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HomeMy WebLinkAbout2007/08/07 Item 12 CITY COUNCIL AGENDA STATEMENT ~I'f::.. CITY OF ~CHULA VISTA AUGUST 7, 2007, Item~ SUBMITTED BY: REVIEWED BY: Resolution Accepting a grant from Scripps Health Community Benefit Fund to continue the development of Senior Wellness through Action and Education with a collaborative between Norman Park Center and Scripps Mercy Hospital Chula Vista Well Being Center, and appropriating funds therefore ~ DrnECTOROFRE~CN CITY MANAGER ASSISTANT CITY A ER ITEM TITLE: 4/5THS VOTE: YES ~ NO D BACKGROUND The intent of this grant, "Happy Healthy Seniors," is to expand the existing Recreation Department's efforts to address components of health and wellness for persons 50+, through health presentations, a men's support group, a health camp for seniors, supervised fitness center classes and a health fair. The Scripps Health Community Benefit Fund is providing $39,800 to expand Senior Wellness Through Action and Education, per the attached agreement (Attachment "A"). ENVIRONMENTAL REVIEW The Environmental Review Coordinator has reviewed the proposed activity for compliance with the California Environmental Quality Act (CEQA) and has determined that the activity is not a "Project" as defined under Section 15378 of the State CEQA Guidelines because it does not involve a physical change to the environment; therefore, pursuant to Section 15060(c)(3) of the State CEQA Guidelines the activity is not subject to CEQA. Thus, no environmental review is necessary. RECOMMENDATION That Council adopt the resolution accepting a grant from the Scripps Health Community Benefit Fund for the continued development of Senior Wellness through Action and Education, amending the FY08 Recreation Department budget by appropriating $11,363 in Personnel Services and $28,437 in Supplies and Services based on unanticipated revenue. 12-1 AUGUST 7, 2007, Item.-L Page 2 of2 BOARDS/COMMISSION RECOMMENDATION Not applicable. DISCUSSION The Senior Wellness through Action and Education program started in the spring of 2006 with a $25,000 grant award from the Scripps Health Community Benefit Fund. This collaboration between the Chula Vista Recreation Department's Senior Section and Scripps Mercy Hospital Chula Vista Well Being Center addressed components of health and wellness for persons 50+ through health presentations, supervised fitness center activity and extended hours, and a walking program at the Chula Vista Marina. Community health fairs were also held at Norman Park and Otay Recreation Center The proposed grant funding for "Healthy Happy Seniors" will expand the Senior Wellness through Action and Education program. The goal is to continue monthly health presentations, sponsor a monthly men's support group lunch facilitated by a Scripps doctor, and hold a community health fair at Norman Park Center to promote prevention and wellness with a variety of health screenings. The development of a health camp for seniors, "Camp Scripps", will provide an opportunity for seniors to get an inside look at hospital operations with a healthy lunch provided each day. The Norman Park Fitness Center will offer special classes that address posture, strength, balance, joint mobility and flexibility. New equipment will be purchased and staff will be trained to develop a Pilates program that focuses on the needs of the over fifty population in Chula Vista. Four senior volunteer promotoras will be recruited, trained and supervised as they provide outreach at senior residences, mobile home parks and to senior social groups about important health issues. The volunteers will receive stipends through gift cards. DECISION MAKER CONFLICT No Property within 500 feet Staffhas reviewed the property holdings of the City Council and has found no property holdings within 500 feet of the boundaries of the property which is the subject of this action. FISCAL IMPACT The FY08 General Fund budget for the Recreation Department is proposed to be amended by $39,800 for the Happy Healthy Seniors: Senior Wellness through Action and Education Grant fully funded by the Scripps Health Community Benefit Fund, with no net impact to the General Fund. The $39,800 grant will be allocated as follows: $11,363 in Personnel Services and $28,437 in Supplies and Services. Full payment of the grant award will be made to Norman Park Center following Scripps' receipt of the signed contract. ATTACHMENTS Attachment "A"- Scripps Health Community Benefit Fund Grant Contract and Application. Prepared by: Kathy Wigginton. Recreation Supervisor IlL Recreation 12-2 t). Scripps Chris D. Van Gorder, FACHE President and Chief Executive Officer Scripps Health June 14, 2007 4275 Campus Point Court San Dlego, CA 92]2]-]5]3 Buck Martin Director of Recreation Norman Park Senior Center 276 Fourth Avenue Chula Vista, CA 91910 rei 858-678-7200 Fax 858-678-6767 RE: Scrip I)' Health Communitv Benefit Fund ~~W)!,f)D cffy'(jjltl100~A/I!lP.A Jl.!JIij'l220~200~i Dear Mr. Martin: R~GR!!',*iOOib~~~U~!illfT Congratulations! Your application for funding has been approved in the amount of $39,800 through the Scripps Health Community Benefit Fund. We believe that the Senior Wellness Through Action & Education: A Collaborative Between Norman Park Ct:I1ter & SClipps Mercy Hospital Chula Vista Well Being Center is in keeping with the S:ripps mission and values (quality, efficiency and respect). and complements our efforts to improve the overall health of the communities we serve. Enclosed you will find a copy of the Community Benefit Fund CO:1traet. Provided the contract meets with your approval, please sign and return it to Scripps. This is a grant for a period of one year beginning; on the date of this letter. Full payment of the grant award will be made to Norman Park Centn following Scripps' recetpt of the signed contract. A semi-annual report and a line item fin;mc;ai accounting ofthc grant disbursement to date will be due on Fri:iay, November 9, 2007. This semi-anuual report shall include progress made toward medill~ objectives outlined in the grant application. A final repNt is due within thirty (30) cays fe'lIo',. ing thc expiration date of the grant. L, addition to the progress made toward meeting the objectiver. ""t!ined in the grant application, the final report shall include quantitative and quahtative results oJ'the- progcam against its stated goals and objectives. A financial accounting ofthe grant disbursemem against the budget must be included as part of thi, tinal report. In order to improve the process nnd ensure that e~ch grantee's experience with Scripps is as positive as possible, we welcome your continued feedback. Anette BI~!t, Manager of Community Benefit Services, will be in ,'oninct with you to arrange activities to cmy,memorate the grant award and to address any questlons and/or concerns you may have. If you ;'Icrd additional assistance, you may reach Ms. Blatt via phone or e-mail (858-678-7095, bIatt.ane:~e@1:crippsheulth.org). We are very proud to be partneling with you. Scripps Jnoks forward to working with Norman Park Senior Center in support of this exeitillg eommur.ity health irr;pr;wement endeJvor. Chris Van Gordcr President an<l ChielTx'~cutive Officcr CVG:jb Enclosure cc: Kathy Wigginton . Scripps Health. Scripps Green Hospital' Scripps Memorial Hospital Encinitas . Scripps Memorial Hospital La Jolla' Scripps !\.1ercy Hospital Scripps Mercy HospItal Chula Vista. Scripps Home He~I~I:-Eoae . Scripps Clinic' Scripps Mercy Medical Group The Whittier Institute for Diabetes' Scripps Health Foundation AH-~ A Scripps Health Community Benefit Services 4275 Campus Point Court, CP 113 San Diego, CA 92121 Te1858-678-7095 Fax 858-678-6131 t). Scripps SCRIPPS HEALTH COMMUNITY BENEFIT FUND GRANT CONTRACT PROJECT TITLE: Senior Wellness through Action and Education; A Collaborative Between Norman Park Center And Scripps Mercy Hospital Chula Vista Well Being Center GRANTEE: Norman Park Center, Recreation Department, City of Chula Vista MAILING ADDRESS: 270 F Street, Chula Vista, CA 91910 PROGRAM DIRECTOR: Buck Martin PERIOD OF GRANT: June 1,2007 to May 31, 2008 GRANTED FUNDS: $39,800 I Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: I1pmtrpt 12-4 t)o Scripps Scripps Health does hereby grant Norman Park Center, Recreation Department, City of Cbula Vista funds in the amount of $39.800 subject to the following terms and conditions ("Grant Contract"): 1. Use of Grant Funds: A. Grant funds are to be applied as set forth in the 2007 Community Benefit Fund Budget Sheet ("Budget") in Grantee's grant application to Scripps Health dated 1/31/07 for funds from its 2007 Community Benefit Fund. A copy of the grant application is attached hereto as Exhibit "A" and made a part hereof for all purposes. B. Grant funds must be expended as set forth in the Budget and no changes or modifications to the Budget or to the persons named as personnel in the grant application, or to Norman Park Center, Recreation Department, City of Cbula Vista project as described in the grant application, may be made without the prior written approval of Scripps Health. 2. Termination of Grant Within twenty-four (24) hours ofthe occurrence of anyone or more of the following events, grantee shall provide written notice thereof to Scripps Health, cease any and all expenditures of grant funds and return to Scripps Health any and all remaining grant funds. Scripps reserves the right to terminate the grant funds: A. The grant funds cannot be expended in accordance with the Budget; B. The personnel and/or Norman Park Center, Recreation Department, City of Chula Vista project is changed and any or all of these changes are not approved by Scripps Health. C. Grantee loses or changes its Internal Revenue Service tax-exempt status. D. Grantee fails to comply with Section 3A. 2 Updated: 4113/06 ab Legal Review: 3/21/03 rs Ref: IIpmtrpt 12-5 t). Scripps 3. Reports/Submission Items: Grantee shall submit to Scripps Health, attention Manager of Community Benefit Services at 4275 Campus Point Court, CPl13, San Diego, CA 92121, the following: A. A semi-annual summary progress report and a line item financial accounting of the grant disbursement to date shall be completed on or before Friday, November 9, 2007 of the grant period. Reports shall include, but not be limited to, progress made toward meeting objectives outlined in the grant application. B. Within thirty (30) days following the expiration date of the grant a final progress report shall be submitted to Scripps Health. In addition to the progress made toward meeting the objectives outlined in the grant application, the Final Report should include quantitative and qualitative results of the program against its stated goals and objectives. A line item financial accounting of the grant disbursement against the budget must be included as part of this final report. C. The Grantee shall provide Scripps Health with any additional information or progress updates, relative to grant project, as reasonably requested. D. Scripps Health reserves the right to audit expenditures and supporting documentation. 4. Standards To maintain high quality assurance standards, Scripps Health reserves the right for Scripps Health staff and/or representatives to visit the Grantee's site and/or program as deemed necessary or appropriate, expected to be about twice yearly. Such visits will provide assurance of quality in addition to the written progress requirement of Scripps Health as outlined above. Grantee agrees to provide access to facility, personnel and records at the request of Scripps Health for such purposes. 3 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref, IJpmtrpt 12-6 t). Scripps 5. Grant Payments This is a grant for a period of one year beginning on June 1,2007. Grant funds shall be made to the Grantee upon receipt by Scripps Health ofthis Grant Contract executed by both parties. Payment will be made payable to City of Chula Vista Recreation Department (Memo: Norman Park Center, Recreation Department, City of Chula Vista and mailed to 270 F Street, Chula Vista, CA 91910. 6. Promotion and Publications A. Scripps Health may release information regarding this Grant, including picture(s) ofthe program/project, as well as the research summaries and Final Report, to the general public and news media. Grantee represents to Scripps Health that it has the authority to grant Scripps Health the right to publish the works and photographs of the program/project. B. Grantee may release information regarding this Grant to the public and news media, upon the following terms and conditions: 1) Grantee must acknowledge Scripps Health as a funding source on all publications related to this Grant in clear, unambiguous and readily- identifiable fashion, such as "supported by a grant from Scripps Health", 2) Grantee will present to Scripps Health for its approval, prior to printing, distribution, publication, display, or use, any and all promotional materials, publications, articles, pictures, press releases and scripts of all statements, oral or written, to be made by Grantee, its agents or spokespersons, which use or refer to Scripps Health, 3) Copies of all other news releases, articles, pictures and any and all other published material, which may develop in connection with the Grant must be furnished to Scripps Health by Grantee prior to publication. C. The Grantee shall make itself available to work with Scripps Health to identify and participate in a public event to commemorate the grant award. 4 Updated: 4/13/06 ab Legal Review: 3121/03 rs Ref: JIpmtrpt 12-7 t). Scripps 7. Non-Guarantee of Additional Support This grant is accepted by Grantee with the understanding that Scripps Health is not obligated to provide any additional financial support, or other support, to Grantee, its agents or spokespersons, in connection with the Grant, the Grant Contract, and the project or for any other reason. 8. Governmental Compliance Grantee will cooperate with Scripps Health in supplying additional information to Scripps Health, or in complying with any procedures which might be required by any governmental agency in order for Scripps Health to establish that it has observed all requirements ofthe law with respect to this Grant. 9. Authority All persons and individuals executing this Grant Contract certify and warrant that they have the capacity and have been duly authorized to execute this Grant Contract on behalf of the entities so indicated and that no additional authorization or approval is required. 10. Independence Grantee understands and warrants that it is an organization or entity distinct and independent form Scripps Health that this grant is solely a funding mechanism and does not create between the parties a partnership or joint venture and that Grantee shall indemnify and hold Scripps Health and its agents harmless from any liability arising from Grantee's use of this grant. 11. Entire Agreement This Grant Contract supercedes any prior understanding or oral agreements between the parties regarding the subject matter hereof and constitutes the entire understanding and agreement between the parties with respect to the subject matter hereof, and there are no 5 Updated: 4/13/06 ab Legal Review: 3/21103 rs Ref: Ilpmtrpt 12-8 t). Scripps agreements, understandings, representations or warranties among the parties other than those set forth herein. 12. Governing Law This Grant Contract shaH be governed by and construed in accordance with the laws of the State of California. This Grant is expressly conditional upon Grantee's acceptance of the terms and conditions set forth above. The signature on this Grant Contract by an authorized representative of Grantee represents Grantee's acceptance of this award and agreement to comply with all of the above terms and conditions. AGREED TO AND ACCEPTED BY: Scripps Health '0f{ftYVVL---' June K~ar : \..- Senior Vice President Strategic Planning and Business Development Date: (;//1/67- I I Grantee: /)~.J~+O( Date: 7//7/0; , Buck Martin Director of Recreation Attachments to Grant Contract: Exhibit A, Grant Application Exhibit B, Semi-Annual Progress Report Exhibit C, Year-End Final Report 6 Updated: 4/13/06 ab Legal Review: 3121/03 rs Ref: Ilpmtrpt 12-9 t)- Scripps Exhibit A, Grant Application 7 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: IIpmtrpt 12-10 t). Scripps SCRIPPS HEALTH COMMUNITY BENEFIT FUND 2007-2008 PROPOSAL TEMPLATES PROPOSAL ARE DUE TUESDAY, JANUARY 31,2007 Please Complete and Mail or Deliver Proposals to: Anette Blatt, Manager of Community Benefit Services Scripps Health 4275 Campus Point Court, CPl13 San Diego, CA 92121-1513 2007 COMMUNITY BENEFIT FUND COVER SHEET (1 OF 2) APPLICANT INFORMATION Name of organization: Norman Park Senior Center Address: 270 F Street Chula Vista, CA 91910 Contact Name (first & last) Title KAREN HARVELL Recreation Supervisor III Phone Number Fax Number E-mail Address 619-691-5086 619-476-8167 kharvell@ci.chula-vista.ca.us PROGRAM INFORMATION Program/Project Name (Please do not name "Scnpps Community Benefit Fund"): Ha Health Seniors: Senior Wellness throu h Action and Education County Region of Focus (San Diego County region where target population is located): o Central 0 North Central 0 North Inland 0 All Regions o East 0 North Coastal x South Is this a 0 NEW or ~ EXPANDED program OR an 0 ONGOING prOgram/project? Amount Requested: $39,883 Total Project Budget: $60,783 Provide a brief explanation of the proposed program/project. Note: In a few sentences, this section should provide the reader with a dear understanding of the overall intent of the project. (Not to exceed 100 words): The overall goal of "Healthy Happy Seniors" is to expand our existing efforts 50 as to increase health awareness and prevention for 6,400 seniors by respectfully addressing components of health and wellness well-being for persons 50+ through monthly senior health presentations, a monthly men's support group, a health camp for seniors to give them an inside look at hospital care and preventive services, supervised fitness activity activities to include balance and flexibility workshops that address fall prevention, joint mobility and flexibility and a health fair. All program activities will be collaboratively implemented with Scripps Mercy Hospital Chula Vista Well Being Center. x Yes No 2006 $25.000.00 Happy Healthy Seniors: Senior Wellness throu h Action and Education ABl 0/3 1/06 12-12 2007 COMMUNITY BENEFIT FUND COVER SHEET (2 OF 2) Organization Type Fundmg IS available for government agencles/dlstncts and non-profit corporations or organizations that can rovide the followin information and documentation. Private Non-profit Federal Tax 1.0. # x Government Agency/District #956000690 Applicant Organization Certification and Acceptance Name and title of offiCIal signing for applicant organization (President/CEO, Executive Director or Administrator): Karen Harvell, Recreation Supervisor III, City Of Chula Vista Recreation Department I certify that the statements herein are true and complete to the best of my knowledge and accept the obligation to comply with the Scripps Health terms and conditions if a grant is awarded as a result of this application. Sionature: C"'\ ,'( 'v,. [',-_ LUl/vv ::1- ( Date: /, ?;(, ( f If the proposal is funded, the clleek should be made out to: City of Chula Vista Recreation Department memo: Norman Park Center 2 ABJO/31/06 12-13 2007 COMMUNITY BENEFIT FUND NARRATIVE (1 OF 6) PROGRAM INFORMATION Organization Name:Norman Park Senior Center Program/Project Name: EDUCATION HAPPY HEALTHY SENIORS: WELLNESS THROUGH ACTION AND ABIO/31/06 12-14 Background INeeds and Program Intent Bnefly describe the speCIfic Issue your proposal will address. You should provide a bnef history of how this issue has evolved in the environment in which your project or activity will focus, and note any previous effort by your organization or others to address the issue. This section should give a clear sense of the scale of the problem and how it is related to improving health or health systems in communities. You should also give an overview of the intent of the program/project. Describe the work that you are proposing to do to address the specific issue that you have identified. (400 words): Healthy Happy Seniors program goal is to respectfully address components of health and wellness for persons 50 + through effective strategies that have proven effective over the last funding period. The goal of the project is to respectfully address components of health and wellness for persons 50 + through health presentations, a men's support group, a health camp for seniors, supervised fitness center classes and a health fair. This project will: Expand Scripps Mercy Hospital Chula Vista's relationship with the senior community Enhance and expand an existing successful hospital/senior community partnership Educate seniors through 12 (twelve) quality health and wellness programs. Encourage health behavior and show seniors how to participate in their health care. Enhance awareness of health services in the community through 1 health fair at Norman Park in Chula Vista. Screenings at health fairs will honor the dignity of all persons. Promote prevention and wellness by encouraging healthy behavior. Advertise programs to "improve access to health care" through newsletters and publicity flyers. Send press releases to 20+radio, television and news contacts for each program Provide seniors with quality opportunities for fitness classes that address posture, strength, balance, joint mobility and flexibility Provide seniors with fitness equipment to enhance their strength and flexibility through the purchase of equipment Sponsor monthly men's support group lunches facilitated by a Scripps Doctor Provide an opportunity for seniors to get an inside look at hospital operations by participating in "Camp Scripps" Develop a Pilates program that focuses on the needs of the over fifty population in South Ba 2 AB I 0/31/06 12-15 2007 COMMUNITY BENEFIT FUND NARRATIVE (2 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name: Education Happy Healthy Seniors: Senior Wellness through Action and Target population Bnefly describe the populatIon that will tie served by the program and Identify how the population wIll be reached (150 words): Seniors 50+ residing in the South Bay area will be served by this project. This includes diverse ethnic groups of seniors ages 50 to 9S. Over 27,000 seniors attend Norman Park Center in a three-month period. The center specifically hosts programs for American, Korean and two Spanish groups and also offers Chinese and Spanish language classes. Many of the participants at Norman Park have good relations with their primary care providers, however, some do not. Access is limited for some and health education needs to be increased. The seniors will be targeted to participate in program activities through: . Scripps newsletters and community programs . Quarterly brochures published by the recreation department and distributed City. . 1500 Bi monthly calendars distributed to seniors at the senior center and mailed to senior living facilities. . 20 press releases sent to television, radio and newspaper contacts for each event. . Personal announcements made at existing programs held at Norman Park . Notices on the City Of Chula Vista and life Options websites . Flyer distribution to South Bay collaborative, libraries and providers of senior services. . Personal reminder calls to seniors registering for programs made by volunteers. 3 AB I 0/3 1/06 12-16 2001 COMMUNITY BENEFITFUNrrNARRATrvK~(30F 6) PROGRAM INFORMATION OrganIZation Name: Norman Park Senior Center Program/Project Name Happy Healthy Seniors: Senior Wellness through Action and Education Anticipated Outcomes and Measurement Briefly descnbe what outcomes are expected as a result of the program/project and how they Will be measured. Applicants are asked to provide specific outcome numbers including the number of people who are expected to be served. Demonstrate that the program does not duplicate any direct care services already available in the community (200 words): Obiective 1: Increase Access, Education and Awareness of Health Care to 420 seniors Activities . Provide monthly education to seniors through 12 (twelve) quality health and wellness programs. . Advertise programs to "improve access to health care" through newsletters and publicity flyers. . Send press releases to 20+radio, television and news contacts for each program . Provide an opportunity for seniors to get an inside look at hospital access and operations by participating in "Camp Scripps" . Provide a health fair with health screenings targeting seniors Evaluation Written surveys by participants will quantify the pertinence, quality and learning points of each presentation. Obiective 2: Increase Physical Activity and Well-Being for 1,300 Seniors Activities . Provide seniors with quality opportunities for fitness classes that address posture, strength, balance, joint mobility and flexibility . Provide seniors with fitness equipment to enhance their strength and flexibility through the purchase of equipment . Develop a Pilates program that focuses on the needs of the over fifty population in South Bay . Seniors will participate in specialized Fall prevention, balance and flexibility programs that provide a social environment for the development of strength, flexibility and health habits. Evaluation . Use of the fitness center will be measured daily attendance and class attendance in the fitness center. . Participants will keep personal records of their workouts. . Seniors will be surveyed to assess health access and awareness. 4 AB 10/31/06 12-17 Obiective 3: Increase Psychosocial Support for Seniors Activities . Sponsor monthly men's support group lunches facilitated by a Scripps Doc to offer senior men in the community a venue to discuss personal health issues. . Camp Scripps will provide an opportunity for seniors to get an inside look at hospital care, an ambulance, specialized programs and services. Participants will get t shirts for attending and will be provided a healthy lunch each day of camp . promotoras (4) will be trained by Scripps Health and Well Being center staff to provide health information to 50 seniors per month. . Norman Park staff will recruit seniors, track attendance, set up training dates. . promotoras will speak at senior residences, mobile home parks and to senior social groups about important health issues. Overall Evaluation All proposed program activities would be evaluated through a variety of qualitative and quantitative measures. Baseline data will be collected through a participant questionnaire that will collect information regarding demographics and access to health care. These programs do not duplicate any direct care services already available in the community. . There are no senior fitness centers in West Chula Vista. The YMCA located in East Chula Vista has a family fitness program and encourages senior membership at a cost. Our project would afford seniors low cost access to fitness equipment supervised by professional trainers. . There is no other senior center like Norman Park in the South Bay area that offers a large variety of classes and has the diversity and high attendance as documented by Norman Park. . This is a unique partnership between Scripps Mercy Hospital Chula Vista's Well- Being Center and Norman Park. 5 AB 10/31 /06 12-18 2007 COMMUNITY BENEFIT FUND NARRATIVE (4 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH ACTION AND EDUCATION Sustainability Plan Programs must Incorporate a sustalnablhty plan, Identifying how the program/project will be supported when the Scripps Health funding ends. Include a project funding plan for the year and any progress or plans for sustainability of the project after the initiative ends in 2007 (100 words): OVERALLSUSTAINABIUTY Through the course of this expanded project, sustainability will be identified through grant opportunities and continued collaboration with Scripps Mercy Hospital Chula Vista Well Being Center and other agencies. This proposed expansion is a model for partnership between a community-based senior center and Scripps Mercy Hospital Chula Vista for our continued successful programs FITNESS PROGRAM Last year, the City Of Chula Vista funded the fitness center to be open 18 hours a week. The Scripps grant provided 10 additional hours for the facility to be open last year. The City has incorporated those hours into their 07-08 budget. The purchase of additional fitness equipment funded through this grant will encourage a broader membership base. Revenue from memberships fees will demonstrate justification to continue the program when grant funding ends. Classes offered through this grant will continue on a small fee basis to cover the cost of the instructor once the program is established. HEALTH TALKS and MEN'S SUPPORT GROUP The center currently offers health programs from a variety or organizations. Grant funding will provide funds to call and remind seniors who have pre-registered to attend, provide refreshments and extra incentives for seniors to attend. The senior center, through this grant, will enhance their working relationship with Scripps Mercy Hospital Chula Vista Well- Being Center and continue to offer health talks and the men's support group as a regular part of programming when funding ends. HEALTH FAIR Health Fairs require intensive planning. Once the health fairs have been designed it is possible that in the future and intern could organize a health fair. CAMP SCRIPPS This program requires heavy support from Scripps Well Being Center. Norman Park will coordinate publicity, recruit and register seniors and collaborate with Scripps Well Being Center to develop an informative, fun, educational camp for seniors. PROMOTORAS Seniors participating in these programs may see the value of what they are contributing to the community and choose to volunteer to continue when the grant has ended. 6 AB 1 0/3 1/06 12-19 2007 COMMUNITY BENEFIT FUND NARRATIVE (5 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:Happy Healthy Seniors: Senior Wellness through Action and Education Applicant Organization Briefly describe your organization including the mission, vision and values. To the degree possible articulate how your organization's values align with the Scripps Health values of quality, efficiency and respect (not to exceed 100 words): Norman Park Senior Center is an established one stop shop for residents in South Bay who are looking for programs and services for persons 50+. The center directly serves independent seniors with educational, recreation and physical activity programs and provides information and referral services to all community members regarding programs and services for seniors. Nonprofit support agencies including Meals on Wheels, Lutheran Social Services, Senior Legal Services and Aging and Independence Services outreach, have offices on the 2nd floor of the building. Seniors from all over the South Bay region participate in activities at Norman Park as it offers the most comprehensive senior programming in South Bay and is open 72 hours a week. The center also has a safety net program for at risk seniors. The Senior Center is funded through the Recreation Department of the City of Chula Vista. The Recreation Department mission, Vision and Values are as follows: . Mission: UWe enrich the community through recreation opportunities and services." . Vision uOur vision is a community that achieves learning, self-discovery, balance and essential life skills through recreation." . Values: Integrity, Respect, Professionalism, Accountability, Commitment, Teamwork and Fun The Recreation Department values of ResDect and Professionalism are also values of Scripps. Scripps "Quality of service" relates to professionalism and accountability values of the Recreation Department. By caring for patients in a responsible and efficient manner, Scripps demonstrates commitment and teamwork, which are also values of the Recreation Department. 7 AB I 0/31106 12-20 2007 COMMUNITY BENEFIT FUND NARRATIVE (6 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:HAPPY HEALTHY SENIORS: WELLNESS THROUGH AmON AND EDUCATION Affiliated Community Organizations If other community organizations are involved in the program/project please identify what they are and how they are involved (100 words): This proposed expansion is a collaborative effort between Scripps Mercy Hospital Chula Vista's Well-Being Center. Additional important partners include The City Of Chula Vista Recreation Department, local community college and adult schools. Senior Center supervisors will be involved in processing and supervision of the project. A City Of Chula Vista graphic artist will design publicity flyers. City Of Chula Vista fitness specialists will teach the fitness classes and the Recreation Department's Life Options program coordinator will recruit and schedule promotoras. Chula Vista Adult School and Southwestern College instructors will assist in the recruitment of seniors for programs both at Norman Park and throughout the community. Volunteer groups teaching and leading classes at the senior center will assist in the publicity of programs designed for this project. Some of these classes include World Affairs, Craft groups, art classes, exercise classes, language groups and computer classes. South County Action Network, a network of agencies serving seniors in South Bay will assist in the promotion of activities. 8 AB10/31/06 12-21 2007 COMMUNITY BENEFIT FUND BUDGET SHEET (1 OF 2) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:Happy Healthy Seniors: Senior Wellness through Action AND EDUCATION Jul 1 2007 OPERATING List Program Specific Position Titles & Salaries: 1. Recreation $7.950 $7950 specialists, leader 2. Recreation $3000 Supervisor $5000 Fringe Benefits & Payroil $413 $413 Taxes Consultants & Professional $ 1000 $ Fees graphic artist Travel $100 $ Consumable Supplies $13.260 $13.260 Printing & Copying $500 $ Telephone & Fax $200 $ Postage $100 $ Rent & Utilities $17.000 $ Other Operating Expenses (specify): 1. promotional t shirts $900 $900 2.Promotoro stipend $4000 $4000 3.Volunteer stipends for $360 $360 office work TOTAL OPERATING $50.783.00 $29.883.00 EXPENSES f AB 10/31/06 12-22 2007 COMMUNITY BENEFIT FUND BUDGET SHEET (2 OF 2) PROGRAM INFORMATION Organization Name: NORMAN PARK SENIOR CENTER Program/Project Name: AND EDUCATION HAPPY HEALTHY SENIORS: WELLNESS THROUGH ACTION REQUESTED ITEM PROPOSED PROJECT % OF TIME FROM SCRIPPS BUDGET HEALTH CAPITAL Equipment (specify): Fitness center $5000 $5000 Other Capital Expenses (specify): 1. Training $5000 $5000 2. $ $ 3. $ $ 4. $ TOTAL CAPITAL $10.000 $10.000 EXPENSES TOTAL PROJECT $60.783 $39.883 BUDGET Number of units or persons served 6352 Per unit cost': $6.28 . To calculate. divide the total project budget by the total number of units or persons served by the program/project. 2 ABIO/31/06 12-23 2007 COMMUNITY BENEFIT FUND BUDGET NARRATIVE (1 OF 1) PROGRAM INFORMATION Organization Name:Norman Park Senior Center Program/Project Name: HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH ACTION AND EDUCATION Budget Narrative A detailed budget narrative of proposal expenses must accompany the budget. For each line item In the budget, please provide a brief description of how the funds will be used and why they are programmatically necessary. You may use this space for any explanatory information that would help us understand your project budget, including in-kind donations, number of full- time equivalent staff on the project, explanation of specific budget items, overhead rates, etc. (100 words): Recreation Specialists will write press releases, make arrangements for refreshments, register seniors for the programs and make all room arrangements. These tasks are necessary in order to have well attended programs. Recreation supervisor will oversee entire project. The City Of Chula Vista graphic artist will create flyers and all publicity documents including all Scripps logos. Professionally crafted flyers attract the consumers attention. Mileage will be reimbursed for miles traveled in personal cars for all aspects of these programs. Consumable supplies include all refreshments, incentives, t-shirts and promotional materials that will be provided for the seniors. These consumables attract the seniors and keep them coming back. Often the senior, because they have enjoyed a program, will bring a friend to the next one. Printing, telephone and Fax, Postage and Rent are a portion of the overall operating expenses for this project. Training will certify the fitness staff to provide specialized, prOfessional, safe programs. When working with this special population, training of staff is required to ensure the participants safety and to teach modified exercises. Fitness equipment will be purchased to provide opportunities for seniors to work independently once they are trained on equipment that addresses issues of joint mobility, balance and flexibility. Promotoras and other senior volunteers will receive stipends to perform their duties in a professional manner. Fitness center equipment will provide tools for seniors to improve their balance, flexibility and overall strength. Training funds will be used to train staff to provide a safe, age appropriate pilates program. ABIO/31/06 12-24 2007 COMMUNITY BENEFIT FUND REVENUE SHEET (1 OF 1) PROGRAM INFORMATION Organization Name: NORMAN PARK SENIOR CENTER Program/Project Name: HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH ACITON AND EDUCATION Government Grants & Contracts (specify): 1. 2. 3. 4. Foundations (specify): 1. 2. 3. 4. Corporations (specify): 1. 2. 3. 4. United Way/Other Federated Campaigns Individual Contributions/Donations Special Events & Other Fundraisers Membership Dues fitness center memberships Earned Income In-kind Contributions Other (specify): 1. City of Chula Vista General Fund for Norman Park Senior Center 2. 3. 4. TOTAL REVENUE $ $ $ $ $ $ $ $ $ $7500 $ $ $13.400 $ $ $ $ $ $ $ $20.900 $39883 NOTE: THE TOTAL REVENUE AMOUNT CONFIRMED PLUS THE TOTAL REVENUE AMOUNT PROJECTED SHOULD EOUAL THE TOTAL PROJECT BUDGET. 2 AB 1 0/31/06 12-25 t)- Scripps Exhibit B, Semi-Annual Progress Report 8 Updated: 4/13/06 ab Legal Review; 3121/03 rs Ref:I1pmtrpt 12-26 SCRIPPS HEALTH 2007 COMMUNITY BENEFIT FUND Semi-Annual Month Progress Report 1 PROGRAM INFORMATION i Organization Name: Program/Project Name: Time Desired Frame Status I Outcome Strategy(s} Measurement s Baseline (Start and End Outcome Dates . . . ~ "" !. -.J . . . I. . . . . . . 1 of 1 t). Scripps Exhibit C, Year End Final Report 9 Updated: 4/13/06 ab Legal Review: 3121/03 rs 12-28 Ref: Jlpmtrpt 2007 Scripps Healtb Community Benefit Fund Final Report Form Today's Date: Name of Organization: Fiscal Agent (if different from your organization): Address: Phone: Fax: Contact person: Title: Project Title: Grant Amount: Period that this report covers: ~ _ to ~_ Email: Part 1: Project Budget Review What was your proposed project budget? $ Please provide information on the final project budget figures for this project for the grant period. 1. Total project revenue, by source, as indicated below: Total Project Revenue $ Scripps Health Grant $ Government Grants $ Other Foundation I $ Other Foundation 2 $ Other Foundation 3 $ Other Foundation 4 $ All Other Funding Sources $ 2. Project expenses paid out of the Scripps Health grant for this grant period. Staff Expenses $ Consultant Expenses $ Non-labor Expenses (e.g., materials, local travel) $ Indirect Expenses (overhead) Total of above expenses $ $ If the total expenses paid out of the Scripps Health grant are less than the award amount, please explain why. 1~-29 Part 2: Description of Results Please respond to each of the following questions using up to 3 (three) pages in total. Your responses should focus specifically on the funded project or program. 1. Referring to the goals and objectives described in your original grant request (or any subsequent revisions), please describe the following: a) If you did not receive full project funding from Scripps Health or any other sources, please explain how you adjusted your project. b) What action steps or activities did you use to meet your objectives and goals? c) In the quantitative measures section we will ask you to list up to 5 specific quantitative measures of your project. Please use this section to comment on these quantitative outcomes and to describe other (non-quantitative) outcomes. If the measures and targets are different than those listed in your proposal, please describe the change. 2. We are interested in learning about challenges that you may have handled as you implemented your project. a) Describe any setbacks that you encountered during the period of this grant. b) How did these difficulties affect/influence the project or your organization? c) How were they addressed? 3. Tell us about lessons you have learned from this grant: a) Were there any unexpected results ofthe project? b) What are the key things that you learned from this project? 4. If your project involved collaboration with other organizations or individuals outside your agency, please describe the effects of that work for the project. 5. What steps are you taking to sustain your project or organization beyond this grant period? 6. We hope that our grantmaking process is easy to understand and reasonable. Please give us your comments about any aspect of it, such as the proposal requirements, the proposal review process, and/or the reporting requirements. 12-30 Part 3: Quantitative Measures In addition to the narrative description on the previous page, we are interested in quantitative measures of the outcomes of your grant, if applicable to your project. You may have up to 5 measures, but none is required. Measure (e.g. People Directly Served, Target Attain Meetinf!.s Held) # # 1 2 3 4 5 Optional Attachments: _ Promotional/dissemination materials about the program (i.e. brochures, flyers, ad copy) _ News Clippings FINAL REPORTS MUST BE SUBMITTED NO LATER THAN THIRTY DAYS AFTER THE END OF THE GRANT PERIOD. Send to: Community Benefit Manager Scripps Health Community Benefit Services 4275 Campus Point Court, CPII3 San Diego, CA 92121 Or to: blatt.anette@,scriooshealth.org Questions: 858-678-7095 Revised: March 23, 2006 1~-31 C)" Scripps Exhibit B, Semi-Annual Progress Report 8 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: Ilpmtrpt 12-32 t). Scripps Exhibit C, Year End Final Report 9 Updated: 4/13/06 ab Legal Review: 3/21/03 rs 12-33 Ref: I1pmtrpt RESOLUTION NO. 2007- RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CHULA VISTA ACCEPTING A GRANT FROM SCRIPPS HEALTH COMMUNITY BENEFIT FUND TO CONTINUE THE DEVELOPMENT OF SENIOR WELLNESS THROUGH ACTION AND EDUCATION WITH A COLLABORATIVE BETWEEN THE NORMAN PARK CENTER AND SCRIPPS MERCY HOSPITAL CHULA VISTA WELL BEING CENTER, AND APPROPRIATING FUNDS THEREFORE WHEREAS, the proposed grant funding for "Happy Healthy Seniors," is to expand the existing Recreation Department's efforts to address components of health and wellness for people 50+, through health presentations, a men's support group, a health camp for seniors, supervised fitness center classes and a health fair; and WHEREAS, the goal is to continue monthly health presentations, sponsor a monthly men's support group lunch facilitated by a Scripps doctor, and hold a community health fair at Norman Park Center to promote prevention and wellness with a variety of health screenings; and WHEREAS, the Environmental Review Coordinator has reviewed the proposed activity for compliance with the California Environmental Quality Act (CEQA) and has determined that the activity is not a "Project" as defined under Section 15378 of the State CEQA Guidelines because it does not involve a physical change to the environment, therefore, pursuant to Section 15060(c)(3) of the State CEQA Guidelines the activity is not subject to CEQA. Thus, no environmental review is necessary. NOW, THEREFORE, BE IT RESOLVED the City Council of the City ofChula Vista does hereby accepts a grant from Scripps Health Community Benefit Fund to continue the development of Senior Wellness through Action and Education with a collaborative between Norman Park Center and Scripps Mercy Hospital Chula Vista Well Being Center, and appropriating funds therefore. Presented by: Approved as to form by: -A.~"(~~, Ann Moore City Attorney Buck Martin Director of Recreation 12-34 THE ATTACHED AGREEMENT HAS BEEN REVIEWED AND APPROVED AS TO FORM BY THE CITY ATTORNEY'S OFFICE AND WILL BE FORMALLY SIGNED UPON APPROVAL BY THE CITY COUNCIL . ~"'<UOV\ nJ~~hA Ann Moore City Attorney Dated: 1('/6+ Scripps Health Community Benefit Fund Grant Contract for Senior Wellness through Action and Education: A Collaborative Between Norman Park Center and Scripps Mercy Hospital Chula Vista Well Being Center 12-35 Scripps Health Community Benefit Services 4275 Campus Point Coun, CPI 13 San Diego, CA 92] 21 Tel 858-678-7095 Fax 858-678-613] t). Scripps SCRIPPS HEALTH COMMUNITY BENEFIT FUND GRANT CONTRACT PROJECT TITLE: Senior Wellness through Action and Education; A Collaborative Between Norman Park Center And Scripps Mercy Hospital Chula Vista Well Being Center GRANTEE: Norman Park Center, Recreation Department, City of Chula Vista MAILING ADDRESS: 270 F Street, Chula Vista, CA 91910 PROGRAM DIRECTOR: Buck Martin PERIOD OF GRANT: June 1,2007 to May 31, 2008 GRANTED FUNDS: $39,800 1 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref llpmtIllt 12-36 t). Scripps Scripps Health does hereby grant Norman Park Center, Recreation Department, City of Cbula Vista funds in the amount of $39.800 subject to the following terms and conditions ("Grant Contract"): 1. Use of Grant Funds: A. Grant funds are to be applied as set forth in the 2007 Community Benefit Fund Budget Sheet ("Budget") in Grantee's grant application to Scripps Health dated 1/3 1/07 for funds from its 2007 Community Benefit Fund. A copy of the grant application is attached hereto as Exhibit "A" and made a part hereof for all purposes. B. Grant funds must be expended as set forth in the Budget and no changes or modifications to the Budget or to the persons named as personnel in the grant application, or to Norman Park Center, Recreation Department, City of Cbula Vista project as described in the grant application, may be made without the prior written approval of Scripps Health. 2. Termination of Grant Within twenty-four (24) hours of the occurrence of anyone or more of the following events, grantee shall provide written notice thereof to Scripps Health, cease any and all expenditures of grant funds and return to Scripps Health any and all remaining grant funds. Scripps reserves the right to terminate the grant funds: A. The grant funds cannot be expended in accordance with the Budget; B. The personnel and/or Norman Park Center, Recreation Department, City of Cbu)a Vista project is changed and any or all of these changes are not approved by Scripps Health. C. Grantee loses or changes its Internal Revenue Service tax-exempt status. D. Grantee fails to comply with Section 3A. 2 Updated: 4/13/06 ab Legal Review: 3/2] /03 rs 12-37 Ref: IlpmtI1Jt t)o Scripps 3. Reports/Submission Items: Grantee shall submit to Scripps Health, attention Manager of Community Benefit Services at 4275 Campus Point Court, CPII3, San Diego, CA 92121, the following: A. A semi-annual summary progress report and a line item financial accounting of the grant disbursement to date shall be completed on or before Friday, November 9, 2007 of the grant period. Reports shall include, but not be limited to, progress made toward meeting objectives outlined in the grant application. B. Within thirty (30) days following the expiration date of the grant a final progress report shall be submitted to Scripps Health. In addition to the progress made toward meeting the objectives outlined in the grant application, the Final Report should include quantitative and qualitative results ofthe program against its stated goals and objectives. A line item financial accounting of the grant disbursement against the budget must be included as part of this final report. C. The Grantee shall provide Scripps Health with any additional information or progress updates, relative to grant project, as reasonably requested. D. Scripps Health reserves the right to audit expenditures and supporting documentation. 4. Standards To maintain high quality assurance standards, Scripps Health reserves the right for Scripps Health staff and/or representatives to visit the Grantee's site and/or program as deemed necessary or appropriate, expected to be about twice yearly. Such visits will provide assurance of quality in addition to the written progress requirement of Scripps Health as outlined above. Grantee agrees to provide access to facility, personnel and records at the request of Scripps Health for such purposes. 3 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: llpmtrpt 12-38 t)- Scripps 5. Grant Payments This is a grant for a period of one year beginning on June 1, 2007. Grant funds shall be made to the Grantee upon receipt by Scripps Health of this Grant Contract executed by both parties. Payment will be made payable to City of Chnla Vista Recreation Department (Memo: Norman Park Center, Recreation Department, City of Chula Vista and mailed to 270 F Street, Chula Vista, CA 91910. 6. Promotion and Publications A. Scripps Health may release information regarding this Grant, including picture(s) of the program/project, as well as the research summaries and Final Report, to the general public and news media. Grantee represents to Scripps Health that it has the authority to grant Scripps Health the right to publish the works and photographs of the program/project. B. Grantee may release information regarding this Grant to the public and news media, upon the following terms and conditions: 1) Grantee must acknowledge Scripps Health as a funding source on all publications related to this Grant in clear, unambiguous and readily- identifiable fashion, such as "supported by a grant from Scripps Health", 2) Grantee will present to Scripps Health for its approval, prior to printing, distribution, publication, display, or use, any and all promotional materials, publications, articles, pictures, press releases and scripts of all statements, oral or written, to be made by Grantee, its agents or spokespersons, which use or refer to Scripps Health, 3) Copies of all other news releases, articles, pictures and any and all other published material, which may develop in connection with the Grant must be furnished to Scripps Health by Grantee prior to publication. C. The Grantee shall make itself available to work with Scripps Health to identify and participate in a public event to commemorate the grant award. 4 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: Ilpmtrpt 12-39 t)o Scripps 7. Non-Guarantee of Additional Support This grant is accepted by Grantee with the understanding that Scripps Health is not obligated to provide any additional financial support, or other support, to Grantee, its agents or spokespersons, in connection with the Grant, the Grant Contract, and the project or for any other reason. 8. Governmental Compliance Grantee will cooperate with Scripps Health in supplying additional information to Scripps Health, or in complying with any procedures which might be required by any governmental agency in order for Scripps Health to establish that it has observed all requirements of the law with respect to this Grant. 9. Authority All persons and individuals executing this Grant Contract certify and warrant that they have the capacity and have been duly authorized to execute this Grant Contract on behalf of the entities so indicated and that no additional authorization or approval is required. 10. Independence Grantee understands and warrants that it is an organization or entity distinct and independent form Scripps Health that this grant is solely a funding mechanism and does not create between the parties a partnership or joint venture and that Grantee shall indemnify and hold Scripps Health and its agents harmless from any liability arising from Grantee's use of this grant. 11. Entire Agreement This Grant Contract supercedes any prior understanding or oral agreements between the parties regarding the subject matter hereof and constitutes the entire understanding and agreement between the parties with respect to the subject matter hereof, and there are no 5 Updated: 4/13/06 ab Legal Review: 3/21/03 fS Ref: llpmtrpt 12-40 t). Scripps agreements, understandings, representations or warranties among the parties other than those set forth herein. 12. Governing Law This Grant Contract shall be governed by and construed in accordance with the laws of the State ofCalifomia. This Grant is expressly conditional upon Grantee's acceptance of the terms and conditions set forth above. The signature on this Grant Contract by an authorized representative of Grantee represents Grantee's acceptance of this award and agreement to comply with all of the above terms and conditions. AGREED TO AND ACCEPTED BY: Scripps Health "~frYWVL-- June Komar' ,/ Senior Vice President Date: ~11i(/br I ! Strategic Planning and Business Development Grantee: ,I)~.J~+O( Date: 7//7/0'/ , Buck Martin Director of Recreation Attachments to Grant Contract: Exhibit A, Grant Application Exhibit B, Semi-Annual Progress Report ExhIbit C, Year-End Final Report 6 Updated: 4/13/06 ab Legal Review: 3/2 1103 TS Ref: J1pmtrpt 12-41 t). Scripps Exhibit A, Grant Application 7 Updated: 4/13/06 ab Legal Review: 3/21/03 rs Ref: J1pmtrpl 12-42 I o t). Scripps SCRIPPS HEALTH COMMUNITY BENEFIT FUND 2007..2008 PROPOSAL TEMPLATES PROPOSAL ARE DUE TUESDAY, JANUARY 31, 2007 Please Complete and Mail or Deliver Proposals to: Anette Blatt, Manager of Community Benefit Services Scripps Health 4275 Campus Point Court, CP113 San Diego, CA 92121-1513 . - .- 2007 COMMUNITY BENEFIT FUND COVER SHEET (1 OF 2) APPLICANT INFORMATION Name of organization: Norman Park Senior Center Address: 270 F Street Chula Vista, CA 91910 Contact Namemrst & last) Title KAREN HARVELL Recreation Supervisor III Phone Number Fax Number E-mail Address 619-691-5086 619-476-8167 kharvell@ci.chula-vista.ca.us PROGRAM INFORMATION Program/Project Name (Please do not name'Scripps Community Benefit Fund"): Ha Health Seniors: Senior Wellness throu h Action and Education County Region of Focus (San Diego County region where target population is located): o Central 0 North Central 0 North Inland 0 All Regions o East 0 North Coastal x South Is this a 0 NEW or ~ EXPANDED program OR an 0 ONGOING program/project? Amount Requested: $39,883 Total Project Budget: $60,783 Provide a brief explanation of the proposed program/project. Note: In a few sentences, this section should provIde the reader with a dear understanding of the overall intent of the project. (Not to exceed 100 words): The overall goal of "Healthy Happy Seniors" is to expand our existing efforts so as to increase health awareness and prevention for 6,400 seniors by respectfully addressing components of health and wellness well-being for persons 50+ through monthly senior health presentations, a monthly men's support group, a health camp for seniors to give them an inside look at hospital care and preventive services, supervised fitness activity activities to include balance and flexibility workshops that address fall prevention, joint mobility and flexibility and a health fair. All program activities will be collaboratively implemented with Scripps Mercy Hospital Chula Vista Well Being Center. x Yes No 2006 $25.000.00 Happy Healthy Seniors: Senior Wellness throu h Action and Education ABIO/31/06 12-44 2007 COMMUNITY BENEFIT FUND COVER SHEET (2 OF 2) Organization TVpe Funding IS available for government agencies/districts and non-profit corporations or organizations that can rovide the followin information and documentation. Private Non-profit Federal Tax 1.0. # x Government Agency/District #956000690 Applicant Organization Certification and Acceptance Name and title of offiCial signing for applicant organization (President/CEO, Executive Director or Administrator): Karen Harvell, Recreation Supervisor III, City Of Chula Vista Recreation Department ] certify that the statements herein are true and complete to the best of my knowledge and accept the obligation to comply with the Scripps Health terms and conditions if a grant is awarded as a result of this application. , ' . Siqnature: . "'\ J.... ,'- {.J (tA.v ~:l. \. Date: /, ./ ( i If the proposal is funded, the check should be made out to: City of Chula Vista Recreation Department memo: Norman Park Center 2 AB 10/31/06 12-45 2007 COMMUNITY BENEFIT FUND NARRATIVE (1 OF 6) PROGRAM INFORMATION Organization Name:Norman Park Semor Center Program/Project Name: EDUCATION HAPPY HEALTHY SENIORS: WELLNESS THROUGH AmON AND ABl 0/3 J/06 12-46 Background INeeds and Program Intent Briefly describe the specific issue your proposal will address. You should provide a brief history of how this issue has evolved in the environment in which your project or activity will focus, and note any previous effort by your organization or others to address the issue. This section should give a clear sense of the scale of the problem and how it is related to improving health or health systems in communities. You should also give an overview of the intent of the program/project. Describe the work that you are proposing to do to address the specific issue that you have identified. (400 words): Healthy Happy Seniors program goal is to respectfully address components of health and wellness for persons 50 + through effective strategies that have proven effective over the last funding period. The goal of the project is to respectfully address components of health and wellness for persons 50 + through health presentations, a men's support group, a health camp for seniors, supervised fitness center classes and a health fair. This project will: Expand Scripps Mercy Hospital Chula Vista's relationship with the senior community Enhance and expand an existing successful hospital/senior community partnership Educate seniors through 12 (twelve) quality health and wellness programs. Encourage health behavior and show seniors how to participate in their health care. Enhance awareness of health services in the community through 1 health fair at Norman Park in Chula Vista. Screenings at health fairs will honor the dignity of all persons. Promote prevention and wellness by encouraging healthy behavior. Advertise programs to ~improve access to health care" through newsletters and publicity flyers. Send press releases to 20+radio, television and news contacts for each program Provide seniors with quality opportunities for fitness classes that address posture, strength, balance, joint mobility and flexibility Provide seniors with fitness equipment to enhance their strength and flexibility through the purchase of equipment Sponsor monthly men's support group lunches facilitated by a Scripps Doctor Provide an opportunity for seniors to get an inside look at hospital operations by participating in 'Camp Scripps" Develop a Pilates program that focuses on the needs of the over fifty population in South Ba 2 ABIO/31/06 12-47 2007 COMMUNITY BENEFIT FUND NARRATIVE (2 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name: Education Happy Healthy Seniors: Senior Wellness through Action and Target Population Briefly describe the population that will be served by the program and identify how the population will be reached (150 words): Seniors 50+ residing in the South Bay area will be served by this project. This includes diverse ethnic groups of seniors ages 50 to 95. Over 27,000 seniors attend Norman Park Center in a three-month period. The center specifically hosts programs for American, Korean and two Spanish groups and also offers Chinese and Spanish language classes. Many of the participants at Norman Park have good relations with their primary care providers, however, some do not. Access is limited for some and health education needs to be increased. The seniors will be targeted to participate in program activities through: . Scripps newsletters and community programs . Quarterly brochures published by the recreation department and distributed City. . 1500 Bi monthly calendars distributed to seniors at the senior center and mailed to senior living facilities. . 20 press releases sent to television, radio and newspaper contacts for each event. . Personal announcements made at existing programs held at Norman Park . Notices on the City Of Chula Vista and life Options websites . Flyer distribution to South Bay collaborative, libraries and providers of senior services. . Personal reminder calls to seniors registering for programs made by volunteers. 3 ABIO/31/06 12-48 2001 cOMMUNITY BENEFITFUNrrNARRATIYE~(3'OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name Happy Healthy Seniors: Senior Wellness through Action and Education Anticipated Outcomes and Measurement Briefly describe what outcomes are expected as a result of the program/project and how they will be measured. Applicants are asked to provide specific outcome numbers including the number of people who are expected to be served. Demonstrate that the program does not duplicate any direct care services already available in the community (200 words): Obiective 1: Increase Access, Education and Awareness of Health Care to 420 seniors Activities . Provide monthly education to seniors through 12 (twelve) quality health and wellness programs. . Advertise programs to "improve access to health care" through newsletters and publicity flyers. . Send press releases to 20+radio, television and news contacts for each program . Provide an opportunity for seniors to get an inside look at hospital access and operations by participating in "Camp Scripps" . Provide a health fair with health screenings targeting seniors Evaluation Written surveys by participants will quantify the pertinence, quality and learning points of each presentation. Obiective 2: Increase Physical Activity and Well-Being for 1,300 Seniors Activities . Provide seniors with quality opportunities for fitness classes that address posture, strength, balance, joint mobility and flexibility . Provide seniors with fitness equipment to enhance their strength and flexibility through the purchase of equipment . Develop a Pilates program that focuses on the needs of the over fifty population in South Bay . Seniors will participate in specialized Fall prevention, balance and flexibility programs that provide a social environment for the development of strength, flexibility and health habits. Evaluation . Use of the fitness center will be measured daily attendance and class attendance in the fitness center. . Participants will keep personal records of their workouts. . Seniors will be surveyed to assess health access and awareness. 4 ABIO/31/06 12-49 Obiective 3: Increase Psychosocial Support for Seniors Activities . Sponsor monthly men's support group lunches facilitated by a Scripps Doc to offer senior men in the community a venue to discuss personal health issues. . Camp Scripps will provide an opportunity for seniors to get an inside look at hospital care, an ambulance, specialized programs and services. Participants will get t shirts for attending and will be provided a healthy lunch each day of camp . Promotoras (4) will be trained by Scripps Health and Well Being center staff to provide health information to 50 seniors per month. . Norman Park staff will recruit seniors, track attendance, set up training dates. . Promotoras will speak at senior residences, mobile home parks and to senior social groups about important health issues. Overall Evaluation All proposed program activities would be evaluated through a variety of qualitative and quantitative measures. Baseline data will be collected through a participant questionnaire that will collect information regarding demographics and access to health care. These programs do not duplicate any direct care services already available in the community. . There are no senior fitness centers in West Chula Vista. The YMCA located in East Chula Vista has a family fitness program and encourages senior membership at a cost. Our project would afford seniors low cost access to fitness equipment supervised by professional trainers. . There is no other senior center like Norman Park in the South Bay area that offers a large variety of classes and has the diversity and high attendance as documented by Norman Park. . This is a unique partnership between Scripps Mercy Hospital Chula Vista's Well- Being Center and Norman Park. 5 AB10/31/06 12-50 2007 COMMUNITY BENEFIT FUND NARRATIVE (4 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH ACTION AND EDUCATION Sustainability Plan Programs must incorporate a sustainability plan, identifying how the program/project will be supported when the Scripps Health funding ends. Include a project funding plan for the year and any progress or plans for sustainability of the project after the initiative ends in 2007 (100 words): OVERALLSUSTAINABILITY Through the course of this expanded project, sustainability will be identified through grant opportunities and continued collaboration with Scripps Mercy Hospital Chula Vista Well Being Center and other agencies. This proposed expansion is a model for partnership between a community-based senior center and Scripps Mercy Hospital Chula Vista for our continued successful programs FITNESS PROGRAM Last year, the City Of Chula Vista funded the fitness center to be open 18 hours a week. The Scripps grant provided 10 additional hours for the facility to be open last year. The City has incorporated those hours into their 07-08 budget. The purchase of additional fitness equipment funded through this grant will encourage a broader membership base. Revenue from memberships fees will demonstrate justification to continue the program when grant funding ends. Classes offered through this grant will continue on a small fee basis to cover the cost of the instructor once the program is established. HEALTH TALKS and MEN'S SUPPORT GROUP The center currently offers health programs from a variety or organizations. Grant funding will provide funds to call and remind seniors who have pre-registered to attend, provide refreshments and extra incentives for seniors to attend. The senior center, through this grant, will enhance their working relationship with Scripps Mercy Hospital Chula Vista Well- Being Center and continue to offer health talks and the men's support group as a regular part of programming when funding ends. HEALTH FAIR Health Fairs require intensive planning. Once the health fairs have been designed it is possible that in the future and intern could organize a health fair. CAMP SCRIPPS This program requires heavy support from Scripps Well Being Center. Norman Park will coordinate publicity, recruit and register seniors and collaborate with Scripps Well Being Center to develop an informative, fun, educational camp for seniors. PROMOTORAS Seniors participating in these programs may see the value of what they are contributing to the community and choose to volunteer to continue when the grant has ended. 6 AB I 0/31/06 1 2-51 2007 COMMUNITY BENEFIT FUND NARRATIVE (5 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:Happy Healthy Seniors: Senior Wellness through Action and Education Applicant Organization Briefly describe your organization including the mission, vision and values. To the degree possible articulate how your organization's values align with the Scripps Health values of quality, efficiency and respect (not to exceed 100 words): Norman Park Senior Center is an established one stop shop for residents in South Bay who are looking for programs and services for persons 50+. The center directly serves independent seniors with educational, recreation and physical activity programs and provides information and referral services to all community members regarding programs and services for seniors. Nonprofit support agencies including Meals on Wheels, Lutheran Social Services, Senior Legal Services and Aging and Independence Services outreach, have offices on the 2nd floor of the building. Seniors from all over the South Bay region participate in activities at Norman Park as it offers the most comprehensive senior programming in South Bay and is open 72 hours a week. The center also has a safety net program for at risk seniors. The Senior Center is funded through the Recreation Department of the City of Chula Vista. The Recreation Department mission, Vision and Values are as follows: . Mission: nWe enrich the community through recreation opportunities and services." . Vision "Our vision is a community that achieves learning, self-discovery, balance and essential life skills through recreation." . Values: Integrity, Respect, Professionalism, Accountability, Commitment, Teamwork and Fun The Recreation Department values of ResDect and Professionalism are also values of Scripps. Scripps "Quality of service" relates to professionalism and accountability values of the Recreation Department. By caring for patients in a responsible and efficient manner/ Scripps demonstrates commitment and teamwork, which are also values of the Recreation Department. 7 ABIO/31/06 12-52 2007 COMMUNITY BENEFIT FUND NARRATIVE (6 OF 6) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:HAPPY HEALTHY SENIORS: WELLNESS THROUGH ACTION AND EDUCATION Affiliated Community Organizations If other community organizations are involved in the program/project please identify what they are and how they are involved (100 words): This proposed expansion is a collaborative effort between Scripps Mercy Hospital Chula Vista's Well-Being Center. Additional important partners indude The City Of Chula Vista Recreation Department, local community college and adult schools. Senior Center supervisors will be involved in processing and supervision of the project. A City Of Chula Vista graphic artist will design publicity flyers. City Of Chula Vista fitness specialists will teach the fitness classes and the Recreation Department's Life Options program coordinator will recruit and schedule promotoras. Chula Vista Adult School and Southwestern College instructors will assist in the recruitment of seniors for programs both at Norman Park and throughout the community. Volunteer groups teaching and leading classes at the senior center will assist in the publicity of programs designed for this project. Some of these classes include World Affairs, Craft groups, art classes, exercise classes, language groups and computer classes. South County Action Network, a network of agencies serving seniors in South Bay will assist in the promotion of activities. 8 AB I 0131106 12-53 2007 COMMUNITY BENEFIT FUND BUDGET SHEET (1 OF 2) PROGRAM INFORMATION Organization Name: Norman Park Senior Center Program/Project Name:Happy Healthy Seniors: Senior Wellness through Action AND EDUCATION Ju 1 2007 OPERATING List Program Specific Position TItles & Salaries: 1. Recreation $7.950 - $7950 specialists, leader - 2. Recreation - $3000 Supervisor $5000 - Fringe Benefits & Payroll $413 $413 Taxes Consultants & Professional $ 1000 $ Fees graphic artist Travel $100 $ Consumable Supplies $13.260 $13.260 Printing & Copying $500 $ Telephone & Fax $200 $ Postage $100 $ Rent & Utilities $17.000 $ Other Operating Expenses (specify): 1. promotional t shirts $900 $900 2.Promotoro stipend $4000 $4000 3.Volunteer stipends for $360 $360 office work TOTAL OPERATING $50.783.00 $29.883.00 EXPENSES :;- AB 1 0/31/06 12-54 2007 COMMUNITY BENEFIT FUND BUDGET SHEET (2 OF 2) PROGRAM INFORMATION Organization Name: NORMAN PARK SENIOR CENTER Program/Project Name: AND EDUCATION HAPPY HEALTHY SENIORS: WELLNESS THROUGH ACTION REQUESTED ITEM PROPOSED PROJECT % OF TIME FROM SCRIPPS BUDGET HEALTH CAPITAL Equipment (specify): Fitness center Other Capital Expenses (specify): 1. Training 2. 3. 4. TOTAL CAPITAL EXPENSES TOTAL PROJECT BUDGET $5000 $5000 $5000 $ $ $5000 $- $ $ $10.000 $10.000 $60.783 $39.883 Number of units or persons served 6352 Per unit cost.: $6.28 . To calculate. divide the total project budget by the total number of units or persons served by the program/project. 2 AB 1 0/31/06 12-55 2007 COMMUNITY BENEFIT FUND BUDGET NARRATIVE (1 OF 1) PROGRAM INFORMATION Organization Name:Norman Park Senior Center Program/Project Name: HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH AmON AND EDUCATION Budget Narrative A detailed budget narrative of proposal expenses must accompany the budget. For each line item in the budget, please provide a brief description of how the funds will be used and why they are programmatically necessary. You may use this space for any explanatory information that would help us understand your project budget, including in-kind donations, number of full- time equivalent staff on the project, explanation of specific budget items, overhead rates, etc. (100 words): Recreation Specialists will write press releases, make arrangements for refreshments, register seniors for the programs and make all room arrangements. These tasks are necessary in order to have well attended programs. Recreation Supervisor will oversee entire project. The City Of Chula Vista graphic artist will create flyers and all publicity documents including all Scripps logos. Professionally crafted flyers attract the consumers attention. Mileage will be reimbursed for miles traveled in personal cars for all aspects of these programs. Consumable supplies include all refreshments, incentives, t-shirts and promotional materials that will be provided for the seniors. These consumables attract the seniors and keep them coming back. Often the senior, because they have enjoyed a program, will bring a friend to the next one. Printing, telephone and Fax, Postage and Rent are a portion of the overall operating expenses for this project. Training will certify the fitness staff to provide specialized, professional, safe programs. When working with this special population, training of staff is required to ensure the participants safety and to teach modified exercises. Fitness equipment will be purchased to provide opportunities for seniors to work independently once they are trained on equipment that addresses issues of joint mobility, balance and flexibility. Promotoras and other senior volunteers will receive stipends to perform their duties in a professional manner. Fitness center equipment will provide tools for seniors to improve their balance, flexibility and overall strength. Training funds will be used to train staff to provide a safe, age appropriate pilates program. ABIO/J 1/06 12-56 2007 COMMUNITY BENEFIT FUND REVENUE SHEET (1 OF 1) PROGRAM INFORMATION Organization Name: NORMAN PARK SENIOR CENTER Program/Project Name: HAPPY HEALTHY SENIORS: SENIOR WELLNESS THROUGH ACTION AND EDUCATION Scripps Health Community Benefit Fund Government Grants & Contracts (specify): 1. 2. 3. 4. Foundations (specify): 1. 2. 3. 4. Corporations (specify): 1. 2. 3. 4. United Way/Other Federated Campaigns Individual Contributions/Donations Special Events & Other Fundraisers Membership Dues fitness center memberships Earned Income In-kind Contributions Other (specify): 1. City of Chula Vista General Fund for Norman Park Senior Center 2. 3. 4. TOTAL REVENUE $- $- $- $7500 $ $ $13.400 $ $ $ $20.900 $ $ $ $ $ $ $ $ $ $ $39883 NOTE: THE TOTAL REVENUE AMOUNT CONFIRMED PLUS THE TOTAL REVENUE AMOUNT PROJECTED SHOULD EQUAL THE TOTAL PROJECT BUDGET. 2 12-57 AB 1 0/31/06 t} Scripps Exhibit B, Semi-Annual Progress Report 8 Updated: 4/13/06 ab Legal Review: 3/21/03 rs 12-58 Ref: llpmtrpt SCRIPPS HEALTH 2007 COMMUNITY BENEFIT FUND Semi-Annual Month Progress Report ,;PROGRAM INFORMATION I , , , i , , , Organization Name: Program/Project Name: , Time , Frame Desired I Statusl 1 Outcome Strategy(s) Measurement s Baseline (Start and End Outcome Dates . . . ~ "" I '~ . . . . . . . . . lof1 t). Scripps Exhibit C, Year End Final Report 9 Updated: 4/13106 ab Legal Review: 3/21103 rs 12-60 Ref: lIpmtrpt 2007 Scripps Health Community Benefit Fund Final Report Form Today's Date: Name of Organization: Fiscal Agent (if different from your organization): Address: Email: Phone: Fax: Contact person: Title: Project Title: Grant Amount: Period that this report covers: -.! _ to ~_ Part 1: Project Budget Review What was your proposed project budget? $ Please provide information on the final project budget figures for this project for the grant period. 1. Total project revenue, by source, as indicated below: Total Project Revenue $ Scripps Health Grant $ Government Grants $ Other Foundation I $ Other Foundation 2 $ Other Foundation 3 $ Other Foundation 4 $ Al1 Other Funding Sources $ 2. Project expenses paid out of the Scripps Health grant for this grant period. Staff Expenses $ Consultant Expenses $ Non-labor Expenses (e.g., materials, local travel) $ Indirect Expenses (overhead) Total of above expenses $ $ If the total expenses paid out of the Scripps Health grant are less than the award amount, please explain why. 112-61 Part 2: Description of Results Please respond to each of the following questions using up to 3 (three) pages in total. Your responses should focus specifically on the funded project or program. 1. Referring to tbe goals and objectives described in your original grant request (or any subsequent revisions), please describe tbe following: a) If you did not receive full project funding from Scripps Health or any other sources, please explain how you adjusted your project. b) What action steps or activities did you use to meet your objectives and goals? c) In the quantitative measures section we will ask you to list up to 5 specific quantitative measures of your project. Please use this section to comment on these quantitative outcomes and to describe other (non-quantitative) outcomes. If the measures and targets are different than those listed in your proposal, please describe the change. 2. We are interested in learning about cballenges tbat you may bave bandIed as you implemented your project. a) Describe any setbacks that you encountered during the period of this grant. b) How did these difficulties affect/influence the project or your organization? c) How were they addressed? 3. Tell us about lessons you bave learned from tbis grant: a) Were there any unexpected results of the project? b) What are the key things that you learned from this project? 4. If your project involved collaboration with other organizations or individuals outside your agency, please describe the effects of tbat work for the project. 5. Wbat steps are you taking to sustain your project or organization beyond tbis grant period? 6. We hope that our grantmaking process is easy to understand and reasonable. Please give us your comments about any aspect of it, such as tbe proposal requirements, the proposal review process, and/or the reporting requirements. 122-62 Part 3: Quantitative Measures In addition to the narrative description on the previous page, we are interested in quantitative measures of the outcomes of your grant, if applicable to your project. You may have up 10 5 measures, but none is required. Measure (e.g. People Directly Served, Target Attain Meetinps Held) # # 1 2 3 4 5 Optional Attachments: _ PromotionaVdissemination materials about the program (i.e. brochures, flyers, ad copy) _ News Clippings FINAL REPORTS MUST BE SUBMITTED NO LATER THAN THIRTY DAYS AFTER THE END OF THE GRANT PERIOD. Send to: Community Benefit Manager Scripps Health Community Benefit Services 4275 Campus Point Court, CPII3 San Diego, CA 92121 Or to: blatt.anette(aJscriooshealth.org Questions: 858-678-7095 Revised: March 23, 2006 132-63 t). Scripps Exhibit B, Semi-Annual Progress Report 8 Updated: 4/13/06 ab Legal Review: 3/21103 rs 12-64 Ref: Ilpmtrpt t). Scripps Exhibit C, Year End Final Report 9 Updated: 4113/06 ab Legal Review: 3/21/03 rs 12-65 Ref: llpmtrpt