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Home My WebLink About2008/03/11 Item 5 CITY COUNCIL AGENDA STATEMENT .:$"Yf:. CllY OF -"..- CHULA VISTA ITEM TITLE: SUBMITTED BY: REVIEWED BY: March 11, 2008 Item 5 PUBLIC HEARING TO REVIEW THE CITY'S HOUSING AND URBAN DEVELOPMENT FEDERAL GRANT PROGRAMS FOR FISCAL YEAR 2008/2009 (COMMUNITY DEVELOPMENT BLOCK GRANT, HOME INVESTMENT PARTNERSHIP ACT AND EMERGENCY SHELTER GRANT) ASSISTANT DIRECTWF REDEVELOPMENT AND HOUSING tl.r ~\~ ~ CITY MANAGER t~ ' 4/5THS VOTE: YES D NO 0 SUMMARY As a Housing and Urban Development entitlement community, the City receives grant funds under the Community Development Block Grant, Emergency Shelter Grant and the Home Investment Partnerships Act Program. The funds are distributed among local non- profits, housing developers and city departments to provide decent housing, economic opportunities and provide a suitable living environment for low and moderate income persons. Prior to the distribution of the grant funds, the City must conduct a minimum of two public hearings to solicit public input on the community development and housing needs and establish funding priorities for the program year. ENVIRONMENTAL REVIEW At this time, no action is requested to fund specific activities; thus, no environmental review is necessary. Once Council selects which activities to fund, the Environmental Review Coordinator will review the proposed activities for compliance with the National Environmental Protection Act (NEPA) and will determine the level of environmental review necessary for each individual project. RECOMMENDA nON Council conduct the public hearing, accept comments and provide direction to staff. BOARDS/COMMISSION RECOMMENDA nON Not applicable. 5-1 March 11, 2008, Item~ Page 2 of 5 DISCUSSION As an entitlement community with the Department of Housing and Urban Development (HUD), the City receives funds under three of their block grant programs: Community Development Block Grant (CDBG); the Emergency Shelter Grant (ESG); and the HOME Investment Partnership Act (HOME), which includes American Dream Downpayment Initiative (ADDI). The entitlement amounts allocated to jurisdictions are determined using a formula based on statistical and demographic data. The funds are to be expended to provide decent housing, a suitable living environment, and to expand economic opportunities, principally for low and moderate-income persons. Each entitlement community develops their own programs and funding priorities. HUD has notified staff that the City will receive approximately $2.9 million in combined entitlement funds for fiscal year 2008/2009 ($1,973,771 in CDBG; $906,542 in HOME; and $88,169 in ESG). These amounts represent an approximate 3.7% decrease from 2007-2008 funding levels. The decrease is the result of recent budget cuts at the Federal level. Refer to Attachment 1, 2008/2009 Federal Grants Budget. Each year the City undertakes a process to solicit requests and approve programs and projects for these grant funds, and similar to previous years will include both requests for funding from various City departments and local organizations. The purpose of this public hearing is to offer residents, non-profit organizations and other interested parties an opportunity to provide input on the 2008/2009 proposals received, as well as provide input on funding recommendations (Attachment 2). Accompanying this report is the 2008/2009 Federal Grant Funding Application Notebook (Attachment 3), which compiles all funding categories: . Administration/Planning and Public Service applications; . City Capital Improvement projects; . Community Enhancement projects; . Housing; and, Emergency Shelter Programs. The Notebook describes in greater detail all the grant requests for funding received on an annual basis. Community Development Block Grant (CDBG) In order to be eligible for block grant funding, a project must address at least one of the following CDBG national objectives: . Benefit primarily low and moderate-income families; . Aid in the prevention or elimination of slums or blight; and, . Meet other community needs having a major emergency (disasters, etc.). The total amount of CDBG funding requested is summarized below. It should be noted that the total amount of requests exceeds the amount available by $218,610. 5-2 March II, 2008, 1tem~ Page 3 of 5 Public Services $387,627 15% Cap- allowable budget: $296,065 ($91,562) Capital Improvement and Community Enhancement Projects $1,410,000 $1,282,952 ($127,048) Subtotal Administration and Planning $394,754 20 % Cap-allowable budget: $394,754 None TOTAL $2,192,385 $1,973,771 ($218,610) . Public Services Program: The city may allocate up to fifteen percent (15%) of the CDBG entitlement amount to public service programs, based on a cap of the entitlement funds. Public service activities include but are not limited to: employment services, child care, health services, substance abuse services, welfare and recreation needs. All of the funding requests received for the public service programs are CDBG- eligible as they meet the national objective to primarily benefit low-income families. Staff is recommending that prior-year applicants receive the same amount of funding as they received in 2007/2008. Although there is a funding reduction, we can achieve this funding level due to a decrease in funding applications. . Capital Improvement and Community Enhancement Proiects: The Capital Improvement and Community Enhancement category includes five (5) requests, which total $1,410,000. These requests include $760,000 for principal and interest payments on a $9.5 million Section 108 Loan which is being used for infrastructure improvements in the Castle Park Area. The remaining $522,952 is available for capital improvement and community enhancement projects. This category does not have a funding cap limit, but is limited by available funds. Capital Improvement Projects may include acquisition, construction or installation of eligible public facilities improvements (except for buildings for the general conduct of government). Improvements include streets, sidewalks, curbs, gutters, parks, playgrounds, water/sewer lines and flood/drainage improvements. Community Enhancement Projects work together with public or private improvements, which result in the elimination of blight in the community. In addition to the required Section 108 loan payment, three (3) additional funding requests are being recommended: (1) ADA curb cuts; (2) a one- time funding for a new HV AC system for the new Sharp Healthcare Clinic on Landis and, (3) the Community Housing Improvement Loan/Grant 5-3 March II, 2008, Item ~ Page 4 of 5 Program (CHIP) to establish a revolving loan program that provides low- interest and/or forgivable loans to qualified low income households in Chula Vista for home repairs. . Administration and Planning; The City may allocate up to twenty percent (20%) of the CDBG entitlement amount to administration and planning activities. These include City staff time reimbursements, contractual fair housing services and contractual homeless administrative services HOME Investment Partnership Act Program (HOME) The City will receive $906,542 in HOME funds for fiscal year 2008/2009. HOME funds may be used to provide affordable rental housing and home ownership opportunities through: . New construction; . Acquisition; . Rehabilitation; . First time homebuyer assistance; and . Tenant-based rental assistance. In past years the City has used these funds to support new construction and acquisition activities related to the development of affordable housing, such as the recently completed Seniors on Broadway development (41 rental units to very low income seniors). HOME funds will be set-aside to assist qualified developers in the production of affordable housing. The selection of housing projects are brought forward to City Council for funding consideration as applications are received and processed. Emergency Shelter Grant Program (ESG) Chula Vista will receive ESG entitlement funds in the amount of $88,169 for fiscal year 2008/2009. The City received one proposal from South Bay Community Services, a local homeless service provider, for the use of these funds. DECISION MAKER CONFLICT Staff has determined that the activities under the Administration and some Public Service programs of the CDBG, HOME and ESG programs are not site specific and consequently the 500 foot rule found in California Code of Regulations section 18704.2(a)(I) is not applicable to this decision. However, several Public Services programs and Capital Improvement and Community Enhancement projects are site specific. For this reason, Staff reviewed the property holdings of the City Council and found no property holdings within 500 feet of the boundaries of the projects and programs. 5-4 March 11, 2008, Item~ Page 5 of5 FISCAL IMPACT The City will receive a total of $2,968,482 in combined federal grant funds from the U.S. Department of Housing and Urban Development for the CDBG, HOME and ESG grant programs. These funds will be used to provide: public services; housing services; complete capital improvement projects; produce affordable housing; and aid the homeless. There is no cost to the City's General Fund as project and staff costs are covered by the grants. ATTACHMENTS . Attachment I: Fiscal Year 2008/2009 Federal Grants Budget . Attachment 2: Fiscal Year 2008/2009 Federal Grant Summary of Requests and Recommendations . Attachment 3: Fiscal Year 2008/2009 Federal Grant Funding Application Notebook Prepared by: Angelica Davis, Redevelopment and Housing Project Coordinator 5-5 FY 2008/2009 FEDERAL GRANTS BUDGET Department of Housing and Urban Development Community Development Block Grant (CDBG) Home Investment Partnership Act Grant (HOME) Emergency Shelter Grant (ESG) CDBG Grant Funding CDBG Entitlement Total CDBG Entitlement 394,754.00 296,065.00 760,000.00 S 522,952.00 $ 1,973,771.00 HOME Funding HOME Entitlement S American Dream Downpayment Initiative S Total HOME Entitlement $ 899,494.00 7,048,00 906,542.00 Administration (10% of Entitlement) $ ADDI S Remaining funds to be allocated towards the production of affordable housing and related housing activities. S Total HOME Allocations $ 89,949,00 7,048.00 809,545.00 906,542.00 Administration (5% of Entitlement) S Remaining balance will be allocated towards local homeless providers S Total ESG Allocations $ 4,408.00 83,761.00 88,169.00 TOTAL FEDERAL GRANT FUNDING $ 2,968,482.00 5-6 Attachment 1 Summary of Federal Grant Requests Requests and Recommendations CDBG - HOME - E5G 2008/2009 5 Charles I. Cheneweth Foundation Community Access Pro ram s s 11.000.00 6 Chula Vista Veterans Home Sup ort Rehabilitation Services 3.500.00 7 Recreation Department Therapeutic Recreation Services S 17.936.00 8 Recreation De artment WizKidz Pro ram S 15,571.00 S 12,299,00 S 12,299.00 9 South Ba Famil YMCA Youth Prevention and Diversion S 42,07600 S 29,854.00 S 29,854.00 10 Chula Vista Beacon Center Youth Prevention and Diversion S 10,969.52 S 7,783,00 S 7.783,00 II Chula Vista Bo s and Girls Club youth Prevention and Diversion S 20,313,00 S 14.413,00 S 14.413.00 12 Chula Vista Police Athletic Lea ue Youth Prevention and Diversion S 5,000,00 S 5,000,00 S 5,00000 13 South Ba Commun. Services Youth Prevention and Diversion S 39,550,00 108,899,00 14 Family Resource Center S 35,000,00 S 35,000.00 S 35.000,00 KidCare Express HI Mobile 15 Chula Vista Family Hearth Center Medical Unit S 30,000,00 S 27,000,00 S 27,000,00 16 Lutheran Social Services Project Hand S 8,000.00 S S 7,38000 out ay ommunl rvices! amiJy io ence re men 17 YMCA Program S 35.700,00 S 34,00000 Subtotal $ 108,700,00 $ 103,380,00 Total $ 358,245,52 $ 296,065,00 Attachment 2 5-7 Summary of Federal Grant Requests (cont.) CDBG (Continued) w, ~ ~="~""" ~ ~- - ~ - " _" _ ~ _ ~ k ~ =~ _" ,~ ~ _ ~J'\ , _ Amount Prior Year Recommended Tab Organization/Department Project/Program Requested Funding Funding 18 Chula Vista Family Health Center HVAC Pro"eet $ 30,000,00 $ $ 30,000,00 nglneeflng an enera ervlees 19 Department ADA Curb Cuts $ 350,000,00 $ 430,582,00 $ 390.000,00 as e or o e n orcemen 20 Department Pro ram $ 150,000,00 $ 150.000,00 $ ommunl ouslng 21 Redevelopment and Housin Improvement Pro ram $ 140,000,00 $ $ 100,000,00 22 Redevelopment and Housing Section 108 Loan Payment $ 760,000,00 $ 800,000,00 $ 762,952,00 Amount Prior Year Recommended Tab Organization/Department Project/Program Requested Funding Funding 23 Redevelopment and Housin Fair Housin Services $ 35,000,00 $ 39,000,00 $35,000,00 Regional Task Force on the 24 Re ional Task Force on the Homeless Homeless $ 1,000,00 $ 1.000,00 $ 1.000,00 25 Redevelopment and Housing Planning & Administration $ 393,754,00 $ 369.266,00 $ 358,754,00 Total $ 429,754,00 $ 394,754,00 HOME $906,542,00 26 Redevelopment and Housin Production of Affordable Housin $ 756,000.00 $ 522,801.00 $ 809,545.00 27 Redevelopment and Housin HOME Plannin & Administration $ .If !me ome uyer Program $ Total $ 89.949.00 $ 93,089.00 $ 89,949.00 28 Redevelopment and Housing 7,048.00 $ 17 A44.oo $ 7,048.00 852,997,00 $ 906,542,00 ESG $88,769,00 29 South Bay Community Services 30 Redevelopment and Housing Coso Nueva Vida $ $ 85.000.00 $ 4.400.00 $ 85,000,00 80.955.00 $83.769.00 ESG Planning & Administration Totol $ 4.400.00 $ 4.400,00 $88,169,00 Attachment 2 5-8 :ff-f-h'? 5 #f-fachnurJf 3 cdbg home esg chula vista.fedEu"a.1 grants applications Summary ot Federal Grant Requests Requests and Recommendations COBG - HOME - ESG 200B/2009 5 Charles I. Cheneweth Foundation Community Access Pro ram $ $ 15,000,00 $ 4,000,00 $ 25,626.00 11,000,00 $ 6 Chula Vista Veterans Home Support Rehabilitation Services 3,500,00 $ II ,000,00 3,500.00 17,936,00 7 Recreation Department Therapeutic Recreation Services $ 8 Recreation De artment WizKidz Pro ram $ 15,571.00 $ 12,299.00 5 12,299.00 9 South B Famil YMCA Youth Prevention and Diversion $ 42,Q76.00 $ 29,854.00 $ 29,854.00 10 Chula Vista Beacon Center Youth Prevention and Diversion $ 10,969.52 5 7,783.00 $ 7,783,00 II Chula Vista Bo s and Girls Club Youth Prevention and Diversion $ 20,313,00 $ 14.413,00 $ 14,413.00 12 Chula Vista Police Athletic Lea ue Youth Prevention and Diversion $ 5,000,00 $ 5,000,00 $ 5,000,00 13 South B Communi Services Youth Prevention and Diversion 5 52,640,00 $ 39,550,00 $ 39,550,00 14 Family Resource Center $ 35,000,00 5 35,000,00 5 35,000,00 KidCare Express Ifl Mobile 15 Chula VISta Famil Health Center Medical Unit $ 30,000,00 5 27,000,00 $ 27,000.00 16 Project Hand $ 8,000.00 $ $ 7,380,00 amlY 10 ence rea men 17 Program $ 35,700,00 $ 34,000.00 Subtotal $ 108,700,00 $ 103,380,00 Total $ 358,245,52 $ 296,065,00 Summary of Federal Grant Requests (cont.) CDBG (Continued) ~ x Amount Prior Year Recommended Tob Organization/Department Project/Program Requested Funding Funding 18 Chula Vista Family Health Center HVAC Project $ 30,000,00 $ $ 30,000.00 nglneenng an enera ervlces 19 Department ADA Curb Cuts $ 350,000,00 5 430,582,00 $ 390,000,00 as e ar o e n orcemen 20 Department Pro ram $ 150,000,00 5 150,000,00 $ ommunl ouslng 21 Redevelopment and Housin improvement Pro ram $ 140,000,00 $ $ 100,000,00 22 Redevelopment and Housing Section 108 Loan Payment $ 760,000.00 $ 800,000,00 762,952,00 Amount Prior Year Recommended Tab Organization/Department Project/Program Requested Funding Funding 23 Redevelopment and Housin Fair Housin Services $ 35,000,00 $ 39,000,00 535,000,00 Regional Task Force on the 24 Re ional Task Force on the Homeless Homeless $ 1.000,00 $ 1.000,00 $1.000,00 25 Redevelopment and Housing Planning & Administration $ 393,754.00 5 358.754,00 Total $ 429,754.00 $ 394,754.00 HOME $906,542,00 26 Redevelo ment and Housin Production of Affordable Housin $ 756,000,00 $ 522,801.00 $ 809,545,00 27 Redevelopment and Houstn HOME Plannin & Administration 5 -lrst Ime ome uyer Program $ Total $ 89,949,00 5 93,089,00 $ 89,949.00 28 Redevelopment and Housing 7,048,00 $ 17,444,00 $ 7,048,00 852,997,00 $ 906,542,00 ESG $88,16900 29 Soutl1 B Communi Services Casa Nueva Vida $ $ 85,000.00 $ 4.400,00 80,955.00 $83.769,00 85,000,00 $ 4,400,00 30 Redevelopment and Housing ESG Planning & Administration Total $ $88,169,00 I Tab No.1 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: South Bay Adult Day Health Care Center Transportation Organization/Dept .: Adult Protective Services Project Description: Provide transportation services to and from the South Bay Adult Day Health Care Center for disabled seniors who are in danger of institutionalization with the services. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $11,000 $11,000 Specific use of funds: Transportation HUD Matrix Code: Citation: 05A - Senior Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : Yes Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 70 - Exempt (# of Units - Type of Units) Low Moderate Income Clientele 1 COMMUNITY DEVELOPMENT DEPARTMENT Agency Name: Adult Protective Services, Inc. Applicant Name and Address: Agency Director: Adult Protective Services, Inc. 2840 Adams Ave, Suite 103 Janai Ouintana. Executive Direct r Name and Title San Diego, CA 92116 (619) 283-5731 (Area Code) Telephone janai@apsincl.net (619) 283-1877 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the purposes stated within th plicable regulations. (SIGNATURES MUST BE IN E INK) \. 5i tur of Agency ard resident/Date gnature of Ag cy DirectorlD9t~ I rl Joyce Rezin - President anai Quintana J/~/~o Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for CDBG funds (ma be submitted after a lication deadline. 'F ~"._~.L. g. .m.'Bmlli'!Xi 1. Program Name South Bay Adult Day Health Care Center Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Theresa Gachuna (619) 426-0982 Name (Area Code) Telephone N/A (619) 426-5281 E-mail address (if available) Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program [i] 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). Funding requested to provide or contract for transportation services to and from the South Bay ADHC Center for disabled seniors and other disabled adults who.are in danger of institutionalization without the Centers services. Part II - Application Part II Page 3 of 25 4. Where are services provided? (If different from agency location) Services are provided at the South Bay Adult Day Health Care Center located at 301 E. "J" Street, Chula Vista, CA 91910. Services are provided to all Chula Vista residents 18 and over with a medical, cognitive or physical disability. 5. Please describe your agencies written policies and procedures including how clients are served, COSG eligibility requirements, compliance with Federal, State, and Local laws? Upon intake for initial assessment into the South Bay ADHC the social worker completes the income data form for CDBG funded projects for qualifying Chula Vista residents. This is monitored by accounting clerk upon enrollment of new participants. APS, Inc. is compliant with the policies and procedures of Title 22 of the California Code of Regulations. The South Bay ADHC is monitored for compliance by the Department of Veteran Affairs on a monthly basis. The State Department of Aging' and Health Services do a comprehensive evaluation annually. The Medi-Cal Field Office evaluates services provided every six months. Part II - Application Part II Page 4 of 25 l I 6. Total Program Cost: Actual 2007- $ 763,976 Proposed 2008- 1$802,175 I 2008: 2009: Projected 2008- $ 802,175 2009: Chula Vista Non Chula Vista 45 40 un- 35 duplicat d 7. Total Number of Clients proposed to be Served in 2008.2009: 70 Total Number of Clients Estimated to be Served in 2007-2008: 60 Total Number of Clients Served in 2006-2007: Actual 58 City fiscal year is July 1-June 30th. Beneficiary Information: $UL...OO Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Requested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Ch u la City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundino -O- 11,000.00 -0- 11,000.00 -0- 12,000.00 9. Funds Requested from Other Jurisdictions for this Program City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 N!A Part II - Application Part II Page 5 of 25 PROJECT NARRATIA VB A. Need 1. The California Department of Health Services and the California Department of Aging estimate that at least 15% of the older population aged 55+, have physical or mental impairments serious enough to cause institutionalization. The City of Chula Vista Community Development Department estimates that at least 19% of its population is aged 55 and above as ofJanuary 1, 2003. This segment of the population numbers 38, 212. Potentially 1,910 residents of the City of Chula Vista could use services such as adult day health care to delay or eliminate the need for institutionalization. Previous Accomplishments: 2. The South Bay Adult Day Health Care Center has received funding for transportation services for several years. For the 2007-2008 fiscal year, the Center received $11,000.00 of CDBG funding. At present all objectives are being met. In previous years obj ectives were met or exceeded. B. Benefit The overall goal of the program is to offer a safe caring alternative for older adults and other disabled adults so that institutionalization can be delayed or eliminated. 1. This can be accomplished by providing access to services at the Center by providing or arranging transportation services. 2. Develop, with the help of in-house and community specialists, a plan of care for each individual which will include a treatment and maintenance program. The South Bay Adult Day Health Care Center will provide approximately 16,500 days of service to 115 unduplicated clients (participants) during the 2006-2007 fiscal year. Of this number 95% or 110 will be low/moderate income, and 65% or 75 will be residents of Chula Vista. C. Other Resources and Collaboration The agency has not pursued active fund raising to date. The Center has held rummage sales and raffles to enhance its enrichment funds. Volunteers are beneficial in assisting with the daily activities at the Center. The agency conducts a single audit every year performed by an outside CPA firm. The Adult Day Health Care program is audited annually by the California Department of Aging. The agency employs a full time accountant and two full time accounting clerks. The agency has successfully managed the State Licensed Adult Day Health Care Program since 1976. We have a contract to provide day health care services to Veterans and are certified and funded by the U.S. Department Veterans Affairs. D. On!anizational capacity 1. The mission of Adult Protective Services, Inc. is to prevent institutionalization and improve the quality of life for disabled and disadvantaged senior citizen and adults. 2. The agency was incorporated in 1970 and has provided adult day care, adult day health care, employment services, and mental health services to the citizens of Chula Vista since 1970. 3. The agency has operated adult day care in Chula Vista from 1974 - 1976. In 1976, the Center was licensed as an Adult Day Health Care Center, with a capacity of 60 participants per day, and has operated successfully ever since. 4. Besides the Chula Vista Center, the agency operated the North County Adult Day Health Care Center in Vista since 1976, and the Heartland Adult Day Health Care Center in Santee, since 1976. 5. The full-time core staff at the Center includes the following: Program Manager (1) Social Workers (1) RNNurse (1) Master Degree in Social Work Masters Degree in Social Work Licensed Registered Nurse Licensed Vocational Nurse State Certificate Class B License-Passenger Endorsement Activities Coordinator (I) Van Drivers (2) Program Aides (4) Volunteers Number varies between 1-4 daily Staff shared with two other agency Adult Day Health Care Centers: Nurse (Supervising) (1) RN Occupational Therapist (1) Certified Occupational Therapist Occupational Therapist Assistant (1/2) State Certified Physical Therapist (1) Registered Physical Therapist Consultant staff (hourly basis as needed and required by State regulations): Dietician; Speech Therapist; Pharmacist; Psychiatrist: Medical Director and Licensed Clinical Social Worker. SCOPE OF SERVICES 11. Scope of Services A. Proi ect Description 1. Adult Day Health Care is an organized day program of therapeutic, social and health services provided to older adults or other adults with physical or mental impairments to restore or maintain to the fullest extent possible the capacity for self-care. Services provided include nursing, social services, restorative therapies, meals, and transportation. 2. An Intake Data Sheet is completed on all participants. This form contains information such as name, address, date of birth, race, ethnicity, income and gender characteristics. 3. The South Bay Adult Day Health Center works closely with other day care centers, day health care centers, senior centers, housing and residential care facilities. Referrals and collaborative efforts are used for the benefit of our joint clients. Hospitals and community clinics, as well as the community at large, are educated as to the benefits of adult day health care and the availability of this service. 4. The Center contracts for nutritional services, adult education services and transportation services with local providers. Staff attends community meetings, such as the South Bay providers Council, Coalition of Mental Health, and local resource fairs such as health and social services fairs. B. Target Population Adult Protective Services, Inc. and the South Bay Adult Day Health Care Center targets older adults 55+ who are in need of alternative services to prevent institutionalization. These older adults may include frail elders with multiple health conditions, individuals with Alzheimer's disease, chronically mentally ill adults and older persons with developmental disabilities. Because the South Bay Adult Day Health Care Center is certified by the State Department of Health Services as a Medi-Cal provider, the Center must also service those eligible adults over 18 years of age. Normally about 15% of those served are between the ages of 18-55 Currently, 48 residents of Chula Vista have received adult day health care services in fiscal year 2007-2008. All are disabled and low/moderate income, of those currently enrolled (39) as of September 2007: (15) white, (1) Black/African American, (3) Asian, (1) Pacific Islander and (19) Hispanic. C. Outreach The Center Program Manager and Social Workers are actively doing outreach on an ongoing basis. They attend health fairs. They work in conjunction with doctor's offices, health care providers, hospital discharge planners, in-home health care providers and in-home support services. They make site visits to senior apartment complexes, board and care facilities, trailer parks and church groups to inform residents of the Center's activities, programs and the benefits of attending. 12. Performance Schedule 1. The program is evaluated both in-house and by various governmental agencies to confirm that services are appropriate to the participants' needs and that services are being carried out. The State Departments of Aging and Health Services do a comprehensive evaluation bi-annually for appropriateness for their clients, and the Medi- Cal Field Office evaluates services for some Medi-Cal participants every six months. 2. The obj ective of providing or arranging transportation services to and from the Center will be used as a performance measurement. (if Subcontractors are used please use additional line item budgets). State, VA,Priv te Program Expenses and Donations 1. Professional Services 74,982 74,982 2 Buildin Rent 52,013 52,013 3. Maintenance, Janitor 19,038 19,038 4. Transportation 12,000 30,966 42,966 5. Food, Nutrition 38,985 38,985 6. Insurances 21,407 21,407 7. Utilities Su lies Dsta e 34,814 34,814 8. Others 38,445 38,445 Personnel Costs 9. Salaries (Include title and name of staff erson 372,920 372,920 10. Benefits (describe) 106,605 106,605 Total Costs $ 12,000 $790,175 $ 802,175 PERSONAL COSTS LINE 9: 1. Salaries Program Manager 2. All Other - - Provides program development and administrative management of program. $3,000/month for 12 months= $36,000. Social Workers, Register Nurses, Activity Coordinator, Drivers, Program Aides, Accountant, Clerk, accounting clerks...estimated $28,077/month for 12 months = $336,920. 2. Benefits Adult Protective Services, Inc. pay for employees' benefits plan including Health, Dental and Life Insurance. Adult Protective Services, Inc. has the pension plan to cover for all employees after one year of services. Payroll Taxes included FICA, State Unemployment Tax. Workers' Compensation Insurance required by law. LINE 10: 1. 3. 4. Part II - Application Part II 14. Work Plan (Prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services) Work Plan (Identify activities and completion dates) Identify low/moderate income adults who would benefit from ADHC services. July 1, 2008 and ongoing Conduct interdisciplinary team assessments to July 1, 2008 and ongoing identify articipants to determine if suitable pI n of care can be offered. Identify those eligible participants who are in need of transportation to and from the Center. July 1, 2008 and ongoing Provide or arrange transportation to and from the Center for approximately 60 participants daily, 45 of whom will be Chula Vista residents. July 1, 2008 and ongoing Part II - Application Part II Scope 15. Additional CDBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes [Xj No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes [Xj No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No 00 c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes 0 No 0 N/A []j B. If the organization has not had a financial audit, please explain the reason. N/A C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes [Xl No 0 D. Does the agency certify that no pUblic funds will be used for lobbying? Yes [Xl No 0 E. Has the agency previously administered CDBG funds?: Yes IX] No 0 If yes, please describe the agency's experience with CDBG funds: The South Bay ADHC has received funding for transportation services for several years. For the 2007-2008 fiscal year, the Center received $11,000.00 of CDBG funding. At present all objectives were met or exceeded. Part II - Application Part II 16. National Objectives for the CDSG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City Included in boundaries for technical assistance. ~ 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are -L 51% Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons served? oft ..2L .......lL (b) Presumed Benefit: The facility will exclusively serve (check one): elderly persons (over age 62) battered spouses illiterate adults (not ESL) persons living with AIDS homeless persons _ migrant farm workers abused & neglected children .......lL severely disabled adults See Appendix E for the definition (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (i.e., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDSG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more i nformati 0 n htto://www.hud. a ov/offices/cod/aboutloerformance/tra i n ina/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): -X- 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . --X-Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part Ii PERFORMANCE MEASUREMENTS (List major activities, the direct product/service numbers lor each activity and the direct outcome/benefit 01 the activity.) ACTIVITY INDICATOR OUTCOME (What the program does to fulfill ns mission) (The direct products of program (Benefits that result 'ram the program] activities) Service #5 Structured supervised day Day services provided Improved ability to remain program that provides; nursin , for 60 disabled adults independant and active in physical and occupational per day, Monday-Friday. the community. reducing the therapy. Activities, meals need for institutionalizat and transportation for Improved quality of life disabled adults. for program participants. on. Part II - Application Part II CDBG Scope of Work-Activities 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas and files for new letters naming the City of Chula Vista and HUD as the funding source. 1. The daily sign in sheets will measure the objective of providing or arranging transportation services to and from the Center. 2. The intake sheet will be used to measure residency and in Chula Vista and low income status. 3. The program is evaluated both in-house by various governmental agencies to confirm that services are appropriate to the needs and that services are being carried out. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interview, work out plans, pre- and post- surveys. 1. Participants will remain active in the community thru attendance in ADHC program for 12+ months. This will be measured by a multidisciplinary team assessment every 6 months to determine if each participant is appropriate to continue in current living arrangement. 2. Daily transportation arranged and provided to and from the Center. Daily review of transportation logs to ensure transportation is provided and ifnot why. 3. At least 45 low income residents of Chula Vista will receive ADHC services within 12 month period review of the monthly statistics of enrollments/disenrollments will give accounting of residents served each month. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services. (1) Program Manager -MSW, (1) Medical Social Worker-MSW, (1) Social Work Assistant-BSW, (1) Activity Coordinator, (1) Nurse-RN, (1) Physical Therapist-RPT, (1) Occupational Therapist-OIR, 1-2 Occupational Assistants COTA (1) Speech Therapist, (1) Nutritionist-RD, (1) Psychologist, 2 Drivers-Class B, 4 Program Aides. 21. Subcontractor (if any): Please list the names of subcontractors that will be used to carry out this activity. N/A I Tab No.2 2008/2009 FEDERAL GRANT APPliCATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Carina Neiahbors - Home Reoair Organization/Dept.: Lutheran Social Services Project Description: The program offers minor home repairs to seniors and people with disabilities who are low or very low income households who reside in Chula Vista. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $0 $20,000 Specific use of funds: Proaram Exoenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (Generall 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Help Disabled Persons : Yes Performance Measurement: Objective: Suitable living Environment Outcome: Sustainabiiity/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 50. Exempt I # of Units - Type of Units) Low Moderate Income Clientele '( +:. CDBG supprementarApplication Agency Information. Agency Name: Lutheran Social Services of Southern California Applicant Name and Address: Lutheran Social Services of Southern California 2560 N. Santiago Blvd. Orange, CA 92867-1862 Agency Director: Bob Warren, CEO Name and Title (714) 685-1800 (Area Code) Telephone (714) 279-8216 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize COBG funds for the purposes stated within the applicable rejZti ns. NATURES MUST BE IN BLUE INK) ~ Signature of A;nc;;'oard SecretarylDate Si9~~ ~ Gordon Peterson I ? cl II Loyal H. Sharp , '~Jo 2 Printed Name of Agency Board Secretary Printed Name of Agency CFO I . ~ Attach a copy of the board resolution submittal of this application to be considered for COBG funds be submitted after Program Information 1. Program Name Carin Nei hbors Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Emilita Gardiola (619) 476-7055 Name (Area Code) Telephone E-mail address if available) 2. Program is New for our agency D An Ongoing Program x 3. Brief Description of Program (COBG Eligible Activities are available at S570.200, S570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). ~ ....--. . _'.--"-~-Y". i' ;/l:i4iy.;~ ,\l' .(/f .J\..JlY"//';IC l'-I . iJc ! 1'-. "") ~,... Part II - Application Part II Page 3 of 29 Caring Neighbors offers minor home repairs and transportation services to seniors and people with disabilities who are low or very low income and who live in Chula Vista. 4. Where are services provided? (If different from agency location) Services are delivered in the homes of applicants. The program coordinator for Caring Neighbors is housed in the offices for services to seniors and people with disabilities who live in Chula Vista. The address is 270 "F" Street, Chula Vista, CA 91910 5. Please describe your agencies written policies and procedures including how clients are served, CDSG eligibility requirements, compliance with Federal, State, and Local laws? LSS/SC is a 501 (c)(3) organization and meets all state, federal and local guidelines for all the programs it offers. Programs are offered in nine offices in southern California, all the way from Thousand Oaks to San Diego. The director of each area is charged with overseeing the program in their area and monitoring compliance with the laws. An annual audit of the agency is conducted as required. Lutheran Social Services of Southern California complies with all Federal, State and Local laws. Part II - Application Part II Page 4 of 29 Part II - Application Part II Page 5 of 29 I I 6. Total Program Cost: Actual 2007- $ 45,200 Proposed 2008- I $ 37,500 I 2008: 2009: Projected 2008- $ 40,000 2009: Chula Vista Non Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: _ 50 repairs 0 50 trips Total: 100 o . Total Number of Clients Estimated to be Served in 2007-2008: _66 repairs 0 o transp. Total Number of Clients Served in 2006-2007: Actual 109 repairs 0 277 trips Total: 386 .Please note that Lutheran Social Services was not funded by the City of Chula Vista in 07108. City fiscal year is July 1-June 30th. 8. Total City Funds Requested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula Oty of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundinq $25,000 0 9. Funds Requested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 Oceanside Application for COBG - 518 000 Escondido Will apply for COBG same as received for 07/08 $15,000 Part II - Application Part II Page 6 of 29 Part 11- Application Part II Page 7 of 29 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? Many low income people do not have the strength, the knowledge or the funds to repair such things as broken faucets, electrical switches, fix broken railings, install grab bars, etc. They can be left without safe homes. If these minor repairs are not made quickly, they can create dangerous living conditions, leading to health problems or injuries. When health problems or injuries occur, people may no longer be able to stay in their own homes and may have to move to a health care facility or nursing home. Many of these people can continue to live in their own communities, maintain the social ties and the best possible quality of life with the support of a "caring neighbor". The primary accomplishments of this program were to assist people with minor home repairs, allowing them to stay in their own homes rather than having to move to a more expensive alternative, or being without a home. Transportation to doctors' appointments and other assistance, such as help with filling out paperwork for health and other benefits, also assisted these seniors and people with disabilities to stay in their homes. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? As mentioned above, the program is a resource for low income people to help them maintain a safe and healthy environment, so they can remain in their own homes for a longer period of time. This will enable them to maintain their independence and live in their own communities. They will be able to maintain the health and social connections they have and not be forced to move to most costly, less independent facilities, such as nursing homes. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the propased project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non- profit organizations? Lutheran Social Services of Southern California provides funds to help support this program, through general support from churches and donors throughout southern California. Volunteers are recrnited to help with small home repairs and other tasks and services. The volunteers' skills are matched to the needs and requests of those who need them. The program works very closely with Chula Vista's other services for the elderly and people with disabilities, and shares office space with the Senior Center. Lutheran Social Services of Southern California also operates an emergency food program, "Project Hand", which is a referral source for the Caring Neighbors program. Some people who are in need of minor home repairs are in need of emergency food or assistance from time to time and can be referred to Project Hand. The coordinator of this program assesses the other needs of the clients when she visits the home to respond to a need for a small home repair. In addition to emergency food needs, the coordinator can also alert the senior center staff to other problems which are discovered in the home. The individual then receives more than just the requested home repair: a network of refetral to other services for assistance. Part 11- Application Part II Page 8 of 29 Caring Neighbors also provides transportation services which are not provided by other agencies to help with doctors' appointments, shopping and other necessary trips for which people lack other, adequate transportation. There is no other local public or non-profit organization which duplicates the services offered by the Caring Neighbors Program. d. Oraanizational CaDacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. LSS/SC has been developing and administering Caring Neighbors programs in many areas throughout Southern California for the past two (2) decades. LSS has Caring Neighbors programs in Escondido, Chula Vista, Ventura County. Part II - Application Part II Page 9 of 29 SCOPE OF SERVICES 11. Scope of Services a. Prolect DescriDtion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing. specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDSG funds can only be used for expenditures which directly benefit CDBG-eligible clients. The project manager will respond to Inquiries for assistance with minor home repairs. She will also recruit and maintain volunteers who can provide the labor for the home repairs, without cost. Where parts are needed, the manager will complete the fiscal process to obtain funding for those materials. The manager will visit the home needing the repair and also discuss other services the client needs. such as completing forms to obtain social or health services. The manager will maintain case files and make referrals to needed resources. Because Caring Neighbors Is housed in the senior center. the costs to deliver the service are substantially reduced. Because LSS/SC is a large organization the general costs for program oversight are shared with many other programs and thus lower than a private agency would charge. This program Is not targeted for homeless people, but for people who live In their own homes and need some assistance In order to remain there. b. Taraet GrOUD Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. The people served were from low and extremely low households. and were seniors or people with disabilities. Caring Neighbors made 109 minor home repairs to households In 2006-2007. Many more were referred to other agencies who could provide emergency food and health services to assist them to remain in their homes. There were 277 trips made to help people with access to doctors. shopping and other necessary services. c. Outreach Discuss outreach efforts for the proposed service/activity/project. Lutheran Social Services is well known in the San Diego area and has been offering various services to low and very low Income people in the area for more than 40 years. The program Is located in the senior center so the program coordinator Is able to speak directly with staff from other social service agencies on a face to face basis. The coordinator also participates In local health and social service fairs and speaks to other area organizations, including local churches, about Caring Neighbors. The LSS San Diego area office. which operates this program, also has a large Senior Companion Program. and so can refer to that program or receive referral from that program for Caring Neighbor services. In addition. the area office has now relocated to College Lutheran Church will have the ability to Identify new clients In need through the area churches. All the Lutheran churches In the San Diego area receive agency newsletters and have had speakers from LSS/SC speak at their pastors' meetings. Part 11 - Application Part II Page 10 of 29 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition, you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. See attached Work Plan. 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Part II - Application Part II Scope 14. Work Plan (Prepare a Work Plan for implementation/completion of the services and activities Identified in the Scope of Services) Work Plan (Identify activities and completion dates) Assess the need for home repairs to the home of an a Iicant Identify a volunteer whose skills match the needed re air. Assess other needs of clients being served by Caring Neighbors small home repair program and refer to needed services Assess need for transportation to needed services such as doctors appointments, shopping, social service agencies, etc. Within 30 days of referral. On oin Within two weeks of referral. On oin . Within four weeks of the home repair referral, or sooner. Ongoing. Respond to client requesting services within two days. Arrange for transportation and schedule tri s as needed. Part II-Application Part II Scope 15. Additional COSG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.8.) Yes x No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMS Circular A-133? Yes x No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No x c. If the Agency was not required to have an audit per standards of OMS Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDSG grant funds within the audit's scope? Yes 0 No 0 N/A x S. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes x No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes x No 0 E. Has the agency previously administered CDSG funds?: Yes x No 0 If yes, please describe the agency's experience with CDSG funds: Lutheran Social Services has successfully administered many COSO funded programs in the life time of the agency. LSS operated CDSO funded programs in Escondido this past year (Caring Neighbors) and the year before operated COSO programs in Oceanside, Santee and Chula Vista, to name a few. Part II - Application Part II 16. National Objectives for the COBG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. x 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are x 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons 100 0 served? _ (b) Presumed Benefit: The facility will exclusively serve (check one): elderly persons (over age 62) battered spouses illiterate adults (not ESL) _ persons living with AIDS homeless persons migrant farm workers abused & neglected children _ severely disabled adults See Appendix E for the definition _ (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (I.e., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope CDBG Performance Measurements .. ........................... .... ",--,-,- ........,....... _._ _.....".......,.._...,...... _0._._ _..__....,......,._.. .. "" >; .".. ~" j 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDSG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htto ://www.hud.qov/offices/cod/aboutloerformance/traininq/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): x 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _x _Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II PERFORMANCE MEASUREMENTS (Usf major activities, the direct product/service numbers for each activity and the direct outcome/benefit of the activity,) ACTIVITY INDICATOR OUTCOME (Whal Ihe program does 10 fulfill ils mission) (The direct products of program (Bene,"s thai resu" from the program) oCllv"les) Service #s Make Minor home repairs 50 households will have home 50 households will be able to repairs made remain safely in their homes Transportation to necessary At least 50 households will be At least 50 households will health and social services transported to health care remain healthy and will be and social service able to obtain food and other appointments necessary Items to be able to remain at home Part II - Application Part II ," "~,."" .:' :":-":"j"<'-""::?i:,:"'-',"",':':'/;::::t.:';,"'\',?7;;:":''i';;;''':,"",C'--'''':,q:;;,..,: ';f?:"~~":;~,r~:~'",",c7:'F'''t-o 'E',''!':,(:::f: CDSG Scop' eofWork "'Activities c. . ,c,_;, .:' ",''';''..." .:.,...._ .~._ _ .. "". ...",', .c' ";,,...: ,'__ "',;"'" .;" .~' ," "'''''~',.."..,.,., ,"';:'~'" '.' ',_,_'", .'. . ... _ ",.-,-,.._.~.". "";". .';;~"_,.,, ;,_ , 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news letters naming the City of Chula Vista and HUD as the funding source, 1. Intake form completed and filed for each client with documentation of residence, income and need. 2. Documentation of request and date of request, volunteer assigned and date of completion of repair. 3. Quarterly service reports document services. 4. Invoices for cost of repairs. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient Example: Interviews, work out plans, pre-and post- surveys. 1. Documentation of minor home repair completed, such as work sheet completed by volunteer and signed off by client. 2. Documentation in client file by coordinator of follow up contacts with clients to see if repair is satisfactory. 3. Transportation record maintained of trips completed, with client name and address, destination of trip, activity completed and outcome of trip. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services, Emilita Gardiola, Program Coordinator, has a B.A. and has worked for LSS/SC for several years in this position. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. None Part II - Application Part II Scope CDB{;DetaifedBudget . Lil'lelteljf~){p'e~~~~~ (if Subcontractors are used please use additional line item budgets). Program Expenses 1. Rent/Phone/Utilities 3,000 1,500 4,500 4,000 2,000 6,000 3. Indirect Costs OMB A-122 2,260 1,130 3,390 4. Volunteer Reco nition 200 100 300 5. Staff Milea e 300 150 450 6. Office Su lies 264 132 660 7. 8. Personnel Costs 9. Salaries-Requel P. Pantry M r. .67 FTE 12,480 6,240 18,720 10. Benefits (describe)P/R taxes 2,496 1,248 3,744 Total Costs $ 25,000 $ 12,500 $ 37,500 Part II - Application Part II I Tab No.3 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: COBG Project Title: Interfaith Shelter Network Organization/Dept .: Ecumenical Councl of San Oieao Project Description: Provide rotational winter night time shelter at nine congregations in the South Bay for approximately 18 weeks. Services include meals, overnight supervision, showers. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $10,350 $10,350 Specific use of funds: Proaram Expenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (Generall 570.20He) Is the purpose ot the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : Yes . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainabilityl Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 40- Exempt I # of Units - Type of Units! Low Moderate Income Clientele ts Agency Name: Ecumenical Council of San Diego Coun !!nterfaith Shelter Network Applicant Name and Address: 1880 Third Ave. #12 Agency Director: Rosemary Johnston Name and Title Intertaith Shelter Network San Diego, Ca. 92101 Interfaith Shelter Network Program Director (Area Code) Telephone (619)702-5399 E-mail address (if (Area Code) Fax Number applicabie)rjohnston@nterfaithshelter.org (619)238-1526 Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are e' . e and able to utilize CDBG funds for the purposes stated within the app , . ,e regul . s. (S TURES MUST BE IN BL INK) "1, Signature of Rosemary Jo ston Printed Name of Agency Director Attar:h i: copy of the board resolution authorizing submittal of this application to be considered for COBG funds be submitted after a Iication deadline). 'O~ I 1. Program [eia.Tee Interfaith Shelter Network Rotational Shelter/South Ba branch Contact F'ar:;;:m i~!"2J1abie to answer questions July 1, 2008 - June 30,2009) Joe ;~~:\'!r-:::k::;; -- ----.-._-_. ----.. Name (619)702-5399 (Area Code) Telephone ioe(tJ.; 1 n t~~{ 8. .!.E.~'~sJ; e!'ter, erg E-rr:gi; ;~dljre~;;,j (ii_8.\!S1ilable) 2. Program;5 3. New for our agency U _ (619)238-1526 Area Code) Fax Number An Ongoing Program xO Brief De!\~"'ifl!i"n of Program (CDBG Elijgibie Activities are available at ~570.200, ~570.201, 570.202, 570.;W4 .and j"eligible Actuvities are included in 24 CFR Part 570.207). Part II - Application Part II We provide r,;tational winter nighttime shelter at nine congregations in South Bay for a total of 18 weeks betNeen November and April. 30-50 guests, homeless individuals and families, are screened and mm,!trm,d by Lutheran Social Services/Project Hand. They can stay in the program for up to eight weeks; they move every tNO weeks to another participating host congregation. Each congregation C.H'1 accommodate ten -20 homeless shelter guests. Congregations provide meals, overnight supervision, showers, and other services and resources, depending on capacity. Shelter guests receive transportation assistance, case management, and budgeting and career planning training. 4. Where arr, S'2i'\'icf';; ~mJvided? (If different from agency location) Case manag9;y'~c;t HSnliGas(,')creelling, r,afp'ri"at znd monitoring of shelter guests) are provided at LSS Project Hand, 580 HiIl'o~ ,:r., Chu!a Vista. 9'910. Shelter is provided at imperial Beach United Methodist, First United Meichuoh't of Chuia Vista, Chula Vi,sta Presbyterian, St. Charles Catholic in Imperial Beach(two additional """.f(S ~r? coordinated by Sacred Catholic of Coronado), Community of Christ in Chula Vista(St. Pius X of C(,ula Vista and St. Rose Catholic of Chula Vista each take two weeks at C of C's facilities), and Nestor United niiathodist. The number of host congregations can vary from year to year as well as the dates when sheltllT wil! Oil provided at their facilities. Career planning and budgeting workshops are conducted at the cOfl:~~r~t~L2.tjo~?1 host's facilities. 5. PC'<'2.s' (bscribe your agencjes written policies and procedures including how clients are served, CDSO e!igibi~ity requirements, compliance with Federal, State, and Local laws? All shelter guests an" p1'~.;;(;reened and case managed by Lutheran Social Services Project Hand. We serve home!e!;" L'Cii .if-kals and families who are willing and capable of moving toward self-sufficiency during their r":Jl{jmum eight week stay in our program. Throllgh initial intake screening interviews, Project Hand staft determine the guests' homeless status, income, cause of homeless ness, last known ad::!'s5'~, v,}terans status, age, gender, and any significant medical or mental illness as well as disabmty. TrJ:ugh waek!y meetings and site visits to participating congregations as well as daily phone <:.;"':'<iT,'> ,~; ,'!'~')':1s f"om c"n'jwo;;,tional coordinators, case managers are able to assess each shelter t", (,,;!' ;'J'~Gl'f';:3 ;n'heir C3l;!' pl<1\1 and issue a new voucher weekly for another week of shelt",', Tce,'",' vih,- fell' t:J ahjde by pr'Jpam guidelines are asked to leave the program. Because the ISN R.);""L,,"" G"",'i:'~, I"'!}(;n!vs:; SBDG fLol'1ding from other municipalities in the San Diego region, we strive to ~. ',:0 iT"""""!l!j"m~e with ,,11 'l\deml, state, and local iaws. Part II - Application Part II Page 2 of 29 ----- --- ------.---.----------.---- L_________ Part 11- Application Part II Page 3 of 29 6. Total Prcgram Co~t: ,tJ.ctuai 2'2Ci7-2008 i $148,823(eno I 'I' of Oct. 200i) I Projected 2008- I $175,300 I' 200S: Proposed 2008- 1$176,300 2009: , Chula Vista 7. Total Numbu of Clients proposed to be Served in 2008-2009: 40 Tota! !\.iW,liJ$~ ilf ellert, Estimatecl to be Served In 2007-2008: 35 To';;;; Number of Clients Served ill 2006-2007: Actual 20 Non Chula Vista ---L- ----L o City fiscal \/'"H is .July 1.June 30'h. BeneflcklTV ~ti'k~rmation: _~_~L~_ Cos, ($) PI;:;, CDBG beneficiary (CDBG Request/CDBG , , , t.:,2:-i':7Ti(.,;OI"\8S1 ,---.---...---... .-.----.-----. I 8. To~L~;irl,f_unds Requested for this Proaram: 'Ci~, ;l>,wi:,rded 20l)6-1lJ07 ! Awarded 2007-2008 ' Requested 200S- 2009 City of Chula Vista HOME, ESG CDBG Oty of Chula Vista -----,... ",.;:;y-;i'Chula ! ' City of I City of Chula T City of Chula , '!ista HOME_ i Chula Vista i Vista HOME, I Vista CDBG L ESG I CDBG I ESG I i ' , -.- --------------- ---.-.--.t----.---l : I F,-,~,j :!-~.,'______ __ .._.c.___ __....m i $10,350 I : 19. I fund.':: RC'{a! ,'st~'d 'imm Otl\.u Jl.luisdictions for this Proaram .----,----' i Awarded 1007- Type of Funds Requested 200S- 2003 , 2009 I $.55,050 ! ceOG $55,050 ',~Ec I I i ---_. -------- -- .-.----.. I i $28,396 i ESG $2S,396 1;1 ! -.--.--- ..---... --..- . --. i . ! $SArn City of San Marcos , ; i -.----- C~t'f"" (;{stmtV f2..if~:~,l cont~'H':t( :r:::-f.7k)::~' fY~:l ___ ... .L ~.___ _.__ COt.iW~k..:" HCO I E::,"3{ r<~ig"<.~n'~: e 1 C~tv 'of' :;a:n I M~-"--I'''~''-'''r'' P':'i-".i';:' I''''..W_;_j ;- ~~;":\j~..~:~~~-- Part II - Application Part II Page 4 of 29 rcity;(;.~, . - --~~;rt . COw,-~,~,,; -:~'_'!i~L__~_ l~ ,.', -'.'i Oc:",,,,,,;.(j,,,,,,,,,,),,..th :, emf';',: r.:~"'h;:l : ___Pi:?:~::;.~~______~ $3/00~ CBDG I $3/,,Ul.i Mortg,age Bond Rellenue Funds Part II - Application Part II Page 5 of 29 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary. however the body of the application may not exceed four (4) pages. excluding the performance schedule and budget.) a. Need Document the need for the project/program. [f the project has been funded before. what have been the primary accomplishments? According to the Regional Task Force on the Homeless. there are approximately 330 homeless individuals in the city of Chula Vista and 116 in National City with one reported in Imperial Beach or Coronado. The Interfaith Shelter Network is the only emergency winter shelter program in the South Bay area. Homeless individuals face incredible challenges attempting to locate employment and housing if they have no shelter. The Rotational Shelter Program operated by the Interfaith Shelter Network in South Bay and six other areas of the San Diego region provides shelter. meals. a safe place to sleep. showers. transportation. case management. career planning. and budgeting assistance to those whom it shelters at local congregations. The program is most effective with the sltuatlonally homeless. those who do not have serious mental health or substance abuse issues and are willing and able to move toward self-sufficiency during their maximum eight week stay in our program. b. Benefit Discuss how the project/program provides benefit to [ow-income persons. How does the proposed project respond to the City of Chula Vista needs?AII of our shelter guests have extremely low or no income. They clearly fall within the requirements of CBDG funding regulations. More than half of the adults sheltered at Network congregations leave with a Job or Income to which they are entitled. a clear benefit to those on the lowest rung of the economic ladder. Shelter guests can count on a safe place to sleep. access to showers and meals as well as guidance which helps them achieve self-sufficiency and respond to opportunities for more long term housing and employment or other Income that will enable them to obtain housing. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in col[aboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other loca[ pUblic or non- profit organizations? The Network raises more than $70.000 annually in grants and other donations in addition to CBDG funding from San Marcos. La Mesa. and Oceanside as well as the CBDG funding from the county of San Diego HHSA and ESG funding from the county of San Diego HCD. Regionwide. there are nine other case management agencies that screen and monitor shelter guests In our other six branches and 51 congregations that provide shelter at their facilities plus an additional 60 congregations that provide support at the shelter sites. There is no other program like the ISN Rotational Shelter. The Network also worked with the Alliance for Regional Solutions. a North County collaborative of homeless service providers. to increase the number of beds available in that area during the winter months. It succeeded in obtaining significant funding from North county municipalities as well as the United Way. d. Oraanizational Cacacltv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served. or are under-served? Attach a list of the Board of Directors. The Network Is now in its 22nd year of providing shelter through the Rotational Shelter Program. In the past 21 years. we have sheltered more than 7.000 homeless individuals. the majority of whom have left our program for more permanent housing; the majority of adults have left with a job or income to which they are entitled. More than 4.000 undupllcated volunteers participate annually. and more than 20.000 donated meals are served to shelter guests. The Network has also operated a transitional housing program for homeless battered women and children at a 45 bed. 11 unit apartment complex for 11 Part II - Application Part II years. Largely HUD funded. it has served more than 140 families. almost all of whom left for permanent housing and benefited from increased education and income. The Network's Rotational Shelter has been funded by the city of San Diego and the county of San Diego almost from its inception and has been in compliance with all contract requirements. It is also part of the annual audit prepared by Sonneberg CPA. using GAPP standards and has never had a negative finding. Part II - Application Part II Page 2 of 29 SCOPE OF SERVICES 11. Scope of Services a. Project DescriDtion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing. specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. $2.900 for essential services and $6.578 in operational costs will be utilized to provide case management. transportation. and the development of a rotational shelter program at nine or more South Bay congregations during the winter months serving 35.50 homeless individuals. $2.900 includes $1,400 In transportation and $1,500 in case management costs for direct services. Because all of the shelter space and staff are donated at the congregational sites, we have a very low cost per beneficiary ratio. We are able to leverage 900 unduplicated volunteers who provide an average five hours per person at $10 per hour or $45,000 in in-kind volunteer hours. And we provide 4,536 meals valued at $3.33 each for an estimated $15,104 of in.kind value. If we serve 35 homeless individuals, the cost per guest of CBDG funds will be $270 for a maximum eight weeks of case managed shelter, not Including the $45,000 value of volunteer hours or the $15,104 value of donated meals. 31'70 of the total 9,478 will go to support direct services to homeless people. However, without the support of ISN staff, none of the shelter sites could be provided with appropriate training, scheduling, and monitoring assistance that support the congregational volunteers who provide the meals and ovemlght supervision. b. Taraet GrouD Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. In the last ten years, the South Bay branch has served as many as 59 and as few as 20 shelter guests during the winter season. How many we serve depends on how many congregations provide shelter, how long shelter guests stay in the program, and how successful case management agencies are in screening and referring new guests to our program. Our guests may be single men or women, couples without children, or parent(s) with children, all of whom are extremely low income. c. Outreach Discuss outreach efforts for the proposed service/activity/project. The Network produces a bimonthly newsletter mailed to 4,500 readers; Network staff participate in leadership positions in the Regional Task Force on the Homeless, the Regional Continuum of Care Council, Emergency Resource Group, the San Diego Housing Federation, Housing California homeless policy committee, and the Metropolitan Area Providers of Social Services. In addition, Network staff participate in the planning and secure donations of materials for the annual Womens' Resource Fair as well as Project Homeless Connect. Letters and e.mails are sent to all local law enforcement and school districts prior to the opening of the Rotational Shelter Program, Informing them of the appropriate case management Part II - Application Part II Page 3 of 29 agency where homeless individuals can be screened for our program. Network staff also respond to speaking engagements and press interviews on a regular basis. 12. Performance Schedule On a separate page. prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition. you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Part II - Application Port II Scope 14. Work Plan (Prepare a Work Plan for implemenfation/completion of the services and activities identified in the Scope of Services) Work Plan (Identify activities and completion dates) iSN Rotational Shelter Annual Volunteer Orientation ISN Rotational Shelter South Bay branch orientation ISN Rotational Shelter South Bay branch wrap-up ISN Annual Case management orientation; meetings with shelter uests ISN Annual Case management wrap-up ISN Rotational Shelter South Bay branch opening/closing dates ISN Rotational Shelter South Bay branch recruiting, scheduling, training, monitoring of congregations, case management agencies, and bud etin /career lannin worksho volunteers Sept. 6, 2008 October 2008(date TBA-opening dates var ' April 2009 October 2008; weekly while shelters are 0 en May 2009 November 2008/April 2009 ongoing Part II - Application Part II Scope 15. Additional COBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.8.) Yes 0 No Ox a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMS Circular A-133? Yes Ox No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No Ox c. If the Agency was not required to have an audit per standards of OMS Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDSG grant funds within the audit's scope? Yes 0 No 0 N/A Ox S. If the organization has not had a financial audit, please explain the reason. N/A C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes 0 x No 0 Yes 0 x No 0 Has the agency previously administered CDSG funds?: Yes Ox No 0 If yes, please describe the agency's experience with CDSG funds: We have received CSDG funding from the city and county of San Diego, the city of La Mesa, and the city of San Marcos in the past. D. Does the agency certify that no public funds will be used for lobbying? E. Part II - Application Part II 16. National Objectives for the COBG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. x 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annuai percentage of low-/moderate-income persons 100 'A served? (b) Presumed Benefit: The facility will exc/usively serve (check one): elderly persons (over age 62) battered spouses illiterate adults (not ESL) persons living with AIDS x homeless persons migrant farm workers abused & neglected children severely disabled adults See Appendix E for the definition _ (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (Le., food banks, clothing banks, facilities serving residents of public housing) Shelter guests will be housed at participating congregational facilities in South Bay for 18 or more weeks, depending on how many congregations are able to provide shelter at their sites. Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the COBG Program: In addition to meeting a CDSG National Objective and eligible activity test for the CDSG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information http://www. h ud. aov/offices/cpd/a bout/performance/trai n i na/ch08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): x 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part il - Application Part II PERFORMANCE MEASUREMENTS (List major activities. the direct product/service numbers for each activity and the direct outcome/benefit of the activity.) ACTIVITY INDICATOR OUTCOME (What the program does to fulfill its mission) (The direct products of program (Benefits that resutt from the program) actlvllies) Service #s Provide shelter and other Provide three meals daily. 60% of guests obtained more services to homeless individuals access to showers, case permanent housing; 40% of and families in South Bay and six management, transportation adult guests obtained other areas of the San Diego assistance, and safe and employment; 57%of adult region during the winter months. clean sleeping guests obtained income from accommodations to 35-50 employment or entitlements homeless individuals In South for which they qualified. Bav Involve congregational Nine congregations provided 18 weeks of shelter were volunteers in a short term, small shelter at their facilities; six provided for 20 homeless scale shelter effort additional congregations guests Nov. 2006-April2007. assisted at other facilities; Normally, we serve 35-59 more than 500 undupllcated guests during this period. volunteers participated In the South Bay branch between Nov. 2006 and April 2007. Involve local human services Two agencies in South Bay, Because of effective case programs in the screening and South Bay Community management, the majority of monitoring of shelter guests Services and Lutheran Social 20 guests succeeded in Services Project Hand moving toward self- screened and monitored sufficiency, exiting to more shelter guests winter 2006- permanent housing and, for spring 2007 adults, a job or Increased income. Part II - Application Part II FROM Ecumenical Council of SD FAX NO. 519 238 1525 Mar. 03 2008 03:38PM P5 SCOPE OF SERVICES 11. Scope 01 Se.....ices o. Proiect OescrlDtlon Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing. specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations deiivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eiigible clients. $2,900 for essential se.....ices and $6.578 in operational costs will be utO/zed to provide case management. transportaflon, and the development of a rotational shelter program at nine or more South 8C1Y congregCltions during the winter months serving 35.50 homellMs IndMduClls. $2,900 includes $1.400 in transportation and $1.500 in case mClnagemltnt costs lor direct services. 8ecause ClII of the sheiter space and staff are donated at the congregational sites. we have a very low cost per beneficiary ratio. We are able to leverClge 900 undupllcClted volunteers who provide an C1Verage five hours per person 01 $10 per hour or $4S.000 In In.kind volunteer hours. And we provide 4.536 meals valued at $3.33 each lor an estimated $15.104 of in-kh1d value. If we serve 35 homeless Indlvlduals. Ihe cost per guest of CBOG funds will be $270 for a maximum eight weeks 01 case managed shellet. nof including the $45.000 value of volunteer hours or the $15.104 value 01 donated meals. 28% of the total $10,350 win go to support direct servIces to homeless people. However. without the support of ISN staff. none of the sheiter sites could be provided with appropriate training. SCheduling. and monitoring assistance that support the congregaffonal volunteers who provide the meals and overnight supervision. b. Taraet GrouD Quantify the number of low- and moderate-income persons/households 10 be assisted per service/activity/project. In the last ten years. the South Bay branch has served as many as 59 and as few as 20 shelter guests during the winter lelllon. How many we serve depends on how many congregations provide Ihelter, how long shelter guesls stay in the program, and how successful case management agencies are in screening and refening new guests to our program. Our guests may be single men or women. couples without children, or parent(s) with children. ClII of whom are extremely low income. c. Outreach Discuss outreach efforts for the proposed service/activity/project. The Network produces a bimonthly newsletter mailed to 4,500 readers; Network staff participate In leadership positions In the Reglonallask Force on the Homeless, the Regional Continuum 01 Care Council. Emergency Resource Group, the San Diego Housing federation. Housing Califomia homeless poUcy committee. and the Metropolitan Area Providers of Social Services. In addition. Network Itaff participate In the planning and secure donations of materials tor the annual Womens' Resource Fair llS well as Project Homeless Connect. Letters and e-malls are sent fo all lac III law enlorcement and school districts prior to the opening of the Rotational Shelter Program, informing them 01 the appropriate COle management Part 11- Application Part II Page 10 of 29 FROM Ecumenical Council of SD FAX NO. 619 238 1526 Mar. 03 2008 03:37PM P5 permanent housing and benefited from increased education and income. The Network's Rotational Shelter has been funded by the city of San Diego and the county of San Diego almost from its inception and has been in compliance with all contract requirements. It is also part of the annual audit prepared by Sonneberg CPA, using GAP I' standards and has never had a negative finding. SCOPE OF SERVICES Section J: Scope of Services o. Prolect DescriDtion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve low and moderate-income persons. Discuss the cost- per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. ESG funds can only be used lor expenditures which directly benelit ESG-eligible and HUD eligible clients. $2,900 for essential services and $6,578 in operational costs will be utilized to provide case management. transportation, and the development of a rotational shelter program at nine or more South Bay congregations during the winter months serving 35-50 homeless individuals. $2,900 includes $1,400 in transportation and $1.500 in case management costs for direct services. Because all of the shelter space and staff are donated at the congregational sites, we have a very low cost per beneficiary ratio. We ere able to leverage 900 unduplicated volunteers who provide an average five hours per person at $10 per hour or $45.000 in in-kind volunteer hours. And we provide 4,536 meals valued at $3.33 each for an estimated $15.104 of in-kind value. If we serve 35 homeless individuals, the cost per guest of CSDG funds will be $270 for a maximum eight weeks 01 cose managed shelter, not including the $45,000 value of volunteer hours or the $15,104 value of donated meals. 28% of the total $10,350 will go to support direct srvices to homeless people. However. without the support of ISN staff, none of the shelter sites could be provided with appropriate training. scheduling, and monitoring assistance that support the congregational volunteers who provide the meals and overnight supervision b. Taroe. Grouo Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. In the last ten yeais, the South Bay branch has served as many as 59 and as few as 20 shelter guests during the winter season. How many we serve depends on how many congregations provide shelter, how long shelter guests stay in the program, and how successful Celse management agencies are in screening and referring new guests to our program. Our guests may be single men or women, couples without children. or parent(s) with children, all of whom are extremely low income c. Outreach Discuss outreach efforts for the proposed service/activity/project. The Network produces a bimonthly newsletter mailed to 4,500 readers: Network 6 FROM Ecumenical Council of SO FAX NO. 619 238 1526 Mar. 03 2008 03:37PM P4 Section F -- Proiect Budaet Summary Please provide the following summary information regarding the proposed project budget. Category Total ESG Total Other Total Cost Funding Funt;ling Sources Shelter Operations (list line items) Example: Consumable Supplies/Food Example: Food/Shelter/ Essential Services (Client Services) (List line items) $10,350 $10,350 ! Case management, transportation, staff salaries I Example: Child Care, Transportation Tokens il II Homeless Prevention (List line Items) II Other \1 TOTAL $10,350 $10,350 il --- - Section G - Matchina Funds Emergency Shelter Grant Funds require a 100% malch of non-federal funds, in-kind services. or a , combination of both, Please indicate how your agency will meet this requirement. We raise more than $70,000 annually for the Rotational Shelter Program through grants and private donations from congregations and individuals. We also document $280,000 in.kind value of donated volunteer hours I and SSO,OOO in in.kind value of donated moats and other services provided by participating congregations regionwida. ..:::.:~--- Section H - Documentation of Homelessness 3 FROM Ecumenical Council o. SO FAX NO. 519 238 1525 Mar. 03 2008 03:35PM P3 Section C -. Location of Beneficiaries ......~~;;r.J....~ ,_O;".l. . ," Information Requested Total Number of Total Number of Low/Mod Ineame (Indicate Upll for persons or lOW" for Persons or Pel'$ons or PQraOl1S or Households Households to HQU\Mholds to be households) estimated to ha.. be Served Served been Served FY 2007.08 FY 2007-llB FY 2006-ll7 City Of Chula Vista Residents 20 35-50 35. 50 (extremely I low income) Ii Other I TOTAL 20 35-50 35.50 I Indicate the source of your information (census tract data, surveys, agency experience, other) Our guests r: are homeless 60 it is difficult to determine their residency since they have no permanent address. Case manager wlll ask all potential shelter guests their last permanent address. I' I! - .~..... Section D - Funds Requested for FY 2007-08 , Cost Item/Category Dollar Percent of Amount Total Cost Amount of ESG Funds being requested $10,350 100% Amount of Funds From Other Sources (Provide detail in Section E) Total Project Cost $10.350 100% Section E .. Detail of Other FundinQ Sources for 2007-08 Please provide information below regarding the other funding sources for the proposed project including ESG funds from other jurisdictions. Please nole if the olher funding sources have been secured by contract or awarded by grant, or if a grant application has been submitted, Please be as specific as possib1e.(Funds from San Marcos, oeeanside, and La Mesa will be limited to NC Inland, NC Coastal, and East County branches of ISN Rotational Shelter Program respectively}. Other Funding Source Amount of status of Funding Funding CAP contract, county of SD $55,050 secured HHSA ESG contract, county of SO $28,396 secured HCO City of La Mesa CaOG $3.000 secured II City of Oceanside $3,500 secured Ii il " ~_~!'y_~~n Marcos CSDG $8,400 secu red I I i !i City of EI Cajon CBOG $4,100 submitted I 2 FROM Ecumenical Councilor 50 FAX NO. 519 238 1525 Mar. 03 2008 03:35PM P2 ......,..,,....... 'N ~:....,.r..iir..,..i.!ii'.. "-7"ij'<H'Z>.' e, _ ., ~, .. .':. -. ..",--. (if Subcontractors are ._" .R......._._'-'-~ N'__" _;, _=- ,,,. . '':''. .. . , used please use additional line item budgets). - -~-------------~- HITFM CHULA VISTA OTHER . . OTHER .' 'TOTAL " CDBG LlslOltler LlslOltler " : Program Expenses 1 . Case manaC\ement $1.500 $1.500 .l~ T ransDortation $1,400 $1,400 el_ I , , 4. :1 5. I: 16. , 7. I 8. II Personnel Costs ,i 9. Salaries (Include title and I $2,190 $2.190 I, i name of staff person) I Joe Zilvinskis, Rotational , I Shelter coordinator I , I Rosemary Johnston, ISN $2,217 $2,217 , I Program Director I Lori McBride, Volunteer I ji Assistant $ 351 $351 I ,i 10. Benefits (describe) $1,770 (health Ins) $1,770 I $922 ftaxes] $922 I " I I Total Costs $ 10,350 $ $ . $10.350 Port II - Application Port II [ Tab No.4 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Thursday's Meal Organization/Dept.: South Bay Community Services Project Description: This program provides homeless and low income persons with hot and nourishing meals, to help stretch their food resources. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $10,000 $10,000 Specific use of funds: Proaram Expenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (Generall 570.20He) Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Heln the Homeless : Yes . Help Disabled Persons : No Pertormance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 300- Exemnt (# of Unifs - Type of Units) Low Moderate Income Clientele Agency Name: Applicant Name and Address: South Bay Community Services 1124 Bay Blvd., Suite D Chula Vista, CA 91911-7155 'lJ Agency Director:",' 5i Kath n Lembo, Executive Di~~ Name and Title 'A,;. ~. CDBG sUpprementafAPpli~ation ',' AgencyJflformation, (619) 420-5094 ex!. 145 (Area Code) Telephone klembo@csbcs.org (619) 420-8722 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the purposes stated wi in the a pJ1cable regulations. ,( IGNATURES MUST BE IN , ' . C ' /dj).-. (, , ~ ~ Ig tur f Agency Irec or/Date / Ka ry embo Printed Name of Agency Board President ennted Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for CDBG funds (ll1ayb~~ubmitted a~er~RRI!9~ti(m deadlin~). J.. ',:,."",,:.;:;. -:~t"','i,,::~"~ '\,_'i;"t:;~5L'" . ";- . . Program InfQrtnatfon',' , 1. Program Name Thursda 's Meal Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Kathryn Lembo (619)420-5094 ext 145 Name (Area Code) Telephone klembo@csbcs.org E-mail address if available 2. Program is New for our agency 0 An Ongoing Program IZI 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). This program provides homeless and needy families with hot and nourishing meals. to help homeless and/or low income families s!!:~tch their food resources. so they may concentrate more on developing self-sufficient lifestyles without having to struggle so hard for their dally food. Part II - Application Part II Page 3 of 26 ,,!i:~r,C'"''D''' "B'G "5' "\ : (',' C ,It'~, ' ',u'pp' J~{~ih~t;r:""",:,:,:,, ',:':>-: ,'~;;-,:-;-iiY'2--: 'y;:} :,';:,; ";'/'\ Agency Name: Applicant Name and Address: South Bay Community Services 1124 Bay Blvd., Suite 0 Chula Vista, CA 91911-7155 Agency Director: Kathryn Lembo, Executive Director Name and Title (619) 420-5094 ex!. 145 (Area Code) Telephone klembo@csbCS.org (619) 420-8722 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utili<:e CDBG funds for the purposes stated within the applicable regulations. (SIGNATURES MUST BE IN BLUE INK) Signature of Agency Board President/Date Maria Guasp Printed Name of Agency Board President ~ Attach a of the board resolution Signature of Agency Director/Date Kathryn Lembo Printed Name of Agency Director submittal of this application to be considered 1. Program Name Thursda 's Meal Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Kathryn Lembo (619)420-5094 ext 145 Name (Area Code) Telephone klembo~csbcs.org . (619)420-8722 !;-mail address (If available) (Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program 1:8:1 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). This program provides homeless and needy families with hot and nourishing meals, to help homeless and/or low income families stretch their food resources, so they may concentrate more on developing self-sufficient lifestyles without having to struggle so hard for their daily food. Part II - Application Part II Page 3 of 26 4. Where are services provided? (If different from agency iocation) Church of the Most Precious Blood at 1245 Fourth Avenue, the International Christian Center at 1236 Third Avenue, CV Church of God at 456 Fifth Avenue, and at SBCS, 1124 Bay Blvd., Suite D. 5. Please describe your agencies written policies and procedures including how clients are served, COSG eligibility requirements, compliance with Federal, State, and Local laws? SSCS has extensive policies and procedures governing how clients are served, including sections in the Employee Handbook that govern confidentiality, client relations, reporting of child abuse and threats of violence, and protocols to use with children, as well as an extensive code of ethics, Our General Policies and Procedures govern respect far clients, client grievances, zero tolerance for fraudulent conduct, training, home visiting, maintenance of confidential files, and many other issues. SBCS complies with all Federal, State and Lacallaws. Staff determine if clients fall within income guidelines for provision of CDBG eligible services in this program by self report, since they are coming to all sites simply for meais. Port II - Application Part II Page 4 of 26 r I Ii- Total Program Cost AGtual 2007. $10,000 Proposed :!O08. [$10,000 I :W08: ;WOS: - -- j:!rojeeted 200S- $10,000 20OS: - -.'" -.- - Chula Vista Non Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: 300 Total Number of Clients Estimated to be Served in 2007-2008: 300 Total Number of Clients Served in 2006-2007: Actual 300 City fiscal year is July 1.June 301h. Beneficiary Information: $33 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total Citv Funds ReQUe~t~df~~tl1is Proaram: City Awarded 2006.2007 Awarded 2007-2008 Requested 2008- 2009 .. --......-.,.- City of Chula City of City of C,;hu!a City of Chula City of CDBG Vista HOM~, Chula Vista Vista HOM!;, Vista CDBG Chula City of ESG CDElG J;:SG Vista Chula HOME, Vista ESG .".,. Fundina 10 000 10 000 10.000 - -- - ,--...- - - 9. Funds ReQuested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 South Bay Ecumenical Fundraising $1,000 Council -.."- ""~"'- --- --'---' - -- - -- ....." -- .--." - .-.,- ---. - -- '.-'.-.- - - - -- -_.- - - -'''. ..'~ '" -- Part 11- Application Port II Page 5 of 26 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, whot have been the primoFY CleCClmplishl'l'lents~ There ore many homeless and needy families in Chvla Vista and not enough food resovrces, Homeless ond low income families need to svpplement their seorce r"sovrees. <;lnd often don't have the facilities to provide balonced novrishing meals for their families. Need is demonstrated by the nvmbers of families that continue to ap,:>ear for the hot meals at 011 locoticlf1s. The program is also in contact with local homeless shelters and their networks who also refer needy ft;lmilies for hot meells. Even though the families may be in shelter and receiving ossistclflce, they ore oble tel save moneY by supplementing their fOOd resources at Thursday's Meal's 4 meal sites b. Ilene!it Discuss how the project/program provides benefit to low.income persons. How does the proposed project respond to the City of Chula Vista needs? The program benefits Chula Visto fomilies by providing them resources to supplement their weekly grocery budgets (if they have a home but are [ow income) or benefits homeless families by providing them with a hot meal ot 4 different locations. This is especially important for homeless individuals and families in the cold winter months, to help them cope with the cold. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers ploy in this project? Has your organization developed this project in collaboration with other groups offerin(;l services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local pubiic or non. profit organizations? This program is also supported by funding from the Ecumenical Council in the South Bay which also raises up to $UlOO each yeor to SU!;ll'Jort this program. In addition, the 3 Church sites provide volunteers who cook and provide food ot those sites and at SBCS' main site. There is no other large sustained feeding program in the South BaY, thoLigh there are several small ones. d. OrClonizational Capacity Summarize Ihe organization's background/programmatic capacity. Does your organization or proposed service fill 0 unique niche among clients who are not currently served, or are undeHerved? Attach a list of the Board of Directors. South Bay Community Services (S6CS) is a 36 year old multi.service and community development organization, a private, SOllC) (3) nonprofit orgonization whose mission is to provide children, youth, and fomilies in the South Bay area with services which reinforce the family's role in our community and assist individuols to ospire realistically to lives of self. fulfillment. This is addressed through the provision of culturally competent bilingual (English/Spanish) services aimed at the following general purposes: To provide counseling and education for children, youth, and families; To provide orea career opportunities, eX!;llorotion, ond exposure: To provide outreach and education in the community; To provide community development ond soeial service odivities: To provide programs for ehildren, youth, and families in high. risk situations. S6C:S' style is eommitted to providing respectful services based on community strengths, needs and goals. SBCS was created by dedicated, caring community members and continues to receive guidance and direction from them. SBCS began as 0 treatment center for drug abusing teens and has evolved and expaf1ded in response to the growing f1eeds of the community, and currently provides services, support ond opportunities felr elVer 20,000 individuols and families each year, and impacts more than 50,000. Youth as well as odult eClmmul'1ity members ore if1volved in the design, delivery and evaluotion of t;lll SBc:S aetivities. S6CS is positioned to provide the organizational capacity to support the Ecumenical Council in eontinvif1g to provide hot meols to homeless and [ow income persons in the South Bay. Part II - Application Part II Page 6 of 26 SCOP~ OF SERVices 11. S\ilope of Services o. ~rqiec:t D.escriptlon Describe the proposed servk::e/octivlty/project to be carried out with the funQs re(;luested. If the prOr:;losed prl:)jeet is ongoing, specify why the funds are needed to serve low 01'10 moderote,income persons. Discuss the cost-per.beneficiary in relation to privote and other organizotions delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG,eligible clients. Thursday's Meol's gaol is to prepare and serve hot nourishing meals at 4 different sites on a weekly basis for needy and homeless families to alleviate hunger and provide proper nutrition for families who would otherwise nol be able to obtain it. This is done at four different sites (Church of the Most Precious Blood at 1245 Fourth Avenue, the International Christlon Center at 1236 Third Avenue, CV Church of God at 456 Fifth Avenue, and ot SBCS, 1124 Boy Blvd., Suite D.) At the 3 church sites cooking and feeding is done on site by the host church. AI the SBCS site, the cooking is rotated among the various parishes or wards. The food is then brought to sees. Providing food at the SBCS has increased access for homeless persons. PeriOdically, in severe Gases some non-perishable foods are provided to those homeless or low income persons who hove no cooking focillties. The community is very involved through volunteers and the fact thai several Chun:;hes provioe supplies, Thursday's meal is <:] voiunteer organi2:ation. Each participaling congregotion has a coordinator Ihat arranges for the cooking and Ihe servers. We rent a small space in the rear of a Sir Speedy printing shop where we hove 0 freezer and have shelving to mointain 0 constant supply of foam plates, cups, napkins, and cons/packets of load items such as beef stew, chili&. beans, vegetables, and fruits. The paper goods are provided for all Ihe sites Qut of CDSG funds, The food supplies are available to all congregotions for all or port of their menus. We provide milk for the children and usually some sort of fruit juice with each meal. Approximalely 65% 01 the budget supports direct services to homeless persons, but that varies as the population is flexible. All are providing services to low Income persons. Cost per beneficiory rotio is $33. b. Taraet Group Quantify the number allow, and maderate,income persons/households to be ossisled per service/activity/project. These services will larget 300 low and very low income persons in Chula Vista: adults and children, many of them homeless. c. Outreach Discuss outreach efforts for the proposed service/activity/project. SBCS stoff regularly attend Gommunity collaborative meetings in the South Boy and in other areas, during which they shore information e1bout our programs. We ensure that information is known to the County's information 211 Resource stoff. 12. Performance Schedule On 0 separote page, prepare 0 Work Plan for implementation/completion of the services and oc:;tivities identified in the Scope of Services. In addition, you will be required to indicate performonee measurements as they relate to the activities of your project. A suggested format is inclut:i'i>d e)n the following poge. Part II - Application Part II Page 7 of 26 13. Project B\Jdget On 0 separate page, prepare 0 budget summarizing the use of proposed CDBG funding and all other resources available for the projeet. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate bUdget items os they relate to your project. Port II - Application Port II Scope DDfB.i~I~EEi&;lli'lIIillfj:,iJiJfIliilll;~ (if Subcontractors are ;':t1)'^,l"""'~""'~'~""':.'..'''~';C,.:j':~''''''''"''':'C;;;iiA&.~'''''~",,,,,,,,,::::Itt~\i: '~~_~~lli'i<.'i:"f~~ used please use additional line item budgets). ___N~__~____~_________ ---------- --- - - -- - -- ~ ---- BUDGET ITEM CHULA VISTA OTHER OTHER TOTAL CDBG List Other List Other Program Expenses 1. Office Expen6es (Speee 250 250 Rental, Insurance, Utilities, etc.) Rent at Sir Speedy 2. Equipment (Rental, Lease 1,750 or Purchase) Supplies for flyers, Paper goods 1,750 3. Other (Explain) ,,"ood 6,000 6,000 4. 5. 6. 7. 8. Other- Administration 1,000 1,000 Personnel Costs 9. Salaries Contract Comoliance staff) 1,666 1,666 10. Benefits (describe) 334 334 Total Costs $ 10,000 $ 1,000 $ - 11,000 Part II - Application Part II 14, Work Plan (Prepare a Work Plan for Implementation/completion of the services and activities Identified in the Scope of Serviees] Work Plan [Identify activities and completion dates) Gather paper goods and foodstuffs and transport to food. serving sites. Weekly and/or monthly as need dictates from July 1, 2008 to June 30, 2009 Weekly and/or monthly as need dictates from July 1, 2008 to June 30, 2009 Weekly and/or monthly as need dictates from July 1,2008 to June 30, 2009 Weekly at 3 different church sites and at SBCS' main site Provide funds for foodstuffs for different feeding sites for those sites which are not providing their own foods Inform community about program through Church bulletins and word.of.mouth and flyers Provide meals for 300 persons . Part II - Application Part II Scope 15. Additional COBG Finane!..1 informl!tion: A. Did the Agency expend more than $500,000 in federal funds within Its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes 0 No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and oonsistent with the standards of OMB Circular A.133? Yes [2SJ No 0 b. Did the audit report cORtain any findings regarding deficiencies or material weaknesses, conCerns, complianclll findings, questioned eosts or recommendations for improvements in the agencY's fin<lru:;ialllystems7 Yes 0 No ~ c. If the Agency was not required to have an audit per standards of OMB Circular A.133, did Agency have an independent audit by a CPA that included an examination of CDSG grant funds within the audit's scope'? Yes 0 No 0 N/A IZJ B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes t:8J No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes t:8J No 0 IE. Has the agency previously administered CDBG funds?: Yes IZJ No 0 If yes, please describe the ageflcy's experience with CDBG funds: SBCS has successfully administered COSG funds for the Thursday's Meal for 10 years, Family Violence Prevention program for the past 11 years, as well as ESG-CDBG funds for the past 2 years and part of the current year, and 11 years of Youth Prevention Services. SBCS has also administered other Public Services funding for a successful Graffiti Eradication program before the City took it over, and a Teen Center until it was included in the Youth Prevention program. . Port II'" Application Part il ~ro~Mlm !amrrn~fl~6R,:~ 16. National Objectives for the CDBG Program: Programs must meet National Objective $570.20 #1 for the CDSG Program - Activities Benefiting Low./Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and j:)redominantly low./moderate.income as determined by Census Tract and 810ck Group data. Contact the City for this information. [iJ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. xx 2. Limited Clientele: The project must be limited to serving a predominantly low./moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51% Low./Maderate.income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low./moderate-income persons 0;. served? _ (b) "'resumed Banefit: The facility wili exclusively serve (check one): elderly (;lerson$ (over age 52) battered spouses - illiterate adults (not eSL) - parsons living with AIDS - homeleas persons ~ migrant farm workers - abused & nfil91ected children - severely disabled adults - S€l9 ApPfilndix e for the definition XX (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-Income persons (i.e., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Port II Scope 'C"-'B'6' ,"n"" Ji:;: ",,",,"; c':'::';:4':(::"M1':'e""<t"", , 'Li ';rel,t('!'lrt;nan...e", ::l ','"C::.:.;;: ::::.~.:;';;;;:;'c,';''i;>A~;:!'::^,,,J,:'i''-.;;~N;:.H!'i;t,,,j:_";:!-"'i,.,:.".',::":0iY,,;,;<~~':~'~,,, 17. Measuring an Objective and Outcome of Public Service Activities for the COBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the COBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htlp ://www.hud, cov/offlces/cDd/ about/performance/tra i nina/ ch08, Ddf OUTCOMeS and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordabiilty or Sustainabllity): xx 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing Ollporlunities in Oil target neighborhood. . _XX_Sustainabllity- Public Service activity aimed at improving communities Qr nellghborhoods 2. Decent Housing: Flublic service activities to increase access to housing. Example: Fair Housing Counseling Flrogram . _Affordabllily- Public Service activities funded to make housing affordable. . _Sustainabillty- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to eoonomic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordabillty- Public Service activities funded to support economic opportl.lnities. . _Sustainabillty- Flublic Service activities funded to sustain economic opportunitiils. Part II - Application Port II PERFORMANCE MEASUREMENTS (List major activities, the direct product/service numbers for each activity and the direct outcome/benefit of the Cilcllvity.) ACTIVITY INDICATOR OUTCOME (What the program doe, to tulfilllt, mission) (The direct products of program (Benefits that result from the program) acllvilles) Service Is Example: Example: Example: Provide nutritious. home Deliver nutritious, "hot" meals Improved access to delivered meals to homebound to at least 88 homebound nutritional, well-balanced seniors in Davis seniors in Davis meals for program participants Improved quality of life for nronram oarticioants Example: Example: Example: Pediatric health care for "sick," Provide pediatric health care Improved access to low/moderate income children 10 at least 97 "sick," health care for program in Davis without any form of low/moderate income participants health coverage children in Davis without any form of health caverage Improved quality of life for r"lronram narticinants ACTIVITY INDICATOR OUTCOME (What the program does to fulfill its (The direct products of program activities) (Benefits that result from the program) mission) Service :lis Provide hot meals at 3 local Provide hot meals to at least Improved access to hot well- churches and 1 social service 300 low or very low income balanced meals for program site person and homeless persons participants with families Part II - Application Part II ;':"lI";t. ,%"<j:.';."'t~,'c..'~.C""""''''~'~'"';",""",,:;;,-,,,~,,, 'f.."~." >-"~~.~ #"IJ"]'-l'_~'. .>>,,;., "'~'~II";~'m~"1E :.-~~ ;'iJ:' ,...nD'nr'C~""""'~'~'o''''''''n' .~,.".1!iO 'Q!~ - .,""~" ~,:~~g:?:;~,~ ,.- . " "r "II~J; ,'. ,.: '-'I.N'" ""..... L - c. ',J:',"", ..;>.JtQP.,~L,~"., ,:Sfs..:.'I!C""",. ,. 18. Process Evaluation: Oescribe how the program will collect data and meintain rllcordstCl track llre;raffl activities. EXilmple: Oecumentation of progremllarticlpath:ln via sign in sheets, meeting minutll& d!lleribinllllctions taken, agendas, and lillls for news letters naming Inll City of ehula Visla and HUe liS Ihe funding source. 1. Attendllm:e lislS for groul'lletivitlJls (e.\l" Sign-in IisIS) 2. ~isl of n()A'!ilerisi'1able f!'lod handlld out Ie llartiei~;;n16 3. 19. Outcome l!;valuaticln (List ThrfUI Outeomes): Oesoribe how each activities will be mellsured to determine if progress hss been mOld\!! to become self sufficient. F::xlImple: Interviews, work eut pllilns, pre.end poSI. surv!lYs. 1. Because of the nature of this program, outcomes cannot be measured as for other programs. People are anonymous, though they sign in with first names, and the sign.in sheets lire kept atths eoordlnator's site. For some of the perticipants this is a one-lim!! activity, so any long term gathering of information is impossible. Periodically surveys are administered to determine if the hot-meal program is filling the participants needs and requests made far improvements. 2. Success is measured by the ability to feed the families that request f!)od. 3. The progrem ais!) tracks non.perishable foods handed out to program participants.. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clillnts receiving services. Persons cooking and serving the hot meals are volunteers from the participant churches. At the sacs site, the cooking is rotated among the various parishes or wards. The food is then brought to sacs. 21. Subcontractors (if any): Please list the names of subcontractors that will be used 11'1 carry oytthis activity. They utilize ours for this rant . --'.'.-.- .-- "._~ ---.. --"- -- - .... ..- P'~!ft II - Apl"llieation Part II Scope I Tab No.5 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Community Access ProQram Organization/Dept .: Charles I. Cheneweth Foundation Project Description: The program is a recreational program designed for individuals challenged by severe and profound disabilities. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $11,000 $11,000 Specific use of funds: Transportation and Personnel Cost HUD Matrix Code: Citation: 058 - Handicapped Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Help Disabled Persons : Yes Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 70 - Exempt r # of Units - Type of Units) Low Moderate Income Clientele ') -~;~- cQ~gSygplementat Apt)licatiQU ._._u.... __~'__'_'_'_'___."_______ .__._.__ I Agency Information I Agency Name: Charles I Cheneweth Foundation for i the Develo mentall Disabled I Applicant Name and Address: ; Lisa M. Kramer I i I Agency Director: PO Box 90 Lisa M. Kramer, Executive Director Name and Title National City, CA 91950 (619) 267-7054 (Area Code) Telephone Ikramer@lcheneweth-foundation.org (619) 267-0892 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and a endixes and are eligible and able to utilize CDBG funds for the purposes stated within th Iicable re tions. (SIGNATURES MUST BE IN BLU~I ) . ) .... ~ .~;Z--1 /#,W Slg~ature of f'lJency Board President/Date .ignature of Agency Director/Date <p ~,' c... U '2" Pille -t\,., Lisa M Kramer Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authonzing submittal of this application to be considered for CDBG funds (may be submitted after application deadline) Program Information ; 1. Program Name Community Access Program Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Lisa Kramer (619) 267-7054 Name (Area Code) Telephone Ikramer@cheneweth-foundationorg (619) 267-0892 E.mail address (if available) (Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program ~ 3. Brief Description of Program (CDBG Eligible Activities are available at !i570.200, !i570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The Community Access Program (or "CAP) is a recreational program designed for individuals challenged by severe and profound disabilities. CAP not only offers event planning and coordination, but the extensive care and transportation services required by these individuals in order to venture out into their community. 4. Where are services provided? (If different from agency location) Program participants are picked up from their homes by Foundation-owned accessible vehicles and taken to a variety of locations for activities located throughout San Diego County. The Community Access Program regularly coordinates with Chula Vista Park and Recreation Department to bring participants to and provide companionship for Chula Vista Park and Recreation's therapeutic and accessible activities. 5. Please describe your agencies written policies and procedures including how clients are served, COBG eligibility requirements, compliance with Federal, State, and Local laws? Written policies include the Community Access Program manual, which documents outing design, preparation, participant care during outings, and administrative/tracking requirements. Employees are required to attend sensitivity training, wheelchair tie-down training, and drivers training if applicable. Community Access Program supervisors and lead employees are First Aid and CPR certified. All employees receive and are required to sign a written policy clearly outlining Community Access Program Participants' Rights. All employees are notified - and trained in reporting process - that they are mandated reporters of signs of participant/client abuse or neglect. All adult residents of Chula Vista with severe or profound developmental disabilities are eligible to participate in Community Access Program activities once their completed enrollment materials have been received. Enrollment applications request specific diagnoses and personal preferences that are used to aid in determining suitability of specifiC activities for each individual; for instance, a participant who is sensitive to loud noise would be discouraged from attending an air show at Miramar and encouraged to participate in another activity. 6. Total Program Cost: Actual 2007- $107,430 Proposed 2008- 1$ I 2008: loroiected\ 2009: Projected 2008- $111,000 2009: Part II - Application Part II Page 4 of 28 Chula Vista Non Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: _70_ _200 Total Number of Clients Estimated to be Served in 2007-2008: _60 _200 Total Number of Clients Served in 2006-2007: Actual _50_ _175 City fiscal year is July 1-June 30"'. Beneficiary Information: $214.29 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) PLEASE NOTE THAT EACH BENEFICIARY IS SERVED MORE THAN ONCE, SINCE OVER 180 OUTING OPPORTUNITIES ARE AVAILABLE, FOR AN AVERAGE COST ALLOCATED TO CDBG FUNDS PER OUTING PER CDBG BENEFICIARY OF $75.00. (Total costs - all of which have not historically been reimbursed through CDBG - average $ 125 per outing per participant.) 8. Total City Funds Requested for this Proaram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundinq nfa $11.000 $15 000 9. Funds Requested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 Grossmont Healthcare $35,000 General operating & East $35,000 District; East San Diego County expansion grant County San Dieao (USC) 0 CDBG nfa Part II - Application Part II Page 5 of 28 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? Over 14,000 individuals challenged by developmental disabilities live in San Diego County. All of these individuais need some levei of supervision; more than half have disabilities in the moderate to profound range necessitating specialized accommodations to enjoy a recreational activity, What the rest of us take for granted is unimaginable for some, because their physical and/or cognitive circumstances prevent them from being independent. To simply take In a Friday night movie, eat out at a restaurant, or attend a Padres game, is difficult or impossible for someone challenged by a severe or profound disability. Many of these people seidom have the opportunity to experience life outside of their home, and are almost never given the opportunity to go on an outing specifically designed around their special needs. It Is not uncommon to find these Individuals isolated, depressed, and withdrawn. As is true for all of us, recreation, socialization, and simply having a good time are directly linked to our physical, mental, and emotional well-being. The Community Access Program has expanded its outreach and exceeded expectations. We projected that we would be serving 30 Chula Vista residents in 2007-2008; we are currently providing recreational activities for 58 severely disabled adult residents of Chula Vista, and estimate that we will serve 70 in 2008-2009. These quality of life enriching opportunities are not available through any other agency in San Diego County and therefore would not be available to Chula Vista residents if the Cheneweth Foundation did not provide these services. Only through CAP are individuals with severe disabilities able to participate In programs like those offered by the Chula Vista Department of Park and Recreation since these people require door-to-door transportation to events and personal assistance throughout the activity. Our participants thoroughly enjoy these events, but cannot take advantage of them without the aid of the Community Access Program. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? CDBG funding from the City of Chula Vista will help support our efforts to reach more Chula Vista residents. We are requesting $15,000 to augment outreach efforts and increase our capacity in order to continue to add to the number of Chula Vista residents enrolled and participating in the Community Access Program. No one else in San Diego County offers recreational outings that include accessible, door-to-door transportation and a personai companion open to any individuals with disabilities who wish to participate. By law, group homes are oniy required to take residents out into their community once each quarter, While many caregivers may provide excellent care within the home, the reality is that many of them choose only to meet that minimal requirement due to limited staffing resources and the level of effort invoived to make outings happen safely for severeiy disabled Individuals. We can empathize with the reasons outings into community may be so infrequent, but we also know that these individuals deserve better, and are worthy of being provided the opportunities the rest of us enjoy on any given weekend, Many of our other participants remain at home with elderiy parents who are no longer able to take their disabled adult child out. We embrace these opportunities to take both parent and child on outings. The Community Access Program has Part II - Application Part II Page 6 of 28 changed the lives of hundreds of severely disabled San Diego County residents, but there are many more people we would like to reach. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers piay in this project? Has your organization developed this project in collaboration with other groups offering seNices? What seNices offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non- profit organizations? The organization does extensive fundraising to support the Community Access Program. We have an annual fall fundraiser that nets $18,000-$25,000 each year. We send annual requests for support and an annual newsletter to our supporters. Volunteers are critical as they accompany our staff on nearly every outing and enable us to take more participants on activities as, with supeNision, and training, they are able to provide the one-to-one companionship that our participants need. We currently have regular volunteers from Volunteer San Diego, Quaicomm employees, and University of Phoenix interns. The Community Access Program works closely with the Chuia Vista Department of Parks and Recreation to attend appropriate accessible/ therapeutics activities. We work with other agencies, adult residential facilities and adult day programs including San Diego Regional Center for the Developmental Disabied, ARC of San Diego, Friendship Homes, Valesco Homes, and Home of Guiding Hands to enroll their residents and clients in the Community Access Program and to facilitate participation. There are no other programs that provide the personalized supports and companionship that individuals with severe disabilities require to take advantage of recreational outings and activities. We work closely with area agencies seNing the same popuiation In order to provide life-enriching seNices to their clients and residents. d. Oraanizational Caoacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed seNice fill a unique niche among clients who are not currently seNed, or are under-seNed? Attach a list of the Board of Directors. A Board of Directors provides oversight and guidance to the Charles I. Cheneweth Foundation. The Board Members are: Nic Cheneweth - Foundation Chairman I President, Friendship SeNices Juanita Rettinghaus - Foundation Secretary I Executive Administrator, Friendship SeNices Lisa M. Kramer - Executive Director, Charles I. Cheneweth Foundation Ai Barrack - Retired, parent of Community Access Program participant Elaine Barrack - Retired, parent of Community Access Program participant Sister Mary Bartosh - Program Director, Noah Homes, sister of Community Access Program participant Mike Crossley - Coifege student, San Diego Regional Center consumer Susan Seacord - Director of Seacord Support SeNices (provides independent living supports for adult with developmentai disabilities) Lea Zanjani - Regionai Vice President, Union Bank of California Daily operations of the Charles I Cheneweth Foundation, Including the COMMUNITY ACCESS PROGRAM, are overseen by Lisa Kramer, the Executive Director. A graduate of Purdue University, Lisa is a former industrial engineer and operations manager who moved to the nonprofit sector in 2004 after earning a graduate degree in Public Administration from the University of Illinois. The Part II - Application Part II Page 7 of 28 Executive Director has the overall responsibility for the management of Foundation programs and reports directly to the Board of Directors of the Foundation. The Executive Director implements program policies and assures compliance with all appiicable state and federal regulations. The Community Access Program Supervisor, Serayia Jackson, is present on all outings to oversee CAP Staff and volunteers. and to ensure that participants are well cared for and enjoying themselves. A former day program coach and care provider. Ms. Jackson is a professional who has worked with developmentaily disabied adults for over 10 years. Having provided transportation services for over nine years. three as a vendor for the San Diego Regional Center. the Foundation provides excellent transportation services executed by highly trained staff. The Cheneweth Foundation's Operations Manager oversees all transportation- related activities and provides administrative support and design for the Community Access Program. Rebecca has managed transportation fieets for 10 years. and specialized in wheelchair accessible transportation for the past 4 years. the most recent 2 with the Cheneweth Foundation. In October 2006. she became a certified Q-Straint instructor after an intensive training at the wheelchair restraint systems manufacturer's headquarters in Florida. Although there are various recreational programs in San Diego County for individuals with disabilities. no program outside of the Community Access Program (or 'CAP") exists for individuals whose disabilities are in the severe or profound range. While students with disabilities are able to participate in occasional field trips and outings with their peers, once these individuals finish high school there are no other programs that provide the services CAP does. Traditional recreational programs do not have the resources necessary to assist the severely disabled with the specialized accommodations they require in order to participate. In order to include individuals with severe disabilities in community activities, one-on-one companionship, personal care. and door-to-door accessible transportation are all necessary. SCOPE OF SERVICES 11. Scope of Services a. Proiect Descriotion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve iow and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget wili support direct services to homeless people. CDBG funds can only be used for expenditures which directiy benefit CDBG-ellgible clients. The COMMUNITY ACCESS PROGRAM offers supportive recreational activities for San Diego County residents chailenged by severe or profound physical and/or cognitive disabilities, Weekend excursions are provided that are fun. meaningful. and safe, CAP's hallmark is its Individualized specialized support. A one-to-one companion accompanies any participant who needs assistance with wheeichair mobility. meais. and personal needs. Wheeichair accessible transportation service is provided, including door-to-door pickup and return. CAP provides region-specific excursions to accommodate participants who live in the city of San Diego. South County. North County. and East County). At least two activities per month are offered for each geographical area. Every Saturday and Sunday CAP staff. volunteers. and vehicles depart from the program's National City site and travel to the geographical region designated for that particular activity. Participants receive transportation. supervision and Part II - Application Part II Page 8 of 28 professional care, as well as socialization and companionship. These excursions contribute tremendously to participants' sense of self-worth and belonging. About 800 recreational opportunities are offered to COMMUNITY ACCESS PROGRAM participants each year. Over the past few years CAP participants have learned about sea creatures "backstage" at SeaWorld, viewed San Diego County from the sky in a Hot Air Balloon, played at Disneyland. and danced to the music of Hope University's "Hi Hopes" (talented musicians challenged by developmental disabilities). On each outing, CAP staff, volunteers, and vehicles travel from the Cheneweth Foundation to the region designated for that particular outing. Participants who use wheelchairs or who cannot access a local boarding site are provided door-to-door, wheeichair accessible transportation. Participants whose disabilities are less severe, who can conveniently meet at the regional boarding site, will have round-trip transportation to and from the outing. The COMMUNITY ACCESS PROGRAM makes every effort to accommodate all its participants and will always do whatever it takes to see that no one is overlooked or left behind. Although there are various recreational programs in San Diego County for individuals with disabiiities, no program outside of the Community Access Program (or "CAP") exists for individuals whose disabilities are in the severe or profound range. While students with disabilities are able to participate in occasional field trips and outings with their peers, once these individuals finish high school there are no other programs that provide the services CAP does. Traditional recreational programs do not have the resources necessary to assist the severely disabled with the specialized accommodations they require in order to participate. In order to include individuals with severe disabilities in community activities, one-on-one companionship, personal care, and door-to-door accessibie transportation are all necessary. b. Target GrouD Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. We continue to expand our services to more severely developmentally disabled residents of Chula Vista, and the number of activities provided for these individuals. In 2005-2006 we had 30 participants from Chula Vista. This year we have 58 Chula Vista participants, 180 recreational activity slots. We continue to expand our efforts to serve Chula Vista residents and anticipate providing over 200 recreational opportunities and serving at least 70 Chula Vista residents in 2008-2009. Each outing serves 8 to 15 participants. All of these individuals are extremeiy iow income as the extent of their disabilities prevents them from being able to work a traditional job. c. Outreach Discuss outreach efforts for the proposed service/activity/project. Making other organizations and individuals aware of its services. is a high priority of the COMMUNITY ACCESS PROGRAM. Program presentations will be given monthly at various organizations and facilities whose focus is on improving circumstances for individuals with special needs. The Executive Director of the Cheneweth Foundation meets regularly with community leaders to request support and ensure that residents throughout San Diego County are aware of the services offered through CAP, Program information is distributed to agencies and organizations that post and share the information in their community. The Cheneweth Foundation's updated website prominentiy features the COMMUNITY ACCESS PROGRAM, including the monthly calendar of activities, general information, and photos taken at past outings. The Foundation's hope is that. someday, every individual in San Diego County - regardless of his or her disabilities - is able to enjoy social and recreational activities on a regular basis. Part II - Application Part II Scope 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition. you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is inciuded on the following page. 13. Project Budget On a separate page. prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is inciuded in the following pages. Please revise the form and annotate budget items as they relate to your project. Part II - Application Port II Scope 14. Work Plan (Prepare a Work Plan tor implementation/completion ot the services and activities Identified in the Scope ot Services) Work Plan (Identify activities and completion dates) July 2008 August 2008 September 2008 October 2008 November 2008 December 2008 January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 . ul calendar distributed. August calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am resentation to one or more a n or 0 arian. September calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro resentatton to one or more a n or or arioo. October calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro resentation to one or more a n or or aricn.. November calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro resentation to one or more a en or or nization. December calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am res entation to one or more a en or or aricn. January calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am res entation to one or more a en or or arioo. February calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am res entation to one or more a en or or arioo. March calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am res entation to one or more a en or 0 arioo. April calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro am resentation to one or more a n or 0 arioo. May calendar distributed. "Participant/Family Survey" distributed. 2 outings for South County residents; up to 28 participants served. Pro res entation to one or more a n or or nization. June calendar distributed. "Participant/Family Survey" results reported. 2 outings for South County residents; up to 28 participants served. Pro resentation to one or more a n or or arion. July calendar distributed. 2 outings for South County residents; up to 28 participants served. Pro resentation to one or more n or or aricn. X (Annual) . . . . . . . x . . . . . . . . . x . . . . . . . . . x . . . . . . . . . . . . Part II - Application Part Ii Scope 15. Additional COSG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes D No IZI a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes D No D b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes D No D c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audifs scope? Yes D No D N/A D B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes IZI No D D. Does the agency certify that no public funds will be used for lobbying? Yes IZI No D E. Has the agency previously administered CDBG funds?: Yes D No ~ If yes, please describe the agency's experience with CDBG funds: Part II - Application Part II 16. National Objectives for the CeBG Program: Programs must meet National Objective 9570.20 #1 for the CeBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City tor technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51 % Low-/Moderate-income per Official HUe Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons 0;: served? ~ (b) Presumed Benefit: The facility will exclusively serve (check one): elderly persons (over age 62) _ battered spouses illiterate adults (not ESL) _ persons living with AIDS homeless persons _ migrant farm workers abused & neglected children ~ severely disabled adults See Appendix E for the definition _ (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (Le., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the COBG Program: In addition to meeting a COSG National Objective and eligible activity test for the COSG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUO's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUO website for more information htto:1 /www.hud.oov/offices/cod/aboutloerformance/trainino/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _Sustainability- Public Service activity aimed at improving communities or neighborhoods . _X_Availabilityl Accessibility - Activities that make services. available or accessible to low-income people, including persons with disabilities. 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustain ability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II PERFORMANCE MEASUREMENTS (List major activities, the direct producl/service numbers lor each activity and the direct outcomelbenefll 01 the activity.) ACTIVITY INDICATOR OUTCOME (What the program does to rumll its mission) (The direct products of progrom (Beneflts that result from the program) actlvifles) Service #$ Access to quality recreational Provide access to at least 60 Access to the community activities for aduits with Chula Vista residents with offered to participants developmental disabilities in severe developmental their communities disabilities via door-to-door. Improved quality of life for accessible transportation. All program participants participants are extremely low-Income. Provide quality recreational Provide at least 180 quality. Make recreational activities for adults with safe. and fun recreational opportunities available to developmental disabilities activity opportunities for at individuals with severe least 60 Chula Vista residents developmental disabilities with severe developmental disabilities. All participants are Improved quality of life for extremelv low-income. oroaram oarticioants Part II - Application Part II .... 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas. and files for news letters naming the City of Chula Vista and HUD as the funding source. 1. Outing logs and participant rosters are recorded and maintained for each scheduled activity. 2. Pre-outing meetings are held before each outing, and outing recap meetings held between the Community Access Program Supervisor and Operations Manager after each outing. 3. CAP Participant and Family Survey 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Improved access to the community for Chula Vista residents with disabilities 2. Increased available accessible recreational activity options for Chula Vista residents with disabilities 3. Improved quality of life for Chula Vista residents with disabilities A "CAP Participant and Family Survey" aids In monitoring and assessment of the program's effectiveness. This survey ailows complete confidentiality for honest, constnuctive feedback. A report of survey results and regular communication with the Executive Director will make it possible for Chula Vista Community Development Block Grant administrators to be active partners in the COMMUNllY ACCESS PROGRAM if you choose to do so. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services. The Executive Director has the overall responsibility for the management of Foundation programs and reports directly to the Board of Directors of the Foundation. The Executive Director implements program policies and assures compliance with ail applicable state and federal regulations. Either The Community Access Program Supervisor, Serayia Jackson, is present on all outings to oversee CAP Staff and volunteers, and to ensure that participants are weil cared for and enjoying themselves. A former day program coach and care provider, Ms. Jackson is a professional who has worked with developmentally disabled adults for over 10 years. In Ms. Jackson's absence, the Cheneweth Foundation's Operations Manager oversees Community Access Program outings. A former Community Access Program Supervisor, Ms. Azhocar oversees all operations of the Charles i Cheneweth Foundation and provides administrative support and design for the Community Access Program. Rebecca has managed transportation fleets for 10 years, and specialized in wheelchair accessible transportation for the past 4 years, the most recent 3 with the Cheneweth Foundation. In October 2006, she became a certified Q-Stralnt Instnuctor after an intensive training at the wheelchair restraint systems manufacturer's headquarters in Florida. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. N/A Part II - Application Part II Scope (if Subcontractors are used please use additional line item budgets). Program Expenses" 1. Trans ortation - fuel 2. Event Tickets 2,200 2,800 6,800 7,450 9,000 10,250 3. 4. 5. 6. 7. 8. Personnel Costs" 9. Salaries (Community Access Program supervisor, Serayia Jackson, and up to 13 staff and volunteer personal com anions er outin 7.500 32,500 40,000 10. Benefits (Staff & Volunteer Meals) 2,500 4,000 6,500 Total Costs $ 15,000 $ 50,750 $ 65,750 "THIS BUDGET INCLUDES DIRECT COSTS ONLY, NO OVERHEAD PER CDBG FUNDING REQUIREMENTS. Part II - Application Part II I Tab No.6 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Rehabilitation Services Organization/Dept.: Chula Vista Veterans Home Suppor! Project Description: Funds will be used for rehabilitation services for low-income elderly military veterans residing in the Chula Vista Veterans Home. Project Location: 526 Hibiscus Cour!, Chula Vista, CA 91910 Prior Year Fundina: 2008/09 Recommended Fundina: $3,500 $3,500 Specific use of funds: Rehabilitation Services HUD Matrix Code: Citation: 05 - Public Services [Generall 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : Yes Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 372 - Exempt r # of Units - Type of Units! Low Moderate Income Clientele 1( c," .:. CDBG Supplemental Application Agency Information Agency Name: Chula Vista Veterans Home Support Foundation. Applicant Name and Address: Robert D White c/o ChulaVistaVetefa~Home Support Foundation 700 East Naples Court Chula Vista, CA 91911 Agency Director: Robert D. White, President Name and Title 619-482-1397 (Area Code) Telephone 619-205-1903 E-mail address Rdwhite1717@att.net (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eli ible and able to utilize CDBG funds for the urposes stated wit 'n the pI" I gu' SIGNATURES MUST BE IN BLUE I k: ~ Signature f Agency Board President/Date Signature Agency Director/Date Robert D. White Robert D. White Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for COBG funds (may be submitted after application deadline). Program Information 1. Program Name Rehab E ui ment forVeterltfl&"Home. res.idents Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Robert D, White 619-482-1397 Name (Area Code) Telephone Rdwhite1717@att.net 619-205-1903 E-mail address (if available) (Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program C8J 3. Brief Description of Program (CDBG Eligible Activities are available at S570.200, S570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). Part 11- Application Part II Page 3 of 28 Foundation request is for $4000.00. Needed Rehab equipment for low-income elderly military veterans living at the Veterans Home in Chula Vista, and not provided by state or federal agencies. Listed equipment needed to improve upper extremity and trunk muscle strengthening for wheelchair bound residents while they remain seated, or on a "table" support. Costs researched, and are listed as follows: Electric Hi-Lo Tilt Table (Item #7208-EB) ........ $3487.11 Rickshaw Exerciser (Item #2210) ........$ 646.87 Rubber Encased Weight Plates (for exerciser) $ 44.74 Total Cost = $4178.72 Notes: 2007 Prices. Extra costs plus taxes to be borne by the Foundation. 4. Where are services provided? (If different from agency location) Same location (Veterans Home of California - Chula Vista). 5. Please describe your agencies written policies and procedures including how clients are served, CDBG eligibility requirements, compliance with Federal, State, and Local laws? Written policies (By-Laws, Letter of Incorporation, 501 (c)(3) status with state and IRS on file with Ms. Elisa Cusato (city attorney office). 100% of received funds used directly toward needed equipment at Veterans Home. Volunteer Foundation Board receives no money or compensation of any kind. Board meetings operate under the Brown Act. Over 80% of residents are in the low or very low incme levels. Room, Board, and some essential equipment provided by the state. Foundation provides "Quality of Life" items, as well as essential shortfall equipment directed toward the Skilled Nursing Facility (24/7 Care). The Foundation's IRS EIN Number is 93-1213658 Items listed based on received input from skilled nursing residents, as well as rehab and nursing staff. In addition, CDBG request of $4000 is only 14% of project scope In 2008 to provide quality equipment to the elderly veterans in the skilled nursing facility and rehab area Part 11- Application Part II Page 4 of 28 I I 6. Total Program Cost: Actual 2007- $ 60,000 Proposed 2008- I $ 30,000 I 2008: 2009: Projected 2008- $ 30,000 2009: 7. Total Number of Clients proposed to be Served in 2008-2009: Total Number of Clients Estimated to be Served in 2007-2008: Total Number of Clients Served in 2006-2007: Actual Chula Vista Non Chula Vista _372_ _0_ _370_ _0_ 365_ _0_ City fiscal year is July 1-June 30th. Beneficiary Information: $10.75 Cost ($) perCDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Requested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundino $3500 $3500 $4000 9. Funds Requested from Other Jurisdictions for this Program City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 Cou ntv $12,000 Countv Grant $12,500 Coronado $510 Citv Grant $520 DAV $12 000 Disabled Veterans Grant $13 000 Part 11- Application Part II Page 6 of 28 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body ot the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? Previous years expenses have been vital equipment in the skilled nursing area, wonderer prevention watches, hyperbaric 02 chamber, Sling Lifters, and other needed equipment. This year, goal is to provide additional equipment deemed essential by the nursing staff, and desired by the residents (and not provided by the state). Focus for Chula Vista CDBG grant is for rehab equipment to strengthen muscles of wheelchair bound residents via the listed Hi-Lo Tilt Table, and Rickshaw Exerciser. These residents are all Chula Vista Citizens, and nearly all live below the defined poverty level. Essentially, they are military veterans dependent on the state to provide care. "Quality Care" is accomplished via augmentation of needed equipment from community, including CDBG grants. Listed equipment exceeds amount of grant request. and will be "leveraged" from other resources. Foundation Board members receive no compensation of any kind, therefore all received funds directly benefits veterans living at the Veterans Home. Rehab Equipment considered essential for rehab of muscles for wheelchair residents (skilled nursing) . b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? The vast majority of residents are low-income, and the CDBG grant would directly benefit them as noted in previous paragraph. The Foundation provides needed equipment as a Public Service, and for Rehabilitation activities. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non-profit organizations? Foundation uses a variety of grants, Veterans Service Organizations (VSO's), and communities to offer "Quality of Life" and essential equipment for veterans at the Home. To fund, the $30,000 goal for the skilled nursing area and rehab equipment. the Foundation will have requests (as in years past with the County of San Diego, the City of Coronado, the Navy Nurse Corps, the Navy Officers Spouse Club, and VSO's, such as AMVETS, FRA, VFW, DAV, etc). two Fundraisers (Golf tourney, and VFW Walk) every year also benefit Quality of Life, Foundation also applies for grants with CFC (United Way for military and goyt employees, CECO, Chula Vista Cares, and other charitable organizations). All Board members are volunteers. In addition, there are volunteers at the Veterans Home providing assistance to the nursing staff, with focus in the skilled nursing area. There is no duplication of grants, groups or volunteers. In addition to these needed equipment provisions, the Foundation also provides "Quality of Life" items, including WIFI and Computer Equipment, Training, Assists in Golden Games, supports woodworking shop and craft shop from other resources. The Foundation also collaborates with VSO's in sponsoring the annual Holiday Party, and various BBQ's through the year and underwritten by VSO's, Fleet Week, and other sponsors and supporters of V eterans, such as the San Diego Padres. Part 11- Application Part II Page 7 of 28 d. Oraanizational CaDacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. An attached 1151 of the Board of Directors is attached. The Foundation does fulfill a unique niche, and is considered the model for other Veterans' Homes to have "outside support' such as enjoyed by Chula Vista. The main reasons are zero overhead, and success with the community in bringing them into involvement with the Veterans Home. In addition, the Foundation also provides Volunteer Income Tax Assistance (VITA) for the residents, again, at no charge. SCOPE OF SERVICES 11. Scope of Services a. Project DescrlDtlon Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. The requested CDBG grant directly aids elderly veterans in wheelchairs, and living below the low-income level. This request is for Rehabilitation equipment. b. Taraet GrouD Quantify the number of low- and moderate-income persons/households to be assisted per service/activify/project. A demographics chart with the economic chart Is attached. c. Outreach Discuss outreach efforts for the proposed service/activity/project. Part II - Application Part II Page 8 of 28 14. Work Plan (Prepare a Work Plan for Implementalfon/complelfon of the services and aclfvllfes Idenlffled In the Scope of Services) Work Plan (Identify activities and completion dates) KEY ACTIVITIES DATE Research Equipment needed in Skilled Nursing/Rehab areas. Completed December 2007 Research Costs associated for needed equipment Completed December 2007 Submit CDBG requests as well as requests to County and VSOs January - April 2008 If approved, purchase Skilled Nursing eequipment May - June 2008 Purchase portion of Rehab Equipment May - June 2008 Purchase CDSG approved Rehab Equipment Aug - Oct 2008 Part 11- Application Part II Scope 15. Additional COBG Financial infonnation: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes 0 No [gJ a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes 0 No [gJ b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concems, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No [gJ c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of COBG grant funds within the audit's scope? Yes 0 No 0 N/A [gJ B. If the organization has not had a financial audit, please explain the reason. The Foundation uses the services of the CEO of the North Island Financial Credit Union. He is a CPA, and well qualified to author the Treasurers report. He, and his "auditors" did conduct an audit of the Foundation two years ago. It was determined that due to the relative simplicity of the Foundation in its financial stnucture (no overhead, revenue flow through, etcO, that an audit was not required. The Foundation normally receives around $40,000Iyear and no money is used for administrative or overhead purposes. All Board members review financial records quarterly. C. . Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes 0 No [gJ D. Does the agency certify that no public funds will be used for lobbying? Yes [gJ No 0 Part II - Application Part II E. Has the agency previously administered CDBG funds?: Yes ~ No 0 If yes, please describe the agency's experience with CDBG funds: The Foundation does not carry insurance, nor is required to, as all equipment received is essentially "owned" by the state of Califomia. The Veterans Home has adequate general liability insurance. The Foundation has received, and administered CDBG funds since the Veterans Home was dedicated in May of 2000. All received revenue directly benefits the residents at the Veterans Home. Equipment purchased with CDBG funds has consistently been in the skilled nursing area or the rehab areas of the Home. Once approved, the Foundation withdraws funds, pays for the approved equipment, submits receipts, and receives approved amount of CDBG funds. This procedure is very simple and straightforward. Part II - Application Part II Scope Program Informationr Cont. . 16. National Objectives for the COBG Program: Programs must meet National Objective ~570.20 #1 for the CDBG Program - ActMties Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons ~ served? -X- (b) Presumed Benefit: The facility will exclusively serve (check one): x elderly persons (over age 62) battered spouses - illiterate adults (not ESL) persons living with AIDS homeless persons migrant farm workers abused & neglected children severely disabled adults See Appendix E for the definition (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (i.e., food banks, clothing banks, facilities serving residents of public housing) '001 ~ .,zrl: .& r. .~.).s ... -; '1,;1";.. n3 ~:'..~ ~"e.....L't J,.g,itHeJJ t>veT" q~p V6-r-d ~rtE /~:f!'" .......e e ld...../y ,J; it: .f:"-- Part 11- Application Part II Scope CDBG Performance Measurements 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDSG National Objective and eligible activity test for the CDSG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htlp :/Iwww.hud.aov/offices/cpd/aboutlperformance/trainina/ch08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _X_Sustainability- Public Service activity aimed at imp~oving communities or neighborhoods C. ,'"",,,....,., · oJ.1 J:", ~ e~"...' ....Y\ll."'')-) 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _AffordabHity- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part 11- Application Part II GDBGj3c~pe~ QfWi>rlc~Activi~~~ 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news letters naming the City of Chula Vista and HUD as the funding source. 1. Demographics, with number of residents using CDBG equipment will be documented. 2. Charts in Rehab area will monitor progress. (Note: Skilled rehab staff available in Rehab area) 3. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Workout plans will be monitored by skilled rehab staff personnel. 2. Noted improvements in muscle tone and ability to assist in wheelchair entry/egress will be monitored. 3. Equipment Usage report will be available for head of nursing to administer and manage. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services. The staff are qualified nurses and rehabilitation trained specialists. They are employed by the state of California. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. Not Aoolicable. Tax Identification Estimated Subcontract Other Funding Subcontractor Number Amount CDBG Sources Amount and Name and Business Source Address ~Q>[Gj:~!l~Jlfi!!:iii~giif~:~'~.!~4~jj~ln~~p..!ii~~ (if Subcontractors are used lease use additional line item bud ets Program Expenses 1. Hi-Lo Table 2. Rickshaw Exerciser. $512.89 $133.98 $44.74 $646.87 $44.74 3. Rubber Encased Wei hts Part II - Application Part II Scope 4. Skilled Nursing Equip: 02 regulators, Wheelchairs, Nebulizers, flow meters, $18,000 $18,000 5. Rehab Equip: Pneu- Walker, neu Vest, $6400 $6400 6. 7. 8. Personnel Costs $0.00 $0.00 10. Benefits (describe) $0.00 Total Costs $ 4000.00 $ 24578.72 $ $28578.72 Part II - Application Part II I Tab No.7 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Therapeutic Recreation Services Organization/Dept.: Recreation Department Project Description: The program provides person with disabilities the opportunity to participate in recreation programs that are specifically designed for persons who are developmentally or physically disabled. Project Location: Citv Wide Prior Year Fundino: 2008/09 Recommended Funding: $17,936 $17,936 Specific use of funds: Supplies and Personnel Costs HUD Matrix Code: Citation: 05B - Handicapped Services 570.201(e) Is the purpose of fhe activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : Yes Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 298 - ExemDt (# of Units - Type of Units) Low Moderate Income Clientele Agency Name: Applicant Name and Address: City Of Chula Vista Recreation Department 276 Fourth Avenue Chula Vista, CA 91910 Agency Director: Buck Martin, Director Name and Title 619-409-5966 (Area Code) Telephone bmartin@ci.chula-vista.ca.us 619-409-5925 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this a accurate to the best of your knowledge and that you have read the a Iicati. n, and appendixes and are eligible and able to utilize COBG funds f pu 0 the applicable regulations. (SIGNATURES MUST BE IN BL Signature of Agency Board President/Date S ature 0 Agency DirectorlDate Buck Martin. Director Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for COBG funds ma be submitted after a lication deadline). 1. Program Name cS j:1<'a;i jI2,ANl Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Carmel Wilson, CTRS 619-409-5800 Name (Area Code) Telephone cwilson@ci.chula-vista.ca.us 619-476-8167 E-mail address (If available) Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program r8J 3. Brief Description of Program (CDBG Eligible Activities are available at !i570.200, !i570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The Therapeutics Section provides persons with disabilities the opportunity to participate in recreation programs that are specifically designed for persons who are developmentally or physically disabled. Programs and activities are publicized on a bi-monthly basis to participants, schools, community organizations and advocates, rehabilitation hospitals and group homes. Programs are designed for ages six years through adults and occur on a weekiy basis year round. These programs include sports programs, dance class, summer and spring day camp, wheelchair sports, social events, aqua exercise, cooking class and fie[dtrips in a fun, supportive setting. Part II - Application Part [I Page 3 of 27 4. Where are services provided? (If different from agency location) Parkway Complex, 373 Park Way, Chula Vista, CA 91910 Chula Vista Woman's Club, 357 G Street, Chula Vista, CA 91910 Otay Recreation Center, 3554 Main Street, Chula Vista, CA 91911 Norman Park Center, 270 F Street, Chula Vista, CA 91910 Brunswick Premier Lanes, 845 Lazo Court, Chula Vista, CA 91910 Greg Rogers Elementary School Grounds, 510 E. Naples Street, CA 91910 5. Please describe your agencies written policies and procedures including how clients are served, CDBG eligibility requirements, compliance with Federal, State, and Local laws? Programs are planned, administered, organized, and directed by a Recreational Supervisor II, who is also a Certified Therapeutic Recreation Specialist and overseen by a Recreation Supervisor III. The supervisors have the knowledge and supervisory experience to provide Therapeutic recreational activities for children, teens and adults with disabilities, as well as make presentations to the community, organize fundraising and other activities, and perform required documentation and tracking activities. The program staff will be Recreation Specialists, Recreation Leader II's with at least a high school education, some college and degrees with a background or comfort working with persons with special needs. All participants are required to complete a health form and liability waiver form providing demographic, emergency information and disability. COBG eligibility is determined by participant disability. This is the only Therapeutic program which targets individuals with disabilities and programs are specifically designed for those with special needs. Our specially trained staff adapts activities and equipment to ensure that the highest quality of recreation programming is provided to the general population. Part 11- Application Part Ii Page 4 of 27 I l 6. Total Program Cost: Actual 2007- $24,641 Proposed 2008- I $25,626 I 2008: 2009: Projected 2008- $25,626 2009: Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: 298 Total Number of Clients Estimated to be Served in 2007-2008: 307 Total Number of Clients Served in 2006-2007: Actual 213 City fiscal year is July 1-June 30th. Beneficiary Information: $81.87 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) a. Total City Funds Reauested for this Proaram: City Awarded 2006-2001 Awarded 2001-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of COBG Vista HOME, Chula Vista Vista HOME, Vista COBG Chula City of ESG COBG ESG Vista Chula HOME, Vista ESG Fundina $25,626 9. Funds ReQuested from Other Jurisdictions for this Proaram City/County Awarded 2001- Type of Funds Requested 2008- 2008 2009 Citv of Chula Vista $24,641 General Ooeratina Fund Part 11- Application Part II Page 5 of 27 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? The Therapeutics Section of the Chula Vista Recreation Department has been operating since 1969. Programming is available for individual's ages 6 years to adult with developmentai disabilities and 4-17 years with physical disabilities. Programs include a variety of year round programming consisting of dance classes, Camp Sunrise day camp, special events, aqua exercise class, quarterly dances, cooking classes, bowling, nature in the park class, basketball class, hand cycling, wheelchair sports and tournaments. The Therapeutics Section is the only agency in the City of Chula Vista that provides recreational programming specifically for persons with disabilities. The Therapeutics Section has expanded the wheelchair sports program for youth with physical disabilities. This sports program targets 4.9 year olds with penmanent physical disabilities who want to experience sports for the first time and tournament play. It includes basketball, soccer, and rugby. The sports teams compete against other municipal teams in tournament play and learn the benefits of playing on a team, sportsmanship and most importantly experiencing a healthy leisure activity. The Therapeutics Section plans to enhance all of the current Therapeutic programs offered for children, teens and adults with developmental and physical disabilities with the assistance of staff and volunteers. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? These Therapeutic Recreation programs will operate at City recreation facilities within the City of Chula Vista. The program sites will operate year round to accommodate all levels and interests of those with special needs, in addition, it will allow parents some respite time while their child enjoys a community recreation experience. The program will operate year round and we collaborate with other community organizations so we are not duplicating services. The program will offer scheduled and supervised activities designed to be educational, healthy and recreational based. Activities are designed to build social skills, self esteem, independence and sportsmanship and will include sports programs, dance class, day camp, wheelchair sports, social events, aqua exercise, cooking class and fieldtrips in a fun, supportive setting. The programs anticipate having a core group of participants. All funds will benefit children, teens and adults with developmental and physical disabilities. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local pUblic or non- profit organizations? To supplement the budget, the Therapeutics Section offers an annual membership option to our participants, also a collection of minimal program fees are charged on some of our programs and day camp and community donations. In addition, equipment needed for adaptive sports has been donated by community collaboratives and volunteers assist our staff at programs for various hours. Therapeutic Membership: $40 City Resident $50 Non-Resident Parlll- Application Parlll Page 6 of 27 d. Oraanizational Capacity Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. The Recreation Department is a department within the City of Chula Vista, a municipal government entity. The City of Chula Vista, population of 201 ,21 0, is San Diego County's second largest municipality. The city was incorporated in 1911, and comprises 33,024 acres. Forty-nine percent of the population is Hispanic, 31 % white, 13% Asian, 6% Black and 1% other. The median household income is $49,065 (City Of Chula Vista). Twenty-five percent of the population is 14 years of age or under. The vision of the Recreation Department is a community that achieves learning, self-discovery, balance, and essential life skills through recreation. Our mission is to enrich our community through recreational opportunities and services. Our values include; Integrity, Respect, Professionalism, Accountability, Commitment, Teamwork and Fun. The Recreation Department offers a variety of recreation and leisure services to the community. These services include nine key areas identified as being representative of the Department's functions: Aquatics, Athletics, Seniors and Therapeutics, Centers and Schoois, Facilities and Fields, Communications and Marketing, Staff and Volunteers, Finance and Management. The City's Recreation Department is growing along with the rest of the City. The Chula Vista Recreation Department opened three new Recreation Center's in 2007. The three centers are Veteran's Park Community Center, Salt Creek Park Community Center, and Montevalle Park Community Center. Part II - Application Part II Page 7 of 27 SCOPE OF SERVICES 11. Scope of Services a. Proiect Descriction Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. The CDBG funds will be used for direct service delivery to the community as well as staff trainings and operating expenses such as printing, recreation supplies and equipment. The Therapeutics Section also uses volunteers to help with various programs and day camps. Our volunteers provide support staff with administrative assistance, programs, special events, dances and day camps. The City Of Chuia Vista General Fund is another source of funding the Therapeutics Section relies on for operation of services. b. Taraet Groue Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. The Therapeutics Section does not track income levels of its participants in any of our department programs. Statewide, everyone with a disability is considered 'low income'. Demographic information is documented by the participant's parents filling out a mandatory Health/Waiver form which contains contact information and other pertinent information for our staff. Quarteriy surveys are given to parents to complete to measure the programs success. c. Outreach Discuss outreach efforts for the proposed service/activity/project. The Therapeutics Section currently promotes all programs, activities and special events in a publicized bi-monthly calendar and flyers to participants, schools, community organizations and advocates, rehabilitation hospitals and group homes. Also, we have our outreach information on the city's web page www.chulavistaca.gov/rec and a quarterly brochure that lists all department programs. In addition, the recreation supervisor II or part-time staff participate in community outreaches to speak or pass out our information to those in the community who are disabled or organizations, schools who work with those with disabilities. 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition, you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. Part II - Application Part II Page 8 of 27 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Part 11- Application Part II Scope 14. Work Plan (Prepare a Work Plan for implementation/completion of the services and activities Identified In the Scope of Services) Work Plan (Identify activities and completion dates) 1. Provide community presentations and resource outreach to On-going agencies and schools interested in programs for those with disabilities. 2. Distribute bi-monthly calendar of events to Chula Vista residents, On-going surrounding community organizations and schools. 3. Register/Sign up 'new" participants who reside in Chula Vista and On-going the surrounding South bay area. 4. Distribute quarterly surveys to participants/families at various On-going programs and day camp. 5. Collaborate with organizations like the San Diego Adaptive Sports On-going Foundation, Greg Rogers Elementary School and City of San Diego Disabled Services to provide increased awareness and additional programs to residents. 6. Train staff on current diagnoses, adapting equipment and activities. On-going Part 11- Application Part II Scope 15. Additional CDBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (if no, proceed to question 10.B.) Yes 181 No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes 181 No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concems, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No 181 c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes 0 No 0 N/A 181 B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes 181 No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes 181 No 0 E. Has the agency previously administered CDBG funds?: Yes 181 No 0 If yes, please describe the agency's experience with CDBG funds: The Recreation Department has received CDSG funding for a variety of programs for a number of years. Departmental staff are well aware of regulations and reporting requirements. Part II - Application Part II 16. National Objectives for the COBG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. @) Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly [ow-/moderate- - income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). @) Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons "!. served? _ (b) Presumed Benefit: The facility will exclusively serve (check one): _ elderly persons (over age 62) _ battered spouses illiterate adults (not ESL) persons living with AIDS = homeless persons = migrant farm workers abused & neglected children _ severely disabled adults See Appendix E for the definition X (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (Le., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htto://www. hud .oov/offices/cod/aboutloerformance/trainino/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _X_Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II PERFORMANCE MEASUREMENTS (List major activities, the direct product/service numbers for each activity and the direct outcome/benefit of the activity.) ACTIVITY INDICATOR OUTCOME (What lhe program does to fuUIII ns mission) (The direct products of program (Beneflls lhal resulllrom lhe program) actlvnles) Service #s Spring Session Camp Sunrise Provide a day camp in the Spring from Increased self esteem, improved 9am-2pm to a minimum of 10 and a . social skills, independence and maximum of 25 participants with encourages a healthy recreational special needs that includes arts & experience for program participants crafts, sports & games, exercise & dance and a fieldtrip Improved quality of life for program carticicants Wheelchair Sports Provide a variety of wheelchair sports Increased strength and endurance, i.e. basketball, rugby and soccer to a learn to propel wheelchair while minimum of 5 participants with playing a sport, learn teamwork and permanent physical disabilities. sportsmanship with peers. Improved quality of life for program carticicants Youth Inclusion Provide 1 :1 Inclusion Aide Assistance Increased self esteem, independence, to participants with special needs in and sociai skills while developing new order to participate in programs with skills and leisure activities. their non-disabled peers in departmental recreational classes i.e. learn to swim, day camps, specialized Improved quality of life for program classes. carticicants. Part II - Application Part II -- 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and fiies for news letters naming the City of Chula Vista and HUD as the funding source. 1. Health Forms I Liability Waivers 2. Sign in sheets 3. 4. 3. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Parentai surveys 2. Staff Feedback 2. 3. 20. Key Staff Persons: receiving services. Recreation Supervisor II Please describe the qualifications of key staff that will have direct contact with clients Bachelor's Degree in Recreation Administration emphasis in Recreation Therapy, National Therapeutic Recreation Certification, 15 years experience in Clinical and Community Therapeutic Recreation. Currently CPR, AED and First Aid Certified. Recreation Specialist Bachelor's Degree in Therapeutic Recreation, 22 years experience in Community Therapeutic Recreation. Currentiy CPR, AED and First Aid Certified. College students or experienced staff who have worked with the disabled population or are comfortable working with those with disabilities. Currently CPR, AED and First Aid Certified. High School students who are experienced with the disabled population or are interested in working with or have a 'loved one' with a disability. Recreation Leader II's Recreation Aides 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. NONE Part 11- Application Part II Scope (if Subcontractors are used please use additional line item budgets). Program Expenses 1. Recreation Su lies $1800.00 3. Wearin A arel $5772.00 $415.00 4. 5. 6. 7. 8. Personnel Costs 9. Salaries (Include title and name of staff person) Various Recreation Speciaiists Jim Craig, Michelle Greer Various Recreation Leader ii's Roxanne Knight, Kasumi Matuz, Monique Cronin, Alex Garibay, Katie Delgadillo, Chris Wells, Vanessa Un in co, Co Concha Specialists $2655.00 Leader II's $13,761.00 10. Benefits (describe) PERS Medicare PARS Medicare Specialists $485.00 $38.00 Leader II's $501.00 $199.00 Total Costs $ 25,626.00 $ $ Part II - Application Part II I Tab No.8 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: WizKidz Program Organization/Dept .: Recreation Department Project Description: The program offers scheduled and supervised activities designed to be educational and healthy during afterschool hours. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $12.299 $12.299 Specific use of funds: Supplies and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment COBG National Objective: 80 - Exempt I # of Units - Type ot Units! Low Moderate Income Clientele Agency Name: City of Chula Vista, Recreation De artment Applicant Name and Address: City Of Chula Vista, Recreation Department 276 Fourth Avenue Chula Vista CA 91910 Agency Director: Buck Martin, Recreation Director Name and Title 619-409-5966 (Area Code) Telephone bmartin@cLchula-vista.ca.us 619-409-5925 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the purposes stated within the applicable regulations. (SIGNATURES MUST BE IN BLUE INK) Signature of Agency Board President/Date Signature of Agency DirectorlDate Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for CDBG funds be submitted 1. Program Name WIZ KIDZ Contact Person (available to answer questions July 1, 2008 - June 3D, 2009) Michelle Castagnola 619-409-5955 Name (Area Code) Telephone 619-409-5980 Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program ~ 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The Wiz Kidz program is an after-school program for elementary school children. The Wiz Kidz program ill operate at Otay Recreation Center within the City of Chula Vista. The program site will operate Monday U"ough Friday after school at the Otay Recreation Center, serving children from primarily Otay Elementary chool, and local elementary schools within the immediate area. The program will operate for 38 weeks uring the school year, for three hours each day Monday through Thursday and four hours on Friday. The Wiz Kidz program offers scheduled and supervised activities designed to be educational and ealthful. The first hour each day consists of roll call and homework, followed by snack, and group iscussion, activity or sport. We are partnering with the Chula Vista Elementary School District's, After v . Where are services provided? (If different from agency location) tay Recreation Center, 3554 Main Street, Chula Vista Ca 91911 5. Please describe your agencies written policies and procedures including how clients are served, COSG eligibility requirements, compliance with Federal, State, and Local laws? Programs are planned, administered, organized, and directed by a Recreational Supervisor I, II and III. Between them they have the direct and supervisory experience to provide the direct youth instruction and to provide the recreational activities after school, as well as make presentations to the community, organize fundraising and other activities, and perform required documentation and tracking activities. The program staff will be recreation leaders with at least a high school education, and some with undergraduate degrees. All participants are required to complete a registration form providing demographic and emergency information. CDBG eligibility is determined by a client income survey and the location of the program feeds directly from Otay Elementary School. Their demographics include a total enrollment of 593 students and is comprised of 85 percent Latino students, 8 percent Anglo students, 4 percent African American students, I percent Asian students, and 2 percent other students. In addition, 65% of our students are English Language Learners and 85% of our students are eligible for free or reduced lunch. I I 6. Total Program Cost: Actual 2007- $12,299 Proposed 2008- 1$15,571 I 2008: 2009: Projected 2008- $15,571 2009: 7. Total Number of Clients proposed to be Served in 2008.2009: _80_ Total Number of Clients Estimated to be Served in 2007.2008: _80 Total Number of Clients Served in 2006-2007: Actual _70_ Chula Vista Non Chula Vista o _0 _0 City fiscal year is July 1.June 30'". Beneficiary Information: 194.63 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Reauested for this Prooram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundina 12.299 15 571 9. Funds Reauested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? Chula Vista is one of San Diego County's most ethnically and culturally diverse communities. The city is less than ten miles from the US/Mexican Border. The Otay area is located in the southwest portion of Chula Vista. Castle Park Middle School has a total enrollment of 1203 students. The school community is compromised of a total enrollment of 593 students and is comprised of 85 percent Latino students, 8 percent Anglo students, 4 percent African American students, 1 percent Asian students, and 2 percent other students. In addition, 65% of our students are English Language Learners and 85% of our students are eligible for free or reduced lunch. Many children have both parents in the household working or are from single parent families. The need for safe and affordable after school programs is of primary importance to the parents in the community as well as for the overall health and nutrition of the families. This need is compounded by the basic economic challenges faced by families of which are primarily low-income ethnic individuals. There are a large number of children and families living in apartment and mobile homes with little park or recreation space. There are limited fun and quality recreational and educational experiences after school. Otay Recreation Center is the only recreational facility with a fitness center that provides programs for youth in the southwestern part of the City of Chula Vista. In addition the Chula Vista Police Department began tracking police calls for service (CFS) with a gang element midway through 2004. Between May 30, 2004, and October 31, 2007, there were 991 gang-related CFS within a I-mile buffer around the Lorna Verde Recreation Center, Otay Recreation Center and Castle Park Middle School. These 991 CFS accounted for more than 25% of all gang CFS citywide during this time period. In addition, gang CFS in the I-mile area surrounding the school and recreation centers increased 82% from 2005 to 2006 (the only years with full data available at this time).Between November 2003 and October 2007, 113 girls between the ages of 11 and 13 were involved in crime incidents in the I-mile buffer area, either as victims or suspects. The number of girls victimized in crime incidents increased 45% between 2004 and 2006. Finally, between November 2003 and October 2007, police made 22 separate arrests of 12- and 13-year-old girls [no 11- year-olds] within the I-mile buffer around the school and recreation centers. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? The program will operate at Otay Recreation Center within the City of Chula Vista. The program site will operate Monday through Friday after school at Otay Recreation Center. The program will operate for 38 weeks during the school year, 5 days a week for 2.5 hours each day and 3.5 hours on Fridays. The program will offer scheduled and supervised activities designed to be educational and healthful. Activities are designed to build social skills and sportsmanship and will include: sports tournaments, arts and crafts, board games, guest speakers, field trips, nutrition classes, contests and other special activities. The program anticipates having a core group of participants. The proposed proj ect will provide services for approximately 80 youth participants. All funds will provide direct services to youth. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non- profit organizations? The program will have fundraising activities to support the program and provide for future funding needs with activities like community car washes. Weare always looking to a variety of funders and donor sources for support, such as local business. We have the largest number of volunteers for our department and will continue to have volunteers support the program. The city has strong network collaboration with community providers and continues to offer programs and services to augment and enhance existing services. The school in collaboration with the City also offers an after school program but it is academic in nature and generally has low achieving students referred to the program. d. Oraanizational Cacacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. The Recreation Department is a department within the City of Chula Vista, a municipal government entity. The City ofChula Vista, population of201,210, is San Diego County's second largest municipality. The city was incorporated in 1911, and comprises 33,024 acres. Forty-nine percent of the population is Hispanic, 31 % white, 13% Asian, 6% Black and 1 % other. The median household income is $49,065 (City Of Chula Vista). Twenty-five percent of the population is 14 years of age or under. The vision of the Recreation Department is a community that achieves learning, self-discovery, balance, and essential life skills through recreation. Our mission is to enrich our community through recreational opportunities and services. Our values include; Integrity, Respect, Professionalism, Accountability, Commitment, Teamwork and Fun. The Recreation Department offers a variety of recreation and leisure services to the community. These services include nine key areas identified as being representative of the Department's functions: Aquatics, Athletics, Seniors and Therapeutics, Centers and Schools, Facilities and Fields, Communications and Marketing, Staff and Volunteers, Finance and Management. The City's Recreation Department is growing along with the rest of the City. The Chula Vista Recreation Department opened three new Recreation Center's in 2007. The three centers are Veteran's Park Community Center, Salt Creek Park Cornmunity Center, and Montevalle Park Community Center. Below is a sampling of programs, by segment area, including the most recent statistical information on numbers of customers reached and growth in numbers served. Centers/School Programs/Community Outreach . Total center attendance - 1,896,833 (85% increase over FY 05-06) . Camps enrollment - 2,271 (26% increase over FY 05-06) . Special events - 246 (52% increase over FY 05-06) Athletics . Youth Athletics - 627 teams with a total of 9,405 participants (28% increase over FY 05-06) SCOPE OF SERVICES 11. Scope of Services a. Proiect Descrietion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing. specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. The program will operate at Otay Recreation Center within the City of Chula Vista. The program site will operate Monday through Friday after school at Otay Recreation Center. The program will operate for 38 weeks during the school year, 5 days a week for 2.5 hours each day and 3.5 hours on Fridays. The program will offer scheduled and supervised activities designed to be educational and healthful. Activities are designed to build social skills and sportsmanship and will include: sports tournaments, arts and crafts, board games, guest speakers, field trips, nutrition classes, contests and other special activities. The program anticipates having a core group of participants. The proposed project will provide services for approximately 80 youth participants. All funds will provide direct services to youth. b. Taraet Groue Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. c. Outreach Discuss outreach efforts for the proposed service/activity/project. 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition, you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. PLEASE SEE NUMBER 14 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. 14. Work Plan KEY ACTIVITIES DATE 1. Advertise program at school, attend back to school nights, and host open house at center for sign ups. September 2008 2. Run Program, classes/activities, operational 5 days a week. September 2008- June 2009 3. Host events, fund raisers and guest speakers for participants in program. November 2008, February and May2009 6. Administer Participant Satisfaction Survey May 2009 7. Evaluate crime statistics throughout program. September and December 2008 and March and June 2009. Part II - Application Part II Scope 15. Additional COSG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes 0 No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes 0 No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No 0 c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes 0 No 0 N/A 0 B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes ~ No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes ~ No D E. Has the agency previously administered CDBG funds?: Yes ~ No 0 If yes, please describe the agency's experience with CDBG funds: 16. National Objectives for the COBG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. [@ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- - income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are X 51% Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). [@ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons o/c served? (b) Presumed Benefit: The facility will exclusively serve (check one): _ elderly persons (over age 62) _ battered spouses illiterate adults (not ESL) _ persons living with AIDS homeless persons _ migrant farm workers abused & neglected children _ severely disabled adults See Appendix E for the definition X (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (i.e., food banks, ciothing banks, facilities serving residents of public housing) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information http://www. h ud. qov/offices/cpd/a bout/performance/train i nq/ch08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. PERFORMANCE MEASUREMENTS (List major activities. the direct product/service numbers for each activity and the direct outcome/benefit of the activity.) ACTIVITY INDICATOR OUTCOME (What the program does to fulfill its mission) (The dlred products of program (Benefits that result from the program) activHles) ServIce #s Example: Example: Example: Provide after school program 5 Provide after school program Improved access to after days per week for elementary for 80 children throughout the school program for program school children. 08-09 school year. participants. Improved quality of life for Droaram Darticioants. .- 18. Process Evaluation: Documentation of program participation occurs via registration information and daily sign in sheets. Program is advertised in the City's Recreation Brochure and flyers. 19. Outcome Evaluation (List Three Outcomes): Evaluation of the program to measure success: evaluation is an ongoing process that takes place from the enrollment of participants to termination of services, and relies upon several measures. These will include 1) general intake information including age and geographical residence, 2) base line and quarterly measurements from the Chula Vista Police Department to include crime statistics for the population being served, 3) a post satisfaction survey to both participating youth and their parents. 20. Key Staff Persons: The program staff at recreation centers will be recreation leaders and recreation aide with at least a high school education, and some with undergraduate degrees. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. NONE Part II - Application Part II Scope g"',, e" ,~ i$'~ ,".. · (if Subcontractors are used please use additional line item budgets). Program Expenses 1500 1. Supplies 2. 3. 4. 5. 6. Y. 8. Personnel Costs 9. Salaries (Include title and 13,375 Recreation Aide name of staff person) Yadhira Gutierrez Leader Brandon Gibbons 696 10. Benefits (describe) Medicare and PARS Total Costs $ 15,571 $ $ I Tab No.9 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Youth Prevention and Diversion Organization/Dept.: South Bav Family YMCA Project Description: South Bay YMCA will be providing several services including childcare at several elementary schools in Chula Vista; Provide after-school support for academic assistance on school campuses (1 hour each day Mon-Thurs), Provide support and assistance in comprehensive diversion prevention strategies including youth sports, field trips and other enrichment activities, Provide skills based learning, youth leadership development, substance abuse prevention and community service projects through the YMCA Earth Service Corp; conduct a Day Camp program for children kindergarten through 6th grade and a Leaders-in- Training program for youth 15-17, focused on leadership development and prevention of at-risk behaviors. These three program services will reach up to 265 children and youth. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $29,854 $29,854 Specific use of funds: Proaram Expenses and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20He\ Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustain ability/ Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 265 - Exempt r # of Units - Type of Units! Low Moderate Income Clientele This program is part of the Youth Prevention and Diversion Project. For review of the complete application, please refer to tab No. 13 I Tab No. 10 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Youth Prevention and Diversion Organization/Dept .: Chula Vista Beacon Center Project Description: The Beacon Center will Increase protective factors for at risk youth by providing a comprehensive employment opportunities program. Up to 250 youth will receive pre-job guidance including, 75 will be assisted with job searches. Project Location: City Wide Prior Vear Fundina: 2008/09 Recommended Fundina: $7,783 $7,783 Specific use of funds: Proaram Exoenses and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Helo the Homeless : No . Helo Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 250 - Exempt (# of Units - Type of Units) Low Moderate Income Clientele This program is part of the Youth Prevention and Diversion Project. For review of the complete application, please refer to tab No. 13 I Tab No. 11 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Youth Prevention ond Diversion Organization/Dept .: Chula Vista Boys and Girls Club Project Description: Chula Vista Boys & Girls Club will provide a 6-7 week summer Day Camp for low income youth. The Boys & Girls Club will train staff and program volunteers to lead/facilitate client education programs; initiate day camp program and prevention/education programs within camp activities. This program will reach up to 90 youth, at least 65 of them low income. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $14,413 $14,413 Specific use of funds: Proaram Exoenses and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . Heln Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability / Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 65 - ExemDt (# of Units - Type of Units! Low Moderate Income Clientele This program is part of the Youth Prevention and Diversion Project. For review of the complete application, please refer to tab No. 13 I Tab No. 12 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Youth Prevention and Diversion Organization/Dept.: Chula Vista Police Athletic Leaaue Project Description: PAL will provide two scholarships to a Junior college for low income students. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $5,000 $5,000 Specific use of funds: Proaram Expenses and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20H e) Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 2- Exempt I # of Units - Type of Unifs} Low Moderate Income Clientele This program is part of the Youth Prevention and Diversion Project. For review of the complete appl ication, please refer to tab No. 13 I Tab No. 13 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Youth Prevention and Diversion Organization/Dept.: South Bav Community Services Project Description: SBCS will provide assessments for up to 280 youth referred to the Juvenile Diversion Program by CVPD, SARB, and develop treatment plans and assign youth to appropriate intervention activities, such as Teen Connection/Lifeskills groups (8wk), and anger management programming-gender specific for males and females; Graffiti eradication classes or community Service; Pregnancy and violence prevention: Tutoring; Job readiness workshop; Mental Health Services: for youth 8-17; Peer leadership program and groups; Sally Ride Science Club for girls. A bilingual job specialist will assist at risk youth to create resumes, prepare for interviews, locate and link to employment opportunities. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $39,550 $39,550 Specific use of funds: Proaram Exoenses and Personnel Costs HUD Matrix Code: Citation: 050 - Youth Services 570.20lfel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 280- ExemDt {# of Units - Type of Units! Low Moderate Income Clientele ~~ \' u, ~pfemental'Appricatf9n DEPARTMENT "'::'",:<:',;;:,"', dress: Agenc Birector: - Kath n Lembo, Executi Name and Title ~'> " ''''",',''..,m..';''','".'" ,,,.,<::,<',,",""'.'.;'. ;:"'~:~Y+:;;,;I_~{~-0jJ";d{::~i;;!;; ;:"",.-. Agency Name: I pplicanf'Na'me an iAgenty~InforfT1atio · JAN 04 REG'll South Bay Community Services 1124 Bay Blvd., Suite D Chula Vista, CA 91911-7155 (619) 420-5094 ex!. 145 (Area Code) Telephone klembo@csbcs.org (619) 420-8722 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize COB s for the purpose stated within .~ ar:>plicabl~ regulations. (SIGNATURES MUST BE IN LU INK) ~... . , ./.. i ~ ~'t. ,~;. . -tr Signature of Agency Bard Presid t'Date gnat e of Agency Director/Date Maria Guasp th .' n Lembo Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for COSG funds be after ':";,,,'" ..... .~Program;rl1t:6rmation ;'.'";~?::;i~';,?~~~~:t:'10~:.i,~~;..~:'~'~,,,,,.:: ~" ;"i,C';:; -.,,.,. "" ," ',,' y", ",~ ';;\':,f?;,:],~;~;;:,~~~,L 1. Program Name Prevention & Diversion Pro'ect for At-Risk Youth Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Kathryn Lembo (619)420-5094 ex! 145 Name (Area Code) Telephone 2. Program is New for our agency 0 An Ongoing Program IZI 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The mission of the Project is to provide area youth with the services. support. and opportunities they need to lead healthy and productive lives. SBCS. along with subcontractors (South Bay Family YMCA BEACON Center. & Boys & Girls Club & PAL). will provide services to area at-risk youth before. during and after school. designed to increase healthy protective behaviors and decrease risk factors that lead to law enforcement or social service invoivement. Part II - Application Part II Page 3 of 27 4. Whare ara services provided? (If dlfferant from agancy location) Services areprovided at the Chula Vista Police Department (SBCS' Juvenile Diversion Program), at South Boy Family YMCA's focllitlfJs, ot the Chulo Vista Boys ond Girls Club Facility, at the BEACON Center (Family Resource Center at Vista Square Elementary School), and by the Police Athletic League through the Chula Visto Police Department. 5, Please describa your agencies written policies and proceduras including how cliants are served, COBG eligibility requirements, compliance with Fedaral, Stata, and Local laws? SBeS and subcontractors have extensive policies and procedures goveming how clients are served, including sections in the SBeS Employee Handbook that govern confidentiality, client relations, reporting of child abuse and threats of violence, and protocols to use with children, as well as an extensive code of ethics. SBeS' General Policies and Procedures govem respect for clients, client grievances, zero tolerance for fraudulent conduct, training, home visiting, maintenance of confidential files, and many other issues. SBeS and subcontractors comply with all Federal, State and Local laws. Staff determine if clients fall within income guidelines for provision of CD8G eligible services, utilizing pay stubs or other Information to determine income level. After a comprehensive intake meeting, Staff develop a written plan with the clients to assist them in establishing objectives and goals that will help them address the issues that have brought them to us (e.g., problems in school, possible contact with law enforcement or social services, need for job development services, after school programming, recreation activities, etc.). Individual confidential files are maintained on each client to document client progress toward their goais. Port II - Application Part II page 4 of 27 I I 6. Total Program Cost: Actual 2007. $1,801,793 Propos@d <1008. Is 131.~OO~_~ ] ;1008: 20Q9:r@qu@st Proj@ct@d 2008. $1,890,917 2009: Chula Vista Non Chulll - Vista 7. Total Numb@r of Cli@nts proposed to be Served in 2008-2009: 885 Total Number of Clients Estimated to be Served in 2007-2008: 885 Total Number of Clients Served in 2006-2007: Actual ~ City fiscal year is July 1-June 30th. Beneficiary Information: $148 Cost ($) per COBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Requested for this ProQram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDSG Vista HOME, Chula Vista Vista HOME, Vista CDSG Chula City of ESG CDSe; ESG Vista Chula HOME, Vista ESe; Fundino 96 600 96 600 131,000 - - 9. Funds ReQu@st@d from Other Jurisdictions for this ProQram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 SD County Juvenile 200,000 Contract 200,000 contract per Diversion -. vellr throuoh 08-09 SD COl.lntv Probation 1 364 421 Contract 1 364 421 CVPD 119,520 Contract Donations <lnd 21,252 Private funding 21,252 Foundations I"orlll- Applieqlion ParI II Pag@ 5 of 27 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You mClY (ldjust the spClclng CIS necessClry. however the body 01 the Clppllcatlon may not exceed four (4) pClges. excluding the performance schedule Clnd budget.) a. ~eeQ Document the need for the project/program. If the project has been funcled before. what helve beliFl the ~ri!'l'le;lr'Y eleeoffiplishmlJnls' Youth within owr oily ere ot risk IOf involvement In juvenile justice and social services systems through exposurE! to criminal octivitles, illeQol dru\:js &. (:lther risKS: Ifor 6xomr::>le) . Each year the Chulo Vista Police Deportment, School Attendance Review Boords, ond Student Study Teams refer over aoo yoUlh te> sacs fer Oivilrsion slIlfliiees. . According to 0 recent informational flyer from SANDAG (October 30,2006) detailing 2005 meth use among the teen arrestee population os pert of their Substance Abuse Monitoring ISAM) project, "meth use has increased omang the arrestee population over the post severo I years," ond among juveniles the most common reason for first trying meth is because their friends were using it. . According to the CVPD, there ore currently 7 gongs that claim territory in Chula Vista. with at ieost 350 total members. IThere ore olso probably 550 other gang members that have some involvement here). . The teen unintended birth rate, though decreasing, stili remains high: the South Region has the 2nd highest rote in the County and Chula Vista has some regions that are designated "hot spots" by the State because of the high teen birth rate. SBCS and subcontractors ore major portners in our city's primary system for meeting the needs of children &. youth who ore ot risk of Involvement in Ihe social service or juvenile justice systems. We ore asking for the funds we received lost year (though they were less than requested). This comprehensive system of youth services. support, and opportunities is pivotal to the healthy development of youth 8. their smooth transition to adulthood. These octivities clearly heip reduce delinquency, substance abuse, ond school faiiure, while promotin9 youth development. By working together, we ensure 0 smoother continuum of services, ovoid dupllcotion, and increose cl<:cess to resources and opportunities to assist our community's youth to reach tlgeir fullest polentlol. b. Benefit Discuss how the prClject/program provides benefit to iow.income persons. How dOllS the proposed i:lroject respond to the City of Chulo Vista needs~ The program bene/Its low income Chulo Visla families by providing them free resources to address 0 wide array of challenging child and famiiy issues and needs: free after school octivltles. otter school child core: juvenile diversion services: job develoj:)ment octivities, and a chonce for 0 scholarship to junior college. c. Other Resour\=es and CollaboratlolJ Identify other potential or actual sources of funds. What fund roisinl;) hels the ori;lonizatlon done to support the proposed project? What rolE!! do volunteers ploy in Ihis j:)reieet~ Has your orgonizotion developed this project in colloborotlon with other groups offerin\;! services? What services offered by other community groups complement the J:iroposed praject~ Are the proposed activities duplicative of projects operated by other locol public or non. profit orgonizotions? secs' programming is also supported by funding from Son Diego County Diversion, the Chulo Vista Police Deportment. the SO County Probation Deportment for the Community Assessmel'1t Teom ond by Foundotlon funding. Volunteers{Counseling ond/or social work interns) may provide some of the counseling for participonts, under supervision by licensed staff. Volunteers may oiso i:lrovide child care or tronsportation for youth to community events. Any volunteers ore subject to the some background cheeks as poid stoff. This project is 0 long term lover 10 year) cooperotlve effort between 5 agencies that provide eomi:llementory, not duplicolive, services to youth in our community (SBCS. Boys and Girls Clup. South Boy romily YMCA. BEACON Center. ond Pollee Athletic leogue). We provide dilferlng services and so we refer to each other when 0 youth needs the other's services. There is no other group performing thil$!!: services in the South !!lay. d. Oraaoizatlonal. ~aDac:l!V Summorlze the orgonization's background/programmatic copocity. Does your orllonizotion or proposed sefliice till 0 unique niche omong clients who ore not currently served, or are under.served? Alloch 0 list of the Boord of Directors. South I'lOY Community Safliiess ISBCS) is a 36 year old multi-service and community development erganlzotion, (;I privote, 501 (C)(3) nonprefll or~onlzotlon whose mission is to provide children. YOl,Jth, ond ~~ Pert 11- Applicotion Part II Page 1\ of 27 fomilles in the South Boy ClrElO with services which reinforce the family's role in our community ond ossl;t ineJividuols to os~lre reollslle:olly te lives of self..fulfillment. This Is oddressed throu!;lh the provision of culturolly competent blllnguol (Engllsh/S~elnish) services olmed 01 the following generol purposes: To provide counselinG} ond educotlon for children, youth, ond fomliies; To provide oreo coreer opportunities, exploration, ond exposure; To provide outreach and educotion in the community; To provide community development one:! social service octivlties: To provide progroms for chlidren, youth, ond 10mHles in high- risk situations, SBCS' style is committed to providing respectful services based on community strengths. needs ol'ld goo Is. SBCS was created by dedicoted, caring community members ond continues to receive guidance ol'ld direction from them. secs begeJF1 os 0 treatment center for drug obusing teens ond hos evolved ond exponded in resr:>onse to the growing needs 01 the community, ond currently provides services. support ond opportunities lor over 20.000 indlviduels ond lamllies each yeor, ond impocts more thon 50.000. Youth as well as odult community members ore involved In the design, delivery end evaluation 01 011 SBCS activities. Current SBCS Departments: FAMILY WELLNESS AND SELF SUFFICIENCY DEPARTMENT: is an integrated continuum 01 service strategies and progroms which ore locused on recognizing the strengths, ossets, ond resiliency 01 fomllles that come into our agency lor services ond building on those strengths and assets to help them develop long term independence and self.sufficiency. Services include a continuum 01 short term and tronsitlonal shelters: food & clothing; Temporary Restroining Order assistonce; advococy with community ogencies; transportation: support groups end child care while mothers ore in groups; parent-child interactive parenting groups: employment ac~uisition ond retention support; independent living skills training; counseling and other SU;lportlve serviees, The Deportment Includes the 24 hr/7 doy Domestic Violence Response Team (Partnered with 4 local law enforcement departments). which responds to Domestic Violence calls and ossesses lor the risk of child abuse, then follows up with shelter and supportive services. No other non"profit provides these serviees in the South I!ay area 01 Son Diego County. YOUTH AND FAMILY DEVELOPMENT DEPARTMENT (YFD): ore focused on recognizing the strengths, assets. and resiliency 01 youth, in particular those who ore transitioning to adulthood, often without the sofety net of adults and/or fomily to !:live them support, and moxlmizing the potential lor their long term healthy development by encouraging their creative obillties within CI fomiiy ond community context, while assisting them in ocquiring the skiils and competencies they need to develop self-sufficient iilestyles. Programs include 0 continuum of shelter and supportive services (for Runowoy & Homeless youth ond lor former foster youth) os weii os 0 Teen Recovery Center 8. other youth development activities plus community education one:! service projects. HEALTH & DEVELOPMENTAL SERVICES: First 5 Health 8. Developmental Services' progrom develops and implements Integrated networks of services that address the health and development needs 01 children birth throu!:lh oge 5 In the Health and Humon Services Agency (HHSA) South I!oy Region. The progrom focuses 01'1 school readiness and sacs provides 0 unique preschool built In cooperotlon with CV Elementary School District providing comprehensive school reodiness services to children 0-5 In lomilles offected by Domestic vioience. utill~inl;l Seniors os facilitators ond mentors. The elassroom serves as 0 centrol site in which sacs locilltates a culturolly competent Chiid Development Program providing a range of tailored services designed to overcome the systemic ond programmotic borrlers that currently prevent young children who hove been exposed to domestic violence from entering school ree;ldy to learn. COMMUNITY DEVELOPMENT DEPARTMENT: promotes community development and neighborhood revitalization by ereoting offordable housing options. homebuyer aducotlon, offordoble Clpartment relarrols, rent guarantees, neighborhood improvement projects, ond economic advancement opportunities for low income South Boy femilies. sacs hos more thon 428 units of housing. Port ii - Applieotien Part II P(:'IQIi 7 lOll 27 SCOPE OF SERVICES 11. Scope of Services a. Proie4;it ~eseriDtlon Describe the proposed service/activity/project to be carried out with the funds reQuesteeJ. II the ~rof')esed j:lrojectls ongoing. s~ecily why the lunds or6 needed to serve low ond l'Tloderote.lneome ~ersons. Discuss the cost-per-beneficiary In relation to ~rivote ond other organizations delivering similor services. Pleose note whot proportion 01 the pro~esed budget will sup~ort direct services te homeless people. COile; funds ean only be used lor expenditures which direetly benefit CDBG-ellglble clients. Overall aOQI of the Droleel: Provide a bilinguol. culturally appropriate Prevention & Oiversion program to at-riSK children. youth. ond families in the community that includes prevention. Intervention. and supportive services. giving them the opportunities they need to leod healthy and productive lives. At-riSK children and youth con be relerred to <:1 continuum 01 Prevention and Diversion services end case manogement lerviclls. .Services will Include a comprehensive Prevention and Diversion program lor 630 youth and .A range of reereatielnal and educational oetivitles year-round to assist 255 youth in developing i'leaithy IIlestyles (inc::luding r;lroviding 0 sehoiorshir;l for Q youth to complete Cln AA degrl!le ot Souti'lwestem Colla!;!e) After comprehensive strengths-based ossessments. individual youth ore assigned to a range of belore. during and Cllter.school activities to address the challenQes in their lives (personol or lomiliol. alcohol or substance abuse. school chollenges. parental neglect. laCK 01 parental supervision. etc). Case manQgers or supervisory statf will track service provision and progress over time. refer to additional services if needed. and document and report on overall outcomes. which SBCS will gather and report to the City. The cost per beneflciory is: $148. There's no comparison since there Is not another organizotion /group delivering the samEl cluster of services. This is not a program that is locused on serving the homeless. but is locused on serving low income children and their lamilies that would not have the benefit of these services if they hQd to PQY for them. However. a small percentage of the program recipients may be homeless and In shelter with SBCS. b. TarClet GroUD Quontily the number allow- and moderate-income persons/households to be ossisted per servica/octivity/project. These services will target 885 low ond very low income youth in Chula Vlsto ond their fomllles, c. Qytregch Discuss outreach efforts lor the proposed service/activity/project. sacs stolf regulorly attend community collaborative meetings 11"1 the South Boy and in other areas. during which they share information about our programs. We ensure that program information is known to the County's inlormotlon 211 Resource stoff. 12. Performance Schedule On 0 separate page. prepare a Work Plan for implementation/completion 01 the services and activities Identified in the Scope 01 Services. In addition. you will be reCluired to indicote performance measurements as they relate to the activities of your project. A suggested lormatls included on ti'le loilowing page. Part II - Applicotion PQrtll Page 8 of 27 13. Project Budget On 0 separate page, prepare 0 budget summarizing the use of proposed CDBG funding and 011 other resources ovoiloble for the project. A suggested budget summary worksheet is Included in the following pages. Please revise the form ond annotate budget items os they relate to your project. Port II - Application Port II Scope ~1iiiGil~I+~r~.fll1t~~~PI"1ff.~~~ (if Subcontractors are .'~","",o.ii<;;ZX,.~~~t"~i~Y,M~!j~~1L"""'"Lt~~~~m~tmJ used please use additional line item budgets). ----------------------~--~~ - --~ --- ----- BUDGET ITEM CHUlA VISTA OTHER OTHER TOTAL COBG List Other List Other Progrpm ExpenSlilll . "... .. 57,000 135.360 1, $uocontrectors 7a,S6e 2, Audit and contracted 1,500 2,700 4,200 3. Insurance, postage and 750 printing 12,150 12,900 4. Office &. Proeram SUBOlies 2,065 248 945 251,010 .. 5. Telephone, utilities and renl 1 050 78,904 79,954 . . . 6. Travel, mileaoe and tr!jinin" 0 . --. . .. . --.. . . 7. Equipment(rentallaase or purchase) 0 17,200 17 ,200 3' Rapairs &. maint~~ance, 0 7,100 7,100 . uas and advertisin . -". .. .. ... -- .. . .. 0" _ . 9. Indirect/Admin 145,157 145,157 '''.. ... - . .... .. Personnel Costs 10. Selaries Contract Cernolianca staff) SS,750 1,002,061 1,040,811 .. .. .. ---'. 11. aenents & I"R texes 6,525 188,700 197,225 . . ...- '.~' -.- -. ..... . ... $ .. .. Total Costs $ 37,500 1,759,917 $ . 1,SSO,S17 . PQrfil";Appli~atipn"Pqi(ii 14. Work Plcn (Prepare a Work Plan lor Implementallonjcompletlon of the services and activities Identllled I th S 01 SlIrvices) n e cope Work Plcn (Identify activities and completion dates) Provide Juvenile Diversion services lor low income Chula Vista youth Provide belore & after school child care through Chula Vista Provide summer da cam Provide revention activities for middle school a e outh Provide summer da eam Provide employment opportunities program for up to 250 outh Provide a seholarshl for outh to attend Junior Colle e Weekly and/or monthly as need dictates from July 1, 2008 to June 30, 2009 July 1, 2008 to June 30, 2009 Summer July 1, 2008 to Sept July 1, 2008 to June 30, 2009 Summer July 1, 2008 to Sept July 1, 2008 to June 30, 2009 July 1, 2008 to June 30, 2009 Part II - Application Part II Scope 15. Additional COBG Finaneial information; A. Old the Agency expend more than $500,000 In federal funds within Its accounting year, regard. less of whether such funds were received directly from federal aQ!ncllll or Indirectly through another agency? (If 1'10, proceed to question 10.B.) Yes ~ No 0 a. Oid the Agency have an independent audit completed within 9 months of the llf1d of its accounting year, alfld eonsistent with the standards of OMS Ciroular A-133? Yes I8l No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, conoerns, compliance findings, (luestioned costs or recommendations for improvements in the agency's finanellill systems? Yes 0 No I8J e' If the Agency was not required to have an audit per standards of OMS Circular A.133, did Agency have an independent audit by a CF'A that included an examination of CDBG grant funds within the audit's scope? Yes 0 No 0 N/A IZl B. If the organi<?:ation has not had II financial audit, please explain the re;lson. e. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injUry and property damage? Yes I8l No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes I:gj No 0 E. Has the agency previously administered CDSG funds?: Yes IZl No 0 If yes, please describe the agency's experience with CD SO funds: SBes has $uccassfuliy administflred COBO funds for the Thursday's Meal for 10 years, Family Violence Prevention program for the pasl11 YflarS, as weli as ESG.COBG funds for the Clast 2 years and part of the current year, and 11 years of Youth Prevention Services. sacs has also administered other Public Services funding for a successful Graffiti Eradication program before the City took it over, ;lnd II Teen Center until it was included in the Youth Prevention program. ."- Port II - AP&llk:f:ljlon Port II "!"i"'""" ',,'" "",," ''''''ft''''fi' '"., ",~", ~""""'':"''/i!ili'''''''' ;~rogram;J.n 'Qr""'aUlal'l--1;~~~ .",', .",'_'''''''''.' _ "'"";""'_'~':" .,.";".;v>.c"-""""".~,,"V",,..,,;,,-~~i!,,",..'-,,v'" ;,,,,,;~,,,,,-,,,,,I,~,"...rN,.r9"~ 16. National Objectives for the COBG Program: Programs must meet National Objective ~57Q.2Q #1 for the CDBG Program - Activities Benefiting Low-/Moderate-/ncome Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national obJective. Contact the City for lecllf'lieal assistal'lce if you are I'lot surl!l which box to cheek. 1. Area Benefit: The project must serve either an area which is primarily residel'ltial and predominantly low-/moderate-income as determined by Census Tract al'ld Block Group data. Contact the City for this information. Iil Required Attachment: Attach a map indicating the proposed project location and boundaries of the araa that will directly benefit from the proposad projeet. With the attachmel'lt, briefly describe how the boundaries of the service area were determined. Include the Census iract end Block Group. Please contact the each City Included in boundaries for technical assislllnce. xx 2. Limited Clientele: The project must be limited to serving a predominantly low-imoderate- - income clientele (choose one of a. b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are .XX, 51 % Low-/Moderate.lncome per Official HUD Incotne Guidelines (Aj:)pendix A). ~ Attach a copy of Intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons >65 OJ. s8l'Ved'l (b) F'resumed Benefit: The facility will exc/I,/slve/y serve (check one): elderly persons (over age 82) battered sj:)ouses - illiteratil adults (not eSI.) - persons living with AIDS ~ homeless persol'1s , migrant farm workilrs abused & neglected children severely disabled adults - See Appilndlx E for the definition (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-il'lcome persons (i.II., food banks, clothing banks, facilities sel'Ving residents of public housing) Part 11- Api:llJeatioA Port II Seop" .~~~:~~~<<Qf:hi~ft~~~M~ 17. Measuring an Objective and Outcome of Public Service Activities for the CCSG Program: In addition to meeting a CDBG National Objective and eligible activity test for the COBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistanCe if you are not sure which box to check. Please refer to the HUO webslte for mare Information httl) ://WWW, h ud, cov/offices/cod/a boutlQerformance/tra In I ng/chO~. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or SUlitainability): XX 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordablllty- Public Service activities funded to support housing opportunltills in a target neighborhood. . ..xx_Sustainablllty- Public Service activity aimed at improving communities or l'llilighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainabllity- Public Service activities funded to sustain housing in nflighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to lilconornic opportunitieli. Example: Operation costs for a jobs transportation I'lrogfl1m, job training pfogflilm, Iitflfacy program. . ~ffordablllty. Public Service activities funded to support flconomic opportunities. . _Sustainabillty- Public Service activities funded to sustain economle opportunities. Port Ii - A~plleojio!'l F'<;lrt II PERFORMANCE MEASUREMENTS (List major activities, the direct product/service numbers for each aclivity and the direct outcome/benefit (lithe activity.) ACTIVITY INDICATOR OUTCOME (Whal Ihe program doe. 10 lulllllll. mission) (The dlrecl products of program (Benellt. that re.ull Irom Ihe program) acllvme.) Service t. Example: Example: Example: Provide nutritious, home Deilver nutritious, "hot" meais Improved access to delivered meals to homebound to at least 88 homebound nutritional, well-balanced seniors In Davis seniors in Davis meals for program participants Improved quailty of life for '"'roaram oartlclcants ACTIVITY INDICATOR OUTCOME (Whallhe program doe. 10 lulllll no (The dlrecl produel. 01 program acllvltie.) (Benefits that result from the program) mission} Service 'S Provide Juvenile Diversion Provide assessment, case Decrease contact with jUvenile services for low income Chula management. Individual, justice system Vista youth family and group counseling for 238 youth Provide before & after school Provide child care lor 100 Increase children's safety child care throuah Chula Vista children before and after school Provide summer day camp Provide day camp for 65 youth Increase protective lactors for In kindergarten through 6th youth arade Provide prevention aclivifies for Provide after school aclivitles Increase protective faclors for middle school age youth for 100 middle school youth youth so they will not be home alone after school and at risk of involvement In criminal or substance abuse activities Provide summer day camp Provide summer day camp lor Increase protective factors for 90 vouth ail aaes youth Provide employment Provide employment Increase youths' ability to find opportunities program for up to opportunities program and up and keep employment 250 youth to 75 will be assisted with Job searches and up to 30 will find emalovment Provide a SCholarship for youth 1-2 youth will receive Increase ability of transitionlng to attend Junior College assistance In attending Junior youth to better their education Colleae Port II - Application Port II 'e-"'''9'-''""-''G-''''"''-''''"''''''~--'''''-'''-''_~Ilii'L '..,~ "'_'~W.mfi-' '1!l5I' D '-.-""'~'~"'-'- ""gf" -, ,,- ",-, . ~'!'''L'(',:,~r;0Q:C'Q c. -:;>: .)k'~,i, .,m..:",..'-'-;-' ,:,';' ,: ~-,,,,,,,,,:,"""",,,,,,>,,~"""-'-=".' ".~.,. ,-~...:; 18. Process evaluation: Describl!l how the pro\Jram will collect data and maintain rEloords tG trlile:k program activities, EXilmple: Ooc:umentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news letters naming the City of Chuia Vista and HUD as the funding source, 1" Attendance lists for \ilroup activities (e,g., sign.in lists) 2. Case mea for thQs!l youth in longer tl!lrm activitilil5 3. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Exampie: Interviews, work out plans, pre-and post. surveys. 1. Clil;lnt Satisfaetion OUllstionniliras 2. Increasa in s!;hool grades (lor ti'll'lSe i'laving aclll:femic problems). 3. No further contact with law enforcement. 20. Key Staff Persons: Please desQribEl the qualifications of key staff that wili have dlree:t oontact with clients re!;eiving serviCes. Elepending on the program element, staff may bEl professional staff with graduate ceunseling degrliles; trained and certified recreation staff: child care s~eoialists: or community volunteers. All staff who intera!;t directly with children and youth have thorough background ci'lecks through the police department and the FBI. 21. Subcontractors (if any): Please list the namElS of subcontractors that will be used to carry eut this activity. South Bay Family YMCA 95-2039198 1201 Paseo Magda, CV 91910 BEACoNCefiter~eVee'.. '95;600061$. 540 G StrElet, ev 91!il10 Ghula Vista 60ys Il. Girls .33;026471f Club 1301 C)ll'lilnder 5t" CV91911 J:>olice Atfileil!:i l..eague . 03;o13elll7 315 Fourth AVElnuEI, ev, CA !;l1!:l11 - ~--e,C ) - 42,076.55 (3 programs) All have multiple iocal, County, State and Federal fundlilrs 10,969.52' . Slim, 20,313:93 same 5,000 private donations ., ~irt"fi;;)':~RiicaliOf1Port II SCOPEl I Tab No. 14 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Family Resource Center Organization/Dept.: Chula Vista Community Collaborative Project Description: Provide Chula Vista Community residents with advocacy services, referrals and support services to increase their ability to lead productive and self sufficient lives. The Chula Vista Community Collaborative will assess families requesting services from the Beacon Family Resource Center and will connect families to needed services, through coordination of referrals, advocacy and follow up. A Family Advocate at the Family Resource Center will work with families to ensure families are connected to support services. Project Location: CitY Wide Prior Year Fundina: 2008/09 Recommended Fundina: $35,000 $35,000 Specific use of funds: Program Expenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (General) 570.20Hel Is the purpose ot the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 600 - Exempt I # of Units - Type of Units/ Low Moderate Income Clientele f\ .:. CDBG Supplemental Application Agency Information Agency Name: Chula Vista Elementary School District on bebalf of the CllUla Vista Communi Collaborative CV' Applicant Name and Address: Margarita Holguin 511 G Street Chula Vista 91910 Agency Director: Margarita Holguin - Director Name and TItle (619) 409-9412 (Area Code) Telephone margarita.holguin@cvesd.org (619) 409-9410 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the ~urposes tated within the applicable regulations. (SIGNATURES MUST BE IN BLUf9'lNK) '\ ( 4i.A...c. v I of{, Signature of Agency Board PresidentlDate Signatufe of Agency,D ector/Dat , 1[. . :--- _ ,,\ ,.1..)' \" Printed Name of Agency Board President Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for COBG funds (may be submitted after application deadline). Program Information 1. Program Name Child Care Coordinator Contact Person (available to answer questions July 1, 2008 - June 30,2009) Margarita Holguin (619) 409-9412 Name (Area Code) Telephone margarita.holguin@cvesd.org (619) 409-9410 E-mail address if available) Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program 181 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). Provide coordination of child care activities working closely with the Child Care Commission to increase quality of care in Chula Vista Work closely with child care providers to improve the quality of care, provide advocacy and assist providers through the licensing process. Act as liaison for family child care providers and individuals interested in becoming licensed. Coordinate training to increase capacity of child care providers and quality of care. Coordinating these trainings and acting as a liaison for individuals in the early childhood education field supports the mission of the Chula Vista Child care Commission. Free to low-cost training will target low-income families and childcare providers in western Chula Vista Part II - Application Part II Page 3 of 27 4. Where are services provided? (If different from agency location) The services under this request are performed by a part time Child Care Coordinator. The coordinator is stationed at an administrative office within the Chula Vista Community Collaborative. Planning, training and coordination of child care resources will be conducted by the Child Care Coordinator. Workshops and child care-related trainings will be provided at various locations throughout the south bay community. Locations include school campuses and other non-profit agency locations. 5. Please describe your agencies written policies and procedures including how clients are served, COSG eligibility requirements, compliance with Federal, State, and Local laws? Most clients will be served individually, through advocacy and assistance through the child care process. Outreach for clients will be conducted throughout Chula Vista. Clients will also be served through trainings and workshops. This will be accomplished through collaborative efforts with other child-serving organizations. Outreach will be the major activity that will be used to identify the clients. These clients will consist of individuals in a particular area where at least 51% of the residents are low and moderate income persons with at least 75% of those residing in the City ofChula Vista. This will reflect incomes from 0-80% AMI To ensure eligibility is met, procedures will be in placed to review income levels and ensure other eligibility factors are in compliance. Surveys will be used to aggregate the desired information. Theses surveys will reflect current San Diego County median income limits by household size. Written procedures will be in place to ensure effective documentation of clients served satisfying CDBG requirements. Part II - Application Part II Page 4 of 27 I I 6. Total Program Cost: Actual 2007- $ 40,000.00 Proposed 2008- I $ 35,000.00 I 2008: 2009: Projected 2008- $ 35,000.00 2009: Chula Vista Non Chula Vista 50 70 324 7. Total Number of Clients proposed to be Served in 2008-2009: 170 Total Number of Clients Estimated to be Served in 2007-2008: 150 Total Number of Clients Served in 2006-2007: Actual 526 City fiscal year is July 1-June 30111. Beneficiary Information: -.$159.00 Cost {$] perCDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Reauested for this Proaram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 Dty of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista COBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundina 42.000.00 40 000.00 35 000.00 9. Funds Reauested from Other Jurisdictions for this Program City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 None None None None Part II - Application Part II Page 5 of 27 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of fhe application may nof exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before. what have been the primary accomplishments? Coordination of child care resources in order to enhance the quality and availability of child care to the low income families of the community (The community is in need of training and a hub for childcare and cbild development needs). The target population is low-income children and the licensed/unlicensed childcare providers who provide care in western Chula Vista. As of December 2007, there are 82 large family daycare providers, 58 child care centers and 28 school age centers in the City of Chula Vista; along with approximately 300 small family licensed providers that benefit from the services provided by this position. In support of the City of Chula Vista's Child care element; this position will encourage the provision of quality childcare that is available for all families who need it, regardless of income. There were 199 total people trained in 2006-2007. Through individual contacts, the Child care Coordinator was able to link other individuals, in addition to the aforementioned 199 people trained, to early childhood education resources and information. There were a total of 850 children and their families who received child care-related resources and information in an effort to increase community awareness on the importance of children's health and safety. There were also 8 Large Family Daycare (LFD) license applications submitted to the City of Chula Vista Planning Department. In an effort to increase the number of quality LFD providers in Chula Vista, the Child Care Coordinator contacted and assisted these individuals throughout the application process. The need for a Child Care Coordinator is an integral component in increasing the quality of child care in the City of Chula Vista. The Child Care Coordinator will be utilized as a liaison between child care providers and information and resources in the city; in an effort to promote a best practices philosophy among providers. The Child Care Coordinator will collaborate with city departments and other child care-related agencies to promote quality programs to ensure providers are well informed of the resources and information necessary to maintain quality child care businesses. In addition, during recent emergency situation in Chula Vista due to massive fires in the County, the lack of an emergency preparedness plan to address child care needs was hugely apparent. The Child Care Coordinator will work closely with the Child Care Commission to develop a comprehensive Emergency Preparedness Plan for Chula Vista Child Care Providers. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? Increase safe, affordable, good quality child care and early childhood experiences available and accessible in low-income areas of the community. This will be the seventh consecutive year of the project that is designed to train child care providers and/or individuals in the early childhood education field by bringing opportunities to western Chula Vista through agency collaboration. This program will focus on serving cultura1ly diverse populations with a primary goal to benefit children from low- income families. Child care providers will benefit by obtaining the necessary tools to become self-sufficient and maintain a quality child care business. Providing quality child care will have a significant economic impact in the City of Chula Vista. This can be evident by the number of the non-Chula Vista residents who work in Chula Vista and seek child care in the city. The Child Care Coordinator will also assist in the development of a comprehensive Emergency Preparedness Plan that will assist the City of Chula Vista in its efforts for coordinated emergency preparedness. Part II - Application Part II Page 6 of 27 c. other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non- profit organizations? The Childcare Coordinator position composes one half of a full-time position. The primary benefit of this program is higher quality care for children in Chula Vista. The program directly supports the mission of the Child Care Commission to encourage safe and affordable, good quality childcare that is available and accessible to all economic segments of the community. The Childcare Coordinator works with the City ofChula Vista Planning Department to facilitate the process for large family daycare homes. The Child Care Coordinator works with the YMCA CRS (Childcare Resource Service) and other nonprofit agencies to provide training to Chula Vista Childcare providers. d. Oraanlzational Cacacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served. or are under-served? Attach a list of the Board of Directors. The Child Care Coordinator works under the auspices of the Chula Vista Community Collaborative (CVCC). The CVCC works to unify diverse ethnic populations and community sectors to develop collaborative strategies and create linkages that increase the levels of support, empowerment, and well being experienced by all residents. The CVCC is in a position to utilize its connections and networks to outreach to the Chula Vista community as a whole. Its network of service providers are also integral in ensuring services under this program are well advertised and utilized. The Childcare Coordinator position will be used to improve the quality of childcare of many of the childcare providers in Chula Vista. These include small family daycare providers, large family daycare providers and center-based childcare. The emphasis continues to improve the number and quality of providers in western ChuIa Vista. This position will also be used as a vehicle to increase the awareness and advocacy efforts of stakeholders in the early childhood education field in regard to childcare and other children's issues. This will be accomplished through training and local and state advocacy efforts in regard to current childcare legislation. Training will be offered to members of the community to address these issues in an effort to have local or state law adopted to improve the overall health and safety of children and their families. The coordinator in this position will also collaborate with elected officials to advocate in behalf of these families. Part 11- Application Part II Page 7 of 27 SCOPE OF SERVICES 11. Scope of Services a. Prolect Descrlction Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. This project is ongoing with funds necessary to continue to improve the support provided to child care providers and the quality of child care in the city. The program offers advocacy and assistance in identifying barriers and navigating the licensing process. The Child Care Coordinator acts works closely with the Child Care Commission to identify priorities for child care providers in Chula Vista. Potential child care providers are assisted individually to address barriers in the process. Training and workshops are geared to increasing capacity for providers and improving quality of care. Training and capacity building are an integral part of child care provider retention. Training will be focused and coordinated on the west side of Chula Vista to persons from low to moderate incomes. In addition, individual contact will be made to newly-licensed providers in an effort to provide them resources and information to become large family daycare providers. In addition, during recent emergency situation in Chula V ista due to massive fIres in the County, the lack of an emergency preparedness plan to address child care needs was hugely apparent. The Child Care Coordinator will work closely with the Child Care Commission to develop a comprehensive Emergency Preparedness Plan for Chula Vista Child Care Providers. b. Taraet Graue Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. The project is designed to increase and enhance capacity of child care providers. Approximately 20 clients are assisted annually through the licensing process. In addition, 200 unduplicated clients are provided training and workshop opportunities. Clients served are identified as low and moderate-income individuals. c. Outreach Discuss outreach efforts for the proposed service/activity/project. Outreach will be conducted in collaboration with other child care-related agencies and will be done throughout Chula Vista with a focus in the lower income areas of Chula Vista. Trainings will be coordinated with participating agencies. Awareness of other related services provided by the Child Care Coordinator will be promoted through extensive collaborative efforts which include, but not limited to, advertising, follow up contacts, use of the CVCC website and by contacting childcare providers directly. The CVCC will use its established community connections to outreach throughout Chula Vista. The CVCC's network of providers will also be used to outreach and advertise services. Part II - Application Part II Page 8 of 27 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services, In addition, you will be required to indicate performance measurements as they relate to the activities of your project, A suggested format is included on the following page, 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Attached Part II - Application Part II Scope 14. Work Plan (Prepare a Work Plan for implementation/completion of the services and activities Identitied in the Scope of Services) Work Plan (Identify activities and comoletion dates I KEY ACTIVITIES DATE . Provide coordination of Child Care activities and work closely June 30, 2009 with the Child Care Commission to identifY and address barrier for child care providers in Chula Vista. Assist potential child care providers to navigate through the June 30, 2009 licensing process Work closely with the City of Chula Vista Child Care June 30, 2009 Commission and attend its meetings (11 total) in support of the Child Care Commission goals and advocate for the needs and services for child care providers in the city. Work closely with the City of Chula Vista Child Care June 30, 2009 Commission to develop an Emergency Preparedness Plan for Chula Vista Child Care providers. Conduct outreach to newly-licensed child care providers and June 30, 2009 provide them with resources and information necessary to maintain quality of childcare. This will be achieved through one- on-one meetings and/or contacts. Plan and coordinate at least 2 training or workshops geared toward June 30, 2009 attracting candidates to the child care fields - working in collaboration with other partners Plan and coordinate at least 2 trainings or workshops for current June 30, 2009 child care providers to assist them to increase capacity and to ensure retention of quality child care providers Plan and coordinate a minimum of 8 trainings for individuals in June 30, 2009 the early childhood education field in an effort to promote best practices philosophies and maintaining quality programs: . 2 trainings will address cultural diversity and advocacy . 2 trainings will address marketing and outreach . 2 training on best practices . 2 training to be identified based on current nriorities Attend monthly 0-5 Coalition meetings as a representative for June 30, 2009 child care providers, and provide an update of child care-related training, resources, and information. Conduct research of child care-related best practices relative to June 30, 2009 state legislation and disseminate information to providers and professionals in the field. Part II - Application Part II Scope 15. Additional COSG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes 0 No X a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes 0 No X b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concems, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No X c. If the Agency was not required to have an audit per standards ofOMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audifs scope? Yes 0 No 0 N/A X B. If the organization has not had a financial audit, please explain the reason. The Chula Vista Community Collaborative works under the umbrella of a Steering Committee comprised of stakeholders in Chula Vista. The fiscal agent if the Chula Vista Elementary School District. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes X No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes X No 0 E. Has the agency previously administered CDBG funds?: Yes X No 0 If yes, please describe the agency's experience with CDBG funds: The Chula Vista Community Collaborative has received CBDG funding for six years. The CVCC has managed a successful Child Care Coordinator position and continues to work closely to advance the goals and priorities of the City of Chula Vista Child Care Commission in its mission to assist and support child care providers in Chula Vista. Part II - Application Part II Program Information, Cont. 16. National Objectives for the COBG Program: Programs must meet National Objective ~570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. X 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined: Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51 % Low-lModerate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons % served? (b) Presumed Benefit: The faCility will exclusively serve (check one): elderly persons (over age 62) _ battered spouses illiterate adults (not ESL) _ persons living with AIDS homeless persons _ migrant farm workers abused & neglected children _ severely disabled adults See Appendix E for the definition (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (I.e., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope CDBG Performance Measurements 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a COBG National Objective and eligible activity test for the COBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUO's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUO website for more information htto :llwww.hud.cov/offices/cod/aboutloerformance/tra ininc/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _X_Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . ~ffordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service acl1itities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II PERFORMANCE MEASUREMENTS (List major activities. the direct product/service numbers for each activity and the direct outcome/benefit of the activity.) ACTIVITY INDICATOR OUTCOME (Whallhe prollrom does 10 Iulfllllls mission) (The dked produds 01 (Benefits that resutt from the program) program adlvllles) Service lis Provide coordination of Child Care Attendance at Child Care Improved coordination of services activities and work closely with City Commission monthly meetings. to the child care community The of Chula Vista Child Care needs and priorities of Chula Vista Commission child care providers will be identified and advanced. Conduct outreach to newly-licensed Contact at least 20 providers and Improved quality of child care child care providers link them to the necessary among participants resources. Work with Child Care Commission to Development of a comprehensive Emergency Preparedness Plan develop Emergency Preparedness plan to address child care in an Plan for Chula Vista child care emergency situation. providers Collaborate with City ofChula Assist all individuals interested in Increased number of quality large Vista's Planning Department acquiring a large family daycare in family daycare homes in the city regarding large family daycare their home. At least 5-10 will applications submitted to the city obtain this license. Attend monthly 0-5 Coalition Participate in at least 10 meeting Increased awareness of child care meetings as a representative of Chula in support of the Child Care resources and information for Vista Child Care providers. Commission goals professionals in an effort to disseminate information to their clientele Conduct research of child care-related Disseminate information to child Increased involvement of child state legislation care community through at least 3 care providers in policy advocacy trainings Plan and coordinate at least 2 training Coordinate and/or conduct Increased capacity of child care or workshops geared toward attracting training to at least 200 (total) provision in Chula Vista candidates to the child care fields. individuals in the early childhood education field Plan and coordinate at least 2 Coordinate and/or conduct Improved quality of child care for trainings or workshops for current training to at least 200 (total) program participants child care providers to assist them to individuals in the early childhood increase capacity and to ensure education field retention of quality child care providers Plan and coordinate a minimum of 8 Coordinate and/or conduct Improved quality of child care and trainings for individuals in the early training to at least 200 (total) capacity for program participants childhood education field in an effort individuals in the early childhood to promote best practices philosophies education field and maintaining quality programs: Part II - Application Part II CDBG Scope of Work Activities 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news letters naming the City of Chula Vista and HUD as the funding source. I. Competed surveys by participants 2. Sign-in sheets 3. Agendas and minutes 4. Files will be maintained for individual clients 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Completion of 12 coordinated trainings 2. Pre and post surveys 3. Number of new child care providers 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services. The key staff members will posses relevant experience and expertise. Relevant strengths will include well developed leadership skills, experience facilitating training for large groups, excellent public speaking style, and the ability to work independently and manage long-term projects reliably. Numerous child development trainings and classes in child development, .dmini<tration and general child care licensing requirements will be part of the individual's background experience. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. Tax Identification Estimated Subcontract Other Funding Subcontractor Number Amount COBG Sources Amount and Name and Business Source Address . . . None None None None . Part" - Application Part II Scope , . . . ...'.......... -.. CDBGDetailed Qudget__l..il'leltem Exp~l'1~es (if Subcontractors are used please use additional line item budgets). Program Expenses 1. Personnel we es $ 25,680 $ 25,680 2. Personnel Frin e Benefits $ 6,120 $ 6,120 3. Consultant/Contact SVC5 $ 800 $ 800 4. Travel/milea e $ 600 $ 600 lies $1,150 $ 1,150 6. Trainin materials/su lies $650 $650 7. 8. Personnel Costs Child Care 9. Salaries (Include title and Coordinator - vacant name of staff person) Support staff - Christina Ross 10. Benefits (describe) Total Costs $ 35,000 $ $ $ 35,000 Part II - Application Part II Familv Resource Centers BEACON New Directions Vista Square Elem Rice Elem 540 G Street 915 4th Ave Chula Vista 91910 Chula Vista 91911 (619) 422-9208 (619) 691-5301 Ravo de Esneranza Otay Elem 1671 Albany Ave, Chula Vista91911 (619) 425-4458 511 G Street, Chula Vista CA 91910 Ph. (619) 498-8044 . Fax (619) 409-9410 Margarita Holguin, Director Fair Winds Lorna Verde Elem 1450 Lorna Lane Chula VistaCA 91911 (619) 420-0468 Luz del Sol Montgomery Middle 1051 Picador Blvd. San Diego 92154 (619) 662-4020 ODen Door Palomar High School 480 Palomar Street Chula Vista 91911 (619) 407-4840 February 22, 2008 City of Chula Vista Community Development Block Grant (CDBG) Project The purpose of this letter is to request an amendment of the statement of work to the Chula Vista Community Collaborative (CVCC) CDBG application for fiscal year 2008- 2009. Revised Proaram Description: Provide Chula Vista Community residents with advocacy services, referrals and support services to increase their ability to lead productive and self sufficient lives. The Chula Vista Community Collaborative will assess families requesting services from the Beacon Family Resource Center and will connect families to needed services, through coordination of referrals, advocacy and follow up. A Family Advocate at the Family Resource Center will work with families to ensure families are connected to support services. Revised Performance Measurement: Assist 600 low-moderate income families in Chula Vista. Revised Budaet: Up to $40,000 distributed as follows: Salaries (CVCC Family Advocate .80 FTE) Benefitsll nsurance Mileage Clinical Supervision Office Supplies Administrative support Supervision(admin/operational) Inkind $ 28,103 $ 6,907 $ 200 $ 2,059 $ 1,124 $ 1,607 o Total $ 40,000 Please let me know if any additional information is needed. You can reach me at (619) 409-9412 or Margarita. holguin@cvesd.org. Sincerely, Margarita Holguin, Director Chula Vista Community Collaborative I Tab No. 15 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: KidCare Exoress III Mobile Medical Unit Organization/Dept.: Chula Vista Familv Health Center Project Description: The KidCare Express Unit provides primary healthcare services to low income, medically underserved children and families in the city of Chula Vista and works in partnership with the Chula Vista Elementary School District, local social service agencies and public housing facilities to provide services to Chula Vista's most vulnerable families. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $27,000 $27,000 Specific use of funds: Salaries and Benefits HUD Matrix Code: Citation: 05M - Health Services 570.20Hel Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Helo the Homeless : No . Heln Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 1900 - Exemot {# of Units - Type of Units! Low Moderate Income Clientele 11 Agency Name: Applicant Name and Address: Family Health Centers of San Diego 823 Gateway Center Way San Diego, CA 92102-4541 Agency Director: Fran Butler-Cohen, President & CEO Name and Title (619) 515-2301 (Area Code) Telephone Franlalfhcsd.orq (619) 237-1856 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eli ible and able to utilize COBG f s the purposes stated within the 'cab egulatio . (S GNATURES MUST BE IN LUE I Ignature of Agency oard PresidenVOate ature of Agency D rectorlDate Barbara Carr ran Butler-Cohen Printed Name of Agency Board President rinted Name of ncy Director ~ Attach a copy of the board resolution authorizing submittal plication to be considered for COBG funds (ma be submitted after a lication deadline). <*::'1 . . 1. Program Name KidCare Ex ress III Mobile Medical Unit Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Tom Stubberud, MPH (619) 515-2372 Name (Area Code) Telephone TomSlalfhcsd.orq (619) 237-1856 E-mail address (if available) (Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program ~ 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The KidCare Express III Mobile Medical Unit provides primary healthcare services to low income, medically underserved children and families in the City of Chula Vista and works in partnership with the Chula Vista Elementary School District, local social service agencies and public housing facilities to provide services to Chula Vista's most vulnerable families. By removing financial, transportation, and linguistic barriers to care, KidCare Express III ensures that Chula Vista families get the healthcare they need, when and where they needi!. 1 Part II - Application Part II Page 3 of 27 4. Where are services provided? (If different from agency location) The KidCare Express III Mobile Medical Unit provides services primarily in Chula Vista and other areas within the South Bay region of San Diego. The following schoo is, homeless/transitional shelters, community agencies, and public housing locations in Chula Vista are served by the KidCare Express III Mobile Medical Unit: Feaster-Edison Elementary, Harborside Elementary, Lauderbach Elementary, Loma Verde Elementary, Mueller Elementary, Rice Elementary, Silverwing Elementary, Vista Elementary, South Bay Community Services, the Teen Recovery Center, Trolley Terrace public housing, and McAlister South Bay. Additionally, the following locations in other South Bay areas are also served by the KidCare Express III: San Ysidro Adult School, Alaquinas, Calle Primera and Hollister public housing complexes. 5. Please describe your agencies written policies and procedures including how clients are served, COBG eligibility requirements, compliance with Federal, State, and Local laws? Family Health Centers of San Diego (FHCSO) has written policies and procedures that govern all aspects of the work conducted within the organization. Policies pertaining to patient acceptance and the provision of services state that the mission of Family Health Centers of San Diego is to provide comprehensive, accessible, quality health care services to residents, communities and community-based organizations in San Diego and the surrounding region. FHCSD offers affordable services to all income levels, with a special commitment to low income/medically underserved. Policy 140.012 specifically states that FHCSD will accept patients in accordance with its mission statement at all of its satellite locations, including through the mobile medical units. Specific services are customized for each clinic location and patients are subject to a sliding fee scale according to the current Federal Poverty Level guidelines in affect at the time the services are provided. As a nonprofit, Federally Qualified Health Center, and as an agency that has maintained accreditation by the Joint Commission on Accreditation of Health Care Organizations for over 10 years, FHCSD is in compliance with all applicable Federal, State, and local laws which govern the organization's status. KidCare Express III is iicensed by the State of California Department of Health Services, Is certified by the County of San Diego Child Health and Disability program, and also by the local Medi-Cal managed care plans and maintains compliance with any additional laws and/or regulations which guide the health care services provided within. Furthermore, FHCSD undergoes an annual financial audit, which is conducted in accordance with governmental auditing standards and the Office of Management and Budget Circular A-133. FHCSD has proudly maintained a record of no audit findings for over 15 consecutive years. 2 Part II - Application Part II Page 4 of 27 6. Total Program Cost: Actual 2007- $343,428 Proposed 2008- $30,000 2008: 2009: request Projected 2008- $350,297 2009: Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: Total Number of Clients Estimated to be Served in 2007-2008: Total Number of Clients Served in 2006-2007: Actual 1140 1144 1092 Non Chula Vista 760 656 699 Total 1900 1800 1791 City fiscal year is July 1-June 30'". Beneficiary Information: $15.79 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Requested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Ch u la City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundinq 0 $27,000 0 $27 000 0 $30 000 9. Funds Reauested from Other.Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 No other City or County funds have been requested to support Kid Care Exoress III 3 Part II - Application Part II Page 5 of 27 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budget.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? The need for the KidCare Express III Mobile Medical Unit is well documented. San Diego County, according to a 2006 report by the Insure the Uninsured Project, has one of the highest uninsured rates in the country - roughly 21 %, or over 550,000 of the non-elderly population was uninsured and identified the emergency room as their main source of healthcare in 2005. The social and financial costs associated with this problem are staggering. The San Diego healthcare system could potentially save approximately $37 million a year if patients who went to the emergency room for non-emergent or primary care-treatable conditions accessed a primary care setting instead. The lack of access to healthcare also negatively impacts educational performance. A recent study by Californians for Healthy Kids found that children with insurance experience a 68% improvement in attention in class and in keeping up with school activities. The MMU Program's initial relationships with elementary schools came about because student absenteeism due to illness was a major concern school officials were grappling with. Thousands of children were excessively absent from school, resulting in diminished academic learning and achievement. Many children were going to hospital emergency rooms for treatable and preventable conditions/diseases rather than being treated by primary care physicians. These non-emergency visits utilize criticai care resources that would otherwise be made available for true emergencies. School nurses from the Chula Vista Elementary School District have provided many anecdotes to validate these stories of need, specific to the South Bay region. These include the school-age child unnecessarily kept at home because of a disability; regular calls made to 911 for uncontrolled asthma; a little girl with a cleft lip whose family lives in a chicken coop; the 38-pound third- grade girl whose father knew she had diabetes but refused to access care for her, believing that the treatment caused blindness; and the two kids in one week who needed stitches and who neither got care nor simple wound cleaning from their mother, because she didn't understand the basic causality of infection (Interviews, CVESD health staff, November 2006). The primary accomplishment of the KidCare Express III is the continued provision of health care services over the course of time, with 1,791 patients served in 2006/2007 and 1,800 patients anticipated to be served in 2007/2008. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? The KidCare Express III MMU is designed to address the significant need for access to affordable healthcare services for Chula Vista residents. The benefits of the KidCare Express III are best demonstrated through the success stories of children who have received needed health and anCillary support services. Below are two of the many patient stories. Often, children seen at school sites are behind in both required immunizations and routine physicals. For many of these children, KidCare Express is the only 'vehicle' to access these healthcare services that most of us consider basic and routine. But, for one child seen at one elementary school, the routine physical examination revealed health problems that had a significant impact on his ability to function everyday and to be successful in school. During 5-year-old Juan's CHOP exam, the provider recognized that Juan had impaired hearing and vision, limitations that had not been identified in his classroom setting. Juan was immediately linked with FHCSD's early childhood intervention, speech and hearing, and optometry services. The outcome was that Juan now had his own special pair of glasses, a hearing aide, and continues to do much better in his school work. Sometimes, the KidCare Express staff is in a position to identify children who have been the victims of child abuse and/or neglect. One such child was 4-year-old Gabriela, who was staying at the family shelter with her 19-year-old father. Staff noted that Gabriela was small for her age, had not reached several expected developmental milestones and was covered with a rash. Her father shared that he had recently assumed care of Gabriela while her mother was in jail. He admitted feeling overwhelmed and inadequate in his new parentai role and was eager for Part II - Application Part II Page 6 of 27 4 assistance. After medically tending to Gabriela's rash, KidCare Express III staff contacted Child Protective Services and arranged for her and her father to meet with a caseworker who was able provide ongoing supportive and enabling services. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to support the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non- profit organizations? Current committed funding sources for the KidCare Express III MMU include Blue Cross of California, $495; Boys & Girls Foundation, $2,475; The California Endowment, $6,600; CW Cares for Kids, $3,300; Hitachi Foundation, $1,650; Lions Club of San Diego, $330; Molina Healthcare of California, $2,475; Nordstrom, $1,650, QUALCOMM, $4,950 and San Ysidro High School, $168. A grant request for $8,330 is pending with the Rancho Santa Fe Circle of Giving. FHCSO employs multiple approaches to fundraising for the KidCare Express III, including individual and corporate donation solicitation, as well as writing for and securing foundation grants. The majority of funding for the KidCare Express III comes from third party payor sources (Medi-Cal, Healthy Families, others). The KidCare Express III does not utilize volunteers for the provision of its services, however, works closely with many local health and social service organizations, including the Chula Vista School District and school nurses and the Chula Vista Community Collaborative, as partners in the promotion and coordination of services. The KidCare Express III is the only mobile medical unit providing health services in the Chula Vista Elementary School District, therefore the scope of service is not duplicative of other local projects. d. OrClanizational CaDacitv Summarize the organization's baCkground/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. Family Health Centers of San Diego is a private, nonprofit community health center founded as a community clinic in 1970. From this simple beginning, the organization has grown tremendously over the past 37 years, from one clinic site in Barrio Logan to a comprehensive health center system serving, in 2006, approximately 107,000 individuals at 24 service sites throughout San Diego. Without the services FHCSD provides, patients' access to affordable health care would be greatly diminished. Over 90% of FHCSO's patients for whom income is determined live at or below 200% of the federal poverty level (FPL) and 71 % live below 100% FPL. Roughly 65% of the patients served in 2006 were uninsured. As the largest community health center organization in the county, FHCSD provides an impressive array of services to its patients. These services are delivered in a culturally sensitive and linguistically appropriate manner by over 700 dedicated staff members. Basic primary care services include: adult medicine; pediatrics; women's health; dentistry; optometry/ophthalmology; laboratory; and pharmacy. FHCSD also provides many specialty services including: mental healthcare; health education; chronic disease care; audiology; otolaryngology (ENT); podiatry; speech therapy; physical therapy (ages 0-3); and adolescent services. Additionally, the organization operates several specialized programs that target some of the most vulnerable members of our community. The agency is the largest provider of school-based primary and mental health services in San Diego County, serving over 60 schools, is the largest comprehensive HIV/AIOS services system in San Diego, and is also the lead agency for the Health Care for the Homeless program in the San Diego region. Part II - Application Part II Page 7 of 27 5 SCOPE OF SERVICES 11. Scope of Services a. Proiect Description Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing. specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering simiiar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. Chula Vista CDBG funding for $30,000 will help the KidCare Express III MMU Program continue to provide health services to medically underserved children, high-risk youth and adults in collaboration with local schools, community centers, social service agencies, public housing complexes and homeless shelters. By removing financial, transportation, language and cultural barriers to care, KidCare Express III ensures that low-income Chula Vista residents can receive the healthcare they need, when and where they need it. KidCare Express III MMU is in operation approximately 32 hours each week, providing care in South Bay region of San Diego. The bus-sized unit is a fully licensed medical clinic staffed with a medical provider, nursing support staff, and a driver/patient service representative. The unit is 40 feet long and has two private exam rooms, a nursing station/triage area and a restroom inside. Since the program's 1998 inception, the KidCare Express MMUs have provided roughly 50,000 patient visits at over 100 school and community sites throughout San Diego. Approximately 5% of the MMU III budget is utilized for homeless individuals. Each of the three Mobile Medical Units are licensed by the California Department of Health Services as stand-alone ciinics, certified by the Children's Health and Disability Prevention Program, and credentialed by five Medi-Cal managed care plans. Although KidCare Express III is one of our most popular and needed services, it is also one of the most expensive to operate. However, patients are seen on the MMU for a limited cost of up to $20 per visit. This is an extremely low cost for the level of primary health care, lab and follow-up services provided. The cost-per beneficiary is even lower at $15.79 per patient, which for many with health insurance is the cost of their co-pay, not their entire visit, so the project is incredibly cost efficient. The sources of steady funding are public health insurance programs and government grants, which subsidize the provision of these services. Unfortunately, budget cuts over the years have systematically reduced the availability of government funding for public healthcare programs. b. Taraet Group Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. For fiscal year July 1, 2008 to June 30, 2009, it is anticipated that a total of 2,280 health care visits will be provided to 1,900 unduplicated patients through the KidCare Express III MMU. Demographics for patients seen through the mobile medical units are projected as follows: Ethnicity: Eighty percent of the patients were Hispanic; 15% were non-Hispanic; 5% reported their ethnicity as 'other' or 'unknown. Race: Forty six percent identified as White; 35% as multi-racial; 10% other, declined or unknown; 7%, African-American; and 2% identified themselves as Asian/Pacific Islander. Age: Approximately 17% of those served are between 0 and 5 years old; 38% are 6 to 11 years old; 11 % are between 12 and 17 years old, and 34% are 18 years and older. Part 11- Application Part II Page 8 of 27 6 Income: Over 70% of patients seen on the MMU live at 100% of the Federal poverty level (FPL); 17% were between 100 and 200% of the FPL, and 4% were over 200%. Income information is not captured for roughly 7% of those seen. These figures meet the CDBG guidelines for service to low or moderate income individuals. c. Outreach Discuss outreach efforts for the proposed service/activity/project. KidCare Express reaches its target population through active outreach, established partnerships and a solid reputation in the community. The KidCare Express III staff work closely with the Chula Vista Elementary School District staff, with particular reference to the school nurses, to identify children in need of healthcare services. FHCSD works with sponsoring agencies or locations, existing partners and non-school sites to identify new children, youth, adults, residents and potential clients in need of primary healthcare services. Hours and schedules can be adjusted as necessary to accommodate patient need. In addition, FHCSD actively works to identify new partners and locations through outreach so that improved access to care can be expanded. As service demands increase and funding becomes available, the number of hours and days that the MMUs are in operation will concurrently increase. 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition. you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. Please see the Work Plan on page~. 13. Project Budget On a separate page. prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Please see the Project Budget on page 14 7 Part II - Application Part II Scope 14. Work Plan (Prepare a Work Plan for implementation/completion of the services and activifies identified in the Scope of Services) Work Plan (Identify activities and completion dates) 1) Schedule meetings with Chula Vista and South Bay community partners and site contacts to discuss scheduling rocess. 2) Finalize MMU clinic schedules. 3) Work closely with clinic site contacts around marketing efforts. 4) Provide on-site health services. July 2008 and ongoing throu h June 2009 July 2008 and ongoing throu h June 2009 July 2008 and ongoing throu h June 2009 July 2008 and ongoing through June 2009 5) Track project outcomes, including number of unduplicated patients, number of health care visits and relevant atient demo ra hies. 8 Part 11- Application Part II Scope 15. Additional COBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal a~ncies or indirectly through another agency? (If no, proceed to question 10.B.) Yes 119 No 0 a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes ~ No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concems, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes 0 No ~ c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes 0 No 0 N/A ~ B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes ~ No 0 D. Does the agency certify that no public funds will be used for lobbying? Yes ~ No 0 Yes ~ No 0 E. Has the agency previously administered CDBG funds?: If yes, please describe the agency's experience with COSG funds: Part II - Application Part II 9 16. National Objectives for the CDBG Program: Programs must meet National Objective 9570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. [@ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are X 51% Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). [@ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons 87 0;. served? (b) Presumed Benefit: The facility will exclusively serve (check one): elderiy persons (over age 62) _ battered spouses illiterate adults (not ESL) _ persons living with AIDS homeless persons _ migrant farm workers abused & neglected children severely disabled adults See Appendix E for the definition _ (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (I.e., food banks, clothing banks, facilities serving residents of public housing) 10 Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htto://www. hud .qov loffices/cod/a bout'oerformance/trai ni nql ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustain ability- Public Service activities funded to sustain housing in neighborhoods. x 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . .lL Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II 11, PERFORMANCE MEASUREMENTS (List major activities. the direct product/service numbers for each activity and the direct outcome/benefrt of the activity.) ACTIVITY INDICATOR OUTCOME (What the pragram doe. to fulfill its mission) (The dlred produds 01 program (Beneffi. that resufi from the program) activfiles) Service #s Between July 2008 and June Between July 2008 and June Through the provision of 2009, FHCSD will provide primary 2009. the KidCare Express III primary health care services healthcare services to low will provide primary health via the KidCare Express III income, medically underserved care services to 1.900 Mobile Medical Unit. FHCSD children and families in the city un duplicated individuals. expects improved access to of Chula Vista through the health care for project KidCare Express III Mobile Between July 2008 and June participants; Increased Medical Unit. 2009. the KidCare Express III referrals to an appropriate will provide 2.280 patient visits. "medical home". and improved services for continuing medical care, as warranted. Part II - Application Part II 12 -"". . . . .. , 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities, Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news letters naming the City of Chula Vista and HUD as the funding source, KidCare Express III project data will be collected through: 1. Clinic appointment schedules, as completed by site contacts; 2. Clinic logs and sign-in sheets; and 3, FHCSD's Clinical Management Information System and individual patient medical records, 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient Example: Interviews, work out plans, pre-and post- surveys, In order to measure progress, the KidCare Express III staff will: 1, Track the number of unduplicated patient and visits to measure progress toward project objectives; 2, Assure referrals to existing permanent, free-standing clinics, accessible to patient's home or work; and 3, Maintain regular contact (via phone and in-person) with key partners and site contacts to ensure satisfaction and effective communication. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services, The following KidCare Express III MMU key staff have direct contact with clients: Medical Providers (I. Hurn, F.N.P., and L. Jones, P.A.) are both licensed mid-level practitioners (Nurse Practitioner and Physician's Assistant) both of whom have significant clinical experience. Charge Nurse (D. Green, L.V.N.) is a licensed nurse with over 10 years of nursing experience, Patient Service Representative: (N. Brambila) is responsible for all registration services to clients and has a high school diploma and 2 plus years of experience, Driver: (R. Pureeo) is a Class B licensed driver with multiple years of Class B driving experience, 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity, The KidCare Express III does not utilize subcontractors, Not Applicable Part II - Application Part II Scope 13 . . (if Subcontractors are used please use additional line item budgets). Program Expenses 1. Operating Costs Medical (consumable supplies, pharmaceuticals, lab fees, $13,713 X -ra fees $13,713 2. Operating Costs Non-medical (liability insurance, printing, 9asoline, telephone, office supplies) $35,556 $35,556 3. Administrative Costs $52,846 $52,846 4. Medical Records $14,137 $14,137 Personnel Costs 5. Salaries (Include tiUe and David Green, L VN name of staff erson $25,295 $172,044 $197,339 6. Benefits (describe) $4705 $32,000 $36,705 Total Costs $30,000 $320,297 $ $350,2g7 Part II - Application Part II 14 I Tab No. 16 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Project Hand Organization/Dept.: Lutheran Social Services Project Description: Program provides basic food staples and other hygiene items to people who are in need and cannot afford to purchase them. Project Location: Citv Wide Prior Year Fundinq: 2008/09 Recommended Fundinq: $0 $7.380 Specific use of funds: Pro!:lfam Expenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (General) 570.20Hel Is the purpose 01 Ihe activity 10: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : Yes . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 4500 - Exempt I # of Units - Type of Units) Low Moderate Income Clientele .. '.. . CDBG SuppfemehtalApP(I~?ltioJ1' '. .' ..:...."'.."....,. :"".":,',.';".: .....:.>. ',:< ...... _,'_' .0" ......, ""-',.' ...........,.. .....,',. ", ,..","--," ;""'/i:::,.':;':'::_,:"',':-"- Agency Name: Lutheran Social Services of Southern California Applicant Name and Address: Lutheran Social Service$ of Southern California 2560 N. Santiago Blvd Orange, CA 92867-1862 Agency Director: Bob Warren, CEO Name and Title ~ 685-1800 (Area Code) Telephone ~279-8216 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the pu ses stated within the apPlica~u~~s MUST BE IN BLUE INK) Signature of Agency Board SecretarylDate Signature of gency CFOID e Gordon Peterson 1/3/08 Loyal H. Sharp 1/3/08 Printed Name of Agency Board Secretary Printed Name of Agency Director ~ Attach a copy of the board resolution submittal of this application to be considered for CDBG funds be submitted after deadline). Program Information 1. Program Name Pro'ect Hand Contact Person (available to answer questions July 1, 2008 - June 30,2009) Raquel Pedersen (619)425-4061 Name (Area Code) Telephone Area Code) Fax Number 2. Program is New for our agency 0 An Ongoing Program x 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). Part 11- Application Part II Page 3 of 27 Project Hand maintains three food pantries, which provide basic food staples and other hygiene items to people who are in need of them and who cannot afford to buy them, due to lack of funds. The food is obtained through donations from central food banks, surplus food items, donations from grocery stores and restaurants and donations from private individuals and churches. Volunteers help to pick up the food and bring it to the food pantries. The food is stored on shelves and in a freezer and refrigerators. Occasionally, seasonally fresh food is available from local gardeners who volunteer to grow and bring excess vegetables to the pantry. Such things as diapers and baby food are also available. People in need come directly to one of the three food pantries operated by Lutheran Social Services in the San Diego area. The program coordinator, with the assistance of trained volunteers, assesses the individual or family's needs for emergency assistance and gives them food and hygiene articles to help meet their needs. Records are kept which validate their needs and their residence, and their eligibility for CDBG funding. 4. Where are services provided? (If different from agency location) Part II - Application Part II Page 4 of 27 Services for the Project Hand Emergency Assistance and Services are provided at three locations: St. Marks Lutheran Church, 580 Hilltop Drive, Chula Vista, (the main location), at Trinity Lutheran Church, 7210 Lisbon St., in San Diego and at Lemon Grove Lutheran Church, 2055 Skyline Drive, Lemon Grove. The majority of services are delivered at the Chula Vista location. The Area Office for Lutheran Social Services in San Diego is at College Lutheran Church, The main food pantry is located in a separate building on the grounds of St. Mark's Lutheran Church at 580 Hilltop Drive, in Chula Vista. Food and other commodities are given to those who are in need. A staff of volunteers assists Raquel Pedersen, the Coordinator of the program, to keep track of all activities related to the operation of the program. 5. Please describe your agencies written policies and procedures including how clients are served, CDBG eligibility requirements, compliance with Federal, State, and Local laws? Lutheran Social Services of Southern California has a Resource Manual of Policies and Procedures, which addresses financial management procedures, payroll, budgeting, conflict of interest and other such policies. In addition there is an Employee Handbook that covers personnel policies and procedures in detail. The agency vision is "that all people wil have the opportunity to live and work in a community in safety, dignity and with hope." Clients served by LSS/SC are low income to extremely low income, as defined by HUD guidelines. Income and residence is verified and careful records are kept on clients to ensure that this target population is the group served. Specific client service records are completed and filed at the food pantry office by the coordinator of the program. Part II - Application Part II Page 5 of 27 Part II - Application Part II Page 6 of 27 r I 6. Total Program Cost: Actual 2007- $ 8,900 Proposed 2008- I $ 8,500 I 2008: 2009: Projected 2008- $ 8,500 2009: Chula Vista Non Chula Vista 1 ,400 1,200 7. Total Number of Clients proposed to be Served in 2008-2009: 4,500 Total Number of Clients Estimated to be Served in 2007-2008: 4,250 Total Number of Clients Served in 2006-2007: Actual 4,188 1,069 City fiscal year is July 1.June 30th. Beneficiary Information: $2 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) 8. Total City Funds Requested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG CDBG ESG Vista Chula HOME, Vista ESG Fundina 8,000 8000 8000 9. Funds Reauested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 LSS/SC Matchlna 5000 Matchina Funds 8000 Part II - Application Part II Page 7 of 27 15. Additional COBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes X No D a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A-133? Yes X No D b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concems, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes D No X c. If the Agency was not required to have an audit per standards of OM B Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes D No D N/A X B. If the organization has not had a financial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes X No D D. Does the agency certify that no public funds will be used for lobbying? Yes X No D E. Has the agency previously administered CDBG funds?: Yes X No D If yes, please describe the agency's experience with CDBG funds: Part II - Application Part II 16. National Objectives for the COBG Program: Programs must meet National Objective ~570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are x 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons 100 0 served? (b) Presumed Benefit: The facility will exclusively serve (check one): elderly persons (over age 62) battered spouses - illiterate adults (not ESL) - persons living with AIDS homeless persons migrant farm workers abused & neglected children severely disabled adults - See Appendix E for the definition (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (I.e., food banks, clothing banks, facilities serving residents of public housing) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDSG National Objective and eligible activity test for the CDSG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htto:/!www. hud. aov/offi ces/cod/a bout/oerformance/trai ni na/ch08. odf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . _X_Sustainability- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainability- Public Service activities funded to sustain economic opportunities. Part II - Application Part II ~P.E.J_<? Df!!~if~(tJ3_~c!g~tt:.~rrl~;:!!~m.f;!R~IJ~~~ (if Subcontractors are used please use additional line item budgets). Program Expenses 1. Rent/Phone/Utilities 300 300 600 500 500 1,000 3. Indirect Costs OMB A.122 904 904 1,808 4. Volunteer Reco nition 100 100 200 5. Staff Milea e 50 50 100 6. Office Su lies 100 100 200 7. 8. Personnel Costs 5,616 5,616 11,232 10. Benefits (describe)P/R taxes 430 430 860 Total Costs $ 8,000 $ 8000 $ 16000 Part II - Application Part II I Tab No. 17 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Familv Violence Treatment Proaram Organization/Dept.: South Bay Community Services / YMCA Project Description: The program provides therapeutic counseling and crisis services to adult and child victims and perpetrators family violence. comprehensive strengths-based assessment treatment. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $34.000 $34.000 Specific use of funds: Program Expenses and Personnel Costs HUD Matrix Code: Citation: 05 - Public Services (General) 570.20Hel Is the purpose of fhe acfivity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: CDBG National Objecfive: 590 - Exempt I # of Units. Type of Units! Low Moderate Income Clientele .:. CDBG Supptem~nfafAppilca.tion:' ~'" ,""","" Agency Name: Applicant Name and Address: South Bay Community Services 1124 Bay Blvd.. Suite 0 Chula Vista. CA 91911-7155 .. ~ 4. r.-,." I _"'i'.] ........... '. { Agency Dire' '-- A--:-1 _ 7. y,- Kath n Lembo. Executive Ol"re ' Name and Title _:~-"''< Agenctlriformation .- . (619) 420-5094 ex!. 145 (Area Code) Telephone klembo@csbcs.org (619) 420-8722 E-mail address (il applicable) (Area Code) Fax Number Required signatures:. 6y..signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG I s lor the purposes stated ithin th plicable regulations (SIGNATURES MUST BE IN LU ) ate ,,;).og Signa 01 Agency Director/Date Kith n Lembo Printed Name of Agency Director submittal of this application to be considered . ',' " .....:,::".,. rprogram Il'JfQ~fJlP~fon~--i-: "~:!:'~',,:'~i:~(~'f~~~~~~~!t,~~/:~:i~;(;i~~-~~.:.~~,:;i;~f~- '.' - .,..,..,.'....,.-...,. ",-";:'_'';::.-,C;J\3';,,r 1. Program Name Famil Violence Treatment Pro ram Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Kathryn Lembo (619)420-5094 ext 145 Name (Area Code) Telephone 2. Program is New for our agency 0 An Ongoing Program ~ 3. Brief Description of Program (CDBG Eligible Activities are available at S570.200, S570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The Family Violence Treatment Program provides therapeutic counseling and crisis services to aduit and child victims & perpetrators of family violence.comprehensive strengths-based assessments; treatment planning; age-appropriate group and individual counseling for children; victim support groups; crisis intervention; and SAFE Paths program for Chula Vista children and members of their families who are dealing with issues pertaining to intrafamilial child sexual molestation Part II - Application Part II Page 3 of 27 4. Where are services provided? (If different from agency location) At sees' main office site, and at secs' confidential shelters, and at the YMCA's facility in north Chula Villa Ol'l 4\0 Alii, 5. Please describe your agencies written policies and procedures including how clients are served, eOBG eligibility requirements, compliance with Federal, State, and Local laws? sees has extensive policies and procedures governing how clients are served, including sections in the Employee Handbook that govern confidentiality, client relations, reporting of child abuse and threats of violence. and protocols to USe with children, as well as an extensive code of ethics. Our General Policies and Procedures govern respect for clients. client grievances, zero tolerance for fraudulent conduct, training, home visiting. maintenance <If confidential files. and many other issues. sacs complies with all Federal, State and I..ocallaws. Staff determine if clients fall within income guidelines for provision of CDBG eligible services, utilizing pay stubs or other information to determine income level. After a comprehensive Intake meeting. Staff develop a written plan with the clients to assist them in establishing objectives and goals that wiil help them address the family violence or abuse issues that have brought them to us. Children with intrafamilial sexual abuse are referred to our subcontractor, YMCA Family Stress Counseling Services, Individual eonfidential files are maintained on eaeh client to document client progress toward their goals. C:lients meet regularly with Case Managei'll to track whether they are able to accomplish their goals and they establl:;;h new ones if necl!lssary. Port II - Applicotion Part II Poge 4 of 27 I l 6. Total Program Cost: Actual 2007- $1,129,410 Proposed 2008- I $131,000 I 200a: 2009: request Projected 200a- $1.131,11Q 2009: - " - ' -, Chula Villtll NCln Chula Vlltll 7. Total Number of Clients proposed to be Served in 2008-2009: 590 Total Number of Clients Estimated to be Served in 2007.2008: 590 Total Number of Clients Served in 2006.2007: Actual ...!!!1 City fiscal year Is July 1-June 30th. Beneficiary Information: $222 Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) $131 ,QOO .;- 590 :; $222 a. Total City Funds Requested for this Proaram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Ch u la City of City of Chula City of Chula City of CDSG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of IESG CDBG ESG Vista Chula HOME, Vlstil eSG Fundinq 34,000 34 000 35,700 9. Funds Requested from Other Jurisdictions for this Proaram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 SD Cnty HHSA DVRT 250,OOO/yr Contract-crisis response to Contract running DV victims throuoh 08-09 State of CA-OES CHAT 172,822 Contract-services to victims 172,822 prOjected of dv Cnty of San Diego SHP 50,000 Contract shelter & services to 50,000 victims of dv State of CA-DHS 261187 Contract DV services Chula Vista I'D 79 658 Contract-EN services 79 658 Donations & 281,543 Private funds to support OV unknown Foundations prOClramminq Port II - Applicotlon Part II Page 5 of 27 PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary. however the body 01 the application may not exceed four (4) pages. excluding the performance schedule and budget.) a. t!UsI Document the need for the projecl/program. If the project has been funded before. what hove been the primary oeeomplishments? Family Violence. with the frequent collateral Issue of intrafamilial sexual molestation, Is a major public safety issue. In 2006 Chula Vista had 1.841 reported DV incidents a 7% decrease from 2005. Chula Vista has one of the highest Incidences of FV in the County: at 8.24 incidents per 1.000 residents in 2006, far surpassing San Diego's 6.6 per 1.000 !:lersons (from SANDAG & SD County statistics J. SBCS Is the ONLY oraanlzation in the whole South Bav ar~Q Ofovldlnq!:l full ranQ~ of family vloleljce Intervention. treatment. and succort s'ilrvices. SBCS and Family Stress elr. <;:Ictiv!!; portieiponts In reviewing community needs and working on direct service solutions with the overall gO<;:l1 of breaking the cycle of violence and promoting the physical, mental. social, and economic health of families. Through offering a comprehensive DV Prevention & Treatment program over the past 10 years, we have experienced an increasing demand for services as awareness of the issue increases. SBCS has been working with YMCA Family Counseling Services to address the multiple issues of these families,& increasing access to community resources. sacs now hos its full Family Violence Support Services team placed on site at the Chula Vista Police Departml'nt. increosing the immediate contact SBCS can provide to street officers. b. B,n~llt Discuss how the project/progrom provides benefit to low.income persons. How does the proposed project respond to the City of Chulo Visto needs~ The program benellts Chula Vlsto lamilles by providing them resources to deal with Family Violence, such os shelter, lood and clothing, os well os counseling and sell,sufficiency services. The children who have been sexualiy abused gain sUPj:lort ond resources to survive the abuse. All of these services are free and would not be accessible to these families II they had to pay for them, since few have the resources to access the depth ond breadth of services offered here. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund roising has the organizotion done to support the proposed project? What role do volunteers play in this project? Hos your organization developed this project in colloboration with other groups of Ie ring services? Whot services offered by other community groups complement the proposed Droject? Are the pro Dosed octivities duplicative of projects operated by other local public or non- prolit organi~otions? This program Is also supported by some lundlng from the State's Maternal & Child Health Program, EFSP- FeMA funds, and thEll County's Domestic Violence Response Team (which refers clients into the shelter ofter an emergency call), and a yearly eommunity fundraiser in which the CVPD Chief of Police, National City I'D Chief of Police and mony other volunteers participate. State Assemblywoman Shirley Horton was o co-Chair with Mayor Cheryl Cox of Chula Vista at the October 2007 event. Volunteer interns provide some of the counseling for the clients, The Mobile Clinic provides medical services to the shelter, and port of the lood comes from the SHARE program. 11"1 addition, part of the food comes from EFSP.FEMA funds. This partnership with YMCA Youth &. Family Counseling Services is a unique project In the South Bay, os no other non.prolits operote anything like it d. Oraanlzational Cacacltv Summarize the organization's background/programmatic capacity. Does your organization or proposed service 1111 a unique niche among clients who are not currently served, or are under'served~ Attach a list of the Board of Directors. South BOY Community Services (SaCS) is a 36 year old multi.service and community development organization, a privote, 501 (ClI3) nonprofit orgonization whose mission Is to provide children, youth, and families in the South BOY area with services which reinforce the lamily's role in our community and assist individuals to aspire reolistlcaliy to lives 01 self.fulfillment. This is addressed through the provision of culturally competent bilingual (English/Spanish) services aimed at the following general purposes: To provide counseling and education for chlidren, youth, and families: To provide area career opportunities, eXDlorotlon, and exposure: To provide outreach and education in the community; To provide community development and social service activities; To provide programs for children, youth, and families in high. risk sitvations, SBCS' style is committed to providing respectful services based on community strengths, Port II - Application Part 11 Page 6 of 27 needs and gaals. SBCS was created by dedicated, caring community members and continues to receive guidance ond direetian from them. sacs begon as a treatment center for drug obuslng teens and has evolved ond expanded in response to the growing needs of the community, and currently provides services, support and opportunities for over 20,000 individuals and families each year, and Impacts more than 50,000. Youth as well as adult community members are involved in the design, delivery and evaluation of 011 SBCS activities. Current SBCS Deportments: FAMILY WELLNESS AND SELF SUFFICIENCY DEPARTMENT: is an integrated continuum of service strategies and programs which are focused on recogni:zing the strengths, assets, and resilieney of fomilies that come into our ogency for services and building on those strengths and assets to help them develOP long term independence and self-sufficiency. Services Include a continuum of short term and transitional shelters: food & clothing: Temporary Restraining Order assistance; advocacy with community agencies: transportation; support groups and child care while mothers are' in groups: parent-child interactive parenting groups: employment acquisition and retention support: independent living skills training; counseling and other supportive services. The Department Includes the 24 hr/7 day Domestic Violence Response Team (Partnered with 4 local law enforcement departments), which responds to Domestic Violence calls and assesses for the risk of child abuse, then follows up with shelter and supportive services. No other non-profit provides these services in the South Bay area of San Diego County. YOUTH AND FAMILY DEVELOPMENT DEPARTMENT (YFD): are focused on recognizing the strengths, ossets, and resiliency of youth, in particular those who are transitioning to adulthood, often without the safety net of adults and/or family to give them support. and maximizing the potential for their long term healthy development by encouraging their creative abilities within a family and community context, while assisting them in acquiring the skills and competencies they need to develop self-sufficient iifestyles. Programs include a continuum of shelter and supportive services (for Runaway 8. Homeless youth and for former foster youth) os well as a Teen Recovery Center & other youth development activities plus community education and service projects. HEALTH & DEVELOPMENTAL SERVICES: First 5 Health 8. Developmental Services' program develops and implements integrated networks of services that address the health and development needs of children birth through age 5 in the Health and Human Services Agency (HHSA) South Bay Region. The progrom focuses on school readiness and SBCS provides a unique preschool built in cooperation with CV Elementary School District providing comprehensive school readiness services to children 0-5 in families affected by Domestic Violence, utili:zing Seniors as facilitators and mentors. The classroom serves as a central site in which SBCS facilitates 0 culturally competent Child Development Program providing a range of tailored services designed to overcome the systemic and programmatic barriers that currently prevent young children who hove been exposed to domestic violence from entering school ready to learn. COMMUNITY DEVELOPMENT DEPARTMENT: promotes community development and neighborhood revitalization by creating affordable housing options, homebuyer education, affordable apartment referrals, rent guarantees, neighborhood improvement projects, and economic advancement opportunities for low income South Bay families. SBCS has more than 428 units of housing. Part II - Application Part II Page 7 of 27 SCOPE OF SERVICES 11. Sl::ope 01 Servil::es a. Prolect Qess;rlotion Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds ore needed to serve low end moderote-income persons. Discuss the cost-per-beneficiary in relation to prlvete end other orgenizotlons delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds con only be used for expenditures which directly benefit CDBG-ellgible clients. This is a continuation of the current CDBG-funded project. SBCS intakes victims of family violence and after 0 thorough assessment, develops with the client 0 treatment plan that includes a variety of activities, including several modalities of counseling and/or therapy for both the adult and the child members of the family. Activities may include individual trauma therapy. specialized counseling for 90 children, and Family Violence Victim Support Groups, children and youth groups. We will intake up to 200 FV victims for crisis intervention within 48 hours of referral by CVPD or hospital. Clients complete a Client Satisfaction survey. This program also serves several hundred perpetrators of family violence each year in a l-yeor Court mandated counseling program. Through a subcontract with YMCA Youth & Family Counseling Services those dealing with intrafamilial child sexual molestation will be provided the SAFE Paths format, a 100week group psychoeducational and therapeutic process, four cycles occurring annually. Groups are provided In both English end Spanish for Child Victims, Non-offending parents, and Offenders. Additional counseling services are reimbursed via funds from Victims of Crime, Sliding-scale fees and donations/foundation grants, etc. YMCA Counseling is provided by Master level Interns and Licensed staff. SBeS services are provided by Bachelor's or Master's level staff supervised by licensed staff, and volunteers. SBCS coordinates services and program reporting. The Cost per beneficiary is $60.51 Approximately 90% of the funding goes to provide services to low and very low income clients. This is not o program thqt serves the homeless as 0 specific target group. b. laraetGroue Quantify the number of low- and moderate-income persons/households to be assisted p$r service/activity/project. These services will target 590 low end very low income persons in Chula Vista: adult, youth, and child victims of fomily violence, victims of intrelamilial child sexual molestation, and perpetrators of family violence c. Outreach Discuss outreach efforts for the proposed service/activity/project. SBCS staff regularly attend community collaborative meetings in the South Bay and in other areas. during which they share information about our progrems. We ensure that program availability is known to the County's information 211 Resource staff. 12. Performance Schedule On a separate page, prepare 0 Work Plan for implementation/completion of the services and ectivities identiliEid in the Scope of Services. In addition. you will be required to indicate perlormence measurements os they relate to the activities of your project. A suggested format is included on ti'le lollowin~ pege. Part II - Application Port II Page 8 of 27 U. 'rojll\!l' ludlllO! On a separate poge, prepore a budget summarizing the use of proposed CDBG funding and 011 other resources ovailoble for the project, A suggested budget summary worksheet Is included in the following poges, . Pleose revise the form and annotote budget items as they relate to your project. Port II - Application Port il Scope iEil'illiJ:lijJlE;lIIBIEil:t!', .It"~e' . (if Subcontractors are used please use additional line item budgets). ----------~------ ~-------- -------- , - BUDGET ITEM CHUlA VISTA OTHER OTHER TOTAL CDBG list Other list Other Program Expenses 1. ConsultanVContrlJct 17.650 26.556 service 5,706 "' ., 2. Travel, rnileafJe 9.000 $I flOO , 3. Office EXl'lense 3.326 68, Q70 71,396 4. Equioment 5,500 5,500 6. Office & Proaram sunnlies 1,200 45,439 46,639 6. Reoairs an{j maintenance 0 11,700 11,106 ,. " '. , 7. Printino & Postaoe 870 11,530 12.400 ., , 8. Federal Approved indirect 0 145,157 14:;;,157 ..'-' ...-. ,. ,.. --'" .- .,--.."-- ,. '0 , , " Personnel Costs - .. ....', _..0 '-- - ---- '. ..... -'-' .. .-,--._._- , - - 9. salaries 1 Il'TFami1y Develooment Associate 10,293 673,061 683,354 , 10. Benefits & PR taxes 2.895 117,248 119,409 Total Costs $ 35,700 1,095,410 $ " 1.131,110 - - .' - ... '..-'~ . .'-"-' Port II - Applicotion Port II 14, Work Pia" (Prepare a Work Plan for Implement(ltlon/completlon of the services and activities identified In the Scope 01 Services) W9rk PI~O (Identify octlvities and completion dates) Provide 24hr/7 day a week crisis response to DV victims and their children Provide community education and outreach F'rovide Safe shelter IInd support services; F'rovide Case management; individual, family, and group counselln ; Provide the SAFE Paths psychotherapeutic program and/or other individual famil . andior rou thera eutlc services. Provide legal advocacy and restraining order assistance for DV victims Ongoing Ongoing Ongoing Ongoing on a weekly basis Ongoing Port II - Appiieotion Port II Scope 15. Additional COBG Financial Information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or Indirectly through another agency? (If no, proceed to question 10.8.) Yes 181 No 0 a. Did the Agency have an independent audit completed within 9 months of the end of Its accounting year, and consistent with the standards of OMS Circular A.133? Yes r8I No 0 b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the !!Igeney's fln/lncial syetemll? Yes 0 No 1ZI c. If the Agency was not required to have an audit per standards of OMS Circular A.133, did Agency have an indepllndent audit by a CPA that included an examination of CDSG grant funds within the audit's scope'? Yes 0 No 0 N/A lZI B. If the organi:ation has not had a flnencial audit, please explain the reason. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes IZJ No 0 O. Does the agency certify that no public funds will be used for lobbying? Yes 181 No 0 E. Has the agency previously administered COBG funds?: Yes IZl No 0 If yes, please desenbe the aQency's experience with COSG funds: sees has successfully administered COESe; funds for the Family Violence Prevention program for the past 11 yesl'$, as well as eSG.COBG funds for the past 2 years and part of the current year, and other F'ublle Services funding for more than 3 other programs for the past several years, inciuding 11 years of Youth Prevention Services, and Thursday's Meal for 10 years. These programs are also in a current funding year. secs also received funding for a successful Graffiti Eradication program before the City absorbed it, and a Teen Center until it was included in the Prevention for At Risk Youth program. Part II - Application Port II :Rrqg1~~ffi;l~fprrn~~gb~~1 16. National Objectives for the COBG Program: Programs must meet National Objective 9570.20 #1 for the COBG Program - Activities Benefiting Low-/Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. [j Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Inch,Jde the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. xx 2. Limited Clientele: The project must be limited to serving a predominantly low-/moderate- income cllenteie (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are XX 51 % Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). ~ Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-Income persons 100 'Ji served? (b) Presumed Benefit: The facility will exclusively serve (check one): elderly persons (over age 62) battered spouses - illiterate adults (not ESL) - persons living with AIDS - homeless persons - migrant farm workers - abused & neglected children - severely disabled adults See Appendix IE for the definition _ (c) Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (Le., food banks, clothing banks, facilities serving residents of public housing) Part 11- Application Part II Scope ~e':D""B" 'a' ,', 3~'>"ro-O'i~"+'~-'.': " ,.. e' ,"'m., ' t'i-:'''''';;~'''<'',_:-."_-~,i~;~;~h"~,::,;;--,,,~-"~6,f1..>&J~f. ,H- 17. Measuring an Objective and Outcome of Public Service Actlvltle$ for the COBG Program: In addition to maeting a CDBG National Objective and eligible activity test far the CDSG Program - Choose the most appropriate box below (1 or 2) to shaw haw the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information http://www . hud. oov/offices/ cod/aboul/perto rma nce/trai n ino/ch 08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordabillty or Sustalnabllity): XX 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordabllity- Public Service activities funded to support housing opportunities in a target neighborhood. . _XX_Sustainablllty- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: f'ublic service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods, 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs far a jabs transportation program, jab training program, literacy program. . _Affordabllity- Public Service activities funded to support economic opportunities. . _Sustainability- f'ublic Service activities funded to sustain economic opportunities. Part Ii - Application Part II !'IIHORMANce MEASUReMINTS (List major actlvltlll!. thll dlrllct product/service numbers for each activity and the direct outcome/benefit 01 the Clc:tlvlly,l ACTIVITY INDICATOR OUTCOME (What the program doe. to 'uUIIIII. mission) (The direct products of program (Benefits that result from the program) gellvltl..) service j. EXQmple: Example: Example: Provide nutritious. home Deliver nutritious, "hot" meals Improved access to delivered meals to nomebound to o! least sa homebound nutritionai, well-bolonced seniors in Oevis umiors in Devis meals lor program participants Improved C1uolity of life for oroaram oarticioonts Example: !,xample: Example: Pediatrie health cQre lor "sick." Provide pediatric health core Improved access to low/mcdlllrote income childran to at leos! 97 "sick." health<;:are for program in Davis without any form of iow/moderate income participants health eoverege children In Davis without any form 01 heolth eoveroge Improved quality of life for oroaram oorticiDonts - - ACTIVITY INDICATOR OUTCOME (What the program doe. to fulfill It. (The direct product. 01 program actlvltle.) (Benefits that result from the program) mi,.lan) service j. Provide 24hr/7day crisis Respond to at least 250 calls Improved access to shelter. response to OV victims and from CVPO to provide crisis counseling and DV intervention children, and follow up with a services to OV victims with services, Improved safety lor range of ease management, children DV victims and children shelter, and other supportive serviees Provide Court-ordered Provide weekly group year- Decreased Incidences. or Batterer's treatment program long treatment program for 250 repeat incidences. of domestic men and OV perpetrators violence, in Chula Vista referred bv the Courts families. Provide Therapeutic program Provide a range of individual, Increased ability to recover for victims of Intralamilial sexual family or group counseling lor Irom effects of intralamilial abuse 90 child victims 01 intralamilial abuse abuse Por! II - Application Part II ....tD _~w . ."<"'p,,,,,. """'<~I ~B' .,., '"',',,,"S\,,,,, "W_" !<l",i'i" 'IJ!!. ,- ~,Sj''''O''A'''''!e.'. "rIlftilol;;: "" , .. .' M \\:Im- -~ - - T' . -M! '-W:.' - ''''' ,." 1., . ~~,,~~."- :.o......:.iot,",.. """"".,,,;;,_, '._'," _,,,;}'" """,-',," h -.,,:,".~ ~ ',n"",, - - '; ',' ":- 18. Process EvahJlltlon: Oescribe how the program will collect data and maintain records to track program activities, Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and flies for news letters naming the City of ehula Vista and HUD as the funding source, 1, Attendance lists for group activities (e.g., women's support groups, perpetrators' groups, chlidren's groups) 2. Case files documenting aetivitles (e.g.. response to police calls, placement in shelter, case management meetings, income and budgeting activities, individual counseling sessions) 3 19. Outcome Evaluation (List Three Outcomes): Describe how each activities wlil be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post. surveys, 1. Customer Satisfaction Surveys at end of services 2. Case flies documenting beginning status of activities (e,g., housing, no income, no bank account), compared to ending status (e,g., finding ~t!lble housing, opening 8 bank account, establishing an income) 3. Compietic:m of prescribed pregram of cQunsl!lling, 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients rilceivlRIl Iiervicllli. Depending on the specific work activity staff may have a college degree or a Master's Degree in Counseling. Group facilitators have specific training in the modality required for the activity: for example Group facilitators for DV perpetrator groups have attended prescribed training before being certified to lead the groups. Counselors must be at Master's level and be either licensed or supervised by licensed staff. 21, Subcontractors (If any): Please list the names of subcontractors that will be used to carry out this activity, yMCA Youth Services 1201 Paseo Magqa, CV 91910 Multiple State, Courity, and Federal funding sources Part II - Application Part II Scope I Tab No. 18 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: HV AC Proiect Organization/Dept .: Chula Vista Family Health Center Project Description: This project will replace the HV AC system at the new Chula Vista Family Health Center. Project Location: 0123.02 - 1 Prior Year Fundina: 2008/09 Recommended Fundina: $0 $30,000 Specific use of funds: HV AC System HUD Matrix Code: Citation: 03P . Health Facilities 570.20Hc1 Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: COBG National Objective: 1- Exempt I # of Units - Type of Units} Low Moderate Income Area \ 'c em OF CHUlA VISTA CDBG Program Year 2008/2009 Funding Application PART 1- GENERAL APPLICATION CAPITAL IMPROVEMENT S f' A G I P . t I f f' S eClon -- enera ro ec norma Ion ummarv Project Title Chula Vista Family Health Center HV AC Project Brief Summary of the This project will replace the HV AC system at Chula Vista Family Project Health Center so that it can provide care to uninsured families in (one to two sentences) a comfortable environment. Project Address 251 Landis Avenue, Chula Vista, CA 91910 Service Area (list census Chula Vista- Citywide tracts if applicable): Funds being requested in CDBG: $30,000 this proposal. Complete all that apply. Section B -- General Aoolicant In orma Ion Legal Name of Applicant Family Health Centers of San Diego Organization Street Address, City and Zip Code 823 Gateway Center Way (Also note mailing address if San Diego, CA 92102 different) Organization's website address www.fhcsd.org Person to Contact Regarding this Name: Jennette Lawrence Application Address: 823 Gateway Center Way, San Diego, CA 92102 Phone 619-515-2315 Number: FAX Number: 619-237-1856 Email: Jennette@fhcsd.org Organization's Federal Identification Number (Tax 10 #)95-2833205 Is this organization a Community Housing Development Organization (CHDO)? No f f' Name of Organization: Family Health Centers of San Diego Project/Program Name: Chula Vista Family Health Center HV AC Project Fiscal Year and Audit Reoorts What is your agency's fiscal year? July 1 - June 30 Date of your organization's most recently completed audit. (Month/Year) September 2007 What fiscal year did this most recent audit include? (Month/Year through Month/Year) July 2006- June 2007 Was this audit conducted in compliance with the Single Audit Act? Yes or No. Yes Are there any outstanding audit findings, which remain unresolved? No Oraanizational structure Documents Check if Attached Bylaws x Organization Chart x List of the Board of Directors x Non-Profit Determination letters from the Federai Internal Revenue Service and x the State Franchise Tax Board (Form 501.3.c) Insurance Evidence of Insurance: A copy of current insurance coverage (General Liability, Automobile, Worker's Compensation, etc.) must be attached with this application. If funded, an updated insurance policy wili be required with the funding jurisdiction listed as "additionally insured." Application - Part I Page 2 016 Name of Organization: Family Health Centers of San Diego Project/Program Name: Chula Vista Family Health Center HV AC Project Section C -- Beneficiary Information Income Eligibility. How does (will) your organization verify income eligibility of vour clients? Check if yes Area of Benefif. Program service area has been identified and determined to be statistically low-income based on the 2000 Census. If you use this method, provide all Census Tracts and Biock Groups served by your program and a calculation of the low-income percentage. Also attach a map. Self-Certification. X Clients independently "self-certify" on a membership form, intake form, etc. If you use this method, please attach biank intake form. Client Document Review. Clients provide tax documents, pay stubs. etc., to verify income. Documents are reviewed by staff. If you use this method. please attach blank worksheet. Presumed beneficiaries. Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), illiterate persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group is served. Ethnicity and Race (Very few projects are exempted from this requirement. Please refer to instructions.) Check if yes Does your organization request information on whether your clients are of Hispanic X ethnicity? Does your organization request information on categories of Hispanic ethnicity, I.e., Mexican/Chicano, Puerto Rican, Cuban, etc.? Does your organization ask all clients (including Hispanic clients) whether they are the X one or more of the foil owing races: - White - Black or African American - American Indian or Alaska Native - Asian - Native Hawaiian or Other Pacific Islander - American Indian or Alaska Native and White - Asian and White - Black or African American and White - American Indian or Alaska Native and Black or African American - Balance/Other (The balance category will be used to report individuals that are not included in any of the single race categories or in any of the multiple race categories listed above.) Does your organization use any ather Race categories? If yes, please explain and attach any forms you use. If your organization does not currently obtain ethnicity and race information on the clients to be served by the proposed project, please explain how this information will be obtained to meet this requirement. Application - Part I Page 3 of6 Name of Organization: Family Health Centers of San Diego Project/Program Name: Chula Vista Family Health Center HV AC Project Section D - Project Information Community Needs: Please describe the unmet community need this project proposes to meet. Refer to the instructions. This project will address the unmet community need of access to affordable healthcare for uninsured, low income families. The County of San Diego's recent study of the health care safety net found that the South Bay region will experience the greatest population growth rate, highest proportion of Latinos, among the highest rates of uninsured persons and Medi-Cal beneficiaries, greatest physician shortfall, and among the lowest rates of residents with employer-based insurance among all County regions over the next 25 years. In order to meet the community's growing healthcare need, the study suggested that San Diego County would need to add a minimum of 21 clinics and 1,500 physicians by 2025: a 24.1 % increase in community health center capacity. (all figs. San Diego Co. Heaffhcare Safety Net Study: Study Core Rept., Abaris Group, 9/18/06). Proposed Project to Meet Community Needs: How will your agency use these grant monies to address the unmet community needs described above? In September of 2007, Family Health Centers ot San Diego (FHCSD) received a competitive federal grant to establish and operate a new community health center in Chula Vista. In December of 2007, FHCSD purchased a building for the clinic located at 251 Landis Avenue. Tenant improvements will begin in January and the new Chula Vista Family Health Center will open by mid-spring. Services to be provided within the first two years of operation will include: general primary medical care; urgent medical care; family planning services; HIV testing services: immunizations: OB/GYN care; TB therapy: mental health services, including counseling; hearing screening; nutrition services; vision screening; referral for comprehensive oral health care; case management; eligibility assistance: health education; and translation and transportation assistance. FHCSD anticipates that 2.400 unduplicated persons will be served in the clinic's first year of operation, increasing to approximately 4,800 persons in the third year of operation. The majority of Chula Vista Family Health Center's patients will quality for free or low-cost services based on their income, family size and medical condition. No sick person will be turned away due to inability to pay. FHCSD is proud to have invested significant organization resources and leveraged $650,000 in annual tederal funding for uninsured families in the City of Chula Vista. However, as the tederal grant only covers a small portion of the tenant improvement costs, FHCSD is requesting a modest $30,000 one-time CDBG grant to purchase and install a new HV AC system in the clinic. The existing HV AC system does not adequately heat or cool the building and must be replaced. Application - Part I Page 4 of 6 Name of Organization: Family Health Centers of San Diego Project/Program Name: Chula Vista Family Health Center HV AC Project Obiectives and Outcomes: Check one box in each table below that best reflects your project's objectives and outcomes. See instructions for definitions. Objectives Check one Suitable Living Environment Decent Affordable Housing Creating Economic x Opportunities Outcomes Check one Availability/Accessibility x Affordability Sustainability: Promoting Livable or Viable Communities Application - Part I Page 5 of 6 Name of Organization: Family Health Centers of San Diego Project/Program Name: Chula Vista Family Health Center HV AC Project Section E -- Application Certifications The following certification must be completed and signed by an authorized agency representative to be further considered far HUD program funding. Agency Certification The undersigned agency hereby certifies that: a. The information contained herein and in the attached Part II and Part III (if applicable) is complete and accurate; b. The agency shall comply with all federal and City policies and requirements applicable to the CDBG. HOME (and ADOI), ESG program as appropriate for the funding if received; c. The federal assistance made available through the CDBG program funding is not being utilized to substantially reduce the prior levels of local financial support for community development activities; and, d. If COBG funds are approved for a facility, the agency shall maintain and operate the facility for its approved use for a period of not less than five years, unless given specific approval from HUO to do otherwise; and e. If COBG funds are approved in the requested amount, then to the best of your knowledge, sufficient funds will be available to complete the project as proposed. Familv Health Centers of San Dieao (Name of Agency) Fran Butler-Cohen (Insert Name of Agency Official) CEO tie of Agency Official) 12-27-07 (Date of Signature) 619-515-2301 (Telephone Number of Agency Official) Application - Part I Page 6 of6 01Y OF CHUlA VISTA CITY OF CHULA VISTA Supplemental Application for: Community Development Block Grant (CDBG) 2008-2009 CAPITAL IMPROVEMENT/PUBLIC FACILITIES PROGRAM CDBG APPLICATION Submit to the City of Chula Vista only to be considered for CDBG activities. A. Applicant Information I. Amount of Ci of Chula Vista CIP funds re 2. Applicant name: Family Health Centers of San Diego 4. Contact Person: Jennette Lawrence 6. Office Phone: 619-515-2315 8. E-mail: Jennette@fhcsd.or uested for this ro'ect: 3. Office Address: 823 Gateway Center Way. San Diego CA 92102 5. Title: Director. Govt & Communi Relations 7. Fax: 619-237-1856 9. Tax ID No.: 95-2833205 B. Proposed Project Information 1. Project Name: Chula Vista Familv Health Center HV AC Proiect 2. Design Start Date: n/a 3. Construction Start Date: 8/1/08 4. Project Completion Date: 10115/08 5. Project Description. Describe in detail the activities that will be provided with Chula Vista CDBG CIP funds. the tasks that will be performed with the requested funding, and schedule of work (e.g.. design, construction, phases, etc. Please submit additional sheets as needed): Family Health Centers of San Diego will obtain competitive bids for a new HV AC system for Chula Vista Family Health Center. The lowest responsive bid from a contractor who is not on the federal debarred list will be selected. A contract for the equipment and installation will be executed and the new system will be instailed. 6. Project Location by Census Tract and Block Group: Census Tract- 0123.02: Block Group- 1 City of Chula Vista CIP Application 2008-2009 Page 1 7. Project Purpose: The purpose of Chula Vista Family Health Center is to provide comprehensive. affordable, high quality medical services to uninsured and low-income individuals. The specific purpose of this CDBG project is to replace the HV AC system at Chula Vista Family Health Center so that patients can be seen in a comfortable environment. 8. Geographic Area where project will occur: Include Census Tracts and Block Groups Attach map (no larger than 8 x 10). All census tracts and block groups in the City of Chula Vista (please see attached map.) 9. Is this an on-coinc proiect D or a new proiect? D{I 10. List partnerships between your organization and others concerning this project: Chula Vista Family Health Center was developed in collaboration with many community leaders and organizations, including Congressman Bob Filner, County Supervisor Greg Cox, Chula Vista Mayor Cheryl Cox, the Chula Vista Elementary School District, Sharp Chula Vista Medical Center, and Scrioos Mercv Hosoital. 11. Explain how your project addresses community and/or general City needs: The new health center leverages $650.000 in annual federal funding to provide primary healthcare services to uninsured and low-income persons in the City of Chula Vista. A recent County of San Diego study found that 21% of the population in the South region is uninsured and 19.4% relied on Medi-Cal. These rates were the second highest in the County of San Diego and clearly demonstrate the need for additional affordable and accessible healthcare services in Chula Vista. 12. List objectives your project accomplishes: By improving the facilities of Chula Vista Family Health Center, this project improves the affordability and accessibility of healthcare services to thousands of uninsured and low-income Chula Vista families. 13. CDBG Funds have a strict expenditure rate. Is this project's implementation and completion expected to be completed within the next 12 months? Yes, this project can be completed within the next 12 months. C. Funding (Please provide funding sources) I. Total Proiect Cost: $180.000 2. Amount Requested this Application:$30,000 3. List all funding sources and amounts that have been applied for and/or received: PriorYrs. 06/07 07/08 1. $150,000 - FHCSD Resources $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 4. Total of all revenue sources 1$150,000 5. Do you expect to request additional funds in future years? If so list amount of funds anticipated, and brief scope of proposed work. No additional funds for the HV AC proiect will be reauested. 6. Will this project create new and/or additional operational and maintenance expenditures? YesD No~. If yes, provide both current expected operational and maintenance expenses and approximate future costs. Please define negligible, minimal etc. One Time: On-going: City of Chula Vista CIP Application 2008-2009 Page 2 D. Proposed Project Budget for 2008-09 (Please provide funding request based on Davis-Bacon wage rates) Construction Purchase/Installation of HV AC System $ 180,000 $ 30,000 Engineering fees $ $ Design Fees $ $ Construction inspection and administration $ $ Staff Time Contingency $ $ Operation and Maintenance $ $ Other $ $ 180,000 $ 180,000 30,000 $ 30,000 3. Describe your contingency plan in the event your CIP request is not fully funded, or funded at all. by the City of Chula Vista CDBG funding: The HV AC system must be replaced. Family Health Centers of San Diego will continue to look for ublic and rivate rant 0 ortunities and use or anization resources to fund the ro'ect. E. CDBG Eligibility Requirements 1. CDBG National Objective: Benefit low and moderate income oersons Please refer to the following weblink:htto://www .hud .aov / offices/ cod/ communitvdevelooment /Iibrary /stateauide/ ch3.odf : Note: For Acquisition and Rehabilitation Activities please contact City Staff prior to submittal of aDDllcation, 2. CDBG Eligible Activity Citation Please refer to the following weblink:htto://www.hud .aov / offices/cod/ communitvdevelooment /library /stateauide/ ch2.odf Construction or improvement of public facilities 3. Proiect Obiective: Please state the project objective that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: Suitable Living (Activities that benefit communities/ families/individuals 1 Environment by addressing issues in their living environment) - (Housing activities that meet individual family or community needs: should not be used for activities 2 Decent Housing where housing is an element of a larger effort) - (Activities related to economic development, x 3 Economic Opportunity commercial revitalization, and iob creation I City of Chula Vista CIP Application 2008-2009 Page 3 4. Proiect Outcome: Please state the proposed project performance measurement outcome that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: [Activities that make services, infrastructure, housing, and shelter available and accessible. Note that accessibility does not only refer to physical barriers) [Activities that provide affordability in a variety of ways. it can include creation or maintenance of affordable housing, basic infrastructure hookups, or services such as transportation or 2 Affordability daycare) [Activities that promote livable or viable communities and neighborhoods by providing services or by reviving slums or 3 Sustainabilitv bliahted areas) S. Describe how the project addresses the objectives and outcomes seiected above. Chuia Vista Family Health Center addresses the objective of economic opportunity by providing preventative and primary healthcare services that help working adults stay prOductive and on the job and their children stay heaithy and in school. The health center's sliding fee scale and commitment to care for all sick persons, regardless of their ability to pay, makes healthcare services more available and accessible to uninsured Chula Vista families. x Availability/ Accessibility F. Applicant Certification 1. Print name of authorized person: Fran Butler-Cohen/'--") 2. Signature of authoriz . <---;,.-- ..' 3. Title: Chief Executive Officer 4. Date: ~.... 12-27-07 Applications are due Friday, January 4, 2008, by 5:00 p.m. Late applications cannot be accepted. Please submit 1 original copy of the completed application to: Angelica Davis, Community Development Specialist II Community Development Division 276 Fourth Avenue Chula Vista, CA 91910 619-691-5036 City of Chula Vista CIP Application 2008-2009 Page 4 ATTACHMENT "A" Project Workplan and Milestones Department: Family Health Centers of San Diego's Facilities Department Project Title: Chula Vista Family Health Center HVAC Project 1. FHCSD will solicit competitive bids August 1, 2008 for a new HVAC system. 2. Project will be awarded to the lowest responsive bidder who is not on the federal debarred list. September 1, 2008 3. New HVAC system will be installed October 1, 2008 at Chula Vista Family Health Center. 4. s. City of Chula Vista CIP Application 2008-2009 Page 5 :"\ ? o 06.02 32.07 134.1 2 ' ~N H 134.09 Census Block Tracts Groups 133.0 123.02 1 123.03 1,2 123.04 1,2 124.01 1,2 124.02 1,2,3 125.00 1,2,3,4,5 126.00 1,2,3,4 127.00 1,2 128.00 1,2,3 ...... 129.00 1,2,3 - . 1.>' <..l 130.00 1,2,3,4 1 -' 131.02 1,2 "i 131.03 1,2 131.04 1,2,3 , 132.03 1,2,3,4 132.04 1,2,3,4 132.05 1 , '" 132.06 1,2,3,4 P AL\ot 0 lJ1 133.01 1,2 133.02 1,2 133.03 1,2,3 133.06 1,2 133.07 1,2 133.08 1,2 13401 1,2 SC I Tab No. 19 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: ADA Curb Cuts Organization/Dept .: Enaineerina and General Services Department Project Description: Construct ADA compliant curb ramps in the City. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $430,582 $390,000 Specific use of funds: Design and Construction Costs HUD Matrix Code: Citation: 03L - Sidewalks 570.20Hcl Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Helo the Homeless : No . Helo Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: - Exemot I # of Units - Type ot Units I Low Moderate Income Clientele CIlY OF CHUlA VISTA CITY OF CHULA VISTA Supplemental Application for: Community Development Block Grant (CDBG) 2008-2009 CAPITAL IMPROVEMENT/PUBLIC FACILITIES PROGRAM CDBG APPLICATION Submit to the City of Chula Vista only to be considered for CDBG activities. For City use only. A. Applicant Information Applicdticn Number: 1. Amount of City of Chula Vista CIP funds renuested for this oroiect: 5350,000 2. Applicant name: 3. Office Address: City of Chula Vista - General Services 276 Fourth Avenue Chula Vista, CA 91950 4. Contact Person:Jeff Moneda 5. Title:Senior Civil Ennineer 6. Office PhoneJ61 91 397-6102 7. Fax:16191397-6250 8. E-mall:imoneda@ci.chula-vista.ca.us 9. Tax ID No.: B. Proposed Project Information 1. Project Name: ADA Ramps Citywide 2. Design Start Date: JO/08 3. Construction Start Date: 2/09 4. Proiect Comnletion Date: 5109 5. Project Description. Describe in detail the activities that will be provided with Chula Vista CDBG CIP funds, the tasks that will be performed with the requested funding, and schedule of work (e.g.. design, construction, phases, etc. Please submit additional sheets as needed) : The scope of work using CDBG funds includes 'the design. survey, and right-of-way processes involved with the preparation of plans and specifications for the construction of ADA pedestrian ramps. Subsequent to the preparation of plans and specifications. CDBG funds shall be used for the construction and associated inspection services for said improvements. City of Chula Vista CIP Application 2008-2009 Page 1 6. Project Location by Census Tract and Biock Group: Citywide 7. Project Purpose: The purpose of this project is to construct the missing infrastructure improvements necessary in order to satisfy ADA requirements 8. Geographic Area where project will occur: Include Census Tracts and Block Groups Attach map (no larger than 8 x 10) .Citywide 9. Is this an on-aoina oroiect 15<1 or a new moiect? [J 10. List partnerships between your organization and others concerning this project: N/ A 11. Explain how your project addresses community and/or general City needs: Citizens of Chula Vista, particularly the disabled community, have expressed concerns regarding the pedestrian accessibiiity to sidewalks citywide. The completion of these improvements would help in addressing the citizens' concerns and at the same time construct missing infrastructure. 12. List objectives your project accomplishes: This project would alleviate citizens' concerns regarding pedestrian accessibiiity. 13. CDBG Funds have a strict expenditure rate. Is this project's implementation and completion expected to be completed within the next 12 months? Yes C. Funding (Please provide funding sources) 1. Total Proiect Cost: $350,000 2. Amount Requested this Aoolication: $350.000 3. List ail funding sources and amounts that have been applied for and/or received: Prior Yrs. 06/07 07/08 l. _CDBG $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 4. Total of ail revenue sources 1'1. City of Chula Vista CIP Application 2008-2009 Page 2 5. Do you expect to request additional tunds in tuture years? It so list amount of funds anticipated, and brief scope of proposed work, 6. Will this project create new and/or additional operational and maintenance expenditures? Yes 0 No[8:j, It yes, provide both current expected operational and maintenance expenses and approximate future costs. Please define negligible, minimal etc, One Time: On-going: City ot Chula Vista CIP Application 2008-2009 Page 3 D. Proposed Project Budget for 2008-09 {Please provide funding request based on Davis-Bacon wage rates} CIP,CD8G~P9rtlon~ ,. .onl' .. $190,000 Construction Engineering tees $5,000 $5,000 Design Fees $100,000 $100,000 Construction inspection and administration $30,000 $30,000 Statf Time 5,000 5,000 Contingency $20,000 $20,000 Operation and Maintenance $0 $0 Other $ $ 350,000 $350,000 350,000 $350,000 3. Describe your contingency plan in the event your CIP request is not fully funded, or funded at all, by the City of Chula Vista CDBG funding: This project is 100% CDBG funded and no other funding sources are available for construction of these improvements. E. CDBG Eligibility Requirements 1. CDBG National Objective: LMC Please refer to the following weblink:htto:1 Iwww.hud.aov I offices/codl communitvdevelooment llibrarv Istateauidel ch3.odf : Note: For Acqulslllon ond Rehabilitation Activities please contact City Staff prior to submittal of aDDllcatlon. 2. CDBG Eligible Activity Citation Please refer to the following weblink:htto:1 Iwww.hud.aovloffices/cod/communitvdevelooment Ilibrarv Istateauide I ch2.odf 3. Proiect Obiective: Please state the project objective that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: Suitable Living (Activities that benefit communities/ families/individuals X 1 Environment by addressing issues in their living environment) (Housing activities that meet individual family or community needs; should not be used for activities - 2 Decent Housing where housing is an element of a larger effort) (Activities related to economic development. 3 Economic Ooportunity commercial revitalization, and iob creation I City of Chula Vista CIP Application 2008-2009 Page 4 4. Proiect Outcome: Please state the proposed project performance measurement outcome that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: (Activities that make services, infrastructure, housing, and shelter available and accessible. Note that accessibility does not only refer to physical barriers) (Activities that provide atfordability in a variety of ways. It can include creation or maintenance of affordable housing, basic infrastructure hookups, or services such as transportation or 2 Affordability daycareJ (Activities that promote livable or viable communities and neighborhoods by providing services or by reviving siums or 3 Sustainabilitv bliohted areasl 5. Describe how the project addresses the objectives and outcomes selected above. x Availability/ Accessibility F. Applicant Certification 1. Print name of authorized person: Jeff Moneda 2. Signature of authorized person: 3. Title: Senior Civil Enaineer 4. Date: 1 /16/09 Applications are due Friday, January 4, 2008, by 5:00 p.m. Late applications cannot be accepted. Please submit 1 original copy of the completed application to: Angelica Davis, Community Development Specialist II Community Development Division 276 Fourth Avenue Chula Vista, CA 91910 619-691-5036 City of Chula Vista CIP Application 2008-2009 Page 5 ATTACHMENT "A" Project Workplan and Milestones Department: Enaineerina and General Services Project Title: ADA Pedestrian Ramos 1. 10/08 2. Design Completion 12/08 3. Environmental Clearance 1/09 4. Advertisement 1/09 5. Begin Construction 3/09 6. End Construction 6/09 City of Chula Vista CIP Application 2008-2009 Page 6 I Tab No. 20 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Castle Park Code Enforcement Proaram Organization/Dept.: Plannina and Buildina Department Project Description: Code Enforcement is a proactive program. which targets private residential (single-family detached and attached) properties located within the Castle Park census tracts (target area). CDBG funds are used to partially pay the salaries of the four Code Enforcement Officers. who are assigned to the targeted areas. Project Location: 13102.13203.13302.13303 Prior Year Fundina: 2008/09 Recommended Fundina: $150.000 $0 Specific use of funds: Salaries and Benefits HUD Matrix Code: Citation: 15 - Code Enforcemenf 570.202( c 1 Is the purpose of fhe acfivity to: . Prevent Homelessness: No . Help those with AIDS : No . Help the Homeless : No . Heln Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 0- Exempt r # of Units - Type of Units I Low Moderate Income Area D , em OF CHUlA VISTA CDBG, HOME & ESG Program Year 2008/09 Funding Application PART I - GENERAL APPLICATION S r G I P . t I f r S ec Ion A -- enera rOlec norma Ion ummarv Project Title Community Preservation Program Brief Summary of the Code Enforcement works in partnership with the residents and Project (one to two sentences) business owners of the City of Chula Vista to promote and maintain safe and desirable living and working environment; to improve the quality of Chula Vista's neighborhoods through education, enforcement, and abatement; and to respond to community concerns and attain compliance with the State and local codes while maintaining high professional standards and continually seeking improvements and innovations. Project Address City of Chula Vista Planning and Building Department Code Enforcement Section 276 Fourth Avenue Chula Vista, CA 91910 Service Area (list census 13102, l32Q3, f33e2:-l3303 tracts if appiicable): Funds being requested in CDBG: $ ESG:$ this proposal. Complete all HOME: $ ADDI:$ that apply. Section B -- General A Legal Name of Applicant Iicant Information City of Chula Vista Organizatian Street Address, City and Zip Cade 276 Faurth A venue (Alsa nate mailing address if Chula Vista, CA 91910 different) Organization's website address www.chulavistaca.gov Person to Contact Regarding this Name: Brad Remp, Application Assistant Director/Building Official Address: 276 Fourth Avenue Chula, Vista CA 91910 Phone Number: (619) 585-5623 FAX Number: (619) 409-5681 Emaii: bremp@ci.chula-vista.ca.us Organization's Federal Identification Number (Tax 10 #) 95-6000690 Is this organization a Community Housing Development Organization (CHDO)? No Fiscal Year and Au I ReDo s What is your agency's fiscal year? July 1 to June 30 Date of your organization's most recently completed audit. (Month/Year) June 2007 What fiscal year did this most recent audit include? [Month/Year through Month/Year) July 2006 through June 2007 Was this audit conducted in compliance with the Single Audit Act? Yes. Are there any outstanding audit findings, which remain unresolved? No. dOt rt o r 1st t raamza lona ruc ure Documents Check if Attached Bylaws City Charter X Organization Chart X List of the Board of Directors Mayor/Council X Non-Profit Determination letters from the Federal Internal Revenue Service and the State Franchise Tax Board (Form 501.3.c) Insurance Evidence of Insurance: A copy of current insurance coverage (General Liability, Automobile, Worker's Compensation, etc.) must be attached with this application. If funded. an updated insurance policy will be required with the funding jurisdiction listed as "additionally insured." Section C -- Beneficiary Information Income Eligibility. How does (will) your organization verify income eligibility of your clients? f Check iI yes Area of Benefit. Program service area has been identified and determined to be statistically low- income based on the 2000 Census. If you use this method, provide all Census X Tracts and Block Groups served by your program and a calculation of the low- income percentage. Also attach a moo. Self-Certification. Clients independently "self-certify" on a membership form, intake form, etc. If you use this method, please attach blank intake form. Client Document Review. Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please attach blank worksheet. Presumed beneficiaries. Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), illiterate persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group is served. Ethnicity and Race (Very few projects are exempted from this requirement. Please refer to instructions.) Ch k"f ec ,'ves Does your organization request information on whether your clients are of Hispanic ethnicity? Does your organization request information on categories of Hispanic ethnicity, i.e.. Mexican/Chicano, Puerto Rican, Cuban, etc.? Does your organization ask all clients (including Hispanic clients) whether they are the one or more of the following races: - White - Black or African American - American Indian or Alaska Native - Asian - Native Hawaiian or Other Pacific Islander - American Indian or Alaska Native and White - Asian and White - Black or African American and White - American Indian or Alaska Native and Black or African American - Balance/Other (The balance category will be used to report individuals that are not included in any of the single race categories or in any of the multiple race cateaories listed above.l Does your organization use any other Race categories? If yes, please explain and attach any forms you use. If your organization does not currently obtain ethnicity and race information on the clients to be served by the proposed project, nlease explain how this information will be obtained to meet this requirement. The ethnicity and race information wili be calculated at a rate based on the 2000 Census for each low-mod census tract served by the Community Preservation Program. Section 0 - Project Information Community Needs: Please describe the unmet community need this project proposes to meet. Refer to the instructions. The General Unit of the Code Enforcement Section historically has been reactive in that they have not had the time/resources needed to effectively address blight on a proactive basis. Reactionary code enforcement does little to stabilize neighborhoods because it is narrow in scope. The establishment of a Community Preservation Program has allowed the opportunity to make a lasting impact on neighborhoods both residential and commercial. These proactive sweeps have helped establish a line of communication between Code Enforcement and the community. previously lacking in the section. If Code Enforcement does not receive the funds requested, we will be dependant on general fund monies. Without the requested funding, Code Enforcement will be required to cut back services City-wide including those within low and moderate- income areas. This will inhibit the revitalization of blighted neighborhoods and allow further deterioration. The Department of Planning and Building's ability to perform much needed code enforcement activities will not meet the community's expectations. Proposed Project to Meet Community Needs: How will your agency use these grant monies to address the unmet community needs described above? The target population consists of the people living and working in the low- and moderate-income areas of western Chula Vista. These clients often live in and around substandard conditions that are outside of their control. As the blight in the area increases, the level of hope or a better place to live and work decreases for the population that is destined to stay in these neighborhoods due to socio-economic conditions. Many of these homes are rentals with absentee landlords who are unaware of the conditions on their properties and the overall affect of their properties on the surrounding neighborhood. Code Enforcement will use the CDBG funding to help improve the lives of those living and working in the area through education, enforcement and abatement as needed. The primary goals of the Community Preservation Program are to: 1. Proactively inspect properties in the Low/Moderate census track areas previously identified on a periodic basis to insure that they meet the minimum standards set forth in the Chula Vista Municipal Code. 2. Educate both property and business owners as to the minimum standard set forth in the Chula Vista Municipal Code through neighborhood meetings as well as Notices of Violation. 3. To bring into compliance any properties found to be in violation of the Chula Vista Municipal Code. 4. Provide assistance with the removal of trash, junk and debris through organized block efforts by providing dumpster and labor services. 5. Provide assistance with beautification by coordinating landscape and veaetation enhancement efforts with the Center for Sustainable Enerav. Obiectives and Outcomes: Check one box in each table below that best reflects your project's objectives and outcomes. See instructions for definitions. Objectives Check one Suitable Living X Environment Decent Affordabie Housing Creating Economic Opportunities Outcomes Check one Availability/Accessibility Affordability Sustainability: Promoting X Livable or Viable Communities Section E -- Application Certifications The following certification must be completed and signed by an authorized agency representative to be further considered for HUD program funding. Agency Certification The undersigned agency hereby certifies that: a. The information contained herein and in the attached Part II and Part III [if applicable) is complete and accurate; b. The agency shall comply with all federal and City policies and requirements applicable to the CDBG, HOME [and ADDI), ESG program as appropriate for the funding if received; c. The federal assistance made available through the CDBG, HOME (and ADDI) or ESG program funding is not being utilized to substantially reduce the prior levels of local financial support for community development activities; and, d. If CDBG funds are approved for a facility, the agency shall maintain and operate the facility for its approved use for a period of not less than twenty years, unless given specific approval from HUD to do otherwise; and e. If CDBG or HOME [and ADDI) funds are approved in the reqlJested amount, then to the best of your knowledge, sufficient funds will be available to complete the project as proposed. City of Chula Vista Planning ond Building Deportment Code Enforcement Section (Agency 0 cial Signature) Iii/os (Date of Signature) [619) 691-5002 jsandoval@ci.chula-vista.ca.us 0lY Of CHUlA VISTA CITY OF CHULA VISTA PART II CODE ENFORCEMENT FOR 2008-2009 FUNDING YEAR 24 Code of Federal Regulations Part 570.202(c) of the CDBG regulations authorizes "code enforcement in deteriorating or deteriorated areas where such enforcement together with public improvements, rehabilitation, and services to be provided, may be expected to arrest the decline of the area." A. Applicant Information 1. Amount of Ci of Chula Vista CDBG funds re uested for this ro'ect: 2. Applicant name: 3. Office Address: City of Chula Vista 276 Fourth Avenue Planning and Building Department Chula Vista. CA 91910 Code Enforcement Section 4. Contact Person: Brad Rem 5. Title: Assistant Director Buildin Official 6. Office Phone: 619 585-5623 7. Fax: 619 409-5861 8. E-mail: brem@cLchula-vista.ca.us 9. Tax ID No.: 95-6000690 B. Proposed Project Information 1. Project Name: Communi Preservation Pro ram 2. Project Start Date: 3. Program Start Date: Currently ongoing 4. Pro'ect Com letion Date: On oin 5. Project Description. Describe in detail the activities that will be provided with Chula Vista CDBG funds, the tasks that will be performed with the requested funding. and schedule of work (Please submit additional sheets as needed): The primary goals of the Community Preservation Program are to: 1.Proactively inspect properties in the Low/Moderate census track areas previously identified on a periodic basis to insure that they meet the minimum standards set forth in the Chula Vista Municipal Code. 2. Educate both property and business owners as to the minimum standard set forth in the Chula Vista Munici 01 Code throu h nei hborhood meetin s as well as Notices of Violation. 3. To bring into compliance any properties found to be in violation of the Chula Vista Municipal Code. 4. Provide assistance with the removal of trash, junk and debris through organized block efforts by providing dumpster and labor services. 5. Provide assistance with beautification by coordinating landscape and vegetation enhancement efforts with the Center for Sustainable Energy. 6. Project Location (Please describe the specific boundary of deteriorating or deteriorated areas, include a map see#8 below) This program aims to revitalize neighborhoods in the previously identified Low/Mod Census Tracks of the Castle Park Neighborhood within the City of Chula Vista. The boundaries are Fourth Ave from Orange north to L St. L St east to Hilltop. Hilltop south to East Naples. East Naples east to the 805 Freeway. 805 Freeway south to the SDG&E easement. SDG&E easement southwest to Oranae. Oranae west to Fourth Ave. 7. Project Purpose: This program aims to revitalize the Castle Park ",eighborhood in Western Chula Vista. Code Enforcement Officers will conduct proactive enforcement sweeps that will identify and rehabilitate blighted neighborhoods. The Community Preservation Program combines community partnerships, proactive enforcement and public education and engagement to combat Neighborhood blight. The goal of the program is to improve the quality of life within this neighborhood. We also seek long-term change by establishing partnerships within the community and educating the public about our services and the value of code enforcement. Emphasis is placed on identifying the specific needs and tailoring an appropriate proactive response. Typical violations to be addressed include accumulated trash, junk and debris, outdoor storage, portable carports, illegal construction, inappropriate uses in all zones and illegal and/or excessive signage. 8. Geographic Area where project will occur: Include Census Tracts and Block Groups Attach map (no larger than 8 x 10). 13102, 13203, 13302, 13303 9. Is this an on-noinn nroiect 1'5<1 or a new nrolect? [J 9. List partnerships between your organization and others concerning this project: The Community Preservation Program works with established neighborhood groups and business associations to educate and inform residents and business owners of the requirements of the Chula Vista Municipal Code. 11. Explain how your project addresses community and/or general City needs: The General Unit of the Code Enforcement Section historically has been reactive in that they have not had the time/resources needed to effectively oddress blight on a proactive basis. Reactionary code enforcement does little to stabilize neighborhoods because it is narrow in scope. The establishment of a Community Preservation Program has allowed the opportunity to make a lasting impact on neighborhoods both residential and commercial. These proactive sweeps have helped establish a line of communication previously lacking in the section. If Code Enforcement does not receive the funds requested, we will be dependant on general fund monies. Without the requested funding, Code Enforcement will be required to cut back services City-wide including those within low and moderate-income areas. This will inhibit the revitalization of blighted neighborhoods and allow further deterioration. The Department of Planning and Building's ability to perform much needed code enforcement activities will not meet the community's expectations. 12. List City ot Chula Vista or Master Plan objectives your project accomplishes: Increase quality ot life by identifying and addressing substandard conditions and blight. 13. Describe the deteriorating or deteriorated areas your project addresses: This program aims to revitalize the Castle Park neighborhood in Western Chula Vista, extending from Fourth Ave from Orange north to L St. L St east to Hilitop. Hilitop south to East Naples. East Naples east to the 805 Freeway. 805 Freeway south to the SDG&E easement. SDG&E easement southwest to Orange. Orange west to Fourth Ave. The target population consists of the people living and working in the low and moderate- income areas of the Castle Park neighborhood and Western Chula Vista. These clients often live in and around substandard conditions outside of their control. As the blight in the neighborhood increases, the level of hope for a better piace to live and work decreases and they become victims of the surrounding socio-economic condition. Many of the homes in these neighborhoods are rentals with absentee landlords who are unaware of the conditions of their properties and the overall affect they are having on the neighborhoods. These CDSG funds will allow Code Enforcement to aid in improving the lives of those living in the area through education, enforcement and abatement as needed. c. Fundinq Eliaible Costs under Code Enforcement Include: Costs incurred for inspections for code violations (including salaries and overhead): and the enforcement of code requirements (including salaries, overhead and legal proceedings). 1 . Total Project Cost: $519,500 2. Amount Re uested this A Iication: 3. List all funding sources and amounts that have been applied for and/or received: Prior Yrs. 06/07 07/08 $150,000 $150,000 $881 ,392 $369,500 $ 120,114 $ 0 $ 36.400 $ 0 32,990 0 1. City of Chula Vista CDSG 2. General Fund 3. Fines and Penalties 4. Zoning Fees 5. RDA Reimbursements 4. Total of all revenue sources 519,500 5. Do you expect to request additional funds in future years? funds anticipated, and brief scope of proposed work. If so list amount of erational and maintenance expenditures? Yes D No[8J. If yes, provide both current expected operational and maintenance expenses and approximate future costs. Please define negligible, minimal etc. One Time: On-going: X 7. Direct Costs: Direct costs charged to the CDBG program for code inspection must be based on appropriate time distribution records that should reflect an after-the-fact distribution of actual activity of each CDBGO-funded employee. Does your project have a svstem in Dlace to collect this information? Yes [8J NoD. D. Proposed Project Budget for 2008-09 Staff Costs SR Code Enforcement Officer/Manager Code Enforcement Officer II 1 Other NOTE: Staff costs are shown at full-cost recovery rate - all operating expenses and benefits are inciuded Total Ex enses 2. Total of all Expenses 150.000 $150,000 3. Describe your contingency plan in the event your request is not fully funded, or funded at all, by the City of Chula Vista CDBG funding: If the CDBG funds requested are not awarded the difference will have to be made up by the general fund. As the City's budget tightens fewer general fund dollars are avaiiable and the lack of sufficient funds may jeopardize the program. If so the Community Preservation Program wili be forced to scale back serving fewer low-moderate neighborhoods and individuals, leaving them at risk of an increased decline of conditions within their neighborhoods and businesses. E. CDBG Eligibility Requirements 1. CDBG National Objective: Please refer to the following weblink:http://www.hud.aov lofficesl cpd/communitvdevelopment llibrarv Istateauide/ch3.pdf : 2. CDBG Eligible Activity Citation Please refer to the following weblink:http://www.hud .aov I officesl cpdl communitvdevelopment llibrarv Istateauide/ch2.pdf . 3. Proiect Obiective: Please state the project objective that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: Suitable Living (Activities that benefit communities/ families/individuals X 1 Environment by addressing issues in their living environment) - (Housing activities that meet individual family or community needs; should not be used for activities - 2 Decent Housing where housing is an element of a larger effort) (Activities related to economic development, 3 Economic Opportunity commercial revitalization, and job creation) 4. Proiect Outcome: Please state the proposed project performance measurement outcome that most accurately describes what you intend to accomplish by carrying out this activity. Please select from the following choices: (Activities that make services, infrastructure, housing, and shelter Availability / available and accessible. Note that accessibility does not only refer 1 Accessibility to physical barriers) - (Activities that provide afford ability in a variety of ways.. It can include creation or maintenance of affordable housing, basic infrastructure hookups, or services such as transportation or 2 Affordability daycare) - (Activities that promote livable or viable communities and neighborhoods by providing services or by reviving slums or X 3 Sustainability bliahted areas) 5. Describe how the project addresses the objectives and outcomes selected above. This is the only program of its kind within the City of Chula Vista and as such these CDBG funds wills be set aside to pay for the services/salaries and associated costs of the Code Enforcement Officer(s) assigned to the program. These funds will allow the Community Preservation Program of the Code Enforcement Section to respond to complaints in a timely manner as well as continue to proactively perform sweeps within the low-moderate census tracks previously identified allowing the City to arrest the decline and begin to revitalize neighborhoods within Western Chula Vista. 6. Describe how this project benefits Chula Vista low-income persons. Code Enforcement will respond to general complaints and conduct proactive sweeps to address specific issues identified as important by the neighborhood. Code Enforcement staff will contact the tenant and property/business owners and seek voluntary compliance through education wherever possible. When necessary, Code Enforcement will initiote formal enforcement action in an attempt to motivate and gain compliance. If compliance is not gained the City may abate the violations/ conditions and charge the property owner. In addition, the Code Enforcement Officers will act as the communication conduits to relay concerns of areo residents to the appropriate departments throughout the City, and educate the public by attending community meetings and distributing educational materials. Blighted conditions within low and moderate income areas will gradually be reduced. Pride of ownership will return to the neighborhood and members of the surrounding area will also improve and maintain their homes and businesses without being prodded by the city. F. Applicant Certification 1. Print name of authorized person: James D. Sandoval 2. Signature au h 3. TItle: Director 4. Date: Applications are due Friday, January 4,2008, by 5:00 p.m. Late applications cannot be accepted. Please submit 1 original copy of completed application to: Angelica Davis, Community Development Specialist II Community Development Division 276 Fourth Avenue Chula Vista, CA 91910 619-691-5036 ~fft.. -......--- ~~~ 01Y Of CHlJIA VJSrA HUMAN RESOURCES DEPARTMENT RISK MANAGEMENT DIVISION January 4, 2008 To: Redevelopment Agency of the City of Chula Vista The purpose of this letter is to verifY that subject to policy territory limited to the United States of America, our employees are covered for injuries arising in the course of their work by our self-insured workers' compensation program subject to a $500,000 retained limit above which the city purchases insurance. For General and Auto Liability exposures we are permissibly self-insured for the first $250,000 and are members of the San Diego Pooled Program Insurance Authority (SANDPIP A) for losses up to $2M. Above that, we purchase commercial insurance. Sin~~~ ille Yee Galleher City of Chula Vista Human Resources I Risk Management 276 Fourth Ave. Chula Vista, CA. 91910 jgalleher@ci.chula-vista.ca.us PH: (619) 476-5372 Fax: (619) 691-5199 I MEMORANDUM OF INSURANCE !ISSUE DATE 1/4/2008 ALlIANT INSURANCE SERVICES, INC. THIS MEMORANDUM IS ISSUED AS A MATTER OF P.O. BOX 6450 INFORMATION ONLY AND CONFERS NO RIGHTS UPON NEWPORT BEACH, CA 92658-6450 THE MEMORANDUM HOLDER. THIS MEMORANDUM Ph (949) 756-0271 / Fax (949) 756-2713 DOES NOT AMEND, EXTEND, OR ALTER THE License No. OC36861 COVERAGE SHOWN BELOW. SAN DIEGO POOLED INSURANCE COVERAGE AFFORDED BY " INSURED PROGRAM AUTHORITY AND MEMBER AGENCY OF: LETTER A: INDIVIDUAL CITY'S SELF-INSURED RETENTION CITY OF CHULA VISTA 276 FOURTH AVENUE LETTER B: MSan Diego Pooled Insurance Program Authority, A Public CHULA VISTA, CA 91910 Agency.6 .... " MEMBER AGENCY OF THE SAN DIEGO POOLED INSURANCE PROGRAM AUTHORITY COVERAGE PER CA. GOVERNMENT CODE SECTION 990.4(a), 990.8(c) THIS IS TO CERTIFY THAT A MEMORANDUM OF INSURANCE BELOW HAS BEEN ENTERED INTO BY INSURED NAMED ABOVE AS AUTHORIZED BY CALIFORNIA GOVERNMENT CODE SECTION 990.4(a) AND 990.8(c) FOR THE PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MEMORANDUM MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE CONTRACT DESCRIBED HERE IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF THE SUCH CONTRACT. MEMORANDUM MEMORANDUM MEMORANDUM LIABILITY LIMITS IN THOUSANDS LTR TYPE OF COVERAGE NUMBER EFFECTIVE EXPIRATION EACH DATE DATE OCCURRENCE AGGREGATE A GENERAL AND SELF INSURED 07101/07 07101/08 AUTOMOBILE LIABILITY BI&PD 250, N1A COMBINED PERSONAL INJURY INCL. B EXCESS LIABILITY" . SDC 0022 07/01/07 07/01108 BI&PD COMBINED 1,75Q, "" THE ABOVE NOTED MEMORANDUM OF INSURANCE IS A CLAIMS-MADE CONTRACT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I SPECIAL ITEMS 1 CODE ENFORCEMENT COMMUNITY DEVELOPMENT BLOCK GRANT FY09 SUBJECT TO POLICY TERMS CONDITIONS AND EXCLUSIONS. CO MEMORANDUM HOLDER CANCELLATION 1 SHOULD AN'( OF THE ABOve DeSCRIBED CONTRACTS Be CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE AUTHORITY WlL.L. ENDEAVOR TO MAIL 30 DAYS" WRITTEN NOTICE TO THE HOLDER NAMED HEREON BUT FAILURE TO MAll SUCH NOTICE SHAll IMPOse NO OBUGAT10N OR LlABIUTY OF ANY KIND UPON THE AUTHORITY, OR ITS REPRESENTATIVES. EXCEPT 10 DAYS FOR NON.PAYMENT OF PREMIUM. REDEVELOPMENT AGENCY OF THE CITY OF CHULA VISTA 276 FOURTH AVENUE AUTHORIZED SIGNATURE 1 CHULA VISTA, CA 91910 ~ C chzrr- G:\JPUnil\Sandpipa\Sd-Uacility\Sd-Uab-alrl_Sd Pooi Uab Cen-Pri.doc Doug Leeper From: Sent: To: Subject: Doug Leeper Thursday, January 03, 2008 5:23 PM Joan Schmid RE: 380 D st - abatement of swap and of lead paint contamination Joan, Can you provide a list of all the options at this location short of demoiition? Also is it in a redev area? doug -Original Messag~-- From: Joan Schmid Sent: Monday, December 10, 2007 11:32 AM To: Doug Leeper Subject: 380 D st - abatement of SWOP and of lead paint contaminabon Doug, this is a "heads-up" on the CE case at 380 D St. The abatement work progress has stalled. Normally, our solution would be to have the owner board and secure the property and record the violations. However, on this property there is a significant portion of the work that involves lead paint abatement. If not remediated, the paint will continue to peel off the building and poison the soil of this property and of the homes and apartments abutting it. Therefore, I am asking for permission to start the first steps in the process of abatement by the City. The least expensive abatement for the City to pursue consists of removing the four illegal and substandard rear apartments, removing/repairing the house and garage in front, removing 4 inches or more of lead contaminated soil and capping the site with gravel or other material. The work will have to be performed by qualified lead abatement contractors and will have to be cleared by a lead abatement specialist. With your approval, I will begin the process of getting qualified bids for the work. Then we will have a basis for requesting abatement funds from City Council. Reimbursement for this expenditure will most likely be a Special Assessment (tax) lien on the property. FYI - we have already assessed civil penalties of $100,000.00, FCR of $8,000.00, the NOV has been recorded, and a permit for repairs (but not lead paint abatement) has been issued but has had no inspections. 1 ~ :\\ ~ ::,\ ~~ [~ ~ ~~~ lli\\ ~ II \rf \\ ~~ <.'>0:'0 ~ I;J.;'-;;:: "" 0- n \lll\\\\&\WlLL'~~\\\fu \\'f~ . """"" j,~?'~I0;~> .". -=, WI . '" 'd ~= ~ ~ . ~\"W = c, ~ " Ii, iili;f · I .~ " ~ "', \ ~ c "';: I<<~ \": ~ '" '" /~ ,_ 41 ~ . i~~~ .,,= \, ~ ~~ Tract' 13302 l~ / ~ Tract, 13102 ....,,""" I. 1,333 '"" "'" " '''''''.~ '\ ~ T lal ....'" ~ Po""O 01,' -,€ I . ' 'il iiI ~I ~~, ~ B \= , ~ , , i ~ . Tract: 13203 Tolal Number of Parcels Is 562 ?,::::i~ /M', ~ ~ ~ C . "_.1"''''_ ~~ ~ Y;< ~ ~~ ..-/' A rl ~ ~ - L I"'~ I. ~ '" ~,6'l! "c lmg f i~. ~ ~Il{~" "~II:p,:hJiiliimll'~I_~~ '~'. =.;" ",;r~ ~ j ~ crlll1l0rnm 111111 lUll H tB .'':.- ~~-----3[]Jl] _ I .-.. ....- ,v 1, =J;; .;;: 1111,11111111 I ~ ~ IKII~~~ tIl HIIIIIIIIH!S Tract: 13303 T olal Number of Parcels Is 1,123 x . Il.lIo Ie,:" ~ ~ )1;: \~~~'- ~~~ -'{ JmllS L I ~ :\ ~ ~ btlc;\~lt ! ilH srJ llL- ~ IId.....l ill.J.Jll;;li I Tab No. 21 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Community Housina Imorovement Proaram Organization/Dept.: Redevelonment and Housina Project Description: Funds will be used to establish a revolving loan program which provides low-interest and/or forgivable loans to qualified low income households in Chula Vista for home repairs. Project Location: Ciht Wide Prior Year Fundina: 2008/09 Recommended Fundina: $0 $100,000 Specific use of funds: Direct Financial Assistance HUD Matrix Code: Citation: 14A - Rehabilitation rSin<de Unit) 570.202 Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: 10- Exemot I # of Units - Type of Unifs) Low Moderate Income Households I Tab No. 22 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Section 108 Loan Payment Organization/Dept.: Redevelopment and Housina Project Description: Funds to be used for the programmed Section 108 Loan Payment. Loan funds are to be used for infrastructure improvements in the Castle Park Area. Project Location: NjA Prior Year Fundina: 2008/09 Recommended Fundina: $800,000 $762,952 Specific use of funds: Debt Service HUD Matrix Code: I Citation: Is the purpose of the activity to: . Prevent Homelessness: N/ A . Help those with AIDS : N/A . Helo the Homeless : N/A . Help Disabled Persons : N/A Performance Measurement: Objective: N/ A Outcome: N/ A Environmental Review: Proposed Accomplishment: COBG National Objective: 0- Exemot (# of Units - Type of Units! N/A An application is not required as part of the Section 108 Loan payment set aside. I Tab No. 23 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Fair Housinn Services Organization/Dept.: Redevelooment and Housina Project Description: Funds will be used to contract with a fair housing provider to provide outreach and education regarding fair housing legal rights and responsibilities on behalf of the City. The provider will also provide technical training to industry professionals, and maintain programs and procedures under which citizens of the city may register complaints concerning their allegations of unlawful housing discrimination and seek enforcement assistance. Project Location: Citv Wide Prior Year Fundina: 2008/09 Recommended Fundina: $39,000 $35,000 Specific use of funds: Salaries and Benefits HUD Matrix Code: Citation: 05J - Fair Housinn Activities 570.20lfel Is the purpose of fhe activity to: . Prevent Homelessness: No . Help those with AIDS : No . HelD the Homeless : No . HelD Disabled Persons : No Performance Measurement: Objective: suitable Living Environment Outcome: Sustainabilityj Availability Environmental Review: Proposed Accomplishment: CDBG National Objective: - ExemDt I # of Units - Type of Unifs} Low Moderate Income Clientele A Request for Qualifications for Fair Housing Services will be within the next 60 days. For this reason, an application has not been included. I Tab No. 24 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: CDBG Project Title: Reaional Task Force on the Homeless Organization/Dept.: Reaional Task Force on the Homeless Project Description: The RTFH provides information and referral services to homeless service agencies, individuals and local government jurisdictions and publishes for the public homeless information reports that address homeless services, the homeless population profile and homeless funding. The RTFH also operates a HUD mandated Homeless Management Information System that allows service agencies to track homeless client information through a central database. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $1.000 $1.000 Specific use of funds: Salaries and Benefits HUD Matrix Code: Citation: 21 A - Proaram Administration 570.206 Is the purpose of the activity to: . Prevent Homelessness: N/A . Help those with AIDS : N/A . Help the Homeless : NIA . Help Disabled Persons : NLA Performance Measurement: Objective: N/ A Outcome: N/ A Environmental Review: Proposed Accomplishment: CDBG National Objective: 0- Exempt I # of Units - Type of Units) N/A . .\ c For questions regarding this application, or to request technical assistance please contact city staff listed below: Staff Person Angelica Davis, CDSG Coordinator Staff Person Jose Dorado, HOME Coordinator (619) 691-5036 adavis@cLchula-vista.ca.us (619) 476-5375 jdorado@cLchula-vista.ca.us Following is the amount of funding that is estimated to be allocated by this application for public services by funding category and year. Estimates are based upon 2007 allocations by Congress. Actual levels of CDSG funds will not be determined until Congress officially adopts the annual federal budget. Additionally, eligible CDSG special economic development activities will not be accepted during this CDSG application period. Participating City Est. CDSG Public Service Funds Available 2008-2009 City of Chula Vista Approximately $370,000 Limit your answers to the space provided, using a minimum font size of 10 points. Agency Name: Applicant Name and Address: Regional Task Force on the Homeless, Inc. 4699 Murphy Canyon Road San Diego, CA 92123 Agency Director: John Thelen, Acting Executive Dir. Name and Tille 858.636.4152 (Area Code) Telephone deborah.lester@rtfhsd.org 858.492.2059 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the purposes stated within the applicable regul ions. (SIGNATURES MUST BE IN BLUE INK) Ad-;.., f 1>. 2.: L-z..-Z'O-o7 Signature of Age y oard President/Date S nature of Agency Director/Date ~M;..r"" ":iO~7h..... :::r,:,\...--. \1..~~,^- .4c;f:~ ED Printed Name bf Agency Soard President Printed Name of Agency Director . ~ Attach a copy of the board resolution authorizing submittal of this application to be considered for CDBG funds ma be submitted after af:> Iication deadline. Part II - Application Part II Page 2 of 26 1. Program Name RTFH Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Deborah Lester 858.636.4152 Name (Area Code) Telephone Deborah .Iester@rtfhsd.org E-mail address if available) 2. Program is New for our agency 0 An Ongoing Program i:8I 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). The RTFH provides information and referral services to homeless service agencies, individuals and local government jurisdictions and publishes for the public, homeless information reports that address homeless services, the homeless population profile and homeless funding. The RTFH also operates a unique (HUD Mandated) Homeless Management Information System that allows service agencies to track homeless client information through a central database and makes reporting to HUD more efficient, saving staff time and public money. 4. Where are services provided? (If different from agency location) At Agency address and throughout the entire county. 5. Please describe your agencies written policies and procedures including how clients are served, CDSG eligibility requirements, compliance with Federal, State, and Local laws? The RTFH serves all homeless persons throughout the county. This is accomplished by providing information and referral services to homeless service agencies, public entities, community groups, individuals interested in homelessness and homeless persons themselves. The RTFH also provides a HUD Mandated Homeless Management Information System to the community. This allows agencies to efficiently collect and report homeless data. In turn they can spend more time working with their clients and they can easily apply for additional types of funding. All eligibility requirements and compliance with public laws are tracked via reference guides provided by the related entity. Staff are responsible to meet and maintain specific requirements for each entity. Part 11- Application Part II Scope 6. Total Program Cost: Actual 2007- $682653 Proposed 2008- I $682653 I 2008: 2009: Projected 2008- $682653 2009: Chula Vista 7. Total Number of Clients proposed to be Served in 2008-2009: 200 Total Number of Clients Estimated to be Served In 2007-2008: 100 Total Number of Clients Served in 2006-2007: Actual 100 City fiscal year is July 1-June 30th. Beneficiary Information: ~ Cost ($) per CDBG beneficiary (CDBG Request/CDBG Beneficiaries) . The total number of homeless persons assisted via RTFH data, reports or referral services is impossible to determine. Many agencies and community groups use RTFH data to help homeless daily but these numbers are undetermined. Therefore the cost per beneficiary is also impossible to determine. However, it is thought to be very low. 8. Total Citv Funds ReQuested for this ProQram: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CDBG Chula City of ESG COBG ESG Vista Chula HOME, Vista ESG Fundinc 1000 1000 1000 9. Funds ReQuested from Other Jurisdictions for this ProQram City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 Citv of Carlsbad 500 COBG 500 Cit\! of Escondida 1000 COBG 1000 Cit\! of Oceanside 1000 COBG 1000 Citv of San Oieco 45000 Social Services 45000 Count\! of San OiPno 65000 Various 65000 HUO 485153 SHP 542153 UW/Oisc. 84000 Various 27000 Part II - Application Part II Scope PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary, however the body of the application may not exceed four (4) pages, excluding the performance schedule and budge!.) a. Need Document the need for the project/program. If the project has been funded before, what have been the primary accomplishments? It is estimated that there are 6,968 homeless individuals and only 3,800 year-round emergency and transitional shelter beds available to them in San Diego County. It is therefore very important for all those involved to be provided with accurate information and assistance while working together to efficiently and effectively deal with our homeless problem at hand. Those associated with homelessness require independent third party homeless data that can be used for planning, coordination and most importantly, for acquiring homeless service funding. Many public and private grants that are submitted throughout the County require homeless data. Homeless data as provided by the RTFH. The RTFH continues to provide specific information and education on a wide variety of the different aspects of homelessness. The RTFH continues to collect, analyze and disseminate information on homelessness. The RTFH continues to do this by providing information & referral services to the region along with reports on homeless services, funding and population information. The RTFH also maintains a HUD mandated Homeless Management Information System (HMIS) that is provided to our local continuum of care. b. Benefit Discuss how the project/program provides benefit to low-income persons. How does the proposed project respond to the City of Chula Vista needs? All persons in our community who are eventually assisted by RTFH data are considered low- income. The RTFH addresses the community's need for specific information and education on a wide variety of the different aspects of homelessness. The RTFH collects, analyzes and disseminates information on homeless ness, and facilitates regional solutions through planning, coordination and advocacy. The RTFH does this by providing information & referral services to the region along with reports on homeless services, funding and population information. The RTFH also provides a HUD mandated Homeless Management Information System (HMIS) to our local continuum of care. The RTFH is currentlv the onlv aaencv that Drovides the San Dieao rea ion with comDrehensive information on homelessness. The RTFH also addresses our community's need for homeless funding by providing information to the Regional Continuum of Care Council for the annual HUD Supportive Housing Program application. This application brings in 8-11 million dollars of federal homeless funds to the region. RTFH information on homelessness is used in numerous other State and Federal grant applications from homeless service providers. The City of Chula Vista benefits by having it's members use RTFH data for multiple reasons to assist numerous individuals. c. Other Resources and Collaboration Identify other potential or actual sources of funds. What fund raising has the organization done to suppor! the proposed project? What role do volunteers play in this project? Has your organization developed this project in collaboration with other groups offering services? What services offered by other community groups complement the proposed project? Are the proposed activities duplicative of projects operated by other local public or non-profit organizations? The RTFH seeks funding from many local jurisdictions and foundations. The United Way of San Diego County, the City and County of San Diego, the Cities of Carlsbad, Escondido & Oceanside, HUD, the Parker Foundation, the McCarthy Foundation and San Diego Grantmakers. The RTFH fund raises by completing numerous grants to those entities and continues to look for additional resources. Volunteers assist with the annual RTFH homeless count and by providing us with homeless service and funding information. The RTFH works with most of the homeless service agencies throughout the region and with many community groups and most public entities. All Par! 11- Application Part II Scope HUD SHP funded agencies use the Homeless Management Information System. The RTFH is currently the ONLY agency that provides the San Diego region with comprehensive information on homelessness. d. Oraanizational CaDacitv Summarize the organization's background/programmatic capacity. Does your organization or proposed service fill a unique niche among clients who are not currently served, or are under-served? Attach a list of the Board of Directors. The RTFH has been providing services since 1985. The RTFH is currently the ONLY agency that provides the region with comprehensive information on homelessness and one of only two agencies to provide other agencies with a Homeless Management Information System. SCOPE OF SERVICES 11. Scope of Services a. Prolect DescrlDtlon Describe the proposed service/activity/project to be carried out with the funds requested. If the proposed project is ongoing, specify why the funds are needed to serve low and moderate-income persons. Discuss the cost-per-beneficiary in relation to private and other organizations delivering similar services. Please note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used for expenditures which directly benefit CDBG-eligible clients. The RTFH provides information and referral services to homeless service agencies, individuals and local government jurisdictions. The RTFH publishes and makes available to the public, homeless information reports that address homeless services, the homeless population profile and homeless funding. The funding requested in this application is needed to keep the project ongoing otherwise there would be no entity that could provide comprehensive regional homeless information. The total number of homeless persons assisted via RTFH data, reports or referral services is impossible to determine. Many agencies and community groups use RTFH data to help homeless daily or to apply for Federal/State/Private grants but the numbers of homeless helped are undetermined. Therefore the cost per beneficiary is also impossible to determine. However, since the RTFH is the only entity to provide this information the cost-per-beneficiary is low. All (100%) of the proposed budget supports services to the homeless. b. Taraet GrouD Quantify the number of low- and moderate-income persons/households to be assisted per service/activity/project. It is estimated that at least half of the homeless population (at least 3500 overall/200 CV) will eventually be assisted via RTFH information. c. Outreach Discuss outreach efforts for the proposed service/activity/project. The RTFH is Regional therefore staff make a presence in every region in San Diego county. In addition, RTFH reports are made available to the entire region. 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition, you will be required to indicate performance measurements as they relate to the activities of your project. A suggested format is included on the following page. Please see Attachments A & C Port 11- Application Port II Scope 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Please revise the form and annotate budget items as they relate to your project. Please see Attachment B 14. Work Plan (Prepare a Work Plan for implementation /completion of the services and activities identified in the Scope of Services) Please see Attachment A 15. Additional CDBG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal agencies or indirectly through another agency? (If no, proceed to question 10.B.) Yes ❑ No a. Did the Agency have an independent audit completed within 9 months of the end of its accounting year, and consistent with the standards of OMB Circular A -133? Yes ❑ No ❑ b. Did the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, questioned costs or recommendations for improvements in the agency's financial systems? Yes ❑ No ❑ c. If the Agency was not required to have an audit per standards of OMB Circular A -133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope? Yes ® No ❑ N/A ❑ B. If the organization has not had a financial audit, please explain the reason. The RTFH had an independent audit. C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and property damage? Yes ® No ❑ D. Does the agency certify that no public funds will be used for lobbying? Yes ® No ❑ Has the agency previously administered CDBG funds ?: Yes ® No ❑ If yes, please describe the agency's experience with CDBG funds: The RTFH has received CDBG funds from multiple sources for many years. Part II - Application Part II Scope 16. National Objectives for the COBG Program: Programs must meet National Objective ~570.20 #1 for the CDBG Program - Activities Benefiting Low-/Moderate-/ncome Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for technical assistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low-/moderate-income as determined by Census Tract and Block Group data. Contact the City for this information. @11 Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project. With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract and Block Group. Please contact the each City included in boundaries for technical assistance. X 2. limited Clientele: The project must be limited to serving a predominantly low-/moderate- income clientele (choose one of a, b, or c) (a) Agency Maintains Client Information: Verifying a minimum of their clients are 51% Low-/Moderate-income per Official HUD Income Guidelines (Appendix A). @11 Attach a copy of intake form used to verify client income and household size What is the annual percentage of low-/moderate-income persons '* served? Presumed Benefit: The facility will exclusively serve (check one): _ elderly persons (over age 62) _ battered spouses illiterate adults (not ESL) persons living with AIDS X- homeless persons migrant farm workers - abused & neglected children severely disabled adults See Appendix E for the definition Nature/Location: Facilities, which due to their nature or location, can reasonably be assumed to serve predominantly low-/moderate-income persons (I.e., food banks, clothing banks, facilities serving residents of public housing) ..L(b) _(c) Part II - Application Part II Scope 17. Measuring an Objective and Outcome of Public Service Activities for the CDBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information http://www . h ud. aov /offices/cpd/aboutlperforma nce/trai n ina/ch08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Select One Outcome (Affordability or Sustainability): X 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment. Example: An after-school program to address crime or juvenile delinquency in target neighborhoods. . _Affordability- Public Service activities funded to support housing opportunities in a target neighborhood. . --1L Sustainabllity- Public Service activity aimed at improving communities or neighborhoods 2. Decent Housing: Public service activities to increase access to housing. Example: Fair Housing Counseling Program . _Affordability- Public Service activities funded to make housing affordable. . _Sustainability- Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: Public service activities funded to provide access to economic opportunities. Example: Operation costs for a jobs transportation program, job training program, literacy program. . _Affordability- Public Service activities funded to support economic opportunities. . _Sustainabllity- Public Service activities funded to sustain economic opportunities. PERFORMANCE MEASUREMENTS (Ust major activities, the direct product/service numbers for each activity and the direct outcome/benefit of the activity,) Please see Attachment C ACTIVITY INDICATOR OUTCOME (What the program does to fulflUIIs mlsslan) (The dlred products of program (Benefits that resuR from the program) acflvllles) Service ils Example: Example: Example: Provide nutritious, home Deliver nutritious, "hot" meals Improved access to delivered meals to homebound to at least 88 homebound nutritional, well-balanced seniors in Davis seniors in Davis meals for program participants Improved quality of life for oroaram oarticipants Example: Example: Example: Pediatric health care for "sick," Provide pediatric health care Improved access to low/moderate income children to at least 97 "sick," healthcare for program in Davis without any form of low/moderate income participants health coverage children in Davis without any form of health coverage Improved quality of life for proaram oarticioants ; ,:m&:o€J f(:j till \I,\j€j~~ d2xo1JK;r,fir@'2 18, Process Evaluation: Describe how the program will collect data and maintain records to track program activities, Example: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files for news lelters naming the City of Chula Vista and HUD as the funding source, 1, Information and referral service contacts are kept in a contact log 2. The number of reports developed is tracked by the number of reports printed 3. The number of reports sent Qutto the community is tracked in a contact log 19, Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine if progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Progress for information and referral services is measured by the number of contacts made 2. Progress for developing reports is measured by the completion of those reports 3. Progress for reports made available to the community is measured by the number of reports printed and/or the availability of reports on the RTFH website. 20. Key Staff Persons: Please describe the qualifications of key staff that will have direct contact with clients receiving services. RTFH Staff have many years experience providing homeless information and referral services to the community. They also have many years experience in developing homeless reports. 21. Subcontractors (if any): Please list the names of subcontractors that will be used to carry out this activity. &l{6fB.t_~ (if Subcontractors are used please use additional line item budgets). --~-- BUDGET ITEM CHULA VISTA OTHER OTHER TOTAL CDBG List Other List Other Program Expenses 1. 2. 3. 4. 5. 6. 7. 8. Personnel Costs 9. Salaries (Include title and name of staff oerson) 10. Benefits (describe) Total Costs $ $ $ - Part 11- Application Part II RTFH/City of Chula Vista 08/09 CDBG Application ATTACHMENT "A" Project/Program Workplan Organization: Regional Task Force on the Homeless, Inc. Re ional Task Force on the Homeless To assist local nonprofit homeless service agencies and the City of Chula Vista in assessing and meeting the needs of homeless individuals and families within the city by providing homeless information and referral services and homeless information in the form of reference uides and re orts. By June 30, 2009, City staff, homeless & service agencies will be provided with homeless reports from the RTFH, information and referral services and access to the local HUD HMIS. Objective: f;~\,\:\jF~-':_ --. ~rr;:;::t': {;i>",~';;ij?;;":2"""0:f'"-;"']i'~--~----- "" '.J~ff":,,? -. "'7': (-,---- ;'" iii;il;=_~__~~~......".=],~1l.~...........2.::.J........~~_......~.........~~.....~~~_ 1. Provide information and referral services to Homeless persons, agencies and City staff. 2. Provide Homeless Services profile (reference guide) to City staff, homeless persons and agencies. 3. Provide Homeless funding profile to City staff and agencies. 4. Provide Homeless population profile to City staff and agencies. 5. Provide homeless and shelter information for the local HUD Continuum of Care application(this provides 7-11 million in federal homeless dollars to our region). 6. Provide Homeless Management Information System access to CV homeless service agencies. 7. Provide additional homeless information tracked by the Homeless Management Information System as re uested b Ci staff. Ongoing June 30, 2009 June 30, 2009 June 30, 2009 Prior to application deadline established by HUD Ongoing As requested Page 1 of 1 RTFH/City of Chula Vista 08/09 CDBG Application ATTACHMENT "B" Budget Program Expenses 1095 245239 54010 300344 2. 3. 4. 5. 6. 7. 8. Personnel Costs 9. Salaries (Include title and name ot staff erson Exec.Dir. TBD 889 39900 31528 3616 20 75953 Interns KieterRlKath C 2223 998 26650 28873 HMIS Staff 26856 207315 235169 10. Benefits (describe) Taxes/Health Ins.lW.Com 111 277 4005 6616 27985 3320 42314 Total Costs $1000 $2500 $45000 65000 485153 84000 682653 Page lot 1 RTFH/City of Chula Vista 08/09 CDBG Application ATTACHMENT "C" Performance Measurements ACTIVITY INDICATOR OUTCOME (What the program doe. to fulfill It. mission) (The direct products of program (Benefits that re.ulllrom the program) actlvltie.) Service Is Provide information and referral Provide information and Homeless individuals able to services to the community referral services to homeless access available resources individuals, homeless service providers and community members via telephone and emai!. respond to all requests Provide homeless informational Create new and/or update Homeless individuals, homeless reports to the community current homeless population, service providers and homeless services and community members able to homeless funding reports- access available resources make these reports available and able to use RTFH data in to the community applying for Federal/State or other homeless funding grants Provide Homeless Management Create access to the Homeless service provider Information System to the Homeless Management community able to efficiently homeless service provider Information System for the enter data into a homeless community homeless service provider data base offering effective community-conduct time saving reporting tools outreach, offer help desk providing staff with more time support and offer trainings to for clients and other duties, in all interested homeless service turn saving the agency providers funding resources Page 10f 1 I Tab No. 25 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: COBG Project Title: Plannina & Administration Organization/Dept .: Redevelopment and Housina Project Description: Administration funds will be utilized for staff costs associated with the management and administration of Chula Vista's COBG program, including planning, regulatory compliance, contract administration, and fiscal management. Project Location: N/A Prior Year Fundina: 2008/09 Recommended Fundina: $369,266 $358,754 Specific use of funds: Salaries and Benefits HUD Matrix Code: Citation: 21A - Program Administration Is the purpose of the activity to: . Prevent Homelessness: N/ A . Help those with AIDS : N/A . HelD the Homeless : N/A . HelD Disabled Persons : N/A Performance Measurement: Objective: NI A Outcome: N/ A Environmental Review: Proposed Accomplishment: COBG National Objective: 0- ExemDt I # of Units - Type of Units) N/A I Tab No. 26 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: HOME Project Title: Production of Affordable Housina OrganizationlDept.: Redevelooment and Housina Project Description: Funds will be utilized with prior year HOME funds for continued funding of affordable housing development, housing site improvements, predevelopment costs and other activities to stimulate housing for lower income persons in the City. Project Location: Citv Wide Prior Year Fundina: 2008/09 Recommended Fundina: $522,801 $809,545 Specific use of funds: Direct Financial Assistance HUD Matrix Code: I Citotion: Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Helo the Homeless : No . Helo Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability Environmental Review: Proposed Accomplishment: CDBG National Objective: 0- Exemot (# of Units - Type of Units) Low Moderate Housina I Tab No. 27 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: HOME Project Title: HOME Planning & Administration Organization/Dept.: Redevelopment and Housing Project Description: Administration funds will be utilized for staff costs associated with the management and administration of Chula Vista's HOME program. including planning. regulatory compliance. contract administration. and fiscal management. Project Location: N/A Prior Year Fundina: 2008/09 Recommended Fundina: $93.089 $89.949 Specific use of funds: Salaries and Benefits HUD Matrix Code: I Citation: Is the purpose of the activity to: . Prevent Homelessness: NI A . Help those with AIDS : N/A . Help the Homeless : N/A . Help Disabled Persons : N/A Performance Measurement: Objective: NI A Outcome: NI A Environmental Review: Proposed Accomplishment: CDBG National Objective: 0- Exempt (# of Units - Type of Units) N/A I Tab No. 28 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: HOME Project Title: ADDI-First Time Homebuver Pro!:lram Organization/Dept.: Redevelooment and Housina Project Description: Provides first-time homebuyers with down payment assistance to low-income residents tor purchase of single family homes. Project Location: Ciht Wide Prior Year Fundina: 2008/09 Recommended Fundina: $17,444 $7,048 Specific use of funds: Direct Financial Assistance HUD Matrix Code: I Citation: Is the purpose of the activity to: . Prevent Homelessness: No . Help those with AIDS : No . Helo the Homeless : No . Help Disabled Persons : No Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability Environmental Review: Proposed Accomplishment: COBG National Objective: 2- Exempt r # of Units - Type of Units! Low Moderate Clientele I Tab No. 29 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: ESG Project Title: Casa Nueva Vida Organization/Dept.: South Bay Community Services Project Description: Funding provides essential services (child care and transportation vouchers) as well as Operation Costs for the Casa Nueva Vida program. Project Location: City Wide Prior Year Fundina: 2008/09 Recommended Fundina: $80,955 $83,769 Specific use of funds: Essential and Ooeratina Costs HUD Matrix Code: I Citation: Is the purpose 01 the aclivity 10: . Prevent Homelessness: Yes . Help those with AIDS : No . HelD the Homeless : Yes . HelD Disabled Persons :N Performance Measurement: Objective: Suitable Living Environment Outcome: Sustainability/ Availability Environmental Review: Proposed Accomplishmenl: CDBG National Objective: 53 - ExemDt I # of Units - Type of Units! Low Moderate Clientele i'l Agency Name: Applicant Name and Address: South Bay Community Services 1124 Bay Blvd., Suite D Chula Vista, CA 91911-7155 .:. CDBG ~upplemenh31 .Appfi~~fI9n~" Agency Director: Kathryn Lembo, Executive Director Name and Title (619) 420-5094 ext. 145 (Area Code) Telephone klembo@csbcs.org (619) 420-8722 E-mail address (if applicable) (Area Code) Fax Number Required signatures: By signing below, you certify that the information in this application is accurate to the best of your knowledge and that you have read the application, certifications, and appendixes and are eligible and able to utilize CDBG funds for the purposes st ted wi hin the a pli ble regulations. (SIGNATURES MUST BE IN INK) __ . La, ~ Signature of Agenc;yBoa d Preside ate S gna e of Agency Director/Date Maria Guasp n Lembo Printed Name of Agency Board President /Printed Name of Agency Director ~ Attach a copy of the board resolution authorizing submittal of this application to be considered ~<?r 9[:)~~,fund~,J~~Y.2.~~,l:l!J,~i!!~9,.~~~L.I!EgliS~!!9ncl~~cl,I~9~): ",...., "',' ':-',":~,:-~' Y'i;~,::~;-::,/ :,>-'F:'i~f,:-':;fi::",::-,';'~'~"U7_t/_:-';;'~:::-:~>:,;-:_'':'::/;F;:l';.:;-~:~{!':~~i:;':'-:.';~:i::';;~_:':~-;',:;i~:iV':::'\j\~.:;}:j,:t;~;r~'2/~;-;"r::'\>~~~:;-\'/i~-><;:'- ~ "..,,,,,, -- ./.' -," '-"':';', _j}'J"-'~',;,21\{-::,:' ';,"',i' -- ? 1. Program Name ESG-Casa Nueva Vida Contact Person (available to answer questions July 1, 2008 - June 30, 2009) Kathryn Lembo (619)420-5094 ext 145 Name (Area Code) Telephone (619)420-8722 Area Code Fax Number 2. Program is New for our agency 0 An Ongoing Program ~ 3. Brief Description of Program (CDBG Eligible Activities are available at ~570.200, ~570.201, 570.202, 570.204 and Ineligible Activities are included in 24 CFR Part 570.207). CNV offers a short term shelter/housing program for homeless families (with children), many of whom are victims of domestic violence.dStaffdevelop a comprehensive strengths-based assessment, after which together they develop a treatment plan (including skills-building & counseling) so the client can work to re-establish self-sufficiency and end their homelessness. For Homeless individuals w/o children including the chronic homeless, SBCS provides food, clothing, transportation and referrals to other shelter programs. . Where are services provided? (If different from agency location) 1 Fourth Avenue hulo Visto, CA 91910 his is a 12-unit apartment complex in northwestern Chula Vista owned by South Bay Community Services. Additionally, when the shelter Is full SBCS provides shelter in local motel/hotels while providing ease management and supportive services. 5. Please describe your agencies written policies and procedures including how clients are served, COBG eligibility requirements, compliance with Federal, State, and Local laws? sacs has extensive policies and procedures goveming how clients are served, including sections in the Employee Handbook that govern confidentiality, client relations. reporting of child abuse and threats of violence, and protocols to use with children, as well as an extensive code of ethics. Our Generai Policies and Procedures govern respect for clients, client grievances, zero tolerance for frauduient conduct, training, home visiting, maintenance of confidential files, and many other issues. SBCS complies with all Federal, State and Local laws. Clients are served at the Casa Nueva Vida site by Case Managers who are in an office on site. These case managers also provide services to those homeless clients in local hotel motels. Case Managers confirm that the clients are homeless using a Homeless Certification Form which staff use during intake meetings. The form is signed by the Client/Applicant and Staff, and then the form is included in the client's individual confidential file. Staff also determine if clients fall within income guidelines for provision of CDBG eligible services. For homeless individuals without children on-call staff provide emergency food and clothing and transportation and referrals to other shelter program:s. sacs complies with all Federal, state and Local laws. After a comprehensive intake meeting, Staff develop a written plan with the clients to assist them in acquiring the skills to become employablE!, finish their educations, get training, or whatever they need to become self sufficient. sacs staff help each client develop iI budget and provide classes and information to assist them in maintaining a budget, opening and balancing a bank account, and saving money so they can establish an independent household. Individual confidential files are maintained on each client to document client successes. Clients meet regularly with Case ManagE!rs to track whether they are able to accomplish their goals and they establish new ones if nacessary. 1 .... , -- 'I , - 6. Total Program CClst; Aetual 2007. S245,132 fiilroposad :1008. r $85:000 'I :W08: 200\l; request f"rojecled 2001:!. $259,840 2009: I , Chula Vista Non Chula Vllta 37 37 7. Total Number of Clients proposed to be Served in 2008.2009: 53 Total Number of Clients Estimated to be Served in 2007-2008: 53 Total Number of Clients Served In 2006-2007: Actual 102 City fiscal year is Jl.Ily hJune 30\11, Beneficiary InformotiQn: $944 Cost ($) r;:lef CDBG beneficiary (CDBG Request/CDBG BeAElfii;iClries) 8. Total City Funds Reauested for this Program: City Awarded 2006-2007 Awarded 2007-2008 Requested 2008- 2009 City of Chula City of City of Chula City of Chula City of CDBG Vista HOME, Chula Vista Vista HOME, Vista CD6G ehule City of ESe> CDSG ESG Vista Chulll HOMe, Vista eSG "". ..~. ".,,' ,- -" -- -, , -~i3 340 ......__.- - " -- --~!lS 000 . On_ 0 Fundino $!l2,644 .-." ,- , _.-- , -- -----. ,-- .- -- --.-- -- , .--.- , - 9. Funds Reauested from Other Jurisdictions for this Proaram - ---- City/County Awarded 2007- Type of Funds Requested 2008- 2008 2009 St<lt;e of CA - Oept of HS $63.904 Contract-Battered Women's Funds se<:ure tilfu 2010 Shelter services , ._... u $74 890 - 0-'" Donations &. Foundations Private fundraisino 74 890 I'lroiected F;F5P-FEMA $36 046 Contract-Shelter 36046 !'lro;ected - , -- -- -- - - ..._-.. -- , --." -- -- ,-.- - PROJECT NARRATIVE 10. PROJECT NARRATIVE (You may adjust the spacing as necessary. however the body of the application may not exceed lour (4) peges. excluding the performance schedule and budgel.) a. ~ Doe:ument the need for the project/program. If the project has been funded before. whot have baen the l'rimory oec::eFAr;llishments? sacs OlDerotElS the only perm<::lfIently I!lstobllshed homeless short-term shelters in the South Bay area of SD County. Chula Visto is <:In inlegrc:lllDort of the Heusing crisis faeing the whole County. with housing prices and rents far outstripping the ability of Chulc:l Vlsto residents to afford them. 100% of SBCS' clients in the past yec:lr Were low income. With vacaney rates at a continuing low. it is nearly impossible for low-income families to find adequate affordable housing. (Chula Vista has a 3.1 % vacancy rate. SD County is 4.5%: SANDAG)"The majority of our homeless cllel'1ts are fleeing domestic vlolence{ with children. many of whom hove also suffered injury. either emotionol or physical). & there are usually up to 15 on a waiting list for short-term shelter/housing. The most frequent reasons cited by women seeking shelter include domestic violence. lack 01 affordable housing, exacerbation of other problems because of substance abuse. and Lack of income and skills to find good jobs. Childcare costs are olso prohibitive. while clients work toward self-sufficiency by acqulrJl'1g job skills or completing their educations. SBCS provides comprehensive services for families in shelter through a combination of County. state. City. and private funds. 64% So (ll'l to sofl~ stObie housing. b. Benefit Discuss how the project/program provides benefit to low-income persons. I"ow does the prOr::;lesl!lo project resr::;lond to the City of Chula Vista needs? This Is 0 eontinuotion of current services used to lund the short term part of the Coso Nueva Vida housing program, defll'lEilo in this gri;)I'I1 CiS emergency shelter) : sacs proposes to serve homeless Chulo Vista ond South Bay families with children, up to 75% of whom are homeless due to domestic violence. AdditionallY. SBCS will provide emergency services. transportation ond referral to other shelter progroms for homeless indlviduols w/o children including the chronic homeless. Mony elients are deolll'lg with Cl variety of Issues. economic educational. 3. emotional. 68.2% are L<;ltino, 18.2% AfrJeal'1 American. 12.3% White. ond 1.3% Other. All are very low income. Our goal is to decrease homelessl'1ess among DV victims and others (with children) in Chula Vista by providing safe tempor<;lry housing with supportive services. (up to 72 beds of short term housll'1g serving up to 25 homeless femllies at anyone time il'1 Chulo Vista) leadil'1g to self-suflie:iency. The major benefit is that families gain the skiils 10 become independent so they eventually no longer depend on public osslstclI'Ice. c. OthfJr Resources and Collaboration Identify other potential or actual sources of funds. What fund raislnlil hos the oraanl~<;ltion done to support the proposed project? What role do volunteers ploy in this project~ Has your orgoni~otion developed this project in collaboration with other groups offeril'1g services? What services of Ie red by other community groups complement the proposed project? Are the proposed activities dupiicotive of projects operoted by other local public or 1'101'1- !:IrQlit orlilani~Cltifll'1S~ This progrom Is olso supported by fUl'1ding from the State's Maternal a. Child Health Program, private demotions and foundotlon grelnts. ond eFSP-FeMA funds. and c yearly community fundraiser In which the CVPO Chief of Police. Notional City PD Chief of Police ond many other volunteers portidpcte. State Assembiywoman Shiriey Horton W<;lS 0 co-Chair with Mayor Cheryl Cox of Chulo Vista at the October 2007 event, Volunteer interns provide some of the counseiinS) for the clients. The Mobile Clinic provides medical services to the shelter, and port of thi!llood comes from the SHAIi1E progrom. In addition, part of the lood comes from EFSP-FEMA funds. This is 0 unique project In the South !SOy, os no other non-profits operate onything like It, d. Ofaanizatiqnal CaDCllfitv Summorize the organiZation'S bockground/programmatic capacity. Does YOur organizotion or proposed service lill 0 unique niche among clients who are not currently ~erved. or ore under.served~ Attach a list of the Boord of Directors. South Boy Community Services (SeCS) is a 36 year old multi-service and community development organizotlon. <:1 private. 501 (C)[3) nonprofit orgal'1ization whose mission Is to provide children, youth. and temilies II'! thlil South BOY oreo with serviees whlc::h reinforce the lamily's role in our community and assist Inellviduels Ie l'lspire reClIIstleollY to lives 01 selMulflllmenl. lhis is elddressed Ihrough the provision 01 culturally coml'etel'!t bllil'!guol (!:I'!\illlsh/Spanish) services (limed at the 10110wing general purposes: To j:)rQvide counseling ond education for ehildren, yovth, ond lomilies: To provide orea career opportunities, exploration, and eXposure: To provide outreach and educotion in the community: To provioe community development ond soelal service activities: To provide programs for children, youth, ond lamilies In high. risk situotlons. secs' style is committed to providing respectful services based on community strengths, needs and goals. SBCS was created by dedlcoted, coring community members and continues to receive guidance and Oirection Irom them. SBCS began os 0 treatment center for orug abusing teens ano has evolved and expanded in response to the growing needs of the community, and currently provides services. support ond opportunities for over 20,000 individuals and lamilies each year, and impacts more than 50,000. Youth os well os aoult community members are involved in the design. delivery anO evaluation of 011 sacs octlvities. Current SBCS Deportments: FAMILY WELLNESS AND SELF SUFFICIENCY DEPARTMENT: is on integrateO continuum 01 service strategies and programs which are locused on recognizing the strengths, assets. and resiliency of families that come into our agency lor services and building on those strengths and assets to help them develop long term independence and seif-sufficiency. Services Include a continuum ot short term and transitional shelters: food & clothing: Temporary Restraining Order assistonce: advocacy with community agencies: transportotlon; $lJpport groups and child core while mothers are in groups: parent.child interactive porentin!:;l groups; employment ocqulsltion and retention support: independent living skills training: counseling ond other supportive services. The Depelrtment ineludes the 24 hr/7 day Domestic Violence Respon.e Teom (portnered with 4 locol law enlorcement oe!:'artments), which responds to Domestic Violence calls and assesses lor the risk 01 child abuse, then lollows up with shelter and supportive services. No other non-prollt provides these services in the South Bay area of San Diego County. YOUTH AND FAMILY DEVELOPMENT DEPARTMENT (YFD): ore locused on recognizing the strengths, assets, and resiliency of youth, in particular those who are transltioning to adulthood. often without the safely net 01 odults ondlor lamlly to give them support, and maximizing the potential for their long term healthy development by encouraging their creotive abilities within 0 family and community context. while assisting them in acquiring the skills ond competencies they need to develop self-sufficient lifestyles. PrO\;lrams incluoe a continuum of shelter ond supportive services (for Runaway & Homeless youth and far former loster youth) as well as a Teen f;!ecovery Center & other youth development activities plus community education and service projects. HEALTH & DEVELOPMENTAL SERVICES: First 5 Health & Developmental Services' program develops and implements integrated networks of services that address the health and development needs of children birth through age .5 in the Heolth and Human Services Agency (HHSA) South Bay Region. The program focuses on school readiness and SBCS provides a unique preschool built in cooperation with CV Elementary School District providing comprehensive school readiness services to children 0.5 in families atll1lcted by Domestic Violence, utilizing Seniors os facilitators and mentors. The ciassroom serves as 0 central site in which SBCS lacilitates 0 eulturally competent Child Development F'rogram providing a range of tailored services desl\:lned to overeome the systemic and programmatic barriers that currently prevent y()un9 children who hQve bt:ten exposed to domestic violence Irom entt:tring school ready to leom. COMMUNITY DEVELOPMENT DEPARTMENT: promotes community development and neighborhood revitalization by creating affordable housing options, homebuyer education. affordable apartment referrals. rent guarantees, neighborhood improvement projects, and economic (ldvancement opportunities for low income South Bay lamilies. SBCS has more than 428 units 01 housing. SCOPE OF SERVICES 11. Seope 01 Servic:es o. Prqlec:t C~sc:riDtI9n Describe the proposed service/activity/project to be corried out with the lunds requested. If the proposed project Is ongoing. specify why the funds are neeOed to serve low and mooerate-income persons. Discuss the cost.per.beneflclary in relation to private and other organizations delivering similar services. F'leose note what proportion of the proposed budget will support direct services to homeless people. CDBG funds can only be used lor expenditures which directly benefit CDBG-eliglble clients. Staff develop e femily assessment with the client which is comprehensive & strengths-based, develop a treetment plan with the client Including a range of services to assist the client to re- establish self-sufficiency and end their homelessness. Services can include: group and individual counseling; getting new identification if papers have been left behind; assistance developing employment and employment retention skills; childcare while participating in services: transportetion support going to jobs or taking classes: mental health counseling services; access through Change-a-Life Foundation to repoir physical damage from the violence: financial (economic) literaCY classes and services; connection to and advocacy with community resources; specialized pre-school and school readiness services for children 0-5 years in our own pre-school; after school programming for youth: substance abuse services; trauma services: establishment of stable housing upon leaving the program; and substance abuse prevention and treatment services. 100% of the funds will be utilized to provide homeless families with children the tools and skills necessary to assist them in becoming self-sufficient. They will be provided housing, food, case management services, financial literacy classes, clothing, and other services geared to assist them in planning to become independent. This is an ongoing program. Approximately 85% of the funds are utilized in direct client services including the supportive services they receive. (e.g" individual and group counseling, case management. chiidren's services, staff salaries to provide the services, food, furnishings, security for the salety of the clients, linancial literacy assistance). The whole program served approximotely 121 odults and 229 children in 06-07, a cost/beneficiory ratio of $762. We have no comparisons since other agencies do not deliver this level of service in the South Bay. For those homeless individuals without children we assess their individual situation, provide emergency food and clothing, contact other shelter programs throughout the county for possible referrol and provide transportation. b. Taraet Group Quantify the number of low- and moderate-income persons/households to be <:;lSSisted per service/activity/project. SBCS proposes to utilize Chula Vista CDBG funding to support the costs for 93 (53 Chula Vista residents and 40 non-CV residents) clients. 100% of the client base are low/moderate income levels or lower. c. Outreach Discuss outreach efforts for the proposed service/activity/project. secs staff regularly attend community collaborative meetings in the South Bay and in other areas, during which they share information about our programs. We ensure that space availability is known to the County's information 211 Fiesource stoff. SBCS also has 0 24 hr hotline. 12. Performance Schedule On a separate page, prepare a Work Plan for implementation/completion of the services and activities identified in the Scope of Services. In addition, you will be required to indicate performance measurements os they relate to the activities of your project. A suggested format is included on the following page. 13. Project Budget On a separate page, prepare a budget summarizing the use of proposed CDBG funding and all other resources available for the project. A suggested budget summary worksheet is included in the following pages. Pleose revise the form ond onnotate budget items os they relate to your project. Part 11- Application Part II Scope ~'-~f,j'~~T"%""'I~~~4"~'!!it~;'*1Y'mli1i\f;'~~~~~ 19!1~tJ.jl~I!d~Jl~ml~;ll:jj:!ii.~J.imJIP...-l':liB~'i~ (if Su bcontractors are used please use additional line item budgets). -~.~-~---------._------ ~ BUDGET ITEM CHULA VISTA OTHER OTHER TOTAL CDBG List Other List Other Program Expenses 1. Child Care (Essential 20,000 73,000 93,000 Services) 2. Bus Vouchers & Transportation (Essential Services) 6,525 6,525 3. Salaries (maintenance staff) 9922 27,788 37,710 4. Benefits & F'R taxes (Main. Staff) 1,441 4,974 6,415 5. Insurance 4,881 8,790 13,671 6. Office & Consumable supplies 0 7. Telephone & Utilities 10,873 2,350 13,223 8. Repairs & Maintenance 12,258 19,860 32,118 9. Postage & Printing u 0 10. Food. 3,100 12,378 15,478 11. Security 16,000 23,000 39,000 12. Motel Vouchers 2,700 2,700 Personnel Costs 9. Salaries (Include title and name of staff person) 10. Benefits (describe) $ Total Costs $ 85,000 174,840 $ - 259,840 14. Work. Plan (Prepare a Work Plan lor Implementation/completion 01 the services and activities identilied in the Scope of Services) Work Plan (Identify activities and completion dates) This an on oln ro ram Provide child care for clients participating in classes, job searches, Ongoing and other . ro rem ectlvltl'lI, Provide bY$ tokens so clients can attend classes at the main offiCe Ongoing site Provide safe stable housing lor homeless clients, >70% of whom Ongoing are Domestic Violence victims, and their children Provide food, and clothing for clients fleeing domestic violence, Ongoing and other homeiess clients Part 11- Application Part II Scope 15. Additional COSG Financial information: A. Did the Agency expend more than $500,000 in federal funds within its accounting year, regardless of whether such funds were received directly from federal a~ncies or indirectly through another agency? (If no, "roceed to question 1 0.8.) Yes 1;$1 No 0 lj. Did the Agency have an independent audit completed within 9 months of the end of its aceounting yeilr, lIlnd consilltont with tne standards of OM8 Circular A.1:33? Yes l8J No 0 b. Old the audit report contain any findings regarding deficiencies or material weaknesses, concerns, compliance findings, que$tioned costs or recommendations for Improvements in the agency's finenciel sYIIt&ms? Yes 0 No IZI c. If the Agency was not required to have an audit per standards of OMB Circular A-133, did Agency have an independent audit by a CPA that included an examination of CDBG grant funds within the audit's scope'? Yes 0 No 0 N/A I:8J e. If the organization has not had a financial audit, please explain the reason. N/A C. Does the agency carry comprehensive general liability insurance with a minimum of $1 million per occurrence and $2 million aggregate for personal injury and prOf;lerly damage? Yes rEI No D 1:). Ooes the agency certify that no public funds will be used for lobbying? Yes rEI No D E. Has the agency previously administered CDSO funds?: Yes 181 No D If yes, please desoribe the agenoy's experience with CDSG funds: sees has successfully administered eSG-COBG funds for the past 2 years and part of the current year, and other F1ubllc Services funding for more than :3 other programs for the past several years, including 11 years of Youth i=lrevention Services, 11 years in Family Violence Services, and Thursday's Meal for 10 years. These programs are also In a current funding year. sacs aiso received funding for a successfull3raffiti Eradication program before the City took it over, and a Teen Center until It was included in the Youth F1revantion program. ;r'i..,;"g""~""a~.;;j~~"'m.rl':a:"Ii'.'O':';' r:"FQ . r: U'I< .tlll:urtf ' ;""'~',:c..;;;_:.".. ,,}. i. ..:;;,. :ic":;,&",:;~,; ";::,,,'~,,,,";:;.--i::.:.!-;. c.:- ,,~""c"'~~~~;;; 16. National Objectives for the COSG Program: Programs must meet National Objective ~570.20 #1 for the COSG Program - Activities Benefiting Low./Moderate-Income Persons. Choose the most appropriate box below (1 or 2) to show how the program meets the national objective. Contact the City for teohnicalassistance if you are not sure which box to check. 1. Area Benefit: The project must serve either an area which is primarily residential and predominantly low./moderate.income as determined by Census Tract and Block Group data. Contact the City for this information. ~ Required Attachment: Attach a map indicating the proposed project location and boundaries of the area that will directly benefit from the proposed project With the attachment, briefly describe how the boundaries of the service area were determined. Include the Census Tract llnd Block Group. Please contact the each City included in boundaries for technical assistance. X 2. I.lmited Clientele: The project must be limited to serving a predominantly low-/moderate- ~ Income clientele (choose one of a. b, or c) (a) Agenoy Maintains Client Information: Verifying a minimum of their olients are !51 % Low./Moderate.lncome per Official HUO Income Guidelines (Appendix A). [!!J Attach a oopy of inlake form used to verify client income and household size What is the annual pereentage of low-/moderate-inoome persons 0;. SllFVlId'? XX (b) F'resumed Benefit: The facility will exclusively serve (check one): eldeny Ilersonli (over age 62) . battered spoUSes - illiterate adults (not =8L) - persons living with AIDS X homeless pel'llQns - migrant farm workers . abused & neglected children severely disabled adults See Appendix E for the definition _ (c) Nature/Looation: Facilities, which due to their nature or location. can reasonably be assumed to serve predominantly iow-/moderate-income persons (i.e.. food banks, clothing banks. facilities serving residents of publiC housing) Port II - Applicotion Port II Scope 'C~D;B~G.,;n;e;;:'fft:';'0i;;:t"'m""f.;";;'~:;;~"';~" "~:'K~''"'o~', ; -".'" '.' . '., " ..- "-:,rr~ '" '~'" l., ., 'I. ' go' '. -', ,- Lt'!:J ;i,>.,..::>.,-,,_j":",,~.1':"',;y.,~,;b~~5,.~',~;~,,~.'._;L; '",,,,,,,,;~. i'~4";";;".,_:&.;1;;;:;'"~,.",+"....",,,~ 11. Measuring an Objective and Outc::ome of Public Service Activities for the CDBG Program: In addition to meeting a CDBG National Objective and eligible activity test for the CDBG Program - Choose the most appropriate box below (1 or 2) to show how the program meets HUD's Objectives and Outcomes. Contact the City for technical assistance if you are not sure which box to check. Please refer to the HUD website for more information htto :llwww. h ud .gov/officfils/cod/aboutloerforma nce/trai n i no/ch 08. pdf OUTCOMES and OBJECTIVES: Select One Objective (Suitable Living Environment, Decent Housing, or Economic Opportunity and Selec:t One Outc::ome (Affordablllty or Sustainabillty): x 1. Suitable Living Environment: Public Service activities funded to provide access to a suitable living environment Example: An after-school program to address crime or Juvenile delinquency in target neighborhoods. . _Affordabillty. Public Service activities funded to support housing opportunities in a target neighborhood. . ~Sustalnablllty. F'ublic Service activity aimed at improving eommul9iti!i$ or neighborhoods 2, Cecent Housing: F'ublic service activities to increase access to housing. Example: Fair Housing Counseling Program . _ ~ffordablllty- Public Service activities funded to make housing affordable. . _Sustainability. Public Service activities funded to sustain housing in neighborhoods. 3. Economic Opportunity: F'ublic service activities funded to provide access to econQmic opportunities, Example: Operation costs for a jobs transportation program, job training program. literacy program. . Affordabllity- F'ublic Service activities funded to support economic opportunities. . _Sustainabllity- Public Service activities funded to sustain llconomic opporlul'litiell. PER.FORMANCE MEASUREMENTS (List major activities, the direct product/service numbers for each activity and the direct outcome/benefit QI the Clctivlty.) ACTIVITY INCICATOR OUTCOME (What the program does to lullllllts mission) (The direct products of program (Benefits that result from the program) activities) Service #s Example: Example: Example: Provide nutritious, home Deliver nutritious, "hot" meals Improved access to delivered meals to homebound to at least 88 homebound nutritional. well-balanced seniors in Davis seniors in Davis meals for program participants Improved quality of life for proaram participants Example: Example: Example: Pediatric health care for "sick," Provide pediatric health care Improved access to low/moderate income children to ot least 97 "sick," healthcare for program in Davis without any form of low/moderate income participants health coverage children in Dovis without any form of health coverage Improved quaiity of life for proqram participants ACTIVITY INDICATOR OUTCOME (What the program does to fullllllls (The direct products of program actlvilies) (Benefits that result from the program) mission 1 Service #. Clients are provided safe, At least 90 Clients feel safe in Clients can concentrate on stable, well-maintained well maintained housing, and finishing Case Plans to become housing, as well as food maintain proper nutrition self-sufficient if they do not have to worry about where they live, if they are safe, and if they and their children have enough to eat. Develop case plans that 90 Clients follow case plans Client will increase job search include child care, and and make a certain number of skills, increase ability to open a transportation tokens for low job contacts, or attend fiscal bank account and do monthly income families so they can do literacy or other skill-building balance, start saving money for job searches, attend skill- classes (depending on case permanent housing buildina classes or counseling plan) '''.''''-'-'~'''-'''.~''''''''IX~'''''Ii''-~'~' , ""~'.c'''''':' ""'ce--"""," "'~""'*~"".W'''' -"-'~ .. -".-.,. DDB'G' ~S1"""'''''' " " ',~, < ' ,,' , " J" ''CO' "'" " .,'c "( " "'-,.','. ,': -,~; ,;'.'-" ',.n,'! .;'"" , .. '., -; '-I' ,",.. -,,, ._,~,r,> ",~""_,",,,,;,~R~ IfMt;gjSj ~,_'"'' ,0 18. Process Evaluation: Describe how the program will collect data and maintain records to track program activities. Exampie: Documentation of program participation via sign in sheets, meeting minutes describing actions taken, agendas, and files lor news letters naming the City 01 Chuia Vista and HUD as the lunding source. 1. Staff maintain confidential client files with Case Plans, documenting services provided (Iood, bus tokens, housing, clothing) 2. Staff maintain attendance sign-in sheets at SBCS-provided classes and activities 3. 19. Outcome Evaluation (List Three Outcomes): Describe how each activities will be measured to determine il progress has been made to become self sufficient. Example: Interviews, work out plans, pre-and post- surveys. 1. Case files documenting beginning status 01 activities (e.g., housing, no income, no bank account), compared to ending status (e.g., finding stable housing, opening a bank account, establishing an income) 2. Staff administer pre-and post- Customer Satislaction Questionnaires to help determine accomplishment of case plans 3. Bank accounts are tracked to determine savings are accumuiating 20. Key Staff Persons: Please describe the qualifications 01 key staff that will have direct contact with clients receiving services. Program Director has worked lor SBCS lor 17 years, the past year in this position, and in a variety 01 direct service programs and is also experienced at managing muitiple staff. Case Managers are Bachelor's or Master's level and have several years 01 experience at Case Management. The Financial Literacy staff has been providing classes for secs clients lor 1 Y. years, as well as assisting in developing the current curriculum. 21. Subcontractors (If any): Please list the names 01 subcontractors that will be used to carry out this activity. Not applicable in this case. Port II - Application Port II Scope I Tab No. 30 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: ESG Project Title: ESG PlanninCl & Administration Organization/Dept .: Redevelooment and Housina Project Description: Administration funds will be utilized for staff costs associated with the management and administration of Chula Vista's ESG program, including planning, regulatory compliance, contract administration, and fiscal management. Project Location: N/A Prior Year Fundina: 2008/09 Recommended Fundina: $4,400 $4,400 Specific use of funds: Salaries and Benefits HUD Matrix Code: T Citation: Is the purpose of fhe acfivify fo: . Prevent Homelessness: N/A . Help those with AIDS : N/A . Heir> the Homeless : N/A . HelD Disabled Persons : N/A Performance Measurement: Objective: N/ A Outcome: N/ A Environmenfal Review: Proposed Accomplishment: CDBG National Objecfive: 0- Exemr>t (# of Units. Type of Units) N/A I Tab No. 30 2008/2009 FEDERAL GRANT APPLICATION EXECUTIVE SUMMARY Funding Category: ESG Project Title: ESG Plannina & Administration Organization/Dept.: Redevelooment and Housina Project Description: Administration funds will be utilized for staff costs associated with the management and administration of Chula Vista's ESG program, including planning, regulatory compliance, contract administration, and fiscal management. Project Location: N/A Prior Year Fundina: 2008/09 Recommended Fundina: $4.400 $4.400 Specific use of funds: Salaries and Benefits HUD Matrix Code: 1 Citation: Is the purpose of the activity to: . Prevent Homelessness: N/ A . Help those with AIDS : N/A . HelD the Homeless : N/A . HelD Disabled Persons : N/A Performance Measurement: Objective: N/ A Outcome: N/ A Environmental Review: Proposed Accomplishment: CDBG National Objective: 0- ExemDt (# ot Units - Type of Units) N/A