Visiting (EBHV)
Fund/Subclass: 0001/10000
Organization: 56201718, 56201750
Revenue Account #: 4380, 3530