HomeMy WebLinkAboutAgreement A-18-598 with California Department of Health Care Services.pdfAgreement No . 18-598
State of California -Health and Human Serv ices Agency Department of Health Care Services
Enclosure 1
PATH ALLOCATION WORKSHEET
ST ATE FISCAL YEAR: 2018-2019 FEDERAL CATALOG NO . 93 .150
COUNTY: FRESNO REVISION NO :
The State Department of Health Care Services (DHCS) provides the Federal Projects
For Assistance in Transition From Homelessness (PATH) Formula Grant funds to
counties for State Fiscal Year (SFY) 2018-2019. Your Allocation is identified below.
PATH Funding Base :
Total PATH Expenditure :
PURPOSE : PLANNING ESTIMATE
$316 ,281
$316 ,281
September 19 , 2018
I, the undersigned Director, have accepted the Federal PATH funds for the county under the
specific conditions included in the assurances as part of the County Application Package (CAP)
as well as those conditions established by other governing federal and state laws , policies
regulations , and gu idelines . The CAP , as approved by DHCS , will be followed in expending
these funds.
oard of Supervisors of the County of Fresno
Sal Quintero , Chairperson of the Board of Supervisors of the County of Fresno
Printed Name
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of California
By -2x >,Wen ~~D:'f)
Deputy
DH CS 1772 P (4/1 3)
23-Oct-18
Date
Certifications
1. Certification Regarding Debarment and Suspension
The undersigned (authorized official signing for the applicant organization) certifies to the best of his or her knowledge and belief, that the applicant,
defined as the primary participant in accordance with 2 CFR part 180, and its principals:
a.Agrees to comply with 2 CFR Part 180, Subpart C by administering each lower tier subaward or contract that exceeds $25,000 as a "covered
transaction" and verify each lower tier participant of a "covered transaction" under the award is not presently debarred or otherwise disqualified
from participation in this federally assisted project by:
a.Checking the Exclusion Extract located on the System for Award Management (SAM) at http://sam.gov
b.Collecting a certification statement similar to paragraph (a)
c.Inserting a clause or condition in the covered transaction with the lower tier contract
2. Certification Regarding Drug-Free Workplace Requirements
The undersigned (authorized official signing for the applicant organization) certifies that the applicant will, or will continue to, provide a drug-free work-
place in accordance with 2 CFR Part 182by:
a.Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance
is prohibited in the grantee's work-place and specifying the actions that will be taken against employees for violation of such prohibition;
b.Establishing an ongoing drug-free awareness program to inform employees about--
1.The dangers of drug abuse in the workplace;
2.The grantee's policy of maintaining a drug-free workplace;
3.Any available drug counseling, rehabilitation, and employee assistance programs; and
4.The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
c.Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by
paragraph (a) above;
d.Notifying the employee in the statement required by paragraph (a), above, that, as a condition of employment under the grant, the employee will-
-
1.Abide by the terms of the statement; and
2.Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than
five calendar days after such conviction;
e.Notifying the agency in writing within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving
actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other
designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt
of such notices. Notice shall include the identification number(s) of each affected grant;
f.Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d) (2), with respect to any employee who is so
convicted?
1.Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the
Rehabilitation Act of 1973, as amended; or
2.Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by
a Federal, State, or local health, law enforcement, or other appropriate agency;
g.Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
3. Certifications Regarding Lobbying
Per 45 CFR ?75.215, Recipients are subject to the restrictions on lobbying as set forth in 45 CFR part 93. Title 31, United States Code, Section 1352, entitled
"Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions," generally prohibits recipients of Federal
grants and cooperative agreements from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government
in connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or
cooperative agreement must disclose lobbying undertaken with non-Federal (non- appropriated) funds. These requirements apply to grants and
cooperative agreements EXCEEDING $100,000 in total costs. The undersigned (authorized official signing for the applicant organization) certifies, to the
best of his or her knowledge and belief, that
1.No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering
Page 1 of 2
Enclosure 2
into of any coope rative agreement, and the extension, contin uation, renewal , amendment, or modification of any Federal contract, grant, loan, or
cooperative agreement.
2 . If any funds other than Federally appropriated funds have been paid or will be paid to any pe r son fo r infl u encing or attempting to influence an
officer or employee of any agency, a Member of Congress, an officer or em ployee of Congress, or an employee of a Member of Congress in
connection with this Federal cont ract, grant, loa n, or cooperative agreement, the undersigned shall complete and su b mit Standard Form-LLL,
"Disclosure of Lobbying Activities," in accordance with its instruct ions . (If needed , Sta ndard Fo r m-LLL, "Disclosure of Lob bying Activities," its
instructions, and continuation sheet are included at th e end of this ap p lication form.)
3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including
subcontracts, subgrants, and contracts u nder grants, loans and cooperative agreements) and that al l subrecipients sha ll certify and disclose
accordingly .
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this
certification is a prerequisite for making or entering into this t ransac t ion imposed by Section 1352, U.S. Code . Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure .
4 . Ce rtif ica t ion Reg arding Program Fraud Civil Remed ies Act (PFCRA) (31 U.S.C ? 3801-3812)
The undersigned (authorized official signing for the app licant organization) certifies that the statements herein are true, complete, and accurate to the
best of his or her knowledge , and that he or she is awa re that any false, fict itious, o r fraudulent st atements or claims may subject him or her to criminal,
civil, or administrative penalties. The undersigned ag rees that the applicant organization will comply with the Public Health Service terms and conditions
of award if a grant is awarded as a result of this application.
5. Certifi cat ion Regardi ng Environ m ental Tobacc o Smo ke
Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned
or leased or co nt racted for by an entity and used routine ly or regu larly for the provision of health, daycare, early ch i ldhood development services ,
education or library services to children under the age of 18, if the services are funded by Fede ral programs either directly or through State or local
governments, by Federal grant, contract, loan, or loan gua rantee . The law also ap plies to children 's services that are provided in indoor facilit ies that are
constructed , operated, or maintained wit h su ch Federal funds. The law does not apply to children's services provided in private residence , portions of
faci lities used for inpatient drug or alcohol treatment, service providers whos e so le source of appl ica b le Federal funds is Medicare or Medicaid , or
facilities where WIC coupons are redeemed .
Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1 ,000 for each violation and /or the
imposition of an administrative compliance order on the responsible entity.
By signing the cert i ficat ion , the undersigned certifies that the applicant organization will comply with the requirement s of the Act and will not allow
smoking w ithin any portion of any indoor facility used for t he provision of services for children as defined by the Act .
The applicant organization agrees that it will require that the language of this certification be included in any subawards which con t ain prov isions for
children 's services and that all subrecipients shall certify accordingly.
The Public Health Services strong ly encourages all grant reci p ie nts to provide a smoke-free workplace and promote the non-use of tobacco products . This
is consistent with the PHS mission to protect and advance the phys ical an d me nta l health of the American people .
Name
Sal Quin tero
Title
Chairpers_on of t~e Board of Supervisors of the County_of Fresno
Organization
County of _F resno
'''"""" ~ ~
FootnotesU
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of Cal iforn ia
By ~\SOvn~~Qf)
Date: October 23 , 2018
Pag e 2 of 2
Enclosure 3
PATH 2018-19 Request for Application Page 1 of 3
COMPLIANCE ASSURANCES
The county, as recipient of grant funds, acknowledges and agrees that the
county and its subcontractors shall provide services in accordance with all
applicable federal and State statutes and regulations.
I hereby certify that the County of Fresno agrees to the following:
A. Amounts received under the PATH Formula Grant will be used solely to
provide services to persons who have a serious mental illness, or have a
co-occurring serious mental illness and substance abuse disorder, and
who are homeless or at imminent risk of becoming homeless.
B. PATH funds must be used to supplement, not supplant, existing services
to individuals who have severe mental illness, or who have co-occurring
severe mental illness and substance abuse disorders, and who are
homeless or at imminent risk of becoming homeless.
C. At a minimum, providers must provide both Outreach and Case
Management. Additional grant funds shall be expended only for the
following services:
1. Screening and diagnostic treatment services;
2. Habilitation and rehabilitation services (relating to training and
education to improve the individual’s functioning in the community);
3. Community mental health services;
4. Alcohol and/or drug treatment services;
5. Staff training (for individuals who work in shelters, mental health
clinics, substance abuse programs, and other sites where individuals
require homeless services);
6. Supportive and supervisory services in residential settings;
7. Referrals for primary health services, job training, educational
services, and relevant housing services; and
8. Housing services including minor renovation, expansion, and repair
of housing; planning of housing, technical assistance in applying for
housing; improving the coordination of housing services; security
deposits; the costs associated with matching eligible homeless
individuals with appropriate housing situations; and one-time rental
payment to prevent eviction.
D. Grants will be made pursuant to Section 522(a) of the Public Health
Service Act only to entities that have the capacity to provide, directly or
through arrangements, the specified service(s) including coordinating the
provision of service(s) in order to meet the needs of eligible homeless
individuals who are both mentally ill and suffering from substance abuse.
Enclosure 3
PATH 2018-19 Request for Application Page 2 of 3
E. Special consideration will be given to funding entities with a demonstrated
effectiveness in serving veterans who are homeless.
F. Grant funds will not be given to any entity that has a policy of excluding
individuals from mental health services due to the existence or suspicion
of substance abuse or which excludes individuals from substance abuse
services due to the existence or suspicion of mental illness.
G. No more than ten percent of Federal PATH funds received shall be
expended for administrative expenses. The ten percent administrative
expense cap includes both the county’s and the subcontractor’s
administrative costs in aggregate.
H. None of the funds in this grant shall be used to pay the salary of an
individual through a grant or other extramural mechanism at a rate in
excess of Executive Level II of the Federal Executive Pay Scale. Effective
January 18, 2018, the amount is $189,600.
I. Not more than 20 percent of the payments will be expended for allowable
housing services. The payments will not be expended to support
emergency shelters or construction of housing facilities for inpatient
psychiatric or inpatient substance abuse treatment costs or to make cash
payments to intended recipients of mental health or substance abuse
services.
J. The county will make available, directly or through donations from public
or private entities, non-federal contributions toward such costs in an
amount that is not less than one dollar ($1) for each three dollars ($3) of
federal funds provided in such payments. The amount of the county
match is $105,427.
K. The description of intended use will be revised throughout the year to
reflect substantial changes in the programs and activities funded through
the PATH grant. Changes in services will not be provided until the
appropriate approval has been received.
L. The county agrees to provide all reports required by the State Department
of Health Care Services (DHCS).
M. The county will comply, as applicable, with the Substance Abuse and
Mental Health Services Administration’s (SAMHSA) Charitable Choice
statutes codified at sections 581-584 and 1955 of the Public Health
Service Act (42 USC 290k, et seq., and 42 USC 300x-65 et seq.) and their
governing regulations at 42 C.F.R. part 54 and 54a respectively.
Enclosure 3
N. The county has budgeted SFY 2018-2019 non-PATH funds for services to
individuals who are homeless and mentally disabled as follows :
$
$
__ Federal (non-PATH)
105,427 Other
10/23/18
Date
Sal Quintero, Chairperson of the Board of Supervisors of the County of Fresno
Print Name
ATTEST:
BERNICE E. SEIDEL
Clerk of the Board of Supervisors
County of Fresno , State of California
By ~Ovo ~;¼")~
Deputy
PATH 2018 -19 Request for Application Page 3 of 3
Assurances - Non-Construction Programs
Note: Certain assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal
awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant I certify that the applicant:
1.Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the
non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application.
2.Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized
representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper
accounting system in accordance with generally accepted accounting standard or agency directives.
3.Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or
organizational conflict of interest, or personal gain.
4.Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.
5.Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for
programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standard for a Merit System of Personnel
Administration (5 C.F.R. 900, Subpart F).
6.Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L.
88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20
U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended
(29 U.S.C. §§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-
6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to
nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of
1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health
Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of
the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any
other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements
of any other nondiscrimination statute(s) which may apply to the application.
7.Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies
Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or
federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation
in purchases.
8.Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose
principal employment activities are funded in whole or in part with Federal funds.
9.Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C.
§874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding labor standards for federally assisted construction sub-
agreements.
10.Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which
requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable
construction and acquisition is $10,000 or more.
11.Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures
under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO
11738; (c) protection of wetland pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et
seq.); (f) conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C.
§§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and
(h)protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205).
12.Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the
national wild and scenic rivers system.
13.Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C.
§470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C.
§§469a-1 et seq.).
14.Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this
award of assistance.
15.Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and
treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance.
16.Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead based paint in
construction or rehabilitation of residence structures.
17.Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984.
Page 1 of 2
Enclosure 4
18 . Will comply with all applicable requirements of all other Federa l laws, executive orders, regulations and pol icies governing this program .
19 . Wi ll comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits
grant award recipients or a sub-recipient from (1) Engaging in severe forms of trafficking in persons du ring the period of time that the award is in
effect (2) Procuring a commercial sex act during the period of time t hat the award is in effect or (3) Using forced labor in the performance of the award
or subawards under the award .
HHS Assurances of Compliance (HHS 690)
ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964 , SECTION 504 OF THE REHABILITATION ACT OF 1973 , TITLE IX OF THE
EDUCATION AMENDMENTS OF 1972, THE AGE DISCRIMINATION ACT OF 1975, AND SECTION 1557 OF THE AFFORDABLE CARE ACT
The Applicant prov ides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal
financial assistance from the U.S. Department of Health and Human Services.
THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH:
1. Title VI of the Civil Rights Act of 1964 (Pub . L. 88 -35 2), as amended, and all requirements imposed by or pursuant to the Regulation of the Department
of Health and Human Services (45 C.F .R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the Un ited
States shall , on the ground of race , color, or national origin , be excluded from participation in , be denied the benefits of, or be otherwise subjected
to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.
2. Section 504 of the Rehabilitation Act of 1973 (Pub . L. 93-112), as amended, and all req uirements imposed by or pursuant to the Regulation of the
Department of Hea lth and Human Services (45 C.F .R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation , no
otherwise qualified individual with a disability in the United States shall, solely by reason of her or his disability, be excluded from participation in,
be denied the benefits of, or be subjected to discrimination under any program or activity for wh ich t he Applicant receives Federal financial assistance
from the Department.
3. Title IX of the Education Amendments of 1972 (Pub . L. 92 -318), as amended, and all requirements imposed by or pursuant to the Regu lation of the
Department of Health and Human Services (45 C.F .R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United
States shall , on the basis of sex , be excluded from participation in , be denied the benefits of, or be otherwise subjected to discrim i nation under an y
education program or act ivity for which the Applicant receives Federal financia l assistance from the Department.
4 . The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department
of Health and Human Services (45 C.F .R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall ,
on the basis of age , be denied the benefits of, be excluded from participation in , or be su bjected to discrimination under any program or activity for
which the Applicant receives Federal financia l assistance from the Department.
5. Section 1557 of the Affordable Care Act (Pub . L. 111-148), as amended , and al l requirements imposed by or pursuant to the Regu lation of the Department
of Health and Human Serv ices (45 CFR Part 92), to the end that, in accordance with Section 1557 and the Regu lation, no person in the United States shall ,
on the ground of race , color, national origin, se x, age, or disability be exclu d ed from participation in , be den ied the benefits of, or be subjected to
disc rimination under any health program or activity for which the Ap pl icant receives Federal financial assistance from the Department.
The Applicant agrees that compliance with this assurance constitutes a co ndition of continued receipt of Federal financial assistance , and that it is b inding
upon the Applicant, its successors , transferees and assig nees for the period during which such assistance is provided. If any real property or structure
thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the
Applicant, or in the case of any transfer of such property, any transferee, for the pe riod during which the real property or structure is used for a purpose for
wh ich the Federal financial assistance is extended or for another purpose involving the provision of similar serv ices or benefits . If any personal property is
so provided, this ass urance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant
further recognizes and agrees that the United States shall have the right to seek judicial enforcement of thi s assurance .
The grantee, as the awardee organization, is legally and financially responsible for all aspects of this award including funds provided to sub -re cipients in
accordance with 45 CFR Part 75.351-75.352, Subrecipient monitoring and management.
Name
Sal Qu intero
Title
Chairperson of the Board of Supervisors of the County of Fresno
Organization
County of Fresno
s;,,""" rf ~
Footnotes:
ATTEST :
BERNICE E. SEIDEL
Clerk of the Board of Superv isors
Co unty of Fresno , State of Cal iforn ia
By & >i.£.CVY\ ~,shDf}
Deou tv
e: October 23, 2018
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2018-19
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2018-19 Page 1 of 5
DHCS 1755 (5/18)
County: Fresno - Corrected 6/21/18
Address: 3133 N. Millbrook Avenue City, Zip Code: 93703
County Program Contact: Janell Sidney Brown, Staff Analyst
Telephone: (559) 600-6831
Fax: (559) 600-7674
Email: jsidney@fresnocountyca.gov
County Fiscal Contact: Kirk Hill
Telephone: (559) 600-4655
Fax: (559) 600-4642
Email: khill@fresnocountyca.gov
Indicate which of the following essential services will be provided by this provider with PATH funding:
Outreach
Case Management
Community Mental Health Services
Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s
functioning in the community)
Staff Training
Screening and Diagnostic Services
Alcohol or Drug Treatment
Supportive and Supervisory Services in Residential Settings
Referrals for Primary Health Services, Job Training, Education Services and Relevant
Housing Services:
Minor Renovation, Expansion, and Repair of Housing
Planning of Housing
Technical Assistance in Applying for Housing Services
Improving the Coordination of Housing Services
Security Deposits
Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing Situations
One-Time Rental Payments to Prevent Eviction
Indicate which budget categories are funded with PATH funds: Click on Check Box:
Personnel Equipment Travel
Consultants Supplies Other
Description of the flow of federal PATH funds in California: PATH funding in California is allocated to the
counties from the California State Department of Health Care Services. Each county has a Mental Health
Program that provides services to the public in California; the PATH funds are distributed at the county level to
either county or contracted providers.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2018-19
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2018-19 Page 2 of 5
DHCS 1755 (5/18)
Directions – County Intended Use Plan –
The County Intended Used Plan should provide a summary of information from providers, as well as County
specific information, and should be answered at the county level.
1. Total Federal PATH Dollars Allocated from County: $316,281
2. Total Match Dollars in Budget: $105,427
3. Who Provides the Match? Fresno County
4. What funding source is used for Match? Mental Health Services Act (MHSA)
5. Please provide the names of each organization you will contract with in FY 2018-19 to provide PATH
eligible services in your county, and the amount of Federal PATH funds they will receive. Please also
include the county administration costs as a provider.
Expected
Contract
Amount
Providers Name as Listed on the Provider Intended Use Plan
$308,000 Kings View Corporation
$8,281 County Staff (.09 FTE) and Administration
$316,281 Total
6. The purpose of this section is to provide a description of your county plan to provide coordinated and
comprehensive services to eligible PATH Clients. Please provide the following information as it relates
to activities for FY 2018-19.
a. The projected number of adult clients to be contacted county-wide using PATH
funds.
350
b. The projected number of adult clients to be enrolled county-wide using PATH
funds.
200
c. The projected percentage of adult clients county-wide served with PATH funds to
be “literally” homeless (i.e., living outdoors or in an emergency shelter rather than
at imminent risk of homelessness).
80%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2018-19
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2018-19 Page 3 of 5
DHCS 1755 (5/18)
d. Identify activities that will occur in the county to maximize the use of PATH funds to serve adults
who are literally homeless as a priority population.
Fresno County Department of Behavioral Health (DBH), which oversees the PATH funding,
contracts, currently with Kings View Corporation (Request for Proposals currently underway) to provide
services addressing the needs of adults who are homeless or at risk of becoming homeless, and have serious
mental illness (SMI) and/or co-occurring disorders. As a vital resource to the community in seeking to
reduce and end chronic homelessness, the PATH program will serve as a front door for clients into the
continuum of care services and mainstream mental health, primary health care and the substance use disorder
services system. The Kings View PATH program provides a partnership in which they commit to "meet the
client where they are" in order to assist clients to achieve their personal recovery and wellness goals.
Services include outreach, engagement and linkage in addition to case management, mental health treatment,
co-occurring disorder counseling and supportive housing services. Collaboration with other agencies such as
Federally Qualified Health Centers (FQHC) and the Public Guardian will ensure provision of non-direct
mental health services that are needed to reach homeless adults with co-occurring chronic or medical
conditions. Service goals are to help stabilize and transition clients into other County or community mental
health programs.
e. Identify strategies the county has planned to ensure PATH dollars are f unding programs who provide
the minimum services of street outreach and case management as priority services.
The PATH program has two components: Outreach, Engagement and Linkage (OEL) and Specialty
Mental Health Services (SMHS). The PATH-funded OEL component will focus on client outreach
and case management services. Through outreach efforts in the streets, shelters and other non-
traditional settings as well as referrals from the County's Adult System of Care, PATH is expected to
provide outreach services to a minimum of 350 clients during FY 2018-19 (July 1, 2018 through
June 30, 2019), with a minimum of 200 engaged/enrolled in services, referrals and linkages. Those
engaged/enrolled will receive services including, but not limited to: assessments; case management;
mental health and/or co-occurring services; linkage to County programs and other community
service providers; ongoing consultation; peer support services; assistance in applying for General
Relief and SSI/SSD benefits; transportation; provision of basic necessities of daily life; and
supportive interim or bridge housing services. More than 70% of the OEL staff time will be in the
field reaching out to homeless SMI adults. Case management services will be provided to all clients
through an assigned personal service coordinator within 24 hours of enrollment in the program along
with the development a client-centered Plan of Care to meet the client's needs. Program staff have
the flexibility to increase service intensity to a client in response to the client's presented needs.
Additionally, staff have the capacity to provide frequent contacts with clients where they live or are
most comfortable, in order to assist them in accessing behavioral and physical health care, financial,
educational, vocational, rehabilitative, or other needed community services, especially as these
services relate to meeting the client's mental health and housing needs.
f. Please summarize a list of the evidenced-based practices currently used in the county for the target
population.
DBH promotes evidence-based practices (EBP) and encourages contracted providers to utilize EBP
models in their service delivery. The PATH program is designed to deliver comprehensive services
to homeless adults with SMI and/or co-occurring disorders whose needs have not been met through
traditional service delivery. Kings View PATH utilizes the Wellness Recovery Action Plan (WRAP)
and Cognitive Behavioral and Motivational Enhancement Therapy evidence-based practices. The
program model is designed to empower clients, improve quality of life, and allow staff to assist
clients in attaining their personal goals. Team members collaborate on assessments, treatment plans,
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2018-19
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2018-19 Page 4 of 5
DHCS 1755 (5/18)
and day-to-day interventions. DBH has also moved forward with incorporating the Recovery 360
model into all County mental health program services, in order to build and measure wellness,
recovery, and resiliency supports within a team approach. DBH encourages Kings View PATH team
members to participate and receive training on an ongoing basis to ensure clients receive services
that support this wellness and recovery model.
7. Describe your organization’s participation in the HUD Continuum of Care (CoC) program and any other
local planning, coordinating or assessment activities. If you are not currently working with the CoC,
briefly explain the approaches to be taken by your agency to collaborate with the local CoC.
The Fresno/Madera Continuum of Care (FMCoC) develops local strategies to build housing and service
capacity to end homelessness. DBH and the Fresno County Department of Social Services (DSS) are active
participants and voting members of the FMCoC, which is comprised of volunteers from over 21 government
agencies, non-profits and individuals dedicated to serve homeless youth, adults, and families in Fresno and
Madera Counties. DBH contributes to the community planning by advocating for the homeless mentally ill and
encourages all appropriate County contracted providers serving the homeless and at risk of homelessness
population who have SMI and/or a co-occurring disorder to also participate and provide feedback.
DBH is part of the leadership team along with the FMCoC in the national 25 Cities Initiative to end veteran and
chronic homelessness for the Fresno community by identifying, assessing and matching housing for the
veterans and the chronically homeless. A weekly meeting is held to clarify key processes and services,
determine existing housing capacities, and follow-up with specific and high priority cases if needed. Kings
View PATH assists in outreach efforts, service provision and data collection. In addition, DBH actively
participates in the CoCs annual Point-In-Time (PIT) Count of homeless in Fresno County.
DBH also provides mental health clinicians and community mental health specialists at the Multi-
Agency Access Program Point at Poverello House (MAP Point at Pov). MAP is the coordinated service entry
effort created by the FMCoC and the Hospital Council's Community Conversations in Mental Health to
establish and formalize a collaborative intake process across all service providers for individuals facing
housing/homelessness, mental illness, substance use disorder, physical health, social service and/or vocational
needs. The intake process consists of a standardized screening for life-domain needs and assessment with the
Vulnerability Index Service Prioritization Decision Assistance Tool (VI-SPDAT) to customize service
eligibility and access to housing matches. As part of the DBH's work plan for Integrated Behavioral Health
Access, operation of additional MAP Points were contracted out in January 2017 to target strategic, geographic
locations with underserved and unserved populations. Kings View PATH staff may participate in MAP Point
activities to assist in intake and serve as a service provider for the homeless with SMI and/or co-occurring
disorder.
8. Describe the county’s participating in the Homeless Management Information System (HMIS) and
describe plans for continued training and how the county will support new staff. For any county not fully
participating in HMIS, describe plans to complete HMIS implementation.
DBH is fully participating in HMIS to ensure accurate data collection, analysis and reporting, and will
continue to actively participate as necessary to improve data collection and use. New staff shall be
trained in HMIS, as well as refresher training as available/needed for existing staff.
9. Provide a detailed budget narrative that provides specifics and calculations used for PATH
Administration funds. The narrative should describe the attached DHCS 1779P – Federal Grant
Detailed Program Budget.
Enclosure 8A DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget
provides the breakdown of PATH program costs. PATH Allocation ($316,281) and County Match
($105,427) in the amount of $421,708 will be used to fund contracted services and administrative cost
for the County and contracted service provider (currently Kings View Corporation; RFP pending), while
providing outreach, case management, housing, mental health and/or co-occurring services and linkage
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 5
PATH FY 2018-19
COUNTY INTENDED USE PLAN
PATH County Intended Use Plan – SFY 2018-19 Page 5 of 5
DHCS 1755 (5/18)
to homeless adults with SMI and/or co-occurring disorder. Staffing costs of $263,283 will fund 4.14
FTE positions comprised of 0.03 FTE Program Director, 0.04 Operations Manager, 0.54 FTE Program
Manager, 1.2 FTE Case Managers, 2 FTE OEL Coordinators (also may meet classifications as personal
service coordinators/peer support specialists), 0.07 FTE Financial Analyst and 0.26 FTE Administrative
Support, inclusive of personnel taxes and benefits. Consultant costs include $14,620 for network and
data management information services and the fees for HMIS implementation (training, system licenses
and data maintenance). Equipment costs of $3,906 will provide for the lease of a copier and computer
and software expenses. $16,602 will fund supplies for office operations in the course of providing
services to clients and program supplies to be used in outreach and therapeutic activities. Funding will
also provide for travel cost associated with client services in the amount of $14,490. Other expenses
related to the provision of services to clients include program building utilities of $3,280, program
building rent and maintenance of $26,270, and professional liability insurance and background checks
for staff of $7,484. Direct client support expenses will include $13,500 for basic life necessities
(clothing, food and hygiene supplies) as well as assistance in transportation and education and
employment activities. Client housing support is expected to be $10,000 and will assist clients in
accessing housing, utilities, deposits and one-time payments to prevent eviction. In addition, funding
will provide for administrative costs for the County and Kings View as the contracted provider in the
amount of $41,746 (no greater than 10% of PATH funding). County costs include Staff Analyst salary at
.09 FTE/$6,527 and Admin costs of $4,404.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 1 of 8
DHCS 1756 (5/18)
County: FRESNO
Legal Name of Business: Kings View Corporation
Program Name: PATH Program
Address: 4910 East Ashlan Avenue, Suite 118
City, Zip Code: FRESNO, CA 93726
Service Area (City and Zip Codes):
Fresno County Metropolitan and Rural
Provider Contact: Les Lucas, LMFT Program Manager (interim)
Telephone: 559-256-4474 xt. 4016
Fax: 559-348-9345
Email: LesLucas@KingsView.org
Indicate which of the following essential services will be provided by this provider with PATH
funding:
Outreach
Case Management
Community Mental Health Services
Habilitation & Rehabilitation Services (relating to training and education to improve the individual’s
functioning in the community)
Staff Training
Screening and Diagnostic Services
Alcohol or Drug Treatment
Supportive and Supervisory Services in Residential Settings
Referrals for Primary Health Services, Job Training, Education Services and Relevant
Housing Services:
Minor Renovation, Expansion, and Repair of Housing
Planning of Housing
Technical Assistance in Applying for Housing Services
Improving the Coordination of Housing Services
Security Deposits
Cost Associated with Matching Eligible Homeless Individuals with Appropriate Housing
Situations
One-Time Rental Payments to Prevent Eviction
Indicate which budget categories are funded with PATH funds: Click on Check Box:
Personnel Equipment Travel
Consultants Supplies Other
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 2 of 8
DHCS 1756 (5/18)
Description of the flow of federal PATH funds in California: PATH funding in California is allocated
to the counties from the California State Department of Health Care Services. Each county has a
Mental Health Program that provides services to the public in California; the PATH funds are
distributed at the county level to either county or contracted providers.
Directions – Provider Intended Use Plan –
The Provider Intended Use Plan will provide specific information on each organization and
program funded with PATH Federal and Match funds, and should be answered at the provider’s
level.
1. Provider Name (if different from the Legal Name):
2. Total Federal PATH Dollars Allocated from Counties: 315,179
3. Total Match Dollars in Budget: 105,060
4. Who Provides the Match? FRESNO County
5. What funding source is used for Match? Mental Health Services Act
6. Please provide a brief overview of your organization’s history, current existing programs, region
served, and services provided.
Kings View Corporation, also known Kings View Behavioral Health Systems, has been providing
mental health services in central and northern California for more than 60 years. Kings View started
with the opening of a mental health hospital in Reedley and then expanded its scope of services for
underserved and unserved populations through community programs providing drug and alcohol
treatment and telepsychiatry to rural areas. Kings View has been responsive to mental health
community service needs by serving the mentally ill homeless population in 14 local and regional
California counties.
In Fresno County, Kings View is contracted to operate several MHSA programs; one of which
is the existing PATH program, providing an array of outreach, case management and treatment
services to the homeless with serious mental illness (SMI). Kings View also operates the Blue
Sky Wellness and Peer Support Center for mentally ill clients and their families along
withYouth Empowerment Centers throughout the rural areas of the County. Kings View
operates the Rural Mental Health Triage Program to provide mental health services in working
partnership with rural law enforcement and emergency services personnel (first responders).
Kings View participates in collaboration with two other community agencies providing Multi-
Agency Access Program (MAP) Points, where navigators provide an integrated screening
process to link individuals and families facing behavioral, social, health and other related
challenges to supportive services.
7. The purpose of this section is to provide a description of your organization’s plan to provide
coordinated and comprehensive services to eligible PATH Clients. Please provide the following
information as it relates to activities for FY 2018-2019.
a. The projected number of adult clients to be contacted using PATH funds. 350
b. The projected number of adult clients to be enrolled using PATH funds. 200
c. The projected percentage of adult clients contacted using PATH funds to be
“literally” homeless (i.e., living outdoors or in an emergency shelter rather than at
imminent risk of homelessness.)
80%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 3 of 8
DHCS 1756 (5/18)
d. Describe how the services to be provided using PATH funds will align with PATH goals to
target street outreach and case management as priority services, and maximize serving the
most vulnerable adults who are literally and chronically homeless.
Kings View's PATH-funded program will prioritize serving adults who are literally
homeless by focusing outreach efforts in places not meant for habitation. Eighty percent
of clients served are projected to be literally homeless. By having evidence-based
practice (EBP) trained and recovery experienced staff, clients are more likely to be
engaged and reveal PATH-eligibility in order to start program services. Services
include assistance to accessing housing services, food, clothes, transportation and
linkage to other County programs and community-based organizations as needed.
Additional services include: on-site contact; assessments; case management;
individual/group therapy and rehabilitation; psychiatric services and medication
monitoring; and supportive and stable housing services.
e. List the evidenced-based practices currently used.
In outreach and engagement efforts, the Kings View PATH team utilizes the L.E.A.P.
method (Listen, Empathize, Accept, and Partner) and is trained and aware of trauma
informed and gender specific needs of clients. Kings View PATH program utilizes the
Wellness Recovery Action Plan (WRAP) model along with the Cognitive Behavioral
and Motivational Enhancement Therapy models designed to deliver comprehensive
services to individuals with serious mental health challenges, whose needs have not been
met through the traditional service delivery model. Team members collaborate on
assessments, treatment plans and day to day interventions. Kings View PATH also uses
Prochaska and DiClemente's Stages of Change Model in the treatment program, in order
to better monitor and assist clients to a self-sustained recovery.
f. Provide a brief description of partnerships and activities with local community organizations
that provide key services (e.g. outreach teams, primary health, mental health, substance use
disorder, housing, employment) to PATH-eligible clients, and describe the coordination of
activities and policies with those organizations. Provide specific information about how
coordination with other outreach teams will be achieved.
Kings View PATH collaborates with various community organizations to provide key
services to homeless adults who are mentally ill. Initial contact and stabilization of
PATH grant eligible clients will be done through the PATH program. Homeless
mentally ill clients with a substance use disorder who receive case management services
and require additional support will be referred to the Fresno County Department of
Behavioral Health and its other contracted providers specializing in treatment services
for co-occurring disorders such as Comprehensive Addiction Program. For primary
health care, linkage will be made to Federally Qualified Health Care clinics, other health
care facilities such as Fresno Community Hospitals, Clinica Sierra Vista, and local
private doctors. PATH encourages and assists clients to register through the Affordable
Health Care Act Programs within California. Social services and employment service
linkages will be made to the Fresno County Department of Social Services, Social
Security Administration, California DMV, and West Fresno Family Resource Center.
Additional organizations that may provide services or resources include Fresno County
Superior Court, Centro La Familia, Marjaree Mason Center, Veterans Administration,
Kings View Behavioral Health Services, MAP, West Care SOS, NAMI, Fresno County
Housing Authority and many faith based organizations such as Miracles In Community
Action Services among others.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 4 of 8
DHCS 1756 (5/18)
g. Explain the gaps in current service systems that pertain to your PATH client population.
Permanent housing is still scarce for the homeless population in Fresno County.
Permanent supportive housing is even more limited and has strict guidelines which
homeless individuals with mental illness and/or co-occurring disorders do not meet.
Kings View PATH works with a large substance use disorder problem in this population
and the lack of available residential treatment facilities, "wet" room and boards, and
transition housing for such high demand. There is also a large number of homeless in
the rural areas who lack the ability to access basic services in the areas where they live.
h. Provide a description of the current services available to clients who have both a serious
mental illness and substance use disorder.
Kings View PATH program provides co-occurring rehabilitation and therapy embedded
in a variety of behavoiral health services including assistance into permanent housing,
targeted case management, psychiatric services, referrals into other program services
and providing transportation. Groups with rehabilitation interventions are provided to
support decompensation/relapse, stabilization, and maintenance. Co-occurring clients
also receive substance use disorder education and counseling. Appropriate referrals are
made to substance use disorder treatment providers when a higher level of care is needed
and the client sees a need to get more support.
i. Indicate the strategies that will be used for making suitable housing available for PATH clients
(e.g. indicate the type of housing provided and the name of the agency).
Kings View continuously supports the development of housing works with community organizations
such as the Housing Authorities and the County by participating in weekly outreach committees.
Fresno County provides housing opportunities through the MHSA Housing programs and Housing
Authorities. The County currently provides for supported independent living through Trinity Housing
project (20 Single Room Occupancy-SRO units), Park Grove (five 1-3 bedroom units), Alta Monte
Housing project consisting of 29 SRO units available to homeless mentally ill adults, and the Santa
Clara project which consist of 69 units (25 of which are dedicated to the mentally ill and homeless).
All of these projects exist through a Memorandum of Understanding between the County and Housing
Authorities. In addition to the various placement facilities available within the County, Kings View
PATH program will provide ongoing supported housing services to assist clients to attain and maintain
housing. The PATH program will utilize less than 20% of the available PATH Program funding to
support assisted housing, security deposits, and one-time payments to prevent eviction.
PATH staff also work with different room and board providers in order to assist people getting off the
streets as soon as possible while still waiting for other permanent housing solutions (Olive Heights
R&B, Quality Homes Inc, Cedar Heights, David Rosales Home, among others). PATH provides
technical assistance to individuals navigating and advocating for them with programs like Shelter Plus
Care, STASIS, Fresno County DBH Permanent Supportive Housing, Fresno Housing Authority, low
income housing apartments throughout the county.
Additionally, staff is committed to assist and support people in staying connected to
their local natural supports who may also be able to provide them housing (e.g. family
members, friends, church members, churches or other organizations.
j. Describe how PATH eligibility is determined, when enrollment occurs, and how eligibility is
documented for PATH-enrolled clients.
Kings View's PATH-funded program will prioritize serving adults who are literally
homeless by focusing outreach efforts in places not meant for habitation. Eighty percent
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 5 of 8
DHCS 1756 (5/18)
of clients served are projected to be literally homeless. By having evidence-based
practice (EBP) trained and recovery experienced staff, clients are more likely to be
engaged and reveal PATH-eligibility in order to start program services. Eligibility is
determined by a standard clinical assessment and meeting minimum HUD homelessness
criteria. Enrollment on the same day occurs by entering the client inot AVATAR and
HMIS. Documentation of same occurs by use of the standardized forms approved
previously by the county.
8. Describe your organization’s participation with local HUD Continuum of Care (CoC) recipient(s)
and other local planning activities and program coordination initiatives, such as coordinated entry
activities. If the organization is not currently working with the Continuum(s) of Care, briefly explain
the approaches to be taken by the organization to collaborate with the CoC(s) in the areas where
PATH operates.
Kings View PATH is an associate member of the FMCoC. The PATH program does not
receive any HUD funds and so FMCoC full membership is not required. The County is a voting
member. Although not a voting member, Kings View participates in activities to better serve the
homeless youth, adults, and families in the Fresno area including the Point in Time (PIT) homeless
count and outreach efforts in the 25 Cities Initiative. Kings View also attends coordinated entry
meetings and planning sessions.
9. Describe your Coordinated Entry/Assessment program and roles of key partners.
The FMCoC has a Coordinated Entry System, which Kings View PATH has been participating
in since the planning stage. The system includes the use of an entry survey and shared database,
weekly shifts at MAP, outreach referrals taken regularly for new coordinated entry clients and
navigation through housing referral process. Close collaboration is necessary with the MAP
Community Coordinator, Clinica Sierra Vista, San Joaquin Valley Veterans, WINGS Advocacy
Fresno, Poverello House, DBH and the Department of Social Services, who all participate in the
FMCoC and may provide the needed services or resources identified in the entry survey.
10. Describe the organization’s participation in the Homeless Management Information System (HMIS)
and describe plans for continued training and how providers will support new staff. For any
providers not fully participating in HMIS, please describe plans to complete HMIS implementation.
Since FY 2016-17 Kings View PATH has HMIS fully implemented for PATH services. All
staff (except the interim Program Manager) have been trained in HMIS data collection and entry.
Staff currently input and maintain clients' PATH data elements in HMIS. Kings View has
established a relationship with Fresno Housing Authority, designated by the FMCoC as the HMIS
Lead Administrator, to resolve data collection and entry issues, specifically the setup of appropriate
PATH data element fields and to ensure data quality through the creation of specialized reports.
The PATH project set up in HMIS will continue to be an evolving process to meet PATH Annual
Report guidelines. As noted previouisly, the methodology for reporting services and referrals in
HMIS that only counts one instance for each category does not reflect the true quantity of services
and referrals provided.
HMIS training and data system maintenance will be financed through PATH and County MHSA
funds. It is currently cost-prohibitive to support HMIS training and system user licenses for staff
not directly involved in outreach and case management services.
11. Describe the organization’s plan to ensure that PATH staff have completed the SOAR Online
Course and which staff plan to assist consumers with SSI/SSDI applications using the SOAR
model and tracking the outcomes of those application in the SOAR Online Application Tracking
(OAT) system.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 6 of 8
DHCS 1756 (5/18)
If the organization does not use SOAR, describe the system used to improve the accurate and
timely completion of mainstream benefit applications (e.g. SSI/SSDI). Describe the efforts used to
train staff on this alternative system and what technical assistance or support they receive to
ensure quality applications if they do not use the SAMHSA SOAR TA Center.
Kings View PATH will assist clients in obtaining any and all benefits by applying for Social Security
Income/Social Security Disability Income (SSI/SSDI) and Affordable Health Care Act (ACA). Two
OEL Coordinators and one new Case Manager will complete the online SOAR training before the end
of FY 2018-19. New staff hires within the PATH program are expected to complete SOAR training
and existing staff will participate in any refresher course.
This year, there were to date 10 clients that PATH assisted who were already working with
attorneys or paralegals on their appeals and reapplication processes. PATH assisted those individuals
to obtain proper documentation and support to follow up with their attorney's recommendations as well
as make it to their appointments or hearings.
12. Describe how staff providing services to the PATH population will be sensitive to age, gender,
disability, LGBT, and racial/ethnic differences of clients. Describe the extent to which staff will
receive periodic training in cultural competence and health disparities.
Staff ages range from 31 to 67 years old. Some staff are bi-lingual English/Spanish. Staff
members self-identify as gay and straight. Diverse backgrounds and exposures allow staff to
identify, understand and respect the variety of cultural, social and religious values of the client
population. The PATH program has also hired previously homeless and in recovery from mental
illness indivduals. Staff are able to relate and engage clients on various levels. Services are
culturally sensitive to client needs based on age, gender, sexual orientation, and ethnicity. The
County encourages and mandates all contractors to provide services in a culturally sensitive and
competent manner. Kings View staff are able to participate annually in Cultural Competency
trainings and workshops provided by the County at no cost.
13. Describe the demographics of the client population.
Based on data to date FY 2017-18:
68% White or Caucasian;
21% African American;
9% American Indian;
1% Asian.
1% Native Hawaiian or Other Pacific Islander
Age group breakdowns:
18-30: 14%;
31-50 years: 51%;
51-61: 27%;
62 and older: 8%
Gender.
Males accounted for 64%
Females 35%.
Transgender 1%
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 7 of 8
DHCS 1756 (5/18)
Veteran Status:
5% self-reported as Veterans.
95% did not report or declared non Veteran
Staff Composition
75% White or Caucasian,
25% Hispanic
75% Male
25% Female
14. Describe how individuals who experience homelessness and have serious mental illness, and their
family members, will be meaningfully involved at the organization level in the planning,
implementation, and evaluation of PATH-funded services. For example, indicate whether
individuals who are PATH-eligible are employed as staff or volunteers or serve on governing or
formal advisory boards (see Enclosure 11 – Guidelines for Consumer and Family Participation).
Clients and their family members are encouraged to participate at the organizational level in the
planning, implementation and evaluation of PATH-funded services through the Fresno County
Behavioral Health Board (BHB). The BHB is a public advisory board on adult, children and
justice system mental health and substance use disorder issues. Although at least 50% of the
members of the Behavioral Health Board are mental health clients and/or family members, none
of the PATH-eligible clients have chosen to participate. Additionally, Fresno County DBH
conducts a Community Planning Process to collect stakeholder input for the County's MHSA
Three-Year Plan and Annual Updates, which report on the status of current and future planned
MHSA-funded programs. Kings View PATH encourages clients to attend Behavioral Health
Board and Community Planning Process meetings to provide input and feedback. As
previously identified, Kings View PATH program has hired homeless, mentally ill clients at
various levels of the organization.
15. Describe veteran-specific services your organization will provide. Identify community organizations
that provide veteran-specific services with which the PATH program collaborates.
Kings View PATH is proactive in encouraging veterans to seek services. Clients who self-
identify as a veteran are eligible to all PATH program services in regards to mental health,
substance use and housing services. In addition veterans are referred to programs available
through the Veterans Administration (VA). Veterans who have been Other than Honorably
(OTH) discharged or do not qualify for VA services are linked to other County programs or
community agencies. Kings View has partnered with different agencies to identify and navigate
veterans to appropriate services. Specific services also include transportation to veteran's
services. The ability to work closely with agencies that work with veterans, i.e. contact
information of individuals we can call at any time who are willing to assist in the moment, plays
a key role in successful referral and linkage.
FMCoC and all the agencies participating in the Coordinated Entry System have dedicated to
end chronic homelessness for Fresno veterans. West Care, Turning Point Services of the
Central Valley, Mental Health Systems, Poverello House, Fresno Rescue Mission and others
have all been identified as FMCoC participants providing primary health, mental health,
substance use, housing and/or employment services. In addition, the County maintains a
network of care website specific to veterans at no charge to the client or provider
(www.fresno.networkofcare.org). The website is an active "one stop shop" for services.
State of California – Health and Human Services Agency Department of Health Care Services
Enclosure 6
PATH FY 2018-19
PROVIDER INTENDED USE PLAN
PATH Provider Intended Use Plan – SFY 2018-19 Page 8 of 8
DHCS 1756 (5/18)
16. Provide a detailed budget narrative that provides specifics and calculations used for PATH funds.
The narrative should describe the attached DHCS 1779P – Federal Grant Detailed Program
Budget.
Enclosure 8A DHCS 1779P - County Budget and Enclosure 8B DHCS 1779P - Provider Budget
provides the breakdown of PATH program costs. PATH Allocation ($307,403) and County
Match ($103,374) in the amount of $410,777 will be used to fund contracted services and
administrative cost for the County and Kings View Corporation, while providing outreach, case
management, housing, mental health and/or co-occurring services and linkage to homeless
adults with SMI and/or co-occurring disorder. Staffing costs of $263,283 will fund 4.14 FTE
positions comprised of 0.03 FTE Program Director, 0.04 Operations Manager, 0.54 FTE
Program Manager, 1.2 FTE Case Managers, 2 FTE OEL Coordinators (also may meet
classifications as personal service coordinators/peer support specialists), 0.07 FTE Financial
Analyst and 0.26 FTE Administrative Support, inclusive of personnel taxes and benefits.
Consultant costs include $14,620 for network and data management information services and
the fees for HMIS implementation (training, system licenses and data maintenance). Equipment
costs of $3,906 will provide for the lease of a copier and computer and software expenses.
$16,602 will fund supplies for office operations in the course of providing services to clients
and program supplies to be used in outreach and therapeutic activities. Funding will also
provide for travel cost associated with client services in the amount of $14,490. Other expenses
related to the provision of services to clients include program building utilities of $3,280,
program building rent and maintenance of $26,270, and professional liability insurance and
background checks for staff of $7,484. Direct client support expenses will include $13,500 for
basic life necessities (clothing, food and hygiene supplies) as well as assistance in transportation
and education and employment activities. Client housing support is expected to be $10,000 and
will assist clients in accessing housing, utilities, deposits and one-time payments to prevent
eviction. In addition, funding will provide for administrative costs for the County and Kings
View as the contracted provider in the amount of $37,342 (no greater than 10% of PATH
funding).
State of California - Health and Human Services Agency Department of Health Care Services
Enclosure 7
Corrected 6.1.18
PATH 2018-19 Request for Application
DHCS 1757 (4/13)
FEDERAL BUDGET SUMMARY
TYPE OF GRANT: PATH STATE FISCAL YEAR 2018-19
COUNTY: Fresno
FISCAL CONTACT: Kirk Hill TELEPHONE NUMBER: (559) 600- 4655
E-MAIL ADDRESS: khill@fresnocountyca.gov
a. Personnel
b. Fringe Benefits
c. Travel
d. Equipment
e. Supplies
f. Contractual
g. Construction
h. Other
i. Total Direct Charges (sum of a -h)
j. Indirect Charges
k. TOTALS (sum of i and j)
DHCS APPROVAL BY: jw
TELEPHONE: 9167138751
DATE: 8/24/2018
$ 95,309
$
$
$ 14,490
$ 3,906
$ 16,602
$ 13,120
$ 10,118
$ 105,427
$ 1,500
$
$ 13,343
$ 284,653
$ 31,628
$ 316,281
$
$ 47,191
BUDGET CATEGORIES
$ 211,544
$ 58,266
$
$
$
Object Class Categories
GRANT PROGRAM, FUNCTION OR ACTIVITY
(1) Federal (2) Non-Federal
State of California - Health and Human Services Agency
Enclosure 8
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2018-19
TYPE OF GRANT: PATH
COUNTY: Fresno_______________________ SUBMISSION DATE: 6/15/2018
FISCAL CONTACT: Kirk Hill_________________ PROGRAM CONTACT Janell Sidney Brown
TELEPHONE NUMBER: __600-4655_____________________ TELEPHONE NUMBE 559-600-6831
EMAIL ADDRESS: _khill@fresnocountyca.gov E-MAIL ADDRESS: jsidney@fresnocountyca.gov
PROGRAM NAME: PATH Program_______________________
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 Program Direction 183,666.67$ 0.03 5,510$ 5,510.00$
2 Program Manager 110,370.37$ 0.54 59,600$ 59,600.00$
3 Case Managers 44,960.83$ 1.2 53,953$ 53,953.00$
4 Outreach Engagement Linkage (OEL)34,589.50$ 2 69,179$ 69,179.00$
5 Financial Analyst 47,414.29$ 0.07 3,319$ 3,319.00$
6 Administrative Support 41,923.08$ 0.26 10,900$ 10,900.00$
7 Operations Manager 63,900.00$ 0.04 2,556$ 2,556.00$
8 Benefits & Taxes 58,266$ 58,266.00$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)526,825$ 4.14 263,283$ -$ 263,283$
13 Consultant Costs (Itemize):-$
14 Consultant Network & Data Management 13,120$ 13,120$
15 Consultant (HMIS training, user licenses & Maint)1,500$ 1,500$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):-$
18 Equipment Rent/Lease 2,706$ 2,706$
19 Computers & Software 1,200$ 1,200$
20 -$
21 -$
22 Supplies (Itemize):-$
23 Office Supplies & Equipment & Postage 6,422$ 6,422$
24 Telephone 5,280$ 5,280$
25 Program Supplies - Outreach 4,900$ 4,900$
26 -$
27 -$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease 14,490$ 14,490$
29 -$
30 Other Expenses (Itemize):-$
31 Utilities 3,280$ 3,280$
32 Client Housing - One Time Emergency Housing 10,000$ 10,000$
33 Client Clothing, Food & Hygiene 2,500$ 2,500$
34 Client Transportation, Education & Employment 843$ 10,157$ 11,000$
35 Building Rent/Lease & Maintenance 26,270$ 26,270$
36 Liability/Professional Liability Insurances & Staff Background Checks 7,484$ 7,484$
37 COUNTY ADMINISTRATIVE COSTS (10% PATH)29,874$ 7,468$ 37,342$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)308,000$ 102,777$ 410,777$
39 OTHER FUNDING SOURCES: Federal Funds
40 Non-Federal Funds
41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$
42 GROSS COST OF PROGRAM (sum lines 38 and 41)308,000$ 102,777$ 410,777$
DHCS APPROVAL BY: jw
TELEPHONE: 9167138751
DHCS 1779 P (4/13)DATE: 8/24/2018
Department of Health Care Services
State of California - Health and Human Services Agency
Enclosure 8A -
Corrected 6.21.18
FEDERAL GRANT DETAILED PROGRAM BUDGET
STATE FISCAL YEAR 2018-19
TYPE OF GRANT: PATH
COUNTY: Fresno SUBMISSION DATE: 15-Jun-18
FISCAL CONTACT: Kirk Hill PROGRAM CONTACT : Janell Sidney Brown
TELEPHONE NUMBER: (559) 600- 4655 TELEPHONE NUMBER: (559) 600-6831
EMAIL ADDRESS: khill@fresnocountyca.gov E-MAIL ADDRESS: Jsidney@fresnocountyca.gov
PROGRAM NAME: PATH Program
STAFFING 1 2 3
ANNUAL GRANT FEDERAL PATH NONFEDERAL MATCH
TITLE OF POSITION SALARY FTE AMOUNT AMOUNT TOTAL
1 Staff Analyst 73,034 0.09 6,527$ 6,527.00$
2 -$
3 -$
4 -$
5 -$
6 -$
7 -$
8 -$
9 -$
10 -$
11 -$
12 TOTAL STAFF EXPENSES (sum lines 1 thru 11)73,034$ 0.09 6,527$ -$ 6,527$
13 Consultant Costs (Itemize):-$
14 -$
15 -$
16 -$
17 Equipment (Where feasible lease or rent) (Itemize):-$
18 -$
19 -$
20 -$
21 -$
22 Supplies (Itemize):-$
23 -$
24 -$
25 -$
26 -$
27 -$
28 Travel -Per diem, Mileage, & Vehicle Rental/Lease
29 -$
30 Other Expenses (Itemize):-$
31 -$
32 -$
33 -$
34 -$
35 -$
36 -$
37 COUNTY ADMINISTRATIVE COSTS (10% PATH)1,754$ 2,650$ 4,404$
38 NET PROGRAM EXPENSES (sum lines 12 thru 37)8,281$ 2,650$ 10,931$
39 OTHER FUNDING SOURCES: Federal Funds
40 Non-Federal Funds
41 TOTAL OTHER FUNDING SOURCES (sum lines 39 & 40)-$ -$ -$
42 GROSS COST OF PROGRAM (sum lines 38 and 41)8,281$ 2,650$ 10,931$
DHCS APPROVAL BY: jw
TELEPHONE: 9167138751
DHCS 1779 P (4/13)DATE: 8/24/2018
Department of Health Care Services
1
2
3
4
5
6
7
8
9
1 0
11
1 2
13
14
15
1 6
17
1 8
19
20
2 1
22
23
24
25
2 6
27
28
PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PA TH)
GRANT APPLICATION FY 2018-19
ATTEST :
Fund/Subclass: 0001/10000
Organization: 56302493 ($421 ,708)
Account/Program: 4375 /0
COUNTY OF FRESNO
Date: /0 •-@-~ -\ ~
ATTEST :
Bernice E. Seidel
Clerk of the Board of Supervisors
County of Fresno , State of California
Date: _i~O-· d~G_-_l_~_
-1 -COUNTY OF FRESNO
Fresno , CA