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HomeMy WebLinkAbout11-18-2021 Agenda PacketNovember 18, 2021 Dublin Human Services Commission Agenda 1 Special Meeting of the DUBLIN HUMAN SERVICES COMMISSION Thursday, November 18, 2021 Location: Council Chamber Civic Center 100 Civic Plaza Dublin, CA 94568 This meeting will be held in person for the public, and all members of the Human Services Commission will be participating in person from the Council Chamber at the Civic Center, 100 Civic Plaza, Dublin, California. Pursuant to Alameda County Health Officer Order No. 21-03, members of the public attending the meeting must wear a face covering over the nose and mouth at all times while indoors. 1. CALL TO ORDER 2. PLEDGE OF ALLEGIANCE 3. ORAL COMMUNICATIONS 3.1 Public Comment At this time, the public is permitted to address the Human Services Commission on non-agendized items. Please step to the podium and clearly state your name for the record. COMMENTS SHOULD NOT EXCEED THREE (3) MINUTES. In accordance with State Law, no action or discussion may take place on any item not appearing on the posted agenda. The Commission may respond to statements made or questions asked, or may request Staff to report back at a future meeting concerning the matter. Any member of the public may contact the Recording Secretary’s Office related to the proper procedure to place an item on a future Human Services Commission agenda. The exceptions under which the Commission MAY discuss and/or take action on items not appearing on the agenda are contained in Government Code Section 54954.2(b)(1)(2)(3). 3.2 Presentations by Fiscal Year 2021-22 Human Services Grant Recipients The Commission will receive presentations from Fiscal Year 2021-22 Human Services grant recipients. STAFF RECOMMENDATION: Receive the presentations. Staff Report 4. CONSENT CALENDAR Consent Calendar items are typically non-controversial in nature and are considered for approval by the Human Services Commission with one single action. Members of the 1 November 18, 2021 Dublin Human Services Commission Agenda 2 audience, Staff or the Human Services Commission who would like an item removed from the Consent Calendar for purposes of public input may request the Chair to remove the item. 4.1 Approval of the May 20, 2021 Human Services Commission Regular Meeting Minutes The Commission will consider approval of the minutes of the May 20, 2021 Human Services Commission Regular Meeting. STAFF RECOMMENDATION: Approve the minutes of the May 20, 2021 Human Services Commission Regular Meeting. Staff Report Attachment 1 - Minutes of the May 20, 2021 Human Services Commission Regular Meeting 4.2 Fiscal Year 2020-21 Human Services Grant Program Year End Report The Commission will receive a report for the Fiscal Year 2020-21 Human Services Grant Program including year-end summary reports submitted by grant recipients. STAFF RECOMMENDATION: Receive the report. Staff Report Attachment 1 - Fiscal Year 2020-21 Human Services Grant Program Funding Summary Attachment 2 - Fiscal Year 2020-21 Human Services Grant Program Final Reports 4.3 Review of Final Grant Awards for the Fiscal Year 2021-22 Human Services Grant Program The Commission will receive a report on the final grant awards for the Fiscal Year 2021- 22 Human Services Grant Program. STAFF RECOMMENDATION: Receive the report. Staff Report Attachment 1 - Final Fiscal Year 2021-22 Human Services Grant Program Funding Allocations 5. WRITTEN COMMUNICATION 6. PUBLIC HEARING 7. UNFINISHED BUSINESS 8. NEW BUSINESS 9. OTHER BUSINESS Brief information only reports from the commission and/or Staff, including committee reports and reports by the commission related to meetings attended at City expense (AB1234). 10. ADJOURNMENT This AGENDA is posted in accordance with Government Code Section 54954.2(a) 2 November 18, 2021 Dublin Human Services Commission Agenda 3 If requested, pursuant to Government Code Section 54953.2, this agenda shall be made available in appropriate alternative formats to persons with a disability, as required by Section 202 of the Americans with Disabilities Act of 1990 (42 U.S.C. Section 12132), and the federal rules and regulations adopted in implementation thereof. To make a request for disability-related modification or accommodation, please contact the City Clerk’s Office (925) 833-6650 at least 72 hours in advance of the meeting. Mission The City of Dublin promotes and supports a high quality of life, ensures a safe and secure environment, fosters new opportunities, provides equity across all programs, and champions a culture of diversity and inclusion. 3 STAFF REPORT Human Services Commission Page 1 of 2 Agenda Item 3.2 DATE:November 18, 2021 TO:Honorable Chair and Commissioners FROM:La Shawn Butler, Parks & Community Services Director SUBJECT:Presentations by Fiscal Year 2021-22 Human Services Grant Recipients Prepared by: Shaun Chilkotowsky, Heritage & Cultural Arts Manager EXECUTIVE SUMMARY: The Commission will receive presentations from Fiscal Year 2021-22 Human Services grant recipients. STAFF RECOMMENDATION: Receive the presentations. FINANCIAL IMPACT: None. DESCRIPTION: As part of the Fiscal Year 2021-22 Human Services Grant Program, each recipient is required to make a presentation to the Human Services Commission in November or January of the fiscal year in which the grant funding was received. The presentations will describe services offered, status of programs or projects, how programs are evaluated, program/project goals, how grant money is being utilized, and any other pertinent information. The presentations should demonstrate how the organizations are providing programs and services as initially outlined in grant applications and as stated in annual grant agreements. The organizations that will be presenting include: Axis Community Health City Serve of the Tri-Valley Hively Legal Assistance for Seniors Open Heart Kitchen Sunflower Hill Spectrum Community Services 4 Page 2 of 2 These presentations are informational only. Upon successful completion of necessary reporting, expending of grant funds, and presentation to the Human Services Commission, organizations will be deemed in compliance with program requirements and be eligible for consideration for future grant opportunities. STRATEGIC PLAN INITIATIVE: None. NOTICING REQUIREMENTS/PUBLIC OUTREACH: The Commission Agenda was posted. ATTACHMENTS: None. 5 STAFF REPORT Human Services Commission Page 1 of 1 Agenda Item 4.1 DATE:November 18, 2021 TO:Honorable Chair and Commission Members FROM:La Shawn Butler, Parks & Community Services Director SUBJECT:Approval of the May 20, 2021 Human Services Commission Regular Meeting Minutes Prepared by: Jennifer Li Marzi, Senior Office Assistant EXECUTIVE SUMMARY: The Commission will consider approval of the minutes of the May 20, 2021 Human Services Commission Regular Meeting. STAFF RECOMMENDATION: Approve the minutes of the May 20, 2021Human Services Commission Regular Meeting. FINANCIAL IMPACT: None. DESCRIPTION: The Commission will consider approval of the minutes of the May 20, 2021 Regular Meeting. STRATEGIC PLAN INITIATIVE: None. NOTICING REQUIREMENTS/PUBLIC OUTREACH: The Agenda was posted. ATTACHMENTS: 1) Minutes of the May 20, 2021 Human Services Commission Regular Meeting 6 Attachment 1 MINUTES OF THE HUMAN SERVICES COMMISSION Regular Meeting: May 20, 2021 HUMAN SERVICES COMMISSION MINUTES 1 REGULAR MEETING MAY 20, 2021 A Regular Meeting of the Human Services Commission was held on Thursday, May 20, 2021, remotely via Zoom Video Communications. The meeting was called to order at 7:02 PM, by Commission Chair Janet Songey. 1. Call to Order Attendee Name Title Status Janet Songey Commission Chair Present Shawn Costello Commissioner Vice-Chair Arrived at 7:06pm Ankita Sharma Commissioner Present Regis Harvey Commissioner Present Adam Lumia Commissioner Present Rose Hunt Alternate Commissioner Present Baljeet Sangha Alternate Commissioner Present 2. Pledge of Allegiance The pledge of allegiance was led by Chair Songey and recited by the Commission and Staff. 3. Oral Communications 3.1. Public Comment – None. 4. Consent Calendar 4.1. Approval of the Minutes of March 25, 2021 Regular Human Services Commission Meeting. The Commission voted to approve the Consent Calendar. RESULT:APPROVED [UNANIMOUS] MOVED BY:Ankita Sharma, Commissioner SECOND:Regis Harvey, Commissioner AYES:Songey, Hunt, Sharma, Harvey, Lumia ABSENT:Costello 7 HUMAN SERVICES COMMISSION MINUTES 2 REGULAR MEETING MAY 20, 2021 5. Written Communication – None. 6. Public Hearing – None. 7. Unfinished Business 7.1. Update on City of Dublin Fiscal Year 2021–22 Human Services Grant Program Funding Recommendations Shaun Chilkotowsky, Heritage and Cultural Arts Manager presented the items as listed in the Staff Report. The Commissioners discussed the updated funding recommendation and made a revised recommendation to the City Council for final approval. RESULT:APPROVED [UNANIMOUS] MOVED BY:Regis Harvey, Commissioner SECOND:Shawn Costello, Vice Chair AYES:Songey, Costello, Sharma, Harvey, Lumia 8. New Business – None. 9. Other Business Commissioners gave updates on various projects. 10.Adjournment The meeting was adjourned at 7:32 p.m. ____________________________________ Human Services Commission Chair ATTEST: ____________________________________ La Shawn Butler Parks and Community Services Director 8 STAFF REPORT Human Services Commission Page 1 of 2 Agenda Item 4.2 DATE:November 18, 2021 TO:Honorable Chair and Commissioners FROM:La Shawn Butler, Parks & Community Services Director SUBJECT:Fiscal Year 2020-21 Human Services Grant Program Year End Report Prepared by: Shaun Chilkotowsky, Heritage & Cultural Arts Manager EXECUTIVE SUMMARY: The Commission will receive a report for the Fiscal Year 2020-21 Human Services Grant Program including year-end summary reports submitted by grant recipients. STAFF RECOMMENDATION: Receive the report. FINANCIAL IMPACT: None. DESCRIPTION: The City of Dublin Human Services Grant Program was created by the City Council to provide financial support to local non-profit organizations serving the Dublin community. A summary of the funding awards for Fiscal Year 2020-21 has been included with this Staff Report (Attachment 1). A total of $267,711 was awarded, with $267,710.43 being distributed to grant recipients. A total of $0.57 was not utilized due to minor billing calculation adjustments. Additionally, one of the funding requirements is the completion of annual reporting. Reports are required quarterly for CDBG-funded organizations, and bi-annually for all other organizations. These reports summarize how the grant funding was used, what results were achieved, and how the organization met the goals outlined in the initial application proposal and funding agreement. These reports, along with the initial applications, are included with this Staff Report (Attachment 2). 9 Page 2 of 2 STRATEGIC PLAN INITIATIVE: None. NOTICING REQUIREMENTS/PUBLIC OUTREACH: The Commission Agenda was posted. ATTACHMENTS: 1) Fiscal Year 2020-21 Human Services Grant Program Funding Summary 2) Fiscal Year 2020-21 Human Services Grant Program Final Reports 10 Organization Grant Proposal Fiscal Year 2020-21 Funding Allocation Fiscal Year 2020-21 Actuals Spent Difference in Funding Allocation and Actual Spent Funding Type Axis Loan Obligation $13,726.54 $13,725.97 $0.57 CDBG Axis Low Income Dental Care $6,216.00 $6,216.00 $0.00 CDBG Axis Triage Call Nurse $8,334.00 $8,334.00 $0.00 CDBG CALICO Center Child Abuse Prevention $11,806.00 $11,806.00 $0.00 CDBG Community Resources for Independent Living Housing and Independent Living Skills $11,931.00 $11,931.00 $0.00 CDBG Legal Assistance for Seniors Legal Services, Medicare Counseling and Education for Dublin Seniors $6,268.00 $6,268.00 $0.00 CDBG Open Heart Kitchen Dublin Meal Program $21,211.00 $21,211.00 $0.00 CDBG Spectrum Community Services Meals on Wheels for Dublin's Homebound Elderly $12,140.00 $12,140.00 $0.00 CDBG Tri-Valley Haven Homeless Services Program *$16,078.46 *$16,078.46 $0.00 CDBG / Inclusionary Housing Chabot Las Positas Career and Employer Services $9,488.00 $9,488.00 $0.00 GF Chabot Las Positas VITA Program $7,284.00 $7,284.00 $0.00 GF City Serve of the Tri-Valley Homelessness Prevention/Crisis Intervention Services $21,260.00 $21,260.00 $0.00 GF Easter Seals Bay Area Kaleidoscope Community Adult Program $16,273.00 $16,273.00 $0.00 GF Hively Behavioral Healthcare Services $21,298.00 $21,298.00 $0.00 GF Hively Diaper Pantry $10,780.00 $10,780.00 $0.00 GF Hope Hospice Grief Support Center and Hospice Volunteer Program $17,769.00 $17,769.00 $0.00 GF Senior Support Program of the Tri-Valley Case Mgmt.$15,593.00 $15,593.00 $0.00 GF Sunflower Hill Program Support for Adults with Developmental Disabilities $16,177.00 $16,177.00 $0.00 GF Tri-Valley Haven Domestic Violence Services Program $24,078.00 $24,078.00 $0.00 GF $267,711.00 $267,710.43 $0.57 City of Dublin - Fiscal Year 2020-21 Year End Funding Summary *Includes $8,078.46 in CDBG Funding and $8,000 in Inclusionary Housing Funding Attachment 1 11 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Senior Support Program of the Tri Valley Case Management Jump to: Organization Information Questions Budget Documents $ 16,604.00 Requested Submitted: 1/13/2020 2:35:27 PM (Pacific) Project Contact Robert Taylor rtaylor@ssptv.org Tel: 925-931-5394 Additional Contacts none entered Senior Support Program of the Tri Valley 5353 Sunol Blvd Pleasanton, CA 94566 United States Executive Director Robert Taylor rtaylor@ssptv.org Telephone(925) 931-5379 Fax (925) 931-3499 Web www.ssptv.org Organization Information top 1. Business License Number BL- 007038 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Senior Support Program of the Tri-Valley's mission is to provide seniors in-home services, free of charge, to foster independence, promote safety and well-being, preserve dignity, and improve quality of life. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 12 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Senior Support Program of the Tri-Valley (SSPTV) has 18 essential programs, serving as a “one-stop resource shop” for seniors in Livermore. SSPTV obtained our 501c3 in 2006 and ha operated as a nonprofit agency since. Currently, we have 24 employees (mainly part-time), giving us collectively over 130 years of experience with Senior markets. Since 1985, we have successfully managed the responsibilities and regulations of private, foundation, city, state, and county grants. The years of training, education, and experience from trained and vetted staff, compliance with contract requirements, accurate record- keeping, timely reporting and billing, strong Board and Executive Director, collaboration with other local CBO’s and open lines of communication between service providers and funders are vital details qualifying SSPTV for this project. SSPTV Board of Directors is led by our Board President, who sits on multiple agency/county boards (i.e. Area Agency on Aging, etc..) working to improve the lives of Alameda County seniors. The head of our Fiscal Committee is a CPA and has experience managing large contracts in the nonprofit industry. SSPTV contracts with BayVap accounting professionals for accounting and payroll services. BayVap manages large accounts in addition to ours and has experience utilizing nonprofit bookkeeping practices. We have an annual audit prepared by Noe & Company(see attached documents) who complies with all audit standards and protocols. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 50 seniors 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) Case Management services are provided directly in the senior’s home after a phone intake determines the individual needs based on activities of daily living (ADLs) and indirect activities of daily living (IADLs) levels. An initial, in-home comprehensive assessment is made of the senior's living situation; the senior’s physical, mental, environmental, spiritual, and emotional status as well as the need for assistance with ADLs are identified. After the initial visit, a care plan is formulated with the senior and family, if involved. Some of the services the Case Manager arranges, coordinates and supervises are: meals, ✔✔✔✔ No ✔✔✔✔ One-time funding gfedc Seed funding gfedc One-time and Seed funding gfedc Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition ✔✔✔✔ Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 13 transportation, home care, safety devices, social activities, medical/dental care, applying to government benefits when appropriate, bill paying, and living arrangements. One of the most critical parts of the program is the ongoing monitoring, reassessment and periodic follow up of each client. Follow-ups are done by phone calls (volunteers and interns assist in reducing the cost) and repeat home visits. The monitor checks to ensure implemented services are stable and sufficient. When basic physical, social and emotional needs are met, even in small increments, lives are changed and enhanced resulting in the senior’s ability to engage and interact with their communities. Volunteers also help Case Managers with entering reports, copying information, printing documents, and various admin special projects keeping the costs as minimal as possible. Case Managers also utilize volunteers to assist with IT and data- entry related tasks keeping the expenses down. While we receive funding for Case Management from the cities of Pleasanton, Livermore, and Dublin, we keep city dollars separate from County (AAA-funded) dollars. County files are indicated with a different color sticker, and our Lead Case Manager designates County-funded clients after an initial phone screening; this helps us easily separate County and city funds. SSPTV is constantly expanding our network of local and regional partners, which includes senior housing facilities, senior centers, Kaiser, Stanford Valley Care Hospital, and Tri-Valley emergency responders. When Livermore-Pleasanton Police and Fire Departments respond to a 911 call and find a senior in crisis, they can directly refer the senior to SSPTV for comprehensive services. The past year, we worked closer than ever with Alameda County’s Adult Protective Services (APS) to ensure referred seniors referred have a Case Manager to visit their home, assess, and assist. We have one-on-one relationships with Spectrum Community Services, HICAP (health insurance counseling), City Serve (faith-based community), Public Health, CRIL (Community Resources for Independent Living), Open Heart Kitchen, Tri-Valley Haven, Wiesner Foundation, Social Security, Alameda County’s Senior Service Coalition, Behavioral Health, Tri-Valley Rotary groups, AXIS Community Health, In-Home Supportive Services, local transportation agencies, and food pantries. SSPTV has established referral procedures between agencies, eliminating delays and confusion. A simple phone call from these agencies is all that is needed for support to begin helping a senior remain independent. The timeline for clients varies greatly depending on the primary service needs but generally speaking, we provide case management services on a monthly basis (i.e. in-home visit plus phone follows) then re-evaluate each client within 12 months of service. During the re-evaluation period, we determine the next steps which could include continued service for an additional year, abbreviated service (quarterly), referrals to high-level service (i.e. Adult Protective Service) and/or discharge because clients have successfully completed case management program and are considered self-sufficient. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. To ensure we continue to provide high quality programs, SSPTV employs a variety of evaluation measures. Outcomes in Case Management are defined by improvements in the quality of life of the seniors who have received our services. This improvement may be evident in a cleaner living environment, receiving a daily home delivered meal, taking advantage of referrals services provided, feedback from family or friends or the fact that the senior is able to successfully remain in their own home. Success may be evident when the fire department no longer is making repeat calls to lift a senior off the floor or no longer calling EMS for emergency services. Success may be found in that a trusting relationship has been forged with the Case Manager, and the senior is starting to accept the help that will improve their life. Improvement in ADLs and IADLs are recorded in the client file. Case Management is all about small successes. Our primary function is to give seniors the tools and support that will enable them to make the choices necessary to maintain their independence, improve their quality of life, and ensure their safety and well-being with dignity intact. Files are maintained for each client that include referrals, services implemented, outcomes, and reassessments. Care plans are updated and outcomes are recorded after each home visit. Staff and/or trained and supervised volunteers make phone calls to monitor the implementation of services and clients' well-being. Biweekly team meetings are held to discuss issues and problem solve. Data and statistics are kept, including the number of seniors served, units of services received, and seniors placed, relocated or discharged. The Case Manager maintains statistics and reports as required by the contract via quarterly Zoomgrant updates. SSPTV clients evaluate our programs annually by means of a questionnaire mailing. Family members or caregivers are included when appropriate. Since conception, SSPTV has been designed by the needs of the clients who have participated in programs, along with their caregivers and community members. SSPTV staff is continuously engaging in training sessions and asked to be a part of focus groups and needs assessments. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Attachment 2 14 Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. na 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 15 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. Attachment 2 16 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless na Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) na Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Attachment 2 17 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial na Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Pleasanton $ 25,000.00 $ 25,000.00 City of Livermore $ 15,500.00 Total $ 40,500.00 $ 25,000.00 Funding Uses/Expenses Budget Amount Amount Committed Case Manager 1 $ 4,750.00 Case Manager 2 $ 4,750.00 Case Manager 3 (part time) $ 2,150.00 Bookkeeper $ 980.00 Director $ 1,200.00 Attachment 2 18 Travel - mileage $ 700.00 Fringe Benefits $ 2,074.00 Total $ 16,604.00 $ 0.00 Budget Narrative Funds will be used for Case Management Direct Services. Robert Taylor is the Executive Director, who has been with the agency 3 years; attends all City of Dublin meetings and prepares all materials, represents Senior Support in all Dublin activities/services plus works as a manager. Mary McNamara and Jennifer Nelson are Case Managers with a vast experience in the fields of geriatrics plus one PT Case Manager with case management experience in the Tri-Valley. Our bookkeeper manages invoices and financial requirements with our accountant. Please note: The $13,830 amount requested covers direct salary costs. An additional $2,074 is proposed to cover benefits and fringe costs. Travel costs are only $700. This brings the total amount requested to: $16,604. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Budget Spreadsheet Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Senior Support - All Grants List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ SSPTV Board of Directors Roster Current Annual Budget for the Entire Agency ✔✔✔✔ Agency Budget FY19'20 Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Board Officers Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Board Officers Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Insurance Cert Workmens Comp STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ NON-PROFIT DETERMINATION LETTER Certified Audit and/or Certified Financial Statements ✔✔✔✔ FY'18'19 Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE Attachment 2 19 ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 2/10/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Robert Taylor - Executive Director 2. Program Title: Case Management 3. Telephone: 925 931-5379 4. E-Mail: rtaylor@ssptv.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Senior Support Program has 16 essential programs, serving as a one-stop resource shop for seniors. Since 1981, we have successfully managed the responsibilities and regulations of private, foundation, city, and county grants. Senior Support Program obtained our 501c3 in 2006 and have operated as a nonprofit agency since. Currently, we have 23 employees (mainly part-time), giving us collectively over 138 years of experience with Senior Support. The head of our Fiscal Committee is a Certified Public Accountant and has experience managing large contracts. Other board members are professionals from government, legal, and business sectors. Senior Support contracts with BayVap accounting professionals for accounting and payroll services. BayVap manages large accounts in addition to ours and has experience using nonprofit bookkeeping practices. Our Board of Director’s Finance Committee meets monthly with the Executive Director and BayVap to review all fiscal activities and proposed expenditures. We have an annual audit prepared by Noe & Company(see attached documents). In this audit, our internal controls and protocols are scrutinized in accordance with auditing standards generally accepted in the U.S. in addition to Government Auditing Standards. We provide assistance to older Americans 60 or better and focus on the under-served/low incomes older Americas. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 20 Senior Support Program's case management program has been very successful in recent years reached out to and responding to calls for support services. We believe our program and protocols are very strong and provide the needed support services our clients need. We have made significant changes due to C19 which include phone/virtual meeting whenever possible and we practice appropriate C19 guidelines when we do conduct in-person meeting. The transition to phone and virtual sessions has increased our ability to connect more often with our clients. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The case management program exceeded our 1st half goals by one client. We planned on 25 and served 26. The program was carried out successfully given the challenges which C19 presented. We, like most, struggled to make the transition to virtual and even phone work at times but the last 3 or 4 months has been very efficient. We are slowly but surely moving a large percentage of our clients to this new environment of virtual and phone centric workplace. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 26 Total Program Participants 26 total to date 26 Total Dublin residents 26 total to date 52.0052.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 50 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 50 total to date 50.0050.00 TOTAL 26 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 26 total to date 26 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 26 total to date 52.0052.00 TOTAL 5 Low Income (50% to 80% Median) 5 total to date 17 Very Low Income (30% to 50% Median) 17 total to date 4 Extremely Low Income (<30% Median) 4 total to date 26.0026.00 SUBTOTAL Attachment 2 21 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours (80) 18. What is your goal for units of service for this fiscal year? 80 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 26.0026.00 TOTAL 26 Seniors (62 and older) 26 total to date 4 Disabled 4 total to date 17 Female-Headed Households 17 total to date 47.0047.00 TOTAL 16 White 16 total to date 2 White + HISPANIC 2 total to date 3 Black/African American 3 total to date Black/African American + HISPANIC 4 Asian 4 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Other/Multi Racial 1 Other/Multi Racial + HISPANIC 1 total to date 26.0026.00 TOTAL na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. Attachment 2 22 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): na 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): na 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: na FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. na 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. na 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh na 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea na 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. na 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. na na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 23 Report 4 due 7/15/2021 (submitted 7/30/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Robert Taylor 2. Program Title: Case Management 3. Telephone: 925 931-5394 4. E-Mail: rtaylor@ssptv.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Senior Support Program has 17 essential programs, serving as a one-stop resource shop for seniors. Since 1981, we have successfully managed the responsibilities and regulations of private, foundation, city, and county grants. Senior Support Program obtained our 501c3 in 2006 and have operated as a nonprofit agency since. Currently, we have 22 employees (mainly part-time), giving us collectively over 138 years of experience with Senior Support. The head of our Fiscal Committee is a CPA and has experience managing large contracts. Other board members are professionals from government, legal, and business sectors. Senior Support contracts with BayVap accounting professionals for accounting and payroll services. BayVap manages large accounts in addition to ours and has experience using nonprofit bookkeeping practices. Our Board of Director’s Finance Committee meets monthly with the Executive Director and BayVap to review all fiscal activities and proposed expenditures. We have an annual audit prepared by Noe & Company(see attached documents). In this audit, our internal controls and protocols are scrutinized in accordance with auditing standards generally accepted in the U.S. in addition to Government Auditing Standards. We provide assistance to older Americans 60 or better and focus on the under-served/low incomes older Americas. Currently conducting case management sessions virtually, via phone and in-person. Due to COVID, we have move the vast majority of our service to phone and virtual sessions. We hope to return to mainly in-person visits as soon as the county health officials allow. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Senior Support Program's case management program has been very successful in recent years reached out to and responding to calls for support services. We're confident our program and protocols are very strong and provide the needed support services our clients need. We have made significant changes due to C19 which include phone/virtual meeting whenever possible and we practice appropriate C19 guidelines when we do conduct in-person meeting. The transition to phone and virtual sessions has increased our ability to connect more often with our clients. The vast majority of our clients have been very understanding of our pivot to phone and virtual meetings. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 2 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 24 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Senior Support Program's case management program exceeded our 2nd half goals by 7 clients. We planned on 25 and served 32. The program was executed successfully given the challenges which C19 presented. We, like most, struggled to make the transition to virtual and even phone work at times but the last 5 months has been very efficient. We slowly but surely moving a large percentage of our clients to this new environment of virtual and phone centric workplace. Our clients have responded very well to the new protocols. If fact, most clients were happy to see that we're conducting phone/virtual services which is safer for everyone. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 32 Total Program Participants 58 total to date 32 Total Dublin residents 58 total to date 64.0064.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 58 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 108 total to date 58.0058.00 TOTAL 32 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 58 total to date 32 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 58 total to date 64.0064.00 TOTAL 19 Low Income (50% to 80% Median) 24 total to date 10 Very Low Income (30% to 50% Median) 27 total to date 3 Extremely Low Income (<30% Median) 7 total to date 32.0032.00 SUBTOTAL 32.0032.00 TOTAL 32 Seniors (62 and older) 58 total to date Attachment 2 25 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. 82 18. What is your goal for units of service for this fiscal year? 80 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): na 4 Disabled 8 total to date 23 Female-Headed Households 40 total to date 59.0059.00 TOTAL 20 White 36 total to date 3 White + HISPANIC 5 total to date 2 Black/African American 5 total to date Black/African American + HISPANIC 3 Asian 7 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 4 Other/Multi Racial 4 total to date Other/Multi Racial + HISPANIC 1 total to date 32.0032.00 TOTAL na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 26 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): na 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: na FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The Dublin case management program purpose is to provide supportive services (i.e. Case Management) to under-served/low- income seniors with the most needs and enlisting referrals for new seniors via our local partners (i.e. police/fire dept, health agencies and other CBO's). We focus our attention on clients that fall into the <30%-50% AMI and those under-served. We provide wellness and health services to seniors plus referrals to CBO partnerships if the need arises such as LAS, CityServe, Axis Community Health, etc.. We exceeded our original goal during a pandemic and provided excellent service via our methods such as virtually and via phone. We expensed our allotted grant funds. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. We at Senior Support Program serviced 58 seniors in Dublin during FY'20-21 which is outstanding. We have adjusted our case management approach to address the below challenges: -conducted vast majority of service via phone and virtually due to COVID -isolation issues -housing instability -food instability due primarily to COVID -conduct mental health counseling virtually We are adapting our services due to COVID to meet the needs of our clients. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh We firmly believe the program has been successful this year and required to keep as many seniors in their home as possible. We strive every day to help our seniors remain health, well and self-sufficient. Developing the self-sufficiency of our seniors is required in order to keep them in their homes as long as possible, due to the lack of affordable assisted living locations in the area. We measure success by the numbers of clients that progress through their specific management plan and the numbers of seniors discharged because them meet most or all ADL's. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL na Number of persons assisted with new access to a service. na Number of persons assisted with improved access to a service. na Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 27 Application ID: 156744 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea COVID-19 was the most serious issue we and our seniors faced this year. Unfortunately, COVID created a significant increase in the isolation experienced by seniors which has resulted in mental health challenges. We developed a plan to minimize the issues associated with COVID-19 such as phone and virtual meetings. We also connected more frequently with clients due to the amount of phone activity. Lastly, the request for mental health counseling has increased significantly. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. We work closely with the following agencies to provide additional services: -Meals on Wheels -Open Heart Kitchen -Mercy Brown Bag -Legal Aid for Seniors -City Serve -county agencies (i.e. APS, AAA, etc..) -Multiple housing entities to provide long-term solutions Local police and fire dept's for referrals Local health care entities such as SVC, Kaiser, Axis Community regarding referrals and additional assistance. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. na Attachment 2 28 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Axis Community Health Dental Care for Low-Income Residents Jump to: Organization Information Questions Budget Documents $ 9,000.00 Requested Submitted: 1/12/2020 2:20:09 PM (Pacific) Project Contact Valerie Jonas vjonas@axishealth.org Tel: 925.201.6068 Additional Contacts contracts@axishealth.org,scompton@axishealth.org Axis Community Health 5925 W. Las Positas Blvd., Suite 100 Pleasanton, CA 94588 United States CEO Sue Compton scompton@axishealth.org Telephone(925) 201-6068 x Fax (925) 417-1503 x Web axishealth.org Organization Information top 1. Business License Number 112438 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Axis provides quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 29 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. The goal of this project is to ensure access to affordable dental care for low-income Tri-Valley residents. Following a multi- year effort, in 2019 Axis opened a dental clinic staffed by two dentists and a hygienist to provide preventive care and treatment services. Prior to now, there has been a lack of such services in the Tri-Valley and pent-up need for care is enormous. There is already an 800 patient wait list for services. Only half of these patients are insured which means Axis must find the resources to provide this care. This project seeks to ensure that Axis can provide dental care to all low-income Tri-Valley residents in need of this essential health care. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 15 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) In early 2019, Axis Community Health opened a dental clinic in the Tri-Valley to serve low-income children, adults and seniors. Funding from Dublin, Livermore and Pleasanton was vital to helping launch this new dental service and enabled Axis to make necessary site improvements, including adding a sixth dental chair, upgrading existing dental equipment, and making interior improvements. The dental clinic is located at 7212 Regional Street in Dublin and is staffed with two dentists, a hygienist, and support staff. The clinic opened to patients on February 5, 2019. From that date until the end of 2019, Axis provided more than 2,500 dental visits for 800 unique patients. Of patients seen, 62% qualified for Medi-Cal, while 38% were uninsured. Axis has no source of funding to cover the cost of care provision for these uninsured dental patients. Additionally, given this is a new service that Axis is now able to offer patients, there is a tremendous backlog of patients in need of dental care. To date, we have a waiting list that has grown to more than 800 patients, of which 50% are uninsured. ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing ✔✔✔✔ Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 30 Other options for dental services for low-income and uninsured patients are extremely limited In the Tri-Valley, with only a few dentists providing services for a limited number of people. The only other option is to travel 20-plus miles to Alameda County’s Highland Hospital in Oakland, where the wait time can be several months. Axis’s goal is to make our local service accessible to low-income residents for essential preventive care and for acute dental needs in order to avoid unnecessary dental and health complications. Healthy People 2020, which describes Federal health standards for the U.S., states: “A growing body of evidence has linked oral health, particularly periodontal (gum) disease, to several chronic diseases, including diabetes, heart disease, and stroke. In pregnant women, poor oral health has also been associated with premature births and low birth weight. These conditions may be prevented in part with regular visits to the dentist.” Axis estimates that an additional $600,000 in funding is needed during 2020 in order to provide dental services to uninsured patients. As noted there are 800 patients on the wait list and the list rate of growth is 100 patients per month, which will add an additional 1,200 patients in 2020. Therefore, we anticipate needing to serve 2,000 patients waiting for service during 2020, of which 50% (1,000 patients) are uninsured. Each patient has 2 to 3 visits in a year, which translates to providing 5,000 visits, of which 2,500 will be uncompensated. The average cost for a dental visit is $240, factoring in the range of visit types— from a dental exam with x-rays to anterior root canals. This care cost is very reasonable as compared to dental cost standards within the community health center environment, or as compared to dental services generally. Of the 1,000 uninsured patients that will be served by this project, an estimated 180 are Dublin residents. Dublin grant funds, in combination with funds from the cities of Livermore and Pleasanton, will help by providing 208 dental visits for 83 patients to help us achieve our goal of funding care for uninsured patients. This grant will fund 15 patients who are Dublin residents and who will receive 38 dental visits. Axis will use this funding to cover operational costs incurred--including staffing, x-rays, and dental supplies--in serving uninsured patients requiring preventive or general dentistry services. Services provided will include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, complete and partial dentures, crowns, anterior root canals, extractions, and oral health education. Axis has already received $150,000 from Palo Alto Medical Foundation toward this project, and will be seeking additional grants and donations to support dental services for uninsured Tri-Valley residents. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. A lack of access to dental services means low-income Tri-Valley residents do not receive essential preventive care, resulting in unnecessary dental and health complications. Based on our patient population and community data, we estimate 20- 30,000 people in the Tri-Valley need access to dental services. Studies show that low-income people of all ages lack access to dental care and have disproportionately high rates of dental decay and disease that regular dental care prevents, including caries, gum disease and tooth loss. A survey of Axis patients showed that an estimated 34%, or 9,095 of 26,651 low-income Tri-Valley adults and children, did not access timely dental care. This project seeks to ensure access to dental services for all Tri-Valley residents, of all ages, in need of care. Outcome measures that are crucial to the success of this project are: • Reducing the number of low-income residents who lack access to preventive dental care and treatment services. • Improving the oral health of low-income patients and preventing other health complications due to a lack of dental care. • Providing oral health care education to low-income patients to achieve and maintain ongoing good oral health. Strategies and objectives that will be used to track the progress are: • Tracking wait list and appointment data to minimize wait times for treatment. • Ongoing review of patient oral health outcomes by Dental Director, Chief of Clinic Operations, and Quality Enhancement data team by utilization of our Electronic Health records system (Epic) to track data. Axis serves low-income and uninsured Tri-Valley residents of all ages with medical, mental health and dental services. This program serves Dublin families living below 200% of the federal poverty level (FPL)—Dublin’s most impoverished residents. Many are the working poor who are struggling to maintain life’s basic needs for their families. Dublin has experienced a substantial population growth and a growing poverty rate. The population jumped more than 53% over the past decade (Census 2010) and the number of Dublin residents in need of general assistance has doubled since 2003 (2011 Tri-Valley Needs Assessment). The past decade has seen growing diversity, with an increase of nearly 400% in the Asian population. Twenty-one percent of Dublin residents are foreign-born and 29% speak a language other than English at home. These demographics present cultural and linguistic barriers to attaining and maintaining good health. Axis continues to see a tremendous rise in the number of impoverished Dublin residents in need of our services. In fact, we have gone from providing services for 1,012 Dublin residents in 2010 to serving 2,046 in 2018, a 102% increase in just eight years (UDS Reports, 2010- 2018). This project will benefit these residents by providing them access to dental services. Attachment 2 31 Axis provides linguistically and culturally appropriate services throughout our organization, including with our dental services. One dentist and the hygienist are bilingual English/Spanish; the other dentist is bilingual English/Mandarin. All of our call center operators and front desk staff are bilingual (Spanish and English) and translation services for other languages are available as needed. Our employees are trained to recognize and respect differences among patients’ values, expectations and experiences. Staff members represent the cultures and backgrounds of our patients, with care providers for all services fluent in many languages. Axis is the sole agency providing health care services for low-income and uninsured Dublin residents. Particular focus is put on reaching limited English speakers. These efforts have been successful and half our patients are limited English speakers. Axis promotes its services at community events, at organizations who serve low-income populations, and in media outlets. Activities include monthly outreach at the library, presentations at low-income housing communities, and coordination with school nurses. Our Enrollment Specialists and Community Relations Manager focus on reaching low-income limited English speakers and other challenged populations, such as those who have language or cultural differences, or a lack of knowledge of how to enroll in public insurance. Other multi-lingual referral mechanisms include the patient services specialists who field calls from the public and the CareMessage automated text appointment-reminders. In addition, Axis receives referrals form Alameda County’s 211 agency, whose staff has the capacity to speak to callers in more than 150 languages. All Axis services are designed to accommodate individuals with disabilities and to comply with the Americans with Disabilities Act. Once enrolled as an Axis patient, these individuals benefit from the services offered through our dental clinic. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. Axis’s mission is to provide preventive and primary medical care to all members of the community, regardless of income, language, ethnicity or any other factor. Axis’s services are designed to reach out to underserved and uninsured populations, including low-income racial and ethnic minority populations who otherwise lack access to health care. Our ability to effectively engage this population is evidenced by the increasing number of Dublin residents we serve. As the sole provider of medical services for the region’s low-income and uninsured population, Axis serves a patient population that is ethnically and linguistically diverse. Because half of our medical patients are Spanish-speaking, all front-line staff (call center, case managers, enrollment staff, receptionists and medical assistants) are required to be bilingual in English and Spanish. Axis’s medical staff speaks a variety of languages, including Spanish, Hindi, Farsi, Mandarin, and Urdu and also has expert multicultural health care skills and specific knowledge relevant to serving low-income, culturally diverse communities. This expertise successfully transcends cultural and other barriers, creating a bridge to health care and a medical home for Dublin’s underserved residents. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: Attachment 2 32 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities Attachment 2 33 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Availability/Accessibility gfedc Affordability gfedc Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 34 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 1 Disabled 2 Women/Female Headed Households 2 Seniors 3 Youth 1 Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 9.009.00 TOTAL 4 Low Income (50%-80% AMI) 11 Extremely Low Income (<30% AMI) Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 15.0015.00 TOTAL 4 White 5 White + HISPANIC 1 Black/African American 0 Black/African American + HISPANIC 4 Asian 0 Asian + HISPANIC 0 American Indian/Alaskan Native 0 American Indian/Alaskan Native + HISPANIC 0 Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC 0 Black/African American and White 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 1 Multi Racial + HISPANIC OR other Multi Racial Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) Attachment 2 35 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 15.0015.00 TOTAL gfedc #1 - This program/project has the agency's highest priority for funding. ✔✔✔✔ #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 9,000.00 $ 0.00 City of Livermore $ 28,000.00 $ 0.00 City of Pleasanton $ 13,000.00 $ 0.00 Palo Alto Medical Foundation $ 150,000.00 $ 150,000.00 Foundation Grants $ 200,000.00 $ 0.00 Community Donations $ 200,000.00 $ 0.00 Total $ 600,000.00 $ 150,000.00 Funding Uses/Expenses Budget Amount Amount Committed Dental Visits for Uninsured Patients $ 600,000.00 $ 150,000.00 Total $ 600,000.00 $ 150,000.00 Budget Narrative Project Cost: 5,000 dental visits at an average cost of $240 each. This project provides dental services for 1,000 uninsured Tri-Valley residents who will need an estimated 5,000 dental visits at a cost of $240 per visit; a total project cost of $600,000. Of the 1,000 uninsured patients, 180 are Dublin residents. Funds from this grant, along with funding from the cities of Pleasanton and Livermore, will provide 208 dental visits for 83 patients. Of these, 15 patients will be Dublin residents who will receive 38 dental visits funded by this grant. The average cost of a dental visit is $240 and ranges from a dental exam with x-rays to anterior root canals. Services provided will be inclusive of exams with x-rays, cleanings, flouride application, fillings, sealants, complete and partial dentures, crowns, anterior root canals, extractions, and oral health education. Funding sought from Dublin, Pleasanton and Livermore for this project is in ratio to the number of patients served from each city by this project. Axis is seeking funding from other sources for the remaining project costs. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Axis Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Axis Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Axis Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Axis Current Budget for Entire Agency Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ Axis most recent IRS 990 form Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Axis Authorized Official Attachment 2 36 Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Axis Board Authorization to Request Funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Axis Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Axis Non-Profit Determination Letter Axis State Tax Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Axis Audited Financials REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Axis Personnel Policies REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Axis Audited Financials REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Axis Articles of Incorporation Axis Bylaws 2018 REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. Axis LEP REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/15/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Valerie Jonas, Chief Development Officer 2. Program Title: Dental Care for Low-Income Residents 3. Telephone: 925-201-6068 4. E-Mail: vjonas@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. Attachment 2 37 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. This project ensures access to dental care for low-income, uninsured Dublin residents at the Axis dental clinic. Services provided include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, compete and partial dentures, crowns, anterior root canals, extractions, and oral health education. The project is fully underway and has provided 11 dental visits for 7 uninsured Dublin residents during the first quarter. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. While Axis has made many changes to care delivery due to COVID-19, there have been no modifications or delays to this project. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This project began during the COVID-19 health emergency. In mid-March, in response to Alameda County Public Health Department orders, the Axis dental clinic limited care to only those in need of emergency dental services. In the months following, Axis made many modifications to the dental clinic site and to patient care procedures to ensure ongoing health and safety for patients and staff. These changes included use of additional PPE and the installation of equipment to increase airflow and air exchange rates at the clinic. With these added precautions, Axis has been able to increase the number of patients seen to 60% of pre-COVID operational capacity. In spite of these challenges, Axis has been able to implement this project successfully, and is meeting the goals set in the application of reducing the number of residents lacking access to care and treatment, improving the oral health of low-income residents, and providing oral health education to patients to achieve and maintain ongoing good oral health. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 59 Total Program Participants 59 total to date 7 Total Dublin residents 7 total to date 66.0066.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 15 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 15 total to date 15.0015.00 TOTAL Attachment 2 38 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 7 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 7 total to date 59 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 59 total to date 66.0066.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 1 Very Low Income (30% to 50% Median) 1 total to date 6 Extremely Low Income (<30% Median) 6 total to date 7.007.00 SUBTOTAL 7.007.00 TOTAL 2 Seniors (62 and older) 2 total to date Disabled Female-Headed Households 2.002.00 TOTAL 2 White 2 total to date 1 White + HISPANIC 1 total to date Black/African American Black/African American + HISPANIC 4 Asian 4 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Other/Multi Racial Attachment 2 39 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Dental Visits 18. What is your goal for units of service for this fiscal year? 38 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A Other/Multi Racial + HISPANIC 7.007.00 TOTAL 7 Number of persons assisted with new access to a service. 7 total to date N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 7.007.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 40 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Valerie Jonas 2. Program Title: Dental Care for Low-Income Residents 3. Telephone: 925-201-6068 4. E-Mail: vjonas@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. This project ensures access to dental care for low-income, uninsured Dublin residents at the Axis dental clinic. Services provided include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, compete and partial dentures, crowns, anterior root canals, extractions, and oral health education. The project is fully underway and has provided 63 dental visits for 45 uninsured Dublin residents during the second quarter. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. While Axis has made many changes to care delivery due to COVID-19, there have been no modifications or delays to this project. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 41 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This project began during the COVID-19 health emergency. In mid-March, in response to Alameda County Public Health Department orders, the Axis dental clinic limited care to only those in need of emergency dental services. In the months following, Axis made many modifications to the dental clinic site and to patient care procedures to ensure ongoing health and safety for patients and staff. These changes included use of additional PPE and the installation of equipment to increase airflow and air exchange rates at the clinic. With these added precautions, Axis has been able to increase the number of patients seen to 60% of pre-COVID operational capacity. In spite of these challenges, Axis has been able to implement this project successfully, and is meeting the goals set in the application of reducing the number of residents lacking access to care and treatment, improving the oral health of low-income residents, and providing oral health education to patients to achieve and maintain ongoing good oral health. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 180 Total Program Participants 239 total to date 45 Total Dublin residents 52 total to date 225.00225.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 15 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 30 total to date 15.0015.00 TOTAL 45 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 52 total to date 180 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 239 total to date 225.00225.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 5 Very Low Income (30% to 50% Median) 6 total to date 40 Extremely Low Income (<30% Median) 46 total to date 45.0045.00 SUBTOTAL Attachment 2 42 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Dental Visits 18. What is your goal for units of service for this fiscal year? 38 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 45.0045.00 TOTAL 9 Seniors (62 and older) 11 total to date Disabled Female-Headed Households 9.009.00 TOTAL 13 White 15 total to date 14 White + HISPANIC 15 total to date 2 Black/African American 2 total to date Black/African American + HISPANIC 14 Asian 18 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 2 Other/Multi Racial 2 total to date Other/Multi Racial + HISPANIC 45.0045.00 TOTAL 45 Number of persons assisted with new access to a service. 52 total to date N/A Number of persons assisted with improved access to a service. Attachment 2 43 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted who no longer have access to a substandard service. 45.0045.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 44 Report 3 due 4/15/2021 (submitted 4/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Valerie Jonas, Chief Development Officer 2. Program Title: Dental Care for Low-Income Residents 3. Telephone: 925-201-6068 4. E-Mail: vjonas@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. This project ensures access to dental care for low-income, uninsured Dublin residents at the Axis dental clinic. Services provided include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, compete and partial dentures, crowns, anterior root canals, extractions, and oral health education. The project is fully underway and has provided 79 dental visits for 59 uninsured Dublin residents during the third quarter. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. While Axis has made many changes to care delivery due to COVID-19, there have been no modifications or delays to this project. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This project began during the COVID-19 health emergency. In mid-March 2020, in response to Alameda County Public Health Department orders, the Axis dental clinic limited care to only those in need of emergency dental services. In the months following, Axis made many modifications to the dental clinic site and to patient care procedures to ensure ongoing health and safety for patients and staff. These changes included use of additional PPE and the installation of equipment to increase airflow and air exchange rates at the clinic. With these added precautions, Axis has been able to increase the number of patients seen to 60% of pre-COVID operational capacity. In spite of these challenges, Axis has been able to implement this project successfully, and is meeting the goals set in the application of reducing the number of residents lacking access to care and treatment, improving the oral health of low-income residents, and providing oral health education to patients to achieve and maintain ongoing good oral health. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 272 Total Program Participants 511 total to date 59 Total Dublin residents 111 total to date 331.00331.00 TOTAL Attachment 2 45 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 15 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 45 total to date 15.0015.00 TOTAL 59 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 111 total to date 272 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 511 total to date 331.00331.00 TOTAL 2 Low Income (50% to 80% Median) 2 total to date 8 Very Low Income (30% to 50% Median) 14 total to date 49 Extremely Low Income (<30% Median) 95 total to date 59.0059.00 SUBTOTAL 59.0059.00 TOTAL 53 Seniors (62 and older) 64 total to date Disabled Female-Headed Households 53.0053.00 TOTAL 15 White 30 total to date 6 White + HISPANIC 21 total to date 4 Black/African American 6 total to date Attachment 2 46 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Dental Visits 18. What is your goal for units of service for this fiscal year? 38 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 0 Black/African American + HISPANIC 0 total to date 25 Asian 43 total to date 0 Asian + HISPANIC 0 total to date 1 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 1 Native Hawaiian/Other Pacific Islander 1 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 7 Other/Multi Racial 9 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 59.0059.00 TOTAL 59 Number of persons assisted with new access to a service. 111 total to date N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 59.0059.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 47 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Valerie Jonas, Chief Development Officer 2. Program Title: Dental Care for Low-Income Residents 3. Telephone: 925-201-6068 4. E-Mail: vjonas@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report Attachment 2 48 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. This project ensures access to dental care for low-income, uninsured Dublin residents at the Axis dental clinic. Services provided include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, complete and partial dentures, crowns, anterior root canals, extractions, and oral health education. The project is fully underway and has provided 14 dental visits for 10 uninsured Dublin residents during the fourth quarter. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. While Axis has made many changes to care delivery due to COVID-19, there have been no modifications or delays to this project. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This project began during the COVID-19 health emergency. In mid-March 2020, in response to Alameda County Public Health Department orders, the Axis dental clinic limited care to only those in need of emergency dental services. In the months following, Axis made many modifications to the dental clinic site and to patient care procedures to ensure ongoing health and safety for patients and staff. These changes included use of additional PPE and the installation of equipment to increase airflow and air exchange rates at the clinic. With these added precautions, during the previous quarter Axis was able to increase the number of patients seen to 60% of pre-COVID operational capacity. During this quarter, we were able to further increase capacity to 75% of regular capacity. In spite of these challenges, Axis has been able to implement this project successfully, and is meeting the goals set in the application of reducing the number of residents lacking access to care and treatment, improving the oral health of low-income residents, and providing oral health education to patients to achieve and maintain ongoing good oral health. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date 47 Total Program Participants 558 total to date 10 Total Dublin residents 121 total to date 57.0057.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 15 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 60 total to date Attachment 2 49 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 15.0015.00 TOTAL 10 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 121 total to date 47 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 558 total to date 57.0057.00 TOTAL 0 Low Income (50% to 80% Median) 2 total to date 2 Very Low Income (30% to 50% Median) 16 total to date 8 Extremely Low Income (<30% Median) 103 total to date 10.0010.00 SUBTOTAL 10.0010.00 TOTAL 0 Seniors (62 and older) 64 total to date Disabled Female-Headed Households 0.000.00 TOTAL 0 White 30 total to date 8 White + HISPANIC 29 total to date 1 Black/African American 7 total to date 0 Black/African American + HISPANIC 0 total to date 1 Asian 44 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 1 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date Attachment 2 50 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Dental Visits 18. What is your goal for units of service for this fiscal year? 38 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. This project ensured access to dental care for low-income, uninsured Dublin residents at the Axis dental clinic. Services provided include dental exams with x-rays, cleanings and fluoride application, fillings, sealants, complete and partial dentures, crowns, anterior root canals, extractions, and oral health education. All grant funds were expended. Following a multi-year effort, in 2019 Axis opened a dental clinic staffed by two dentists and a hygienist to provide preventive 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 9 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 10.0010.00 TOTAL 10 Number of persons assisted with new access to a service. 121 total to date N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 10.0010.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 51 Application ID: 156044 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. care and treatment services. Prior to this service opening, there was a lack of such services in the Tri-Valley and pent-up need for care was enormous. There was an 800 patient wait list for services and only half of these patients were insured. This project provided resources to ensure that Axis could provide dental care to uninsured low-income Tri-Valley residents in need of this essential dental care. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. This project began during the COVID-19 health emergency. In mid-March 2020, in response to Alameda County Public Health Department orders, the Axis dental clinic limited care to only those in need of emergency dental services. In the months following, Axis made many modifications to the dental clinic site and to patient care procedures to ensure ongoing health and safety for patients and staff. These changes included use of additional PPE and the installation of equipment to increase airflow and air exchange rates at the clinic. With these added precautions, over the course of the project, and in alignment with all Public Health Dept. guidelines, Axis was able to increase the number of patients seen to 75% of pre-COVID operational capacity. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh The project was very successful. In spite of the challenges brought by the COVID-19 pandemic, Axis implemented this project successfully, and met the goals set in the application of reducing the number of residents lacking access to care and treatment, improving the oral health of low-income residents, and providing oral health education to patients to achieve and maintain ongoing good oral health. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea The only challenges encountered were the ones that occurred due to the COVID-19 pandemic, which greatly reduced service capacity as per Alameda County Public Health Orders for a number of months. While always following all AC Public Health and CDC guidelines, over time Axis was able to increase service capacity and continue to fulfill the goals of the project. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. This project did not involve other agencies. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Funding for this project was received as follows: City of Pleasanton $13,000 Attachment 2 52 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Tri-Valley Haven Domestic Violence Services Jump to: Organization Information Questions Budget Documents $ 25,000.00 Requested Submitted: 1/10/2020 2:04:34 PM (Pacific) Project Contact Cynthia Cunningham Morales cynthia@trivalleyhaven.org Tel: (925) 449-5845 Additional Contacts irina@trivalleyhaven.org,vicki@trivalleyhaven.org Tri-Valley Haven 3663 Pacific Avenue Livermore, CA 94550 United States Executive Director Ann King ann@trivalleyhaven.org Telephone(925) 449-5845 x Fax (925) 449-2684 x Web www.trivalleyhaven.org Organization Information top 1. Business License Number BL-007058 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Tri-Valley Haven creates homes safe from abuse, contributes to a more peaceful society. One person, one family, one community at a time. Together we build a world without violence. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 53 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Tri-Valley Haven's (TVH) Domestic Violence Services Program is an existing project. Our 24-hour Crisis Line is the main point of entry for women seeking shelter. Clients are also referred to us via our website, law enforcement, hospitals, 211, shelter networks, and other social services agencies. Each client is screened via telephone to assess their needs, and if it is safe for them to stay at our shelter, and then, if appropriate, an in-person intake is conducted. Each client is assigned to a Case Manager and a Counselor is made available to her should she wish to participate in counseling. The following groups are available for adult clients: DV Support Group, Job Readiness Group, Parenting Group, Life Skills and Family Night. Goals are set for each client depending on their very specific needs during the first meeting with the Case Manager. Progress toward the goals will be reviewed on a weekly basis. The maximum length of stay at the Shelter is 105 days. Shiloh has its own vehicle which is used for client intakes and emergency transportation. While in the Shiloh program, bus passes/Clipper cards, BART tickets and gas cards are available to clients who need help getting to appointments, interviews or work. Domestic Violence Services Program will address Job Training, Food and Nutrition, Homeless Services, Behavioral Health, and Access priority needs identified by Human Services Commission. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 75 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The funds requested from Dublin will be used to pay part of the Bilingual Case Manager's time, and part of the Overnight staff's time. These positions are essential for the shelter operations. Tri-Valley Haven’s domestic violence services support Dublin’s mission to have a high quality of life and a safe and secure environment for all residents through prevention and intervention services. Furthermore, we will make these services available to all residents through provision of services that are culturally sensitive and appropriate. Clients will benefit from our program or by creating a safety plan for themselves and their children, developing goals and plan of action towards achieving self-sufficiency, and connecting with the resources available in our ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access ✔✔✔✔ Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 54 community. In FY 18/19, we served 142 survivors of domestic violence from Dublin through our crisis line and shelter. The Domestic Violence Services Program utilizes in-house and donated services as much as possible to meet clients' needs and hold down costs. Residents are able to obtain food from the TVH Food Pantry, they are given clothing vouchers and referrals to our Thrift Store, they receive assistance applying for government services such as CAL Fresh, CalWORKS, and Linkages. We refer our clients to AXIS for their health related needs. Trained volunteers provide overnight crisis line coverage as well as (along with TVH staff) around the clock response to sexual assault calls and referrals from local police departments and hospitals, and volunteers provide childcare for shelter children while their parents participate in educational and support groups. All of this contributes to a very reasonable budget. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. We have been required by our government funded contracts such as the Alameda County DVCA to use the Results Based Accountability (RBA) to measure the success of our program. Our performance measures include: a) at least 75% of participants will report that they are Satisfied or Very Satisfied on the satisfaction surveys; b) 75% of Shelter program participants will be safely housed upon exit. Last Fiscal Year we met or nearly met both performance measures. The success of the Program will be measured through evaluation of client surveys, statistical results, and the individual goals set by the program participant and her/his case manager. Those goals will be set up on a case-by-case basis and may include: reuniting with their children through completing their CPS Plan, finding housing or employment. Some clients will only stay one or two nights, and their goals will be very different such as safely relocating to a different county or a state. Client's progress will be tracked by the case manager during weekly meetings. It will also be monitored at weekly staff meetings during case review. Additionally Case managers consult with staff counselors or the Clinical Supervisor as needed in order to provide the best client services. We have multi-cultural staff members and volunteers who utilize their cultural backgrounds to enhance the services we provide to our clients. We presently have staff fluent in Spanish, Hindi, Punjabi and French and several African languages. Multi language fluency is always a consideration when hiring staff and recruiting volunteers, and wage differentials are given to those fluent in Spanish, Cantonese, Mandarin, Russian, Hindi or Tagolog. All of the written materials at Shiloh are in both English and Spanish, and some are in Chinese. We make sure that at Shiloh we have cooking utensils and dishes that are multi-culturally appropriate such as rice cookers, chopsticks, and new sets of pots and pans for Muslim clients whose religious practice requires that these not be shared with other families. Ethnic food is available for our shelter clients at the Food Pantry and grocery store gift cards are available to assist with purchasing items that aren’t at the pantry. We continue educating our staff through participation in the Cultural Competence development projects. TVH staff maintains a good working relationship with CRIL, a local service provider for persons with disabilities and also is aware of key services such transportation for persons with disabilities and how to access them. Telephone screenings and intake processes include questions about needed accommodations (such as a bottom bunk, private room or special dietary needs). Our shelter is handicap-accessible. We conduct restraining order clinics at the Dublin library on the first and third Saturday of each month, which has increased our overall visibility in addition to making this service more accessible to those Dublin residents who need it. We conduct annual briefings at Dublin Police Services to update them about issues of domestic violence, sexual assault and homelessness, and our agency’s activities. In addition, we ask all new staff and volunteers who attend our 70- hour domestic violence and sexual assault counselor training to ride along with one of the three Tri-Valley police departments in order to maintain a strong connection to local law enforcement. Officers regularly tell us during the annual briefings that this is a positive experience for them. We have participated for many years in the Family Violence Prevention Programs at Kaiser Permanente in Livermore and Pleasanton, and in November participated in the kick off meeting of their Family Violence Prevention Program. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. gfedc Not Applicable gfedc Yes ✔✔✔✔ No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. Attachment 2 55 n/a 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. Attachment 2 56 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. Attachment 2 57 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. 0 Disabled 0 Women/Female Headed Households 0 Seniors 0 Youth 0 Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL 0 Low Income (50%-80% AMI) 0 Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL 0 White 0 White + HISPANIC 0 Black/African American 0 Black/African American + HISPANIC 0 Asian 0 Asian + HISPANIC 0 American Indian/Alaskan Native 0 American Indian/Alaskan Native + HISPANIC 0 Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific Islander + HISPANIC Attachment 2 58 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC 0 Black/African American and White 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL gfedc #1 - This program/project has the agency's highest priority for funding. ✔✔✔✔ #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Alameda County Domestic Violence Center Act $ 44,943.00 $ 0.00 Alameda County Family Justice Center $ 10,000.00 $ 0.00 Local/Dublin/Pleasanton/Livermore $ 61,974.00 $ 0.00 HCD Linkages $ 40,577.00 $ 0.00 CalOES DV $ 530,148.00 $ 0.00 CalWORKS $ 70,000.00 $ 0.00 Foundations $ 40,000.00 $ 40,000.00 Alameda CountySSA $ 33,033.00 $ 0.00 Total $ 830,675.00 $ 40,000.00 Funding Uses/Expenses Budget Amount Amount Committed Salaries $ 517,650.00 $ 34,050.00 Benefits $ 155,295.00 $ 5,950.00 Supplies $ 35,000.00 $ 0.00 Printing/Copying $ 5,000.00 $ 0.00 Telephone $ 15,732.00 $ 0.00 Rent and Utilities $ 58,065.00 $ 0.00 Accounting/Audit $ 11,000.00 $ 0.00 Other $ 32,933.00 $ 0.00 Total $ 830,675.00 $ 40,000.00 Budget Narrative Revenue: The composition of revenue is our best estimate based on the previous year of operation. Expenses: personnel costs include salaries and benefits. Sick leave, vacation, and holidays are not included in the benefits calculation for staff that will be paid with the Dublin grant funds. Other operating expenses include:travel and Attachment 2 59 mileage, portion of liability, property, D&O, and auto insurance, auto expense, and staff development. Domestic Violence Services budget is part of the overall agency budget that includes other programs and departments such as Homeless and Family Support Services, Sexual Assault Services, Finance, and Administration. thus only a portion of liability insurance, auto insurance, audit etc. are being charged to this program. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Annual Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ IRS 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ BOD Resolution and Authority Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ BOD Resolution and Authority Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Non-profit Status State Non-Profit Status Certified Audit and/or Certified Financial Statements ✔✔✔✔ Audit Part 1 Audit Part 2 Audit Part 3 REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Strategic Plan Attachment 2 60 Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The domestic violence services program, which provides, shelter, a 24-hour crisis line and other supportive services is a long- established project in the Tri-Valley. We have consistently provided services throughout the COVID 19 pandemic, although we have made some modifications in how services are delivered in order to increase safety from COVID 19 for both clients and staff. Our on-site shelter population has been reduced to a maximum of 18 in order to ensure that residents do not have to share rooms with non-family members and to allow for adequate social distancing in common areas. We shelter up to 12 more adults and children in a motel, where they meet with case managers both remotely and in person, have access to individual counseling through telehealth, and receive a daily hot meal from Open Heart Kitchen and gift cards to a nearby grocery store. They may meet with our Legal Services Advocate remotely if a restraining or custody order, or good cause report is needed. They have access to crisis counseling around the clock via out 24-hour crisis line. Motel clients move to the shelter as space becomes available. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. There have been no modifications to the project goals or timeline. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. We have exceeded our stated fiscal goal to provide services to 75 Dublin residents. During the reporting period, 133 Dublin residents received assistance from our crisis line and shelter. We are proud that there has been no reduction or interruption of ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 544 Total Program Participants 544 total to date 133 Total Dublin residents 133 total to date 677.00677.00 TOTAL Attachment 2 61 services due to the pandemic. This has been an especially dangerous time for those who have had to shelter in place with an abusive partner, so it has been imperative to be able to provide shelter, safety planning, crisis counseling, therapy and legal services to those who reach out to us in a time of need. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 75 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 75 total to date 75.0075.00 TOTAL 133 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 133 total to date 544 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 544 total to date 677.00677.00 TOTAL n/a Low Income (50% to 80% Median) n/a Very Low Income (30% to 50% Median) n/a Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL n/a Seniors (62 and older) n/a Disabled n/a Female-Headed Households 0.000.00 TOTAL n/a White Attachment 2 62 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. n/a 18. What is your goal for units of service for this fiscal year? n/a 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a n/a White + HISPANIC n/a Black/African American n/a Black/African American + HISPANIC n/a Asian n/a Asian + HISPANIC n/a American Indian/Alaskan Native n/a American Indian/Alaskan Native + HISPANIC n/a Native Hawaiian/Other Pacific Islander n/a Native Hawaiian/Other Pacific Islander + HISPANIC n/a American Indian/ Alaskan Native and White n/a American Indian/ Alaskan Native and White + HISPANIC n/a Asian and White n/a Asian and White + HISPANIC n/a Black/African American and White n/a Black/African American and White + HISPANIC n/a American Indian/Alaskan Native and Black/African American n/a American Indian/Alaskan Native and Black/African American + HISPANIC n/a Other/Multi Racial n/a Other/Multi Racial + HISPANIC 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 63 third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. Attachment 2 64 General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Our domestic violence shelter continues to house clients in our shelters and motels where we provide case management, counseling, food assistance and other supportive needs. We have delivered uninterrupted services during and post shelter in place by utilizing tele health to reach our clients in need. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. We are operating at 80% capacity in our shelter so as to maintain social distancing requirements until the county states otherwise or until herd immunization is reached. We do make up the difference by placing clients in motels so that survivors’ needs are met. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. We not only met but exceeded our goals as we were able to render services during the pandemic using telehealth. We remained opened when survivors needed us the most and services were never stopped as we strived to keep all our clients safe from harm. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 303 Total Program Participants 847 total to date 91 Total Dublin residents 224 total to date 394.00394.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 75 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 150 total to date 75.0075.00 TOTAL 91 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated 224 total to date Attachment 2 65 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 303 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 847 total to date 394.00394.00 TOTAL n/a Low Income (50% to 80% Median) n/a Very Low Income (30% to 50% Median) n/a Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL n/a Seniors (62 and older) n/a Disabled n/a Female-Headed Households 0.000.00 TOTAL n/a White n/a White + HISPANIC n/a Black/African American n/a Black/African American + HISPANIC n/a Asian n/a Asian + HISPANIC n/a American Indian/Alaskan Native n/a American Indian/Alaskan Native + HISPANIC n/a Native Hawaiian/Other Pacific Islander n/a Native Hawaiian/Other Pacific Islander + HISPANIC n/a American Indian/ Alaskan Native and White n/a American Indian/ Alaskan Native and White + HISPANIC n/a Asian and White n/a Asian and White + HISPANIC n/a Black/African American and White n/a Black/African American and White + HISPANIC n/a American Indian/Alaskan Native and Black/African American n/a American Indian/Alaskan Native and Black/African American + HISPANIC n/a Other/Multi Racial n/a Other/Multi Racial + HISPANIC 0.000.00 TOTAL Attachment 2 66 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. n/a 18. What is your goal for units of service for this fiscal year? n/a 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The grant was given to provide services to survivors of domestic violence at our domestic violence shelter. Such services include case management, life skills classes, job readiness, safety planning, self-care and other educational groups held here at the shelter. The grant was spent in its entirety. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. We are one of few shelters who remained open even in the height of the pandemic and sheltering in place. Even though we reduced the number of persons admitted to shelter to ensure social distancing, we continued to provide services to survivors of domestic violence while ensuring that clients received uninterrupted services. We now hold groups of up to 8 people at once with everyone wearing masks. provide hand sanitizers and masks, wipe down rooms were groups are held and have Plexiglas n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 67 Application ID: 156500 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. in place as additional shield to protect everyone. We continue to give clients sanitizers, masks, and disinfectant spray for their rooms. We have not had a single case of COVID in our shelter. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh We not only met but exceeded our goals as we were able to render services during the pandemic using telehealth. We remained opened when survivors needed us the most and services were never stopped as we strived to keep all our clients safe from harm. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. We continue to support the AC/Open Heart Kitchen food distribution program at the fairgrounds. Additionally, Open Heart Kitchen supported both our domestic violence and homeless shelters with daily hot meals throughout the pandemic and beyond and only recently stopped that program when clients stopped utilizing it. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. State: $537,587 County: $302,074 Local: $59,375 Foundation: $11,500 Individual donations: &10,000 Attachment 2 68 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Chabot-Las Positas Community College District Dublin Career & Employer Services 2020-2021 Jump to: Organization Information Questions Budget Documents $ 9,952.00 Requested Submitted: 1/9/2020 9:38:21 AM (Pacific) Project Contact Sarah Holtzclaw sholtzclaw@clpccd.org Tel: 925-416-5108 Additional Contacts none entered Chabot-Las Positas Community College District DBA Tri-Valley Career Center 7600 Dublin Blvd. Dublin, CA 94568 United States Vice Chancellor for Business Services, designated signer Jonah Nicholas jnicholas@clpccd.org Telephone(925) 416-5100 Fax Web www..trivalleycareercenter.org Organization Information top 1. Business License Number BL 010043 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). As part of the CLPCCD Economic Development Department, our mission is to empower individuals and communities to thrive by creating career, education and economic opportunities. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. gfedc Non-Profit ✔✔✔✔ Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 69 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Dublin Career & Employer Services will support TVCC’s capacity to provide comprehensive career services to job seekers, recruitment services to local employers, and help to build the capability of local small business through a variety of workshops, events, and individual counseling. The program will focus on the human-centered design quality of our services and the/and increased awareness of the Career Center services in order to meet our goals. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 1,350 (450 through the daily Center activities and special events, 900 through social media and website). 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The Tri-Valley Career Center (TVCC) had been offering high-quality career services to the region for over 20 years. In the last 5 or five years, we have concentrated on professionalizing our services and building our brand awareness in order to help more job seekers connect with more local employers. Though the economy has grown stronger, we continue to increase or increasing the number of people we serve, the partners with which or with whom we collaborate, and the local businesses we help. We have increased our online presence, social media impact and our word-of-mouth referrals. Unfortunately, in that same amount of time, our main funding stream from the Department of Labor (DOL) via the Alameda County Workforce Development Board (ACWDB) has been cut in half. We are literally doing more with less. The partnership we have with our local cities is crucial to our success and vital to the local economy. It is in direct alignment with the Tri-Valley Needs Assessment to help job seekers find work and to help employers fill open positions. We strive to work with large companies as well as small businesses. We guide professional mid- to upper-level managers in search of employment, while helping low skilled workers secure good jobs also or simultaneously. We assist local businesses in their hiring practices or effectiveness so that they can continue to grow. Just last year, we helped add a minimum of $6.85 million back into our local economy. This figure accounts for or represents the documented earnings of job seekers enrolled in our ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) ✔✔✔✔ Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 70 WIOA program, who comprise just one-third of our overall traffic to or in or into the Career Center. Thus, the total financial (and social) impact could be or is likely much higher, making an investment in our employment services one the soundest the City of Dublin could make for or in its future. The Dublin grant will help fund both outreach and direct services. Career services are a highly personal process. It requires experienced staff to provide guidance to each job seeker. The Tri-Valley Career Center staff offers this guidance in both a 1-to- many workshop environment and in 1-on-1 counseling sessions. In order to reach more job seekers, staff also provides workshop facilitation at community partner locations such as the Dublin Library. Two-thirds of the funds sought from the City of Dublin will offset the staff costs to provide these services to Dublin residents. The remaining one-third of the requested funds are or will be allocated to outreach costs. This includes design and production of outreach materials as well as the placement costs for online advertising. We understand that the first place a newly unemployed person looks for work is often online. Thus, ads for the Tri-Valley Career Center concentrate on the online environment. Additionally, social media posts and ads remind people of the Career Center’s services so that they can use us when they need us, and to refer others to use as needed or do the same. The timeline for this is ongoing. We have no hard start or stop dates other than events that are planned. Employers are continually looking to fill positions. Layoffs happen throughout the year. Job seekers can’t take time off of or away from the search. Thus, our services are available 50 weeks a year (closing for the end of year holidays) and our brand awareness continues throughout the year. The events that we plan normally include job fairs, workshops, networking events and meet- ups with employers and/or other job seekers. Job fairs typically happen in the spring and fall. Other events happen or occur throughout the year, in an effort to continually assist both job seekers and employers. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. The Tri-Valley Career Center’s (TVCC) main funder is the Alameda County Workforce Development Board (ACWDB). Though the amount of funding has been cut in half over the last five years, the regulations or requirements of the Workforce Innovation & Opportunity Act (WIOA) have not changed. Since this funding is originally from the federal government, we must track and document much of our work. We track the number of people we see in our Dublin offices, the number of people attending events, the services we provide, the jobs secured by our enrolled job seekers and the number of people visiting our website and social media accounts. These are compared to similar time frames in previous years so that we know if we are growing our services as expected. Specifically, for this program, we will track and measure: • The number of Dublin and overall residents served; • Percentage of Dublin residents to overall or total number of job seekers served; • The number of Dublin employers served; • New wages earned by Dublin residents; • Number of website visits; • Number of social media interactions; and • Growth in social media interactions. TVCC is non-discriminatory in the people we serve. Our clients come from a wide variety of backgrounds, including: the newly unemployed, long-term unemployed, part-time or underemployed, experienced workers, new immigrants, college students, veterans, people with disabilities, ex-offenders, and people experiencing poverty. We actually seek out opportunities to help people facing barriers to employment through our outreach and partnerships with other Tri-Valley organizations, including CityServe of the Tri-Valley, the Department of Rehabilitation, and Alameda County Social Service Agency. These allow or this allows us to continue to serve our clients while, at the same time, helping job seekers who would not necessarily find their way to our offices. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? gfedc Not Applicable gfedc Yes ✔✔✔✔ No Attachment 2 71 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. Attachment 2 72 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. Attachment 2 73 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Attachment 2 74 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 9,952.00 $ 0.00 City of Livermore $ 9,844.00 $ 0.00 City of Pleasanton $ 9,899.00 $ 0.00 Alameda County-Oakland CAP $ 40,000.00 $ 40,000.00 Alameda County WDB $ 173,383.00 $ 173,383.00 CLPCCD $ 3,677.00 $ 3,677.00 Total $ 246,755.00 $ 217,060.00 Funding Uses/Expenses Budget Amount Amount Committed Salaries $ 159,435.00 $ 143,651.00 Benefits $ 77,395.00 $ 69,734.00 Supplies $ 325.00 $ 120.00 Printing $ 950.00 $ 351.00 Marketing Development $ 2,300.00 $ 852.00 Marketing Placement $ 5,800.00 $ 2,148.00 Travel $ 550.00 $ 204.00 Total $ 246,755.00 $ 217,060.00 Attachment 2 75 Budget Narrative TVCC is a program within the Economic Development Department of the Chabot-Las Positas Community College District (CLPCCD). Our core career services are primarily funded through the Alameda County Workforce Development Board (ACWDB) and the CLPCCD, with additional help from the Tri-Valley cities. Recognizing that the overall budget of this program is much more or far greater than the three cities can or might collectively contribute, we have come up with an equitable amount for or from each of the three cities. Given that career services are heavily reliant on experienced staff, approximately 79% of this city-specific budget is or represents competitive wages and benefits. The remaining 21% represents Dublin’s share of the operating expenses, equal to the percentage of TVCC clients who are Dublin residents. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ CLPCCD-TVCC Program Expenses Financial Information Form for ALL Grant Requests download template ✔✔✔✔ CLPCCD-TVCC Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ CLPCCD-TVCC Board of Trustees Current Annual Budget for the Entire Agency ✔✔✔✔ CLPCCD Adopted Budget 2019-2020 Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ CLPCCD - No tax return Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ CLPCCD-TVCC Board Authorization Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ CLPCCD-TVCC Board Authorization Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ CLPCCD-TVCC Insurance Certificate STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ CLPCCD Tax Exempt Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ CLPCCD Most Recent Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING Attachment 2 76 REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/6/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw, Program Manager 2. Program Title: Program Manager 3. Telephone: 925-560-9439 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The Career & Employment Services is ongoing. Though all services are virtual at this time. As of October, we restarted offering our in-person typing certifications, but everything else is virtual, including all workshops job club and hiring events. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Though the unemployment rate is unprecedented, our attendance has fallen off due to our location being physically closed. Pre-pandemic, a certain part of our attendance were walk-ins to use our computers and our space for their job search. We do not have that traffic now. Our workshop attendance is approximately one-third of previous years. Additionally, we are not able to gather that complete demographic information that we have in the past. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Given the constraints of the pandemic, the Career Center is operating at as high capacity and efficiency as can be expected. We have adapted and created options for job seekers in the current job market. We do have a relatively strong online presence that includes a robust website and social media accounts. Given that job ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 4315 Total Program Participants 4,315 total to date 360 Total Dublin residents 360 total to date 4,675.004,675.00 TOTAL Attachment 2 77 searches are often done online, we had over 3,800 unique visitors to our website this quarter, 7.22% of which were from Dublin. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 1350 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 1,350 total to date 1,350.001,350.00 TOTAL 360 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 360 total to date 4315 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 4,315 total to date 4,675.004,675.00 TOTAL n/a Low Income (50% to 80% Median) n/a Very Low Income (30% to 50% Median) n/a Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL n/a Seniors (62 and older) n/a Disabled n/a Female-Headed Households 0.000.00 TOTAL n/a White n/a White + HISPANIC Attachment 2 78 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Job Seekers serves 18. What is your goal for units of service for this fiscal year? 1350 Dublin Residents 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a Black/African American Black/African American + HISPANIC n/a Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC n/a Other/Multi Racial Other/Multi Racial + HISPANIC 0.000.00 TOTAL 360 Number of persons assisted with new access to a service. 360 total to date n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 360.00360.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 79 n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The goals and results stated are both in-person workshop attendees and website visitors FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 2 due 1/15/2021 (submitted 1/17/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw, Program Manager 2. Program Title: Dublin Career & Employer Services 2020-2021 3. Telephone: 925-560-9439 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 Attachment 2 80 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The Career & Employment Services is ongoing. However, all services continue to be virtual at this time. Everything except our typing certifications are virtual, including all workshops, job club and hiring event 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The pandemic continues to create an unprecedented jobless economy, with the Tri-Valley experiencing about 10% unemployment. However, with news of job openings actually decreasing nationally, we are not getting the numbers that we expected to see. An advertising campaign starting in 3rd quarter is targeted to help with this. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Given the pandemic, we believe that our program is meeting the needs of the community and being carried out effectively. Our services are available virtually with staff assistance and online through the many ways to learn skills from our website. Thus, the numbers above equal the number of Dubin residents who attended our workshops during the 2nd Quarter (42) plus the unique visits to our website by Dublin residents (198) during that same time period. Additionally, each job seeker typically attends 2.1 workshops. Thus we saw Dublin residents attend workshops a total of 89 times during the quarter. For total participants, 241 job seekers attended workshops 508 times in the 3 months. We have 2,057 unique California user visits to our website during the same 3 months (The nature of the internet, over 2,100 visits (51%) to our website were from outside California.) The demographics below are N/A because these cannot be confirmed in the virtual and web-based services. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 2298 Total Program Participants 6,613 total to date 240 Total Dublin residents 600 total to date 2,538.002,538.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 1350 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 2,700 total to date Attachment 2 81 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 1,350.001,350.00 TOTAL 240 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 600 total to date 2298 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 6,613 total to date 2,538.002,538.00 TOTAL n/a Low Income (50% to 80% Median) n/a Very Low Income (30% to 50% Median) n/a Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL n/a Seniors (62 and older) n/a Disabled n/a Female-Headed Households 0.000.00 TOTAL n/a White n/a White + HISPANIC n/a Black/African American Black/African American + HISPANIC n/a Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American Attachment 2 82 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. job seekers served 18. What is your goal for units of service for this fiscal year? 1350 Dublin residents 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The number above in question 19 includes the 81 Dublin residents attending workshops 171 times for the new services for the first 6 months of the fiscal year. Under "improved services", the number includes the 484 Dublin residents who found our services on our website. This is new because we launched our new and improved website in June of 2020. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a American Indian/Alaskan Native and Black/African American + HISPANIC n/a Other/Multi Racial Other/Multi Racial + HISPANIC 0.000.00 TOTAL 81 Number of persons assisted with new access to a service. 441 total to date 484 Number of persons assisted with improved access to a service. 484 total to date n/a Number of persons assisted who no longer have access to a substandard service. 565.00565.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 83 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a Report 4 due 7/15/2021 (submitted 7/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw, Dir. of Apprenticeship Programs (formerly Program Manager) 2. Program Title: Dublin Career & Employer Services 2020-2021 3. Telephone: 925-416-5136 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. This program is underway. It's a continuation of our services to people who have lost their jobs or are long-term unemployed. During the pandemic, all of our services continue to be virtual, including counseling and workshops. The current focus is to provide COVID-19 related workshops and hiring events. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The COVID-19 pandemic upended our regular services. We continued our services completely virtual, as was the case since gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 84 the spring of 2020. Without our physical Career Center for job seekers to find, we have seen a decrease in our attendance. We are focused on putting together new workshops, tip sheets, and hiring events specific to the pandemic. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Given the pandemic, we believe that our program is meeting the needs of the community and being carried out effectively. Our services are available virtually with staff assistance and online through the many ways to learn skills from our website. Thus, the numbers above equal the number of Dubin residents who attended our workshops during the last 2 Quarters (77) plus the unique visits to our website by Dublin residents (638) during that same time period. We offer a lot of downloadable job seeker guidance on our website as well as links to COVID-related assistance. In that same period we had 539 Agency-wide job seekers in workshops as well as over 18,000 website visitors. We ran 2 60- day long ad campaigns that increased our website traffic considerably in the last 6 months. The demographics below are N/A because these cannot be confirmed in the virtual and web-based services. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 18,582 Total Program Participants 25,195 total to date 715 Total Dublin residents 1,315 total to date 19,297.0019,297.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 1350 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 4,050 total to date 1,350.001,350.00 TOTAL 715 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 1,315 total to date 18,582 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 25,195 total to date 19,297.0019,297.00 TOTAL n/a Low Income (50% to 80% Median) Attachment 2 85 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Job Seekers Served 18. What is your goal for units of service for this fiscal year? 1350 Dublin Residents 19. Please complete the following table regarding the UNIT OF SERVICE listed above: n/a Very Low Income (30% to 50% Median) n/a Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL n/a Seniors (62 and older) n/a Disabled n/a Female-Headed Households 0.000.00 TOTAL n/a White n/a White + HISPANIC n/a Black/African American Black/African American + HISPANIC n/a Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC n/a Other/Multi Racial Other/Multi Racial + HISPANIC 0.000.00 TOTAL Attachment 2 86 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The number above in question 19 includes the 75 Dublin residents attending workshops for the new services for the last 6 months of the fiscal year. It also includes website visitors. Though we launched a new website in June 2020, this was not new in the second half of the year. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. To provide career services to job seekers, recruitment assistance to employers and small businesses of Pleasanton. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. The Career Center staff continued to offer services virtually through Zoom and a virtual event platform called Remo. The continuation of all services is the main accomplishment of the Career Center. There has been two changes of leadership and a physical office mover in the last six months. Yet, the staff continued to serve clients, recruit new ones through an ad campaign and hold hiring events. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes. We measure success by the number of people we serve, the number of people who come through the doors, or take our workshops. However, the ultimate success is when one of job seekers find work. Due to the pandemic, this number wasn't as much as we'd like but the hourly rate did increase to $42.27 for our Pleasanton clients. This $0.80 over the average of all job seekers who found work, or 2% higher than average. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea Covid-19 and the Shelter-in-Place order was the largest problem that we experienced. Though we were able to pivot our n/a Number of persons assisted with new access to a service. 441 total to date 715 Number of persons assisted with improved access to a service. 1,199 total to date n/a Number of persons assisted who no longer have access to a substandard service. 715.00715.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 87 Application ID: 155707 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. services during the last fiscal year, it did stop people from starting with us. We continued to serve our currently clients but did not see new clients in larger numbers. The high unemployment would normally drive job seekers to us. The pandemic, lack of child care, fear of illness and many other things, kept people away from a new job search. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Due to the pandemic, the list of partner agencies is much smaller than normal. Axis Community Health - Axis provided a counselor to lead self-care workshops and offer 1-on-1 counseling to low-income clients Various CBOs - cross referrals Alameda County Workforce Dev. Board (ACWDB) - main funder of this work and guiding operational standards. Alameda County-Oakland Community Action Partnership (AC-OCAP) - funded low-income job seekers and CARES act opportunities for the same clients. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Yes, ACWDB - 227,400 AC-OCAP - 30,500 Attachment 2 88 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 CALICO Center Dublin Child Abuse Intervention Jump to: Organization Information Questions Budget Documents $ 15,000.00 Requested Submitted: 1/13/2020 4:56:01 PM (Pacific) Project Contact Erin Harper calicocenter@yahoo.com Tel: 5108950702 Additional Contacts none entered CALICO Center 524 Estudillo Ave San Leandro, CA 94577 United States Executive Director Erin Harper executive.director@calicocenter.org Telephone(510) 895-0702 Fax (510) 895-0706 Web www.calicocenter.org Organization Information top 1. Business License Number BL-109881 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). CALICO achieves justice and healing for abused children and adults with developmental disabilities, and promotes the safety and well-being of children everywhere. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 89 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. CALICO proposes to conduct 10 forensic interviews with 7 Dublin children who have been sexually or physically abused, provide support services to 8 caregivers of the Dublin victims and facilitate a multi-disciplinary response to the allegations. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 18 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) City of Dublin Community Grant funding would help offset the cost of our Child Interview Specialist (CIS) team. CALICO’s services are crisis-oriented, meaning that an interview may be scheduled with little notice to accommodate the urgent needs of a particular case. In most situations, fewer than 24 hours elapse from the time we get the initial referral from the Dublin detective or child welfare worker to seeing the child at our center. In some cases, that time may shrink to under one hour. For that reason, we have a minimum of two CIS scheduled to work during normal business hours (we maintain a minimum staff of two because CALICO works simultaneously out of two locations, San Leandro and Oakland). In addition, all CIS are available by pager evenings and weekends for situations that require immediate attention. Please note that our Family Advocates (FA) are also available, but funding for those positions will be covered by other sources. The estimated cost to ensure that CALICO staff are available, when needed, to respond to the referrals of Dublin children and families is approximately $22,000 in FY20-21. Of that, the most significant expenses are staff salaries and benefits. City of Dublin funds would specifically offset a portion of staff salaries and benefits of the CIS team, which includes six part-time interviewers (including three bilingual Latinas who serve bilingual and mono-lingual Spanish-speaking families). When interviewers are not conducting interviews, they are performing other related tasks, including client intakes, data entry and quality control, observing and providing feedback to other interviewers, participating in trainings, planning and participating in monthly case review meetings and testifying in court, all necessary for the successful completion of our forensic interviewing ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None ✔✔✔✔ Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development ✔✔✔✔ Homelessness gfedc Transportation Services and Access ✔✔✔✔ Domestic Violence and Child Abuse ✔✔✔✔ Disabilities gfedc Food and Nutrition gfedc Senior Services ✔✔✔✔ Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 90 services. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. GOAL 1: Minimize trauma to abused children. 1a. At least 75% of children interviewed will feel positive/neutral about their experience. 1b. At least 75% of caregivers will indicate a favorable response to their child’s treatment. GOAL 2: Improve coordination of child-abuse case investigations among multiple agencies. 2a. A multi-disciplinary team (comprised of a prosecutor, Dublin detective, and/or child welfare worker) will observe at least 75% of interviews. 2b. At least 70% of children eligible for a forensic medical exam will receive one. 2c. Monthly case Review meetings will be held at least 10 times per year to review select cases in depth from start to finish. GOAL 3: Improve the mental health of caregivers. 3a. An FA will conduct an on-site crisis assessment with at least 75% of families. 3b. An FA will initiate a California Victim Compensation Program (CalVCP) application (or ensure one was already completed) on behalf of at least 50% of caregivers (to access funds for mental health services for the caregiver). 3d. By a second follow-up call, at least 35% of caregivers will be enrolled in counseling. Goal 4: Improve the mental health of victims. 4a. An FA will provide at least 75% of caregivers with psycho-education on the effects of trauma on children. 4b. An FA will assist at least 75% of families with a CalVCP application on behalf of the child to provide funds for counseling. 4c. At least 35% of caregivers contacted will report their child is enrolled in counseling. CALICO tracks data for each child, family and case, including victim and offender demographics; data about the nature of the abuse, interview and multi-disciplinary team response; and extensive family support data, including caregiver demographics, services provided on site, referrals provided, outcome of follow-up calls and participation in counseling services. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. CALICO is sensitive to the unique cultural and linguistic needs of each family served. At intake, we collect information about the race/ethnicity of the child, the child’s primary language, and the caregiver’s primary language. Three CALICO staff members are bilingual/bi-cultural Latinas who accommodate Spanish-speaking families as needed. Over the last five years, approximately 26% of the forensic interviews we conducted with Dublin victims were with children who identified as Latinx. If families speak a language other than English or Spanish (including ASL), we work with the referring agency to arrange for a court-certified interpreter and may use the services of the county’s language line, called Lionbridge. In addition, CALICO has translated all of our key documents into Spanish, and we can download select materials in other languages. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement Attachment 2 91 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: ✔✔✔✔ Promote energy and resource efficiency ✔✔✔✔ Encourage networking and information sharing across service providers ✔✔✔✔ Encourage process streamlining ✔✔✔✔ Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. ✔✔✔✔ C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. ✔✔✔✔ E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. Attachment 2 92 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Availability/Accessibility gfedc Affordability gfedc Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs Attachment 2 93 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 1 Disabled 2 Women/Female Headed Households 0 Seniors 10 Youth 0 Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 13.0013.00 TOTAL 11 Low Income (50%-80% AMI) 7 Extremely Low Income (<30% AMI) Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 18.0018.00 TOTAL 7 White 4 White + HISPANIC 2 Black/African American Black/African American + HISPANIC 5 Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Attachment 2 94 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 18.0018.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Request from the City of Dublin $ 15,000.00 $ 0.00 Dublin Police Services $ 4,500.00 $ 0.00 Alameda County DA's Office (in-kind) $ 3,000.00 $ 3,000.00 Alameda County Social Services Agency $ 2,400.00 $ 2,400.00 Community Fundraising $ 5,000.00 $ 5,000.00 Total $ 29,900.00 $ 10,400.00 Funding Uses/Expenses Budget Amount Amount Committed Personnel Salary: Staff $ 12,195.00 $ 0.00 Personnel Benefits: Staff $ 2,805.00 $ 0.00 Personnel Salary & Benefits: ED (in kind) $ 3,000.00 $ 3,000.00 Supplies $ 1,551.00 $ 459.00 Printing $ 792.00 $ 250.00 Postage $ 240.00 $ 200.00 Communications $ 1,547.00 $ 200.00 Rent and Utilities $ 1,142.00 $ 300.00 Audit and Accounting $ 583.00 $ 241.00 Outside Service $ 3,370.00 $ 3,075.00 Training $ 2,675.00 $ 2,675.00 Total $ 29,900.00 $ 10,400.00 Budget Narrative The request of $15,000 from the City of Dublin will support slightly over one hour per week at the average pay of approximately $35.61 per hour of five members of the Child Interview Specialist team to ensure there is full-time coverage to support Dublin children. Average pay is used to calculate the request because, due to the crisis-oriented nature of our work, CALICO does not know ahead of time which Child Interview Specialist will conduct each interview. Child Interview Specialist, $35.61 x 68.4 hours x 1.23% benefits = $3,000 x 5 CIS - $15,000 CALICO's current benefit rate of 23% for employees includes payroll tax, workers comp, FICA, health, vision, dental, Attachment 2 95 and 403b matching. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Authorization Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorization Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ 501(c)(3) IRS Determination Letter State Determination Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Employee Manual REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Audit REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Articles of Incorporation Articles of Incorporation Amended Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) Conflict of Interest Policy REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. LEP_LAP REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Attachment 2 96 Report 1 due 10/15/2020 (submitted 10/13/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nadia Bueno, Child Interview Specialist 2. Program Title: Dublin Child Abuse Prevention 3. Telephone: 510-895-0702 4. E-Mail: nadia@calicocenter.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Project is under way. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. N/A 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CALICO did not serve any new, un-duplicated Dublin clients during this quarter. As a result, it is not reporting out its specific goals, as there are no clients this reporting with which to measure these goals. During this time period, CALICO held two case review meetings. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 0 Total Program Participants 0 total to date 0 Total Dublin residents 0 total to date 0.000.00 TOTAL gfedc Yes (already submitted invoice/s) gfedc Yes (but invoice/s not yet submitted) ✔✔✔✔ No (no expenditures this period) 1 total to date gfedc Other: Attachment 2 97 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Persons 1 total to date gfedc Households 18 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 18 total to date 18.0018.00 TOTAL 0 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 0 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 0.000.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 0 Extremely Low Income (<30% Median) 0 total to date 0.000.00 SUBTOTAL 0.000.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 0 Female-Headed Households 0 total to date 0.000.00 TOTAL 0 White 0 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date Attachment 2 98 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Forensic interviews with children who have been abused, neglected, or witnessed violence. 18. What is your goal for units of service for this fiscal year? 18 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: CALICO did not serve any new Dublin clients this reporting period because it did not receive any such referrals from its partner agencies that work directly with the residents of Dublin. Dublin Police Services stated to CALICO they have not had any 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 99 CALICO-eligible cases during this quarter. Recent studies have shown that the rates of child sexual abuse disclosure may be on the decline as a result of the COVID-19 pandemic and the shelter in place mandate. Nevertheless, child abuse and child sexual abuse still remain critical issues for every community, and it is vital that each community be able to adequately respond when a child is hurt. CALICO is closely monitoring its referral rates and working hand-in-hand with its partner agencies to ensure that every child in need of CALICO's services receive them. CALICO is determined to continue to support, provide, and serve the children and families residing in the city of Dublin. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 2 due 1/15/2021 (submitted 1/5/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nadia Bueno 2. Program Title: Child Interview Specialist 3. Telephone: 510-895-0702 4. E-Mail: nadia@calicocenter.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report Attachment 2 100 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The project activity is under way. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. CALICO had to change some of the guidelines for services provided in order to adhere to the COVID-19 crisis. We were currently seeing two families a day in order to allow time for proper disinfection in between appointments. In order to accommodate the new shelter-in-place order that was put in place as of December 7th, CALICO is only seeing emergency cases. Child Interview Specialists continue to be on call 24 hours a day, 7 days a week. Our Family Advocates continue to assist families but are doing so remotely. CALICO has provided all partner agencies, including the Dublin Police Services and Child and Family Services with the new protocol. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CALICO did not serve any new, un-duplicated Dublin clients during this quarter. As a result, it is not reporting out its specific goals, as there are no clients this reporting with which to measure these goals. During this time period, CALICO held two case review meetings. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 0 Total Program Participants 0 total to date 0 Total Dublin residents 0 total to date 0.000.00 TOTAL gfedc Yes (already submitted invoice/s) gfedc Yes (but invoice/s not yet submitted) ✔✔✔✔ No (no expenditures this period) 2 total to date gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 18 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 36 total to date 18.0018.00 TOTAL Attachment 2 101 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 0 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 0 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 0.000.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 0 Extremely Low Income (<30% Median) 0 total to date 0.000.00 SUBTOTAL 0.000.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 0 Female-Headed Households 0 total to date 0.000.00 TOTAL 0 White 0 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date Attachment 2 102 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Forensic interviews with children who have been abused, neglected, or witnessed violence. 18. What is your goal for units of service for this fiscal year? 18 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: CALICO did not serve any new Dublin clients this reporting period because it did not receive any such referrals from its partner agencies that work directly with the residents of Dublin. Dublin Police Services stated to CALICO they have not had any CALICO-eligible cases during this quarter. Recent studies have shown that the rates of child sexual abuse disclosure may be on the decline as a result of the COVID-19 pandemic and the shelter in place mandate. Nevertheless, child abuse and child sexual abuse still remain critical issues for every community, and it is vital that each community be able to adequately respond when a child is hurt. CALICO is closely monitoring its referral rates and working hand-in-hand with its partner agencies to ensure that every child in need of CALICO's services receive them. CALICO is determined to continue to support, provide, and serve the children and families residing in the city of Dublin. FINAL REPORT QUESTIONS 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 103 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 3 due 4/15/2021 (submitted 4/5/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nadia Bueno 2. Program Title: Child Interview Specialist 3. Telephone: 510-895-0702 4. E-Mail: nadia@calicocenter.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The project activity is under way for the dates of 1/1/21 thru 03/31/21. During this time CALICO conducted 4 interviews for children between the ages of 7-13 and provided family support services to 4 caregivers. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 104 CALICO had to change some of the guidelines for services provided in order to adhere to the COVID-19 crisis. We are currently seeing two families a day in order to allow time for proper disinfection in between appointments. Child Interview Specialists continue to be on call 24 hours a day, 7 days a week. Our Family Advocates continue to assist families but are doing so remotely. CALICO has provided all partner agencies, including the Dublin Police Services and Child and Family Services with the new protocol. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. We continue to navigate how to best serve children in-person while still keeping our staff and team members safe and healthy. In order to do so, we have invested in air filters, changed out our office furniture to allow for more distancing and adopted some remote capacities so investigators may observe our live forensic interviews from remote locations when appropriate, in order to reduce the number of people in our small building at any given point. At the same time, however, the cases of abuse we are seeing are increasing in their severity, particularly in physical abuse cases. In fact, we purchased mobile interviewing equipment for the first time so that we could conduct an increased number of forensic interviews of children hospitalized for extended stays due to traumatic injuries who are not able to come to CALICO's office. Further, national experts predict the number of child abuse reports may spike when children return to in-person schooling and begin to disclose to teachers abuse that occurred during the quarantine period. Additionally, more families are presenting with great financial needs than ever before. As a result, we have been pursuing funding not only to be able increase our technological capability to assist clients and team members remotely, but also funding for additional gift cards and vouchers to give clients to help them meet their basic needs. We have also been seeking funding to increase wellness leave and/or hazard pay to assist staff resilience during this very stressful time. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Goal 1: Minimize trauma to abused children. 1a. At least 75% of children interviewed will feel positive/neutral about their experience; 100% of children felt positive/neutral. 1b. At least 75% of caregivers will indicate a favorable response to their child's treatment; Caregivers are currently not being surveyed due to the COVID-19 pandemic. Goal 2: Improve coordination of child abuse case investigations among multiple agencies. 2a. A multi-disciplinary team (compromised of a prosecutor, Dublin detective, and/or child welfare worker) will observe at least 75% of interviews. The MDT observed 100% of interviews. 2b. At least 70% of children eligible for a forensic exam will receive one. 100% of children eligible had an exam. 2c. Monthly case review meetings will be held at least 10 times per year to review select cases in depth, from start to finish; 2 meetings were held this quarter. Goal 3: Improve the mental health of caregivers. 3a. An FA will conduct an onsite crisis assessment with at least 75% of families. 100% of families were assessed. 3b. An FA will initiate a California Victims Compensation Program (CalVCP) application (or ensure one was completed) on behalf of at least 50% of caregivers to access funds for mental health services for caregivers); An FA initiated an application with 100% of caregivers. 3c. An FA will contact at least 75% of caregivers by phone after they leave CALICO; An FA contacted 100% of caregivers by phone. Goal 4: Improve the mental health of victims. 4a. An FA will provide at least 75% of caregivers with psycho-education on the effects of trauma on children; An FA provided 100% of caregivers with psycho-education. 4b. An FA will assist at least 75% of families with a CalVCP application on behalf of the child to provide funds for counseling. An FA assisted 100% of families. 4c. An FA will refer at least 75% of children to applicable mental health services. An FA referred 100% of children to mental health services. 10. Were any Dublin grant funds expended for this project during this reporting period? 8 Total Program Participants 8 total to date 8 Total Dublin residents 8 total to date 16.0016.00 TOTAL gfedc Yes (already submitted invoice/s) Attachment 2 105 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) 2 total to date gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 18 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 54 total to date 18.0018.00 TOTAL 8 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 8 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 8.008.00 TOTAL 4 Low Income (50% to 80% Median) 4 total to date 2 Very Low Income (30% to 50% Median) 2 total to date 2 Extremely Low Income (<30% Median) 2 total to date 8.008.00 SUBTOTAL 8.008.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 1 Female-Headed Households 1 total to date 1.001.00 TOTAL 2 White 2 total to date 4 White + HISPANIC 4 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 2 total to date Attachment 2 106 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Forensic interviews with children who have been abused, neglected, or witnessed violence. 18. What is your goal for units of service for this fiscal year? 18 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): Family support services. 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 8.008.00 TOTAL 4 Number of persons assisted with new access to a service. 4 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 4.004.00 TOTAL 4 Number of persons assisted with new access to a service. 4 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 4.004.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Attachment 2 107 24. Please include any additional comments or clarifications here: CALICO met some of the performance measure this quarter. Due to the temporary change in our schedule due to the COVID- 19 pandemic, we have had to reduce our non-emergency in office services. The Family Advocates have continued to reach out to caregivers but some have been unresponsive. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/13/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nadia Bueno 2. Program Title: Child Interview Specialist/Victim Services Coordinator 3. Telephone: 510-895-0702 4. E-Mail: nadia@calicocenter.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report Attachment 2 108 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The project activity is under way for the dates of 4/1/21 thru 6/30/21. During this time CALICO conducted 2 interviews for children, ages of 9 and 16 and provided family support services to 2 caregivers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. CALICO had to change some of the guidelines for services provided in order to adhere to the COVID-19 crisis. We are currently seeing two families a day in order to allow time for proper disinfection in between appointments. Child Interview Specialists continue to be on call 24 hours a day, 7 days a week. Our Family Advocates continue to assist families but are doing so remotely. CALICO has provided all partner agencies, including the Dublin Police Services and Child and Family Services with the new protocol. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Goal 1: Minimize trauma to abused children. 1a. At least 75% of children interviewed will feel positive/neutral about their experience; 100% of children felt positive/neutral. 1b. At least 75% of caregivers will indicate a favorable response to their child's treatment; Caregivers are currently not being surveyed due to the COVID-19 pandemic. Goal 2: Improve coordination of child abuse case investigations among multiple agencies. 2a. A multi-disciplinary team (compromised of a prosecutor, Dublin detective, and/or child welfare worker) will observe at least 75% of interviews. The MDT observed 100% of interviews. 2b. At least 70% of children eligible for a forensic exam will receive one. The children were not eligible for an exam. 2c. Monthly case review meetings will be held at least 10 times per year to review select cases in depth, from start to finish; 3 meetings were held this quarter. Goal 3: Improve the mental health of caregivers. 3a. An FA will conduct an onsite crisis assessment with at least 75% of families. 100% of families were assessed. 3b. An FA will initiate a California Victims Compensation Program (CalVCP) application (or ensure one was completed) on behalf of at least 50% of caregivers to access funds for mental health services for caregivers); An FA initiated an application with 100% of caregivers. 3c. An FA will contact at least 75% of caregivers by phone after they leave CALICO; An FA contacted 100% of caregivers by phone. Goal 4: Improve the mental health of victims. 4a. An FA will provide at least 75% of caregivers with psycho-education on the effects of trauma on children; An FA provided 100% of caregivers with psycho-education. 4b. An FA will assist at least 75% of families with a CalVCP application on behalf of the child to provide funds for counseling. An FA assisted 100% of families. 4c. An FA will refer at least 75% of children to applicable mental health services. An FA referred 100% of children to mental health services. 10. Were any Dublin grant funds expended for this project during this reporting period? gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date 4 Total Program Participants 12 total to date 4 Total Dublin residents 12 total to date 8.008.00 TOTAL Attachment 2 109 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) 2 total to date gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 18 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 72 total to date 18.0018.00 TOTAL 4 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 12 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 4.004.00 TOTAL 0 Low Income (50% to 80% Median) 4 total to date 0 Very Low Income (30% to 50% Median) 2 total to date 4 Extremely Low Income (<30% Median) 6 total to date 4.004.00 SUBTOTAL 4.004.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 1 Female-Headed Households 2 total to date 1.001.00 TOTAL 0 White 2 total to date 2 White + HISPANIC 6 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date Attachment 2 110 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Forensic interviews with children who have been abused, neglected, or witnessed violence. 18. What is your goal for units of service for this fiscal year? 18 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): Family support services. 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 0 Asian 2 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 2 Native Hawaiian/Other Pacific Islander 2 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 4.004.00 TOTAL 2 Number of persons assisted with new access to a service. 6 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 2.002.00 TOTAL 2 Number of persons assisted with new access to a service. 6 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 2.002.00 TOTAL Attachment 2 111 24. Please include any additional comments or clarifications here: CALICO met some of the performance measure this quarter. Due to the temporary change in our schedule due to the COVID- 19 pandemic, we have had to reduce our non-emergency in office services. The Family Advocates have continued to reach out to caregivers but some have been unresponsive. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. City of Dublin funding was awarded to offset the cost of our Child Interview Specialist (CIS) team which includes six part-time interviewers (including three bilingual Latinas who serve bilingual and mono-lingual Spanish-speaking families). All funds were expended for this purpose. CALICO’s services are crisis-oriented, meaning that an interview may be scheduled with little notice to accommodate the urgent needs of a particular case. In most situations, fewer than 24 hours elapse from the time we get the initial referral from the Dublin detective or child welfare worker to seeing the child at our center. In some cases, that time shrinks to under one hour. For that reason, we have a minimum of two CIS scheduled to work during normal business hours (we maintain a minimum staff of two because CALICO works simultaneously out of two locations, San Leandro and Oakland). In addition, all CIS are available by pager evenings, nights and weekends for situations that require immediate attention. When interviewers are not conducting interviews, they are performing other related tasks, including intakes, data entry and quality control, observing and providing feedback to other interviewers, participating in trainings, planning and participating in monthly case review meetings and testifying in court, all necessary for the successful completion of our forensic interviewing services. Please note that our family support staff are also available, but funding for those positions are covered by other sources. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. All children in Dublin deserve to have a non-traumatic, coordinated, evidence-based response to any disclosure of abuse. CALICO proved it meets this community need as it obtained re-accreditation by the National Children's Alliance during this grant period. In addition, CALICO provided child-friendly, evidenced based interviewing services to all Dublin children referred to it. The high rate of satisfaction demonstrated by these children in their exit interviews shows CALICO is successful at creating a safe and welcoming environment and experience for children experiencing great trauma. Moreover, every child deserves to have their caregiver supported. Research shows that one of the most effective ways to support children is to support their caregivers. Thus, to respond better to our victims (i.e., to "community needs"), CALICO has created an integrated system with the Center for Child Protection at UCSF Benioff Children's Hospital Oakland to ensure that the same information and applications, including CalVCP application, are given to caregivers at both locations, ensuring a seamless continuity of services. Therefore, whether a child presents first at CALICO or at the hospital, the response and information they are given are similar in nature. In addition, in order to ensure that CALICO was being referred all the cases eligible for CALICO services, CALICO staff met with all law enforcement jurisdictions as well as CPS to answer any questions about who may be brought to CALICO, how to refer children to CALICO and to ensure that all of CALICO's partners were aware of CALICO's pager number so that they could schedule an emergency after-hours or weekend interview if needed. CALICO also developed a brochure that investigators may give caregivers explaining the CALICO process, what to tell their child about CALICO and directions to CALICO's offices. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh CALICO served slightly fewer Dublin clients than it expected. Due to the nature of its work, which is often conducted on an emergency basis, it can be difficult to forecast exactly how many clients it may see from a particular area. However, to ensure that the lower number of clients was not reflective of a breakdown in partnership with either law enforcement agencies or child welfare, CALICO staff invested time in meeting with CALICO's partners to determine if there were any barriers they faced to accessing CALICO's services, or if they were not referring clients to CALICO for some other reason. The partners assured 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 112 Application ID: 155945 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. CALICO that neither was the case. We do anticipate an increase in service once the children go back to school in the fall. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea We continue to navigate how to best serve children in-person while still keeping our staff and team members safe and healthy. Families continue to struggle financially. As a result, we have received funding to purchase additional gift cards and vouchers to give to clients to help them meet their basic needs. We have also been seeking funding to increase wellness leave and/or hazard pay to assist staff resilience during this very stressful time. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Detectives from Dublin Police Services (DPS) were the primary source of referrals of Dublin children. They also observed interviews and participated in monthly case review meetings. Sgt. Daniel McNaughton is the DPS representative on CALICO’s Program Advisory Committee (PAC). Child Welfare Workers from Alameda County Children and Family Services (CFS) also referred children, observed interviews, and participated in case review. The CFS Program Manager who oversees the Emergency Response Unit (ERU) is a member of PAC, and an ERU Supervisor serves as a core member of case review. A representative for the Vertical Sexual Assault Prosecution Team of the District Attorney’s Office is assigned to CALICO (currently Maya Ynostroza). She observes interviews and consults with other DAs regarding appropriate charges. Children and families were referred to the UCSF Benioff Children's Hospital Oakland Center for Child Protection (CCP) for mental health services. Representatives from CCP participate in case review and PAC. Other agency partners include the following Alameda County Departments: Probation, Behavioral Health Care, and County Counsel. Representatives from Probation and Behavioral Health Care participate in monthly case review meetings, and all three agencies are represented on PAC. CALICO’s Family Resource Specialists also make referrals to a range of community-based organizations in the Tri-Valley area (e.g., Horizon’s, Tri-Valley Haven) and to other non-profit organizations that serve all of Alameda County. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. 1. Dublin Police Services: $4,500 2. CalOES: $50,000 to purchase items to respond to COVID-19 3. Alameda County Social Services contract, $69,000 for county-wide services, a portion of which went to Dublin clients Attachment 2 113 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 CityServe of the Tri-Valley Dublin Crisis Resource and Homelessness Prevention Program Jump to: Organization Information Questions Budget Documents $ 23,000.00 Requested Submitted: 1/13/2020 10:27:18 PM (Pacific) Project Contact Christine Beitsch data@cityservetrivalley.org Tel: 510-789-5443 Additional Contacts none entered CityServe of the Tri-Valley P.O. Box 1613 Pleasanton, CA 94566 United States CEO Christine Beitsch-Bahmani christine@cityservecares.org Telephone925-222-2273 Fax Web www.cityservecares.org Organization Information top 1. Business License Number BL-109916 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). CityServe exists to care for those in need: through direct service, coordinating resources with churches, fellow non-profits, businesses, schools, & government, & by connecting volunteers to human service needs to further mobilize mercy in our community. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project Attachment 2 114 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. CityServe is committed to Alameda County’s Continuum of Care’s goal to significantly reduce homelessness in our community by 2023. In the last two Point in Time counts, the data was clear: for every 2 people entering homelessness, only 1 person exits. In CA districts like the Tri-Valley, it is estimated that 6 out of 10 households are living paycheck to paycheck & that 53% of all families have no emergency fund to fall back on in the case of job loss or unexpected fiscal crisis. This makes these families susceptible to homelessness & ongoing instability, particular those living on fixed incomes such as seniors, veterans, & those with disabilities or other barriers to employment such as ESL residents or those without immigration paperwork. This means that the most cost-effective way to end homelessness is to prevent it in the first place. And preventing homelessness involves a multifaceted approach of providing safety-net emergency fiscal resources, individualized resourcing to connect those in need to existing infrastructures of support, & mobilizing the wider community, including churches, the business community, & individuals to provide volunteer assistance & support to those in crisis. In addition, the work of prevention requires a high level of coordination between service providers & communities that want to care for the residents of Dublin. These are the gaps that CityServe’s Crisis Resource & Homelessness Prevention Program strives to fill & find solutions for. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 160 Dublin Residents – combined from receiving safety net fiscal assistance, individualized resourcing (aka case management), and workshops focused on education and skills training for stabilization 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The requested funding of $23,000 will go to three aspects of our Dublin-specific Prevention and Resource Program, including paying for a part-time Dublin-dedicated Resource Specialist (formerly known as Crisis Intervention Specialist/Case Managers) gfedc Yes ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None ✔✔✔✔ Behavioral Health (mental health and substance abuse) ✔✔✔✔ Affordable Housing gfedc Health Care (including dental) ✔✔✔✔ Workforce Development ✔✔✔✔ Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities gfedc Food and Nutrition ✔✔✔✔ Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity ✔✔✔✔ Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 115 who will be available for Dublin residents who need individualized action planning, resourcing, and help navigating existing support systems such as federal and state benefits. The average household caseload for a Full-Time Resource specialist is 20 at a time (with an average case turn-over of 4-6 times a year), which means that at .2 FTE, this Resource Specialist will be able to, conservatively, provide 20 households with highly individualized care, which amounts of an averaged total of 65 Dublin Residents served through $10,920, or $168 per resident served per year. This is an extremely cost-effective approach to case management as the distribution of impact in prevention and stabilization through individualized resource is far more efficient than intervention modalities which have been shown to have significantly lower beneficial outcomes for the population. In addition to this individualized care, nearly $12,000 from this grant application will go towards direct service safety-net fiscal assistance (formerly known as Community Care funds) that specifically will serve to stabilize and keep Dublin residents housed. While rental assistance and eviction prevention is a critical piece of this (and often requires far more funding than a single grant or service provider can assist with), safety-net fiscal assistance also takes the form of utility payments to prevent lapses that can be grounds for eviction, gas cards and car registration payments (and back-payments) to allow individuals to access employment and services, transportation costs for those without vehicles, clothing and other necessary supplies for families and individuals for work or education, and other critical expenditures that help stabilize our participants and their families so they can continue working towards self-sufficiency. While there will be (based on historical program data) more requests for fiscal assistance and eviction prevention than this $12,000 can address in Dublin, we will also be pairing this safety-net funding with in-kind donations, leveraged donations from our supporting churches and individuals, and also utilizing our Regional HEAP direct-service dollars until they expire in Feb 2021. Lastly, a new aspect of our Prevention Program is our CityServe Workshops, designed to address some of the specific education and life skills gaps we see in the participant population we encounter. Workshops will be offered on a regular schedule with an understanding of the working adult’s time constraints and targeted to be offered in both English and Spanish. Topics will range from on how to look for affordable housing (utilizing pre-existing tools such as the Tri-Valley Affordable Housing Guide, and housing search websites), fiscal literacy skills (basic budgeting, etc), resume and job search workshops (in partnership with Tri-Valley Career Center), and more. We are asking for a budget of $600 to help cover the material costs and resources for these workshops. While this request will also not cover our costs for these workshops, we are leveraging our collaborative partnerships to bring quality and customized content without incurring additional costs. Workshops will be held at partner facilities in the Tri-Valley and will be facilitated by topical industry experts who are generously donating their time and knowledge for the benefit of stabilization. We are requested nominal funding for these workshops from all three cities as we aim to create the most cost-effective and wide-reaching impact we can through these education opportunities. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. CityServe has a robust client database framework that allows us to enroll participants in our programs, capture all critical demographic information (such as disability status, race/ethnicity, age, veteran status, self-reported income & income verification, and language translation needs), track progress towards the established action plan goal (a plan that is crafted between Resource Specialist and the participant), track all applicable expenses and time spent with participants, and finally track the measurable outcomes that CityServe and the participant have worked together to facilitate. Due to the diversity of needs, crises, and participants we work with, we have an equally diverse set of measurable outcomes that we aim for. For Prevention Program participants, these outcomes include eviction prevention, safety net fiscal assistance (utility bills), increased fiscal literacy, establishing sustainable transportation to and from work/school (in the form of auto repair, or license/registration fees), supporting the participant’s increase of legal income through better employment, enrollment in school or job training program, and accessing higher levels of services (such as critical mental health care or medical care). Our ultimate marker of success for all CityServe participants is demonstrated sustainable self-sufficiency. We serve all individuals that we can, who fall within the scope of our programs (low-income and residents of the Tri-Valley), and who are willing to comply with our need for documentation such as proof of identity, proof of need, etc. Our Resource Specialists are able to work with participants to attain documentation that is required but that they do not yet have. Additionally, in regard to accessibility, CityServe staff are available to go to individuals in need to capture our information and create action plans with them, or clients can call in to our offices for assistance. We are working on increasing our staff and volunteer pool of those who are bilingual (currently have 2 Spanish speaking team-members and are onboarding an additional), as well as widening our network with local churches and community groups that can translate on our behalf. CityServe markets primarily via our website and email/social media presence, our physical presence at local outreach events such as the Vineyard/Hope Van, Asbury Showers Program, Safe Parking Programs, and more, and also through our network of supportive churches and community groups and word-of-mouth from previous participants. We are a direct referral agency from 211 and we are a part of the Alameda County Continuum of Care which allows higher level of interagency collaboration for increased social impact. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. ✔✔✔✔ Not Applicable gfedc Yes Attachment 2 116 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: gfedc No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities Attachment 2 117 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. Attachment 2 118 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White Attachment 2 119 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed HEAP Crisis Intervention Regional Funding for Dublin $ 29,500.00 $ 29,500.00 In-Kind Donations/Facilities $ 2,000.00 $ 2,000.00 Leveraged Church/Individual Contributions $ 4,800.00 $ 4,800.00 City of Dublin HHSG 2020-2021 Grant $ 23,000.00 Total $ 59,300.00 $ 36,300.00 Funding Uses/Expenses Budget Amount Amount Committed Dublin-Specific Resource Specialist + Payroll Taxes & Health/Vision/Dental Insurance $ 10,920.00 Safety-Net Fiscal Assistance for Dublin Residents $ 11,480.00 Dublin Portion of CityServe Workshop Operating Cost $ 600.00 Resource Specialist Salary + Benefits (funded by HEAP) $ 20,800.00 $ 20,800.00 HEAP Regional Safety Net Funding for Dublin $ 8,700.00 $ 8,700.00 Church/Individual Community Care $ 4,800.00 $ 4,800.00 In-Kind Donations (Facilities) $ 2,000.00 $ 2,000.00 Attachment 2 120 Total $ 59,300.00 $ 36,300.00 Budget Narrative The $23,000 funding we are requesting will all be focused on homelessness prevention and crisis intervention (in order to maintain household stability) for extremely low, very low, and low income families in Dublin. It will go towards three critical aspects of prevention/stabilization -- individualized care and resourcing in the form of a Part-Time Resource Specialist (formerly referred to as Case Manager/Crisis Stabilization Specialist) who will be dedicated to serving Dublin residents 7 hours a week, as well as Safety-Net Fiscal Assistance (formerly referred to as Community Care funding), and nominal operational funding for regional workshops focused on equipping Dublin residents with critical education and life skills to work towards their stability. As in the last funding cycle, we will also be providing homeless services in Dublin in this grant cycle, however, funding for both the Direct Expenditures for Homeless Client Needs and the Wages/Salaries for our Homeless Intervention Specialists working is provided by Alameda County HEAP funding. In our continually expanding role of providing critical safety net services for the three Alameda County Tri-Valley cities, we are in need of this funding in order to provide responsive, effective services to Dublin residents in crisis need. Our overall organization budget is designed to reduce homelessness, prevent homelessness, and increase housing security and household stability in Dublin and the Tri-Valley through our services. This project highlights our services for Dublin residents. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information Form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ List of Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ 2019 Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 2018 IRS 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Authorized Official Letter Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorized Funding Letter Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Non-Profit Determination Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ CityServe 2018 Profit & Loss CityServe 12.31.2018 Balance Sheet Letter of Intent REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Attachment 2 121 Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Christine Beitsch-Bahmani, CEO 2. Program Title: Dublin Crisis Resource and Homelessness Prevention Program 3. Telephone: 510-789-5443 4. E-Mail: christine@cityservecares.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Currently, while operating in the midst of a changing pandemic the clients that we serve have faced many obstacles. For Dublin residents many are on the verge of homelessness due to mounting back rent being owed due to reduced work hours and even job loss. Our prevention team worked with the city of Dublin to help identify needs based on the a 25% increase in call volume for help. Most requests revolved around need for financial assistance with utility and water bills, food, car registrations, insurance needs, rental assistance, job navigation, school supplies or child care needs. With the emergency rental assistance funding coming from Dublin and additional funding from CityServe we have been able to help over 30 households stay in their homes. ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 122 For unsheltered individuals in Dublin, the intervention team met with clients to assess their needs. We also assisted with census data and met with local Sheriff's and regional PD regularly to address homeless in the city. In December, we met a woman who became homeless on December 1st. She had been renting and living in a car in Dublin. We were able to put her into a hotel temporarily to assess her needs. Through our connections with other agencies and nonprofits we were able to make a direct referral to an organization that had a room for rent. She was placed there permanently and is so thankful to be off of the street. Our outreach team also met an unsheltered man facing severe mental illness issues, we reconnected him to his county resource provider to help him receive a higher level of care for stabilization. We were able to access his county provider due to our ability to use the HMIS Clarity (Federal) database. Another homeless woman in Dublin was connected to a housing opportunity at a tiny home village, but denied the opportunity because it was not in Dublin. We find that those who are homeless in Dublin often are from Dublin or have family living in Dublin and they want to stay close to what they know. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The only major modification was that our in-person workshops had to turn into virtual gatherings and our case management services adjusted by appointment only. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. We feel we have exceeded expectations for this program as we have stepped in to fill the gap by coordinating emergency rental assistance to over 30 households. This new program takes an extra level of verification and administrative support to complete applications and submit reporting with the same staffing capacity. We have also responded in a timely fashion to all city and police department requests with immediate assistance and support. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 47 Total Program Participants 47 total to date 47 Total Dublin residents 47 total to date 94.0094.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 1 total to date 160 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 160 total to date 160.00160.00 TOTAL 47 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous 47 total to date Attachment 2 123 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE report.] 298 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 298 total to date 345.00345.00 TOTAL 11 Low Income (50% to 80% Median) 11 total to date 9 Very Low Income (30% to 50% Median) 9 total to date 27 Extremely Low Income (<30% Median) 27 total to date 47.0047.00 SUBTOTAL 47.0047.00 TOTAL 4 Seniors (62 and older) 4 total to date 3 Disabled 3 total to date 25 Female-Headed Households 25 total to date 32.0032.00 TOTAL 18 White 18 total to date 6 White + HISPANIC 6 total to date 8 Black/African American 8 total to date 0 Black/African American + HISPANIC 0 total to date 8 Asian 8 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 1 Native Hawaiian/Other Pacific Islander 1 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 5 Other/Multi Racial 5 total to date 1 Other/Multi Racial + HISPANIC 1 total to date 47.0047.00 TOTAL Attachment 2 124 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Unduplicated intake or enrollment into any of our programs. 18. What is your goal for units of service for this fiscal year? 160 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 47 Number of persons assisted with new access to a service. 47 total to date 47 Number of persons assisted with improved access to a service. 47 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 94.0094.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 125 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/12/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Christine Beitsch-Bahmani, Chief Executive Officer 2. Program Title: Dublin Crisis Resource and Homelessness Prevention Program 3. Telephone: 510-789-5443 4. E-Mail: christine@cityservecares.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The current status of our program is both stable and supportive. We have not halted any services during this timeframe, in fact, we have been able to increase our support to Dublin residents by proactively mobilizing the distribution of mental health resource flyers throughout the city. Each flyer has a QR code for residents to easily take a mental health assessment and in turn, our team can respond with local resources available to best serve their needs. This effort was made possible by the county Measure A funding that was awarded to CityServe. Thus far, we have distributed 125 flyers and have done 20 in-person mental health assessments as a result. These mental health assessments are also now a part of our collaborative and intentional outreach efforts with Open Heart Kitchen. Our teams meet twice a week to resource Dublin homeless residents during food distribution in remote areas. We have also incorporated the mental health assessment into all our care coordination sessions. (formerly called Case Management). We will continue to market our comprehensive services and mental health assessments tool in Dublin with a goal of distributing 360 flyers and having 50 assessments completed. Current Focus of Activity: Story #1: We have been working with a sheltered individual who has been living in Dublin while going through a lot of financial issues related to the finalization of a divorce from her partner. CityServe stepped in to help her with her rent and many other resources so that she and her children did not become homeless. Story #2: In our last report, we shared about a homeless woman who found a temporary room for rent. While she had temporary shelter, we referred her to The Goodness Village and she will be moving in mid-July. Living at the Goodness Village ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 2 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 126 will be a much more sustainable option and will only take 30 percent of her income. Overall, this will give her a community to be a part of and a support system to fully thrive. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. With businesses starting to open up, we have offered clients the ability to meet a Care Coordinator more frequently, and in person to set up a care session, available throughout the Tri-Valley at one of our four resource pop-ups. If access is an issue our team members will go to where they are. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The goals set were to resource and serve as many Dublin residents in crisis as possible based on our capacity. CityServe has met and/or exceeded the expectations with only a part-time Care Coordinator. Thankfully due to other funding streams, we were able to offer additional staffing support with outreach and assessments. Please note: We do have much more funding from other cities so the efforts will be slightly different in Dublin due to the staffing and funding available to meet the demand. Our mainline intake coordinators field a high volume of calls from Dublin and as soon as our contract with the county for emergency rental navigation begins in August our care coordinators will begin supporting all the calls from Dublin residents needing assistance for how to sign up for the country rental assistance program. We plan to market and highlight this service throughout Dublin to assure residents there is access to help. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as 736 Total Program Participants 783 total to date 102 Total Dublin residents 149 total to date 838.00838.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 1 total to date 160 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 320 total to date 160.00160.00 TOTAL 102 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 149 total to date 736 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 1,034 total to date 838.00838.00 TOTAL Attachment 2 127 reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Persons- main head of household unduplicated. Each unit of service can be defined as Need Request Intake, enrolled in Case Management or a special program such as Emergency Rental Assistance Program. 21 Low Income (50% to 80% Median) 32 total to date 29 Very Low Income (30% to 50% Median) 38 total to date 52 Extremely Low Income (<30% Median) 79 total to date 102.00102.00 SUBTOTAL 102.00102.00 TOTAL 20 Seniors (62 and older) 24 total to date 6 Disabled 9 total to date 17 Female-Headed Households 42 total to date 43.0043.00 TOTAL 19 White 37 total to date 22 White + HISPANIC 28 total to date 0 Black/African American 8 total to date 11 Black/African American + HISPANIC 11 total to date 8 Asian 16 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 1 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 5 Other/Multi Racial 10 total to date 37 Other/Multi Racial + HISPANIC 38 total to date 102.00102.00 TOTAL Attachment 2 128 18. What is your goal for units of service for this fiscal year? Our goal is to resource and connect 160 Dublin Individuals to care and support during a time of crisis or to assist them with preventative resources to reduce a crisis in the future. 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: Impact Story: A single female living in an apartment had to stop working due to needing to take care of her adult daughter who was having medical issues. The client’s monthly rent is based upon her income through section 8. CityServe assisted by getting connected to her caseworker at the housing authority to get her rental amount reduced and she is starting back to work on the 15th of July now that her daughter is doing better. We also supported her to share resources from many other programs to help with her expenses. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The originally requested funding had a goal toward three aspects of our Dublin-specific Prevention and Resource Program, 1) 0.2 part-time Dublin-dedicated Resource Specialist (formerly known as Crisis Intervention Specialist/Case Managers) who will be available for Dublin residents who need individualized action planning, resourcing, and help to navigate existing support systems such as federal and state benefits. The Resource specialist at .2 FTE, would be able to, conservatively, provide 20 households with highly individualized care, which amounts to an average total of 65 Dublin Residents served through $10,920, or $168 per resident served per year. 2. Direct service safety-net fiscal assistance (formerly known as Community Care funds) that specifically will serve to stabilize and keep Dublin residents housed. 3. Lastly, a new aspect of our Prevention Program is our CityServe Workshops, designed to address some of the specific 102 Number of persons assisted with new access to a service. 149 total to date 102 Number of persons assisted with improved access to a service. 149 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 204.00204.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 129 education and life skills gaps we see in the participant population we encounter. Workshops will be offered on a regular schedule with an understanding of the working adult’s time constraints and targeted to be offered in both English and Spanish. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. We accomplished the goal of designating 0.2 part-time Dublin-dedicated Resource Specialist (formerly known as Crisis Intervention Specialists/Case Managers). (we cross-trained all our care coordinators so no call/email was missed by a Dublin resident) Due to the pandemic, we implemented more safe client contacts over the phone, via zoom or at one of our Tri-Valley outdoor resource pop-ups. The pandemic crisis caused our program to utilize a more streamlined approach by directly connecting residents to local emergency resources that were available on any given week. Dublin residents who needed individualized action plans were matched with a care coordinator to help navigate existing support systems such as federal and state benefits. Our goal was to serve 20 households with individualized care and we far exceeded that goal due to the heightened demand. Another creative collaboration was our partnership with Open Heart Kitchen. Our outreach team joined their food team as they deliver food to unsheltered individuals in Dublin. Our team meets with the clients receiving food to and we offer additional resource assistance and follow-up. During the final quarter, we modified our service model to a care coordination model to better assess those in need by navigating their physical, emotional, education/vocational, safety-net and community health needs. Our new model is currently rolling out and is in place of the original case management model that tends to carry negative connotations for our clientele. No one wants to be a “case” and no one wants to be “managed”. Our new approach invites the client to become a participant in their success and sustainability. Each Dublin resident with multiple needs has the opportunity to set up a one-hour care session with any of our care coordinators and leave with a care plan. We will follow up within three days to make sure all referrals are connected and if there needs to be additional adjustments or support. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Our overarching mission as an organization is to mobilize mercy and we do that by caring, coordinating and connecting those in need to vital resources in the Tri-Valley. We feel that our program is pivotal and prepared for such a thing as a global pandemic. We were quickly available to help new clients navigate the incredible amount of obstacles that were thrown at them that they have never dealt with. For those already in our care we offered a deeper level of support as exhibited by our increased number of care calls with times ranging from 20 mins to sometimes over an hour each. The numbers we reported do not reveal the incredible amount of time invested per client. Thankfully we accomplished our goal of designating 0.2 part-time Dublin-dedicated Resource Specialist (formerly known as Crisis Intervention Specialist/Case Managers) to work more comprehensively with these households and assist with multiple barriers to service. CityServe also stepped into the gap to distribute emergency rental assistance for the city of Dublin until funds ran out. We feel this exceeded our original goal and elevated a higher level of vetting assistance and administrative tasks for our back office. The outcome of exceeding our goal was that over 50 households were directly prevented from becoming homeless as a result of these efforts. The families we serve have been and continue to work toward increasing their income, getting new and better jobs or finding more affordable homes to rent to better meet their needs for sustainability. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea The goal of providing a nice variety of specialized CityServe Workshops designed to address the education and life skills gaps we see were a bit forged this year due to the impact of group gatherings and needs that were more urgent for clients. What we found was most important based on the calls coming in was there was a miscommunication regarding the rent moratorium and rights resulting in increased anxiety and fear. Therefore, in partnership with Echo Housing, we offered a Rental Moratorium Workshop for all tenants and landlords so that they would understand their rights and the resources available. We offered the workshop in both English and Spanish. In the future, we hope to resume our original plan for additional meaningful and practical life skills workshops. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Attachment 2 130 Application ID: 156002 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. Echo Housing, Dublin Chamber, Dublin Rotary, Hively, Alameda County Sheriff's, Abode, Open Heart Kitchen, Valley Christian Center, St Raymond’s, Tri-Valley Haven, Spectrum, SAVE, Shepherd's Gate, Inklings Coffee and Tea, The Goodness Village, Cornerstone Church, Valley Community Church, 211 and many many more! 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Not only did we utilize direct service safety-net fiscal assistance (formerly known as Community Care funds) funded specifically by Dublin to stabilize and keep Dublin residents housed. We also matched funds from other sources to distribute over $896,226.00 of direct subsidies (churches/foundations/individual donors) in the Tri-Valley mainly during the pandemic. We were also awarded 100K (2 FT outreach workers) from Alameda County to help Dublin/Livermore residents with mental health assessments. Attachment 2 131 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Chabot-Las Positas Community College District Dublin VITA Program 2020-2021 Jump to: Organization Information Questions Budget Documents $ 7,497.00 Requested Submitted: 1/9/2020 9:36:45 AM (Pacific) Project Contact Sarah Holtzclaw sholtzclaw@clpccd.org Tel: 925-416-5108 Additional Contacts none entered Chabot-Las Positas Community College District DBA Tri-Valley Career Center 7600 Dublin Blvd. Dublin, CA 94568 United States Vice Chancellor for Business Services, designated signer Jonah Nicholas jnicholas@clpccd.org Telephone(925) 416-5100 Fax Web www..trivalleycareercenter.org Organization Information top 1. Business License Number BL 010043 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). As part of the CLPCCD Economic Development Department, our mission is to empower individuals and communities to thrive by creating career, education and economic opportunities. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 132 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. For many people, taxes are scary, complicated and confusing. No one likes to face the federal government’s threat of an audit. All this keeps paid tax preparers in business. However, when you are living paycheck to paycheck, you can’t afford the cost of paying for tax preparation. The VITA program, sponsored by the IRS, is a powerful vehicle to deliver high-quality tax preparation that provides individual attention along the working poor’s path to financial health. In fact, last year the average household income of the taxpayers served by Tri-Valley Career Center (TVCC) was just $28,152. TVCC stepped in several years ago to fill a gap for the low-income residents of the region. Over the years, the number of taxes e-filed by our certified volunteers has steadily risen. TVCC trains, certifies and manages 35 volunteers who work in three locations. These volunteers sit side-by-side with clients to prepare and e-file federal and state taxes. The impact of this service is both personal and widespread. Our clients are relieved and thankful for the service and speed in receiving their refunds. Jointly, the impact on the local economy is extensive, as hundreds of thousands of dollars are driven back into local businesses and families are stabilized each year. In the last 5 years, our taxpayers brought $4.1 million back into the Tri- Valley. The Dublin VITA program is a social service with an impressive and generous economic impact and return on the City’s investment. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 72 unduplicated Dublin residents. For the 2019-2020 season, we believe we will serve 650 taxpayers, 11% of which will be from Dublin 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The VITA Program offers its services for free. By law, we cannot take payment of any kind, including the occasional thank-you gift that a grateful client might later wish to bring back. Additionally, the taxes must be completed by volunteers. However, ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) ✔✔✔✔ Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 133 though the tax preparation services are free to the taxpayers, it is not without costs to operate. There is much planning, coordination and oversight that needs to happen or take place in the background. To ensure that this is done properly, the program is heavily reliant on its Program Coordinator. We rely on her expertise, planning, volunteer recruitment and operations oversight each year. She coordinates with the United Way and the IRS to ensure our volunteers are familiar not only with the software, but also all-new and altered tax laws each year. She manages the training of all volunteers as well as their schedules. Beginning in 2020, TVCC has used additional grant money to hire an Assistant Coordinator during the tax season in order to allow the program to grow further. Thus the City of Dublin grant will primarily pay for coordinating staff and benefits. This relatively small amount will cover printing and paper for the returns (which can reach 14 pages each), advertising, and travel for the coordinators. Dublin grant funds will be combined with other grants to cover all the costs associated with this program. These include federal, state, city and private donations. The City of Dublin funds are a critical piece to cover the costs associated with this vital, yet often overlooked, need. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. Since this is a federally-regulated program, it is tracked meticulously by the IRS and United Way. At the end of the season, we should receive aggregated data on all of the clients we served. Each year, we track: • Total number of clients served; • Percentage increase of clients served; • Total federal dollars returned to clients; • Average and Total Earned Income Tax Credits (EITCs) returned to clients served; • Average Adjusted Gross Income of clients served; and • The total number if ITIN applications filed From this, we can extrapolate Dublin data to know the above information specific to the City. VITA is a federal program, and thus is available or open to all qualified taxpayers. VITA is a service specifically for the working poor with low or moderate incomes. This year, the thresholds that we are bound or mandated to serve are single household incomes equal to or less than $66,000 a year, and married households earning $75,000 or less. Though this may seem or seems high, please note that in the Tri-Valley, a family of four is considered living in poverty with a household income of $89,000. Though Spanish is the most prevalent of second languages that we serve, the program also has Tagalog-, Punjabi- and Chinese-speaking volunteers, allowing direct communication with/ to the taxpayers without the use of an interpreter. Additionally, our services as a Certified Acceptance Agency through the IRS allows us to streamline the process of obtaining an ITIN, for immigrant taxpayers without Social Security numbers. Our best marketing is that achieved through word-of-mouth, and through repeated business born of success and gratitude. A sizable number of our taxpayers return to us year after year. Their experience with and trust of the services/program is spread through recommendations and anecdotal word of mouth. More pinpointed marketing and outreach includes our website and that of our partner, the Pleasanton Library. It includes social media, both free and paid. Additionally, it includes flyers distributed through a network of social services and appropriate retailers in the region. These are produced in both English and Spanish. Our partners are a great resource in our outreach, as they provide additional services to the target population. Educating partner staff about the VITA services and how to access them is a critical outreach effort. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? gfedc Not Applicable gfedc Yes ✔✔✔✔ No gfedc Yes. If so, check box here and answer questions 29 through 41. Attachment 2 134 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 135 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well Attachment 2 136 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Attachment 2 137 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL gfedc #1 - This program/project has the agency's highest priority for funding. ✔✔✔✔ #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 7,497.00 $ 0.00 City of Livermore $ 9,495.00 $ 0.00 City of Pleasanton $ 9,995.00 $ 0.00 United Way of the Bay Area $ 16,500.00 $ 0.00 Alameda County-Oakland Community Action Partnership $ 20,000.00 $ 0.00 Wells Fargo $ 5,000.00 $ 0.00 Total $ 68,487.00 $ 0.00 Funding Uses/Expenses Budget Amount Amount Committed Salaries $ 28,373.00 $ 0.00 Benefits $ 17,924.00 $ 0.00 Supplies $ 325.00 $ 0.00 Printing $ 1,750.00 $ 0.00 Rent/Utitlities $ 11,975.00 $ 0.00 Marketing Development $ 2,500.00 $ 0.00 Marketing Placement $ 4,700.00 $ 0.00 Travel $ 940.00 $ 0.00 Total $ 68,487.00 $ 0.00 Attachment 2 138 Budget Narrative The VITA program is not the core business of the Community College District or TVCC. Thus the it must be fully funded through grants. As the only service of its kind (focused on the working poor) available to a large geographical area east of the Oakland Hills, and one of the only a few VITA programs expanding yearly in the Bay Area, we are fortunate to receive grants from United Way and the Alameda County-Oakland Community Action Partnership (AC-OCAP), as well as a small grant from the Wells Fargo Foundation. The Dublin funds are calculated to cover the percentage of taxpayers served who are Dublin residents, or 11% of the total budget for 2020-2021. The VITA program relies heavily on volunteers and the Career Center staff to accomplish its goals. The “hard” costs include staff wages, benefits, and operational costs including rent, marketing, printing, and supplies. Of these hard costs: staff salaries = 41.4%; benefits = 26.2%; and operating expenses = 32.4%. The value of donated volunteer time, with which we could not carry out our VITA services, nearly matches the hard costs at more than $66,750. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ CLPCCD-TVCC Program Expenses Financial Information Form for ALL Grant Requests download template ✔✔✔✔ CLPCCD-TVCC VITA Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ CLPCCD Board of Trustees Current Annual Budget for the Entire Agency ✔✔✔✔ CLPPCD Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ CLPCCD No Tax Return Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ CLPCCD Board Authorization Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ CLPCCD Board Authorization Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ CLPCCD Insurance Certificate STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ CLPCCD IRS Nonprofit status letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ CLPCCD Most Recent Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. Attachment 2 139 REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/5/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw 2. Program Title: Program Manager 3. Telephone: 925-560-9439 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The VITA program is in the planning stages. Taxes actually are not performed until the third and fourth quarters of the grant cycle. At this point, our coordinator is starting to attend planning meetings and work with key volunteers and the United Way to determine the best way forward given the pandemic and the need for socially distant services. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. N/A 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The planning has started, which all that was planning for this quarter. 10. Were any Dublin grant funds expended for this project during this reporting period? ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 0 Total Program Participants 0 total to date 0 Total Dublin residents 0 total to date 0.000.00 TOTAL gfedc Yes (already submitted invoice/s) Attachment 2 140 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 1 total to date 72 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 72 total to date 72.0072.00 TOTAL 0 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 0 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 0.000.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 0 Extremely Low Income (<30% Median) 0 total to date 0.000.00 SUBTOTAL 0.000.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 0 Female-Headed Households 0 total to date 0.000.00 TOTAL 0 White 0 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 0 total to date Black/African American + HISPANIC Asian Attachment 2 141 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Tax returns prepared 18. What is your goal for units of service for this fiscal year? 72 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 0 Other/Multi Racial 0 total to date Other/Multi Racial + HISPANIC 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Attachment 2 142 24. Please include any additional comments or clarifications here: The tax program does not serve client until the 3rd and 4th quarter of the fiscal year. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Report 2 due 1/15/2021 (submitted 1/6/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw 2. Program Title: sholtzclaw@clpccd.org 3. Telephone: 925-560-9439 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report Attachment 2 143 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The VITA program is in the planning stages. Taxes actually are not performed until the third and fourth quarters of the grant cycle. At this point, our coordinator is attending planning meetings and working with key volunteers and the United Way to determine the best way forward given the pandemic and the need for socially distant services. We will need to have fully-virtual services again for at least the first 6 weeks of the tax season and are moving forward with plans to be able to do this. We have recruited volunteers who will do the virtual work as well as others who will be available once we can be in-person again. The volunteer orientation is the first week of January with online training happening throughout January. Tax season officially starts the first week of January. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The number of clients we will be able to serve may be impacted by the virtual-online services. 6These services take longer and are more cumbersome for our volunteers, which limits the number of people we can serve. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. N/A 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 0 Total Program Participants 0 total to date 0 Total Dublin residents 0 total to date 0.000.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 2 total to date 72 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 144 total to date 72.0072.00 TOTAL 0 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous 0 total to date Attachment 2 144 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] report.] 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 0.000.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 0 Extremely Low Income (<30% Median) 0 total to date 0.000.00 SUBTOTAL 0.000.00 TOTAL 0 Seniors (62 and older) 0 total to date 0 Disabled 0 total to date 0 Female-Headed Households 0 total to date 0.000.00 TOTAL 0 White 0 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 0.000.00 TOTAL Attachment 2 145 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Tax returns prepared 18. What is your goal for units of service for this fiscal year? 72 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The tax program does not serve clients until the 3rd and 4th quarter of the fiscal year. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 146 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Sarah Holtzclaw, Director Apprenticeship Programs (formerly Program Manager) 2. Program Title: Dublin VITA Program 2020-2021 3. Telephone: 925-416-5136 4. E-Mail: sholtzclaw@clpccd.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The VITA program ran from the beginning of February 2021 through mid-May. The dates changed this tax season due to the pandemic and the IRS dates for accepting returns. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Given the pandemic, the VITA team and volunteers had to work additionally hard to get taxes prepared. In a normal season, the taxes are prepared with the taxpayer sitting beside the preparer. The process takes an average of 45 minutes. Virtually, the process took much more work and time. The team did an amazing job to get in as many returns as they did, though it was not as many as we'd planned when writing the application or contract. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 546 Total Program Participants 546 total to date 98 Total Dublin residents 98 total to date 644.00644.00 TOTAL Attachment 2 147 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Given the pandemic, the VITA team and volunteers had to work additionally hard to get taxes prepared. In a normal season, the taxes are prepared with the tax payer sitting beside the preparer. The process takes an average of 45 minutes. Virtually, the process took much more work and time. The team did an amazing job to get in as many returns as they did, though it was not as many as we'd planned when writing the application or contract. Their system worked beautifully, though it was more work for the team. Even so, the team met exceeded the state goal for Dublin by 36%. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 3 total to date 72 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 216 total to date 72.0072.00 TOTAL 98 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 98 total to date 546 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 546 total to date 644.00644.00 TOTAL 8 Low Income (50% to 80% Median) 8 total to date 34 Very Low Income (30% to 50% Median) 34 total to date 56 Extremely Low Income (<30% Median) 56 total to date 98.0098.00 SUBTOTAL 98.0098.00 TOTAL 28 Seniors (62 and older) 28 total to date 2 Disabled 2 total to date 4 Female-Headed Households 4 total to date 34.0034.00 TOTAL Attachment 2 148 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. tax returns prepared 18. What is your goal for units of service for this fiscal year? 72 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 51 White 51 total to date 28 White + HISPANIC 28 total to date 2 Black/African American 2 total to date Black/African American + HISPANIC 0 total to date 14 Asian 14 total to date Asian + HISPANIC 0 total to date American Indian/Alaskan Native 0 total to date American Indian/Alaskan Native + HISPANIC 0 total to date Native Hawaiian/Other Pacific Islander 0 total to date Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date American Indian/ Alaskan Native and White 0 total to date American Indian/ Alaskan Native and White + HISPANIC 0 total to date Asian and White 0 total to date Asian and White + HISPANIC 0 total to date Black/African American and White 0 total to date Black/African American and White + HISPANIC 0 total to date American Indian/Alaskan Native and Black/African American 0 total to date American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 3 Other/Multi Racial 3 total to date Other/Multi Racial + HISPANIC 0 total to date 98.0098.00 TOTAL 98 Number of persons assisted with new access to a service. 98 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 98.0098.00 TOTAL N/A Number of persons assisted with new access to a service. 0 total to date N/A Number of persons assisted with improved access to a service. 0 total to date Attachment 2 149 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The continued shelter-in-place due to the COVID-19 pandemic altered the process of preparing taxes to be completely virtual. Our team created a system of accepting, preparing, and returning the documents over a week's time, This system was signed off by both the United Way (our regional partner) and the IRS. In fact, the TVCC VITA program was one of only a few in the entire Bay area who were open for business. We had new clients from around the region who normally look for the tax services in their local community, but couldn't due to those services being closed. Our team was exceptional in getting the system up and running, in working long hours to help people, and in preparing taxes for so many people. Though they missed their goals from the time of application, the team was exceptional in getting as much done as they did. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The grant helped support the Volunteer Income Tax Assistance (VITA) program for the Tri-Valley. This program serves low- income working families through the preparation of federal and state tax returns. This is a national program that is not offered anywhere else in the Tri-Valley. It serves taxpayers who can ill-afford the costs of paid tax preparers but need to file both to follow the law and to receive their refund that pays for day-to-day necessities. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. The staff and volunteers really came through this year with their tenacity to serve clients. While other sites never opened for the season, the TVCC staff and volunteers worked to find a way to continue to serve clients virtually. The system including the client dropping off paperwork, scanning that paperwork, and placing it in a secured site for another volunteer to prepare the taxes. Then another volunteer printed the returns in order for the client to pick them up a week after they dropped them off. Their system worked beautifully, though it was more work for the team. The team responded to the community by simply offering the services. They were one of a handful of programs that opened during the pandemic. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes, this season was a success. It was not the season that was intended, though. It was much more work and much more complicated to accept, prepare and deliver the taxes documents virtually. Given the amount of work that each tax return took, the team did a phenomenal job preparing as many as they did. In fact, they helped 36% more Dublin clients than planned. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea The primary issue certainly was the pandemic. It changed the entire delivery system of the services. All services were virtual though the pick and drop off were in person. Additionally, TVCC's offices were moved from Dublin to Pleasanton in January 2021. The new location was not approved for occupancy so the services were set up for drop off and pick up at the College District's main office in Dublin. Lastly, two of our three traditional sites used pre-COVID were closed, which left us with one site. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. • Chabot-Las Positas Community College District - funder as well as the site for drop off and pick up of documents. N/A Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. 0 total to date N/A Number of persons assisted with improved access to a service. 0 total to date N/A Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 150 Application ID: 156537 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. • United Way of the Bay Area – the United Way is both a funder and a partner. They are the lead agency in the Bay Area for the VITA program. In addition to funding, they provide oversite and training for our site coordinators, marketing materials, volunteer recruitment help, and ongoing support. • Internal Revenue Service – the IRS provides the tax law, software and technical support, training materials, and ongoing support. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. No, all other sources were included in the grant application. Attachment 2 151 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Easterseals Northern California Easterseals Bay Area Jump to: Organization Information Questions Budget Documents $ 25,000.00 Requested Submitted: 1/13/2020 11:40:14 PM (Pacific) Project Contact Easterseals Northern California development@esnorcal.org Tel: (510) 910-3089 Additional Contacts none entered Easterseals Northern California 5601 Arnold Road Suite 104 Dublin, CA 94568 United States CEO Jim Kelleher development@esnorcal.org Telephone(925) 326-0072 Fax Web www.esnorcal.org Organization Information top 1. Business License Number BL-005301 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Our mission is to lead the way to ensure that individuals and families affected by disabilities and special needs can live, learn, work, and play to their full potential. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 152 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Kaleidoscope is a Community Adult Program based in Dublin, California that offers specific programming for adults with a developmental disability. This program helps adults integrate into the community and includes employment readiness and development, independent living skills, community inclusion, socialization, and many other beneficial activities. Participants work with Life Skills Coaches who help them pursue interests by helping them define their goals and become as independent as possible. Interest-based programming offered at Kaleidoscope includes: Community Access Recreation & Leisure Physical Fitness Pre-Employment Volunteering Life Skills & Employment Planning. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 27 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) Grant funding from the City of Dublin would exclusively support the staffing expense for program staff. As the need for the Kaleidoscope program increases in the community, the need to hire the required number of Life Skills Coaches to successfully implement programmatic activities increases. Life Skills Coaches are community members with a desire to gain experience working with adults with diagnoses of Autism Spectrum Disorder, Down Syndrome or other disabilities. ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) ✔✔✔✔ Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 153 Kaleidoscope's design as a programmatic component of Easterseals allows cost-effective, comprehensive services for adults with disabilities without sacrificing quality. A cost-share model is used to offset daily expenses and share resources with other Easterseals programs. The program has been successful in meeting a need within the community and is challenged to meet the demand for increased participants. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. Successful outcomes include the ability for participants to develop the skills necessary increase their integration within the community, satisfaction of participant families/caregivers, and the ability to reach capability of 1:3 supervision with coaches. Kaleidoscope works directly with the disabled population. As a vendor of the Regional Center of the East Bay, the program receives referrals for families who are low-income or limited English speakers whose children or wards are members of the developmentally disabled population. Kaleidoscope is committed to serving low-income families, limited English speaking families, single-parent households, as well as families with a disabled head of household. Kaleidoscope staff and participants and their accomplishments are regularly featured on all social media platforms, in direct mail marketing pieces, a quarterly newsletter, annual report, and via printed materials distributed throughout the Bay Area. An annual fundraising letter campaign is also coordinated to spread awareness of the program and its success. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. Attachment 2 154 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability Attachment 2 155 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 156 Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. Attachment 2 157 gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Regional Center of the East Bay $ 481,509.00 $ 0.00 Total $ 481,509.00 $ 0.00 Funding Uses/Expenses Budget Amount Amount Committed Staffing $ 540,408.00 $ 0.00 Program Activity Supplies and Other Costs $ 3,000.00 Total $ 543,408.00 $ 0.00 Budget Narrative Kaleidoscope receives priority for funding within the overall organization budget as it is evident the need exists for increasing the number of participants. Easterseals' has acted on a commitment to individuals living with a disability since 1919 and has helped countless families. We wish to be able to continue offering quality programs and services to the adult disabled community. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Form Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information Form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board List Current Annual Budget for the Entire Agency ✔✔✔✔ Financial Summary Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 2018 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Authorization Letter Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorization Letter Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ 501 c 3 letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Certified Financial Statement REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) Attachment 2 158 REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 2/2/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Doris Evans, Executive Consultant 2. Program Title: Kaleidoscope Community Adult Program 3. Telephone: 5109103089 4. E-Mail: Doris.Evans@catalight.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The program is actively underway and participants are happily engaged. Our services focus on life skills such as hygiene, social boundaries, vocabulary and reading skills as well as cooking classes, how to do laundry, customer service skills, arts & crafts and other activities that keep participants as engaged as possible. ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 159 Last Spring, we created myBrightlink Club using our myBrightlink app. Since the shift to telehealth last March, we have worked hard to modify or develop programs and activities that are designed to help build skills even though services are being received remotely. An example is using a hula hoop to demonstrate and reinforce social boundaries. The hula hoop is as close as they can get to someone without asking permission to get closer. To help ensure that the item doesn’t become something that is resented or seen as a negative intervention, we’ve also incorporated fun games or activities that use the item such as a dance party or actual hula hooping. Another example of how we’ve adjusted services is the partnership we created with “i heart art”, a Pleasant Hill based business that create developmentally and age appropriate arts & crafts boxes for our participants and staff. The clients really love the boxes and activities, and the company does a great job of making the topic seasonal or tied to a theme that is taught for a couple sessions. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications were made. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The program was successful during the quarter and the goals outlined in the application were met. When the shelter-in-place started (March 2020), we transitioned to remote services, via Zoom, and implemented a new virtual program called myBrightlink Club. The club provides participants and families the opportunity to complete art projects and activities with instruction by a Life Skills Coach. The needed art supplies are delivered to the participants’ homes and the activities keep participants engaged and socially interacting. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as 22 Total Program Participants 22 total to date 5 Total Dublin residents 5 total to date 27.0027.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 5 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 5 total to date 5.005.00 TOTAL 5 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 5 total to date 17 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 17 total to date 22.0022.00 TOTAL Attachment 2 160 reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. N/A N/A Low Income (50% to 80% Median) Very Low Income (30% to 50% Median) Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL N/A Seniors (62 and older) Disabled Female-Headed Households 0.000.00 TOTAL N/A White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Other/Multi Racial Other/Multi Racial + HISPANIC 0.000.00 TOTAL Attachment 2 161 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: Thank you for the ongoing support from the City of Dublin! We truly appreciate your partnership with us to provide much needed services to our participants. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 162 N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Doris Evans, Impact Operations Manager 2. Program Title: Kaleidoscope Community Adult Program 3. Telephone: 5109103089 4. E-Mail: Doris.Evans@catalight.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The Kaleidoscope Community Adult Program is actively underway and the participants have returned to in-person services on a modified schedule. Monday, Wednesday and Friday the participants attend the program in person. On Tuesday and Thursday the participants attend the program remotely via zoom. The participants are actively working on life skills, socialization, leisure, recreation, money management and prevocational skills. As COVID-related restrictions in the surrounding community continue to ease, the participants will volunteer at Sunflower Hill, the SPCA, Tri-Valley Haven and the Crayon Initiative. During our remote sessions participants are learning how to cook simple meals, complete chores around the house and have positive interactions with their peers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. During the first half of the year, due to the pandemic and government guidelines, participants were engaged in the myBrightlink Club activities remotely from home. Recently, the program has transitioned back to in-person services with a hybrid approach - three days in person, two days remote. We designed this slow transition to allow participants time to adjust their schedules and comfort level. Participants have been receiving services remotely for over a year and have not interacted with other participants in person. The hybrid service delivery model provides the participants the space and time to slowly transition back to an in-person program and engaging with other individuals. The remote service delivery model and the hybrid service delivery model were both designed and implemented to reduce the risk of illnesses or COVID exposures and keep staff and participants safe. We conduct a wellness and temperature check for every participant, every time they present to receive in-person services. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 28 Total Program Participants 50 total to date Attachment 2 163 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The program was very successful and we were able to achieve the goals stated in the application. Through creative scheduling and planning we were able to keep the participants engaged and happy despite the pandemic and shut downs. In addition, and unlike other adult day programs, we were able to increase our total client count during the last year and did not lose any clients. We feel that a big part of this success is due to our rapid transition to remote services when the shelter-in-place was ordered and the myBrightlink Club that was implemented. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 6 Total Dublin residents 11 total to date 34.0034.00 TOTAL gfedc Yes (already submitted invoice/s) 1 total to date ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 5 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 10 total to date 5.005.00 TOTAL 1 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 6 total to date Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 17 total to date 1.001.00 TOTAL N/A Low Income (50% to 80% Median) N/A Very Low Income (30% to 50% Median) N/A Extremely Low Income (<30% Median) 0.000.00 SUBTOTAL 0.000.00 TOTAL N/A Seniors (62 and older) N/A Disabled Attachment 2 164 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. N/A 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: N/A Female-Headed Households 0.000.00 TOTAL N/A White N/A White + HISPANIC N/A Black/African American N/A Black/African American + HISPANIC N/A Asian N/A Asian + HISPANIC N/A American Indian/Alaskan Native N/A American Indian/Alaskan Native + HISPANIC N/A Native Hawaiian/Other Pacific Islander N/A Native Hawaiian/Other Pacific Islander + HISPANIC N/A American Indian/ Alaskan Native and White N/A American Indian/ Alaskan Native and White + HISPANIC N/A Asian and White N/A Asian and White + HISPANIC N/A Black/African American and White N/A Black/African American and White + HISPANIC N/A American Indian/Alaskan Native and Black/African American N/A American Indian/Alaskan Native and Black/African American + HISPANIC N/A Other/Multi Racial N/A Other/Multi Racial + HISPANIC 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 165 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: Thank you for the ongoing support from the City of Dublin! We truly appreciate your partnership with us to provide much needed services to our participants and families. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The original purpose the funds were granted was to support the staffing expense for program staff. As the need for the Kaleidoscope program increases in the community, additional Life Skills Coaches are needed to successfully implement programmatic activities and reach a ratio of 1:3 supervision with coaches. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. Kaleidoscope responded to the special needs community throughout the pandemic and during the shift to the new normal. Grant funds were used to reimburse Life Skills Coaches salaries. The Life Skills Coaches planned and instructed the daily activities for participants, supported the participants with their skill development and interactions and they also created a Library of Activities, which has been shared on a national level. The Life Skills Coaches were also instrumental with supporting the participants and families that experienced fear, anxiety and loneliness during the pandemic. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes we feel this program was a great success. Unlike other adult day programs, we maintained and even grew our participant count during the pandemic. The retention and engagement of participants, family satisfaction survey's and client success stories demonstrate the programs success. Many families have expressed their gratitude for our program and say that their son/daughter cannot wait to return to program the next day or see their friends/peers on Zoom. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea 2020 was a year of unexpected change and anxiety, but despite this Easterseals Northern California staff were able to quickly recalibrate, pivot and fulfill our mission in new ways that allowed us to meet its team members, clients and families where they were at any given time. The Kaleidoscope program was able to transition to remote services rapidly and maintain all of its clients; there were not any significant changes to the project. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. The Kaleidoscope Community Adult Program collaborated with Easterseals Hawaii, Easterseals National, I Heart Art, Joya Yoga, Sunflower Hill, Regional Center of the East Bay, as well as the county health commissioners. The nature of the N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 166 Application ID: 155736 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. collaboration was to deliver services, share knowledge and work, receives services (i.e. arts & craft boxes) and general program support. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. No. Attachment 2 167 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Hively Hively Behavioral Health Care Services Jump to: Organization Information Questions Budget Documents $ 25,000.00 Requested Submitted: 1/13/2020 7:12:02 PM (Pacific) Project Contact Kelly O'Lague Dulka kelly@behively.org Tel: (925) 417-8733 Additional Contacts none entered Hively 6601 Owens Dr. Ste 100 Pleasanton, CA 94588 United States CEO Kelly O'Lague Dulka kelly@behively.org Telephone(925) 417-8733 Fax (925) 730-4942 Web www.behively.org Organization Information top 1. Business License Number BL-109890 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). At Hively, we believe that everyone should have the resources & support they need to feel supported, cared for, and able to thrive. For over 40 years, Hively has provided children & families throughout Alameda County access to high-quality social services 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project Attachment 2 168 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. There has been a lack of affordable mental health services in the Tri Valley for over a decade. Every day in our work with parents, child care providers, and community members, we see firsthand the desperate need for and lack of accessible mental health services. At a recent trauma informed care workshop presented by Hively CEO Kelly O’Lague Dulka, an attendee, Julie, described how her husband suffers from anxiety, bipolar disorder type I, and PTSD from childhood trauma. He sought therapy, but was turned away from over 50 therapists, who would not accept his insurance despite being “in network” or were not accepting new patients. Julie has also sought, without success, intervention services for her 6-year-old daughter Mathilda, who suffers from separation anxiety and has trouble adjusting to new situations. Julie was so happy to hear that Hively is offering mental health services in the Tri Valley, stating, “I am desperately trying to hold my family together while I work full time and my husband is out on disability for mental health issues…. Please, please help connect me and my family.” In 2019, Hively acquired a nonprofit mental health agency in San Leandro and has launched mental health services in the Tri Valley. Hively seeks grant funding to support the salary and benefits of a full-time, licensed clinician at Hively’s Pleasanton office, who serves the residents of Dublin, Livermore, and Pleasanton. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) We aim to serve 300 distinct Dublin residents, who may come for mental health services, but who can then access Hively's other resources, like free clothing & shoes at our Community Closet; child care subsidies & referrals; & parent education classes. 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) gfedc Yes ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None ✔✔✔✔ Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access ✔✔✔✔ Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services ✔✔✔✔ Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above ✔✔✔✔ Please explain: By expanding mental health services in the Tri-Valley, this project aligns with Dublin’s values of safety & customer service. Attachment 2 169 Grant funds (along with grant funds requested from the Cities of Pleasanton and Livermore) will be used to pay the salary and benefits of a full-time licensed clinician to serve the Tri-Valley community. The clinician will provide diagnostic assessments, conduct initial mental health screenings, and provide therapeutic services for children, teens, and their families. The clinician will also be able to supervise up to six interns and associates, thus maximizing grant dollars by providing the equivalent of four staff people. Grant funds will provide critical operational funds as we grow this new service in the Tri Valley. This project is cost-effective because our goal is for the grant-funded clinician to eventually bill enough in direct service and through services provided by interns/associates to pay for his/her own salary. Supporting a licensed clinician to serve Tri-Valley residents will help meet the stated need in the 2011 Eastern Alameda County Human Services Needs Assessment for more mental health care services, as there are "simply not enough services available to meet the demand." 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. [revise?] Hively will use the CANS structured assessment strategy for identifying youth and family actionable needs and useful strengths. It provides a framework for developing and communicating about a shared vision and uses youth and family information to inform planning, support decisions, and monitor outcomes. It provides a common language for multi-disciplinary settings for consensus building. The guiding principles of CANS: 1. Items are included because they are relevant for planning and decision making. 2. Item ratings translate into action levels. 3. Focus is on youth's needs, not interventions or services that could mask a need. 4. Consider culture and development before establishing action levels. 5. It's about the 'what,' not the 'why.' Don't explain away needs with what you think might be an underlying cause. 6. Specific ratings window (30 days) can be over-ridden based on action levels. The populations we provide mental health services for are the people that our agency serves every day: families with young children, low-income, and non-English speakers. For many of the families we serve, significant mental health issues impact the parent’s ability to get and retain employment. Whether it’s the parent’s own mental health issues or the child’s, many of our families face challenges that inhibit their ability to gain self sufficiency. By providing affordable, accessible mental health services, families can begin to mitigate some of the issues that keep them in poverty. Affordable, accessible mental health services have been extremely limited in the Tri Valley, with long wait times and providers who do not accept MediCal or are not accepting new patients. Increasing availability of mental health services will have an immediate impact for families in acute situations. Hively routinely engages with the community to provide programs that are culturally appropriate and cost effective. We have a very diverse staff with fluency in 14 languages and will offer translation services to clients who need it. We are inclusive and strive to employ staff who reflect the communities we serve and who are experienced in providing support and resources to the target populations. Strategies are in place to increase the scope and scale of target marketing efforts by identifying where these populations live, schools their children attend, and locations they utiilize to access resources. Customized digital and printed educational and community resources will be distributed to Hively’s low-income program participants. Hively will also reach out using Constant Contact, SurveyMonkey, social media, contests, community events, and the agency website. Hively actively pursues partnerships with Tri-Valley service organizations, businesses, nonprofits, and individuals to effectively and efficiently streamline service integration strategies, and reduce program costs to reach more low-income and Spanish- speaking families. Hively has rich partnerships with the Tri-Valley Anti-Poverty Collaborative; Axis Community Health; WIC; Community Care Licensing; CityServe; CAPE Head Start; Kaiser; the Dublin, Pleasanton, and Livermore school districts; First 5 Alameda County; California Child Care Initiative Project; and Livermore Community Needs. Hively will continue to seek new community partnerships and to target health care providers, school district social workers, and other community organizations who serve low-income families, limited English speakers, and youth. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. ✔✔✔✔ Not Applicable gfedc Yes gfedc No Attachment 2 170 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. Attachment 2 171 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, Attachment 2 172 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White Attachment 2 173 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 25,000.00 $ 0.00 City of Pleasanton $ 25,000.00 $ 0.00 City of Livermore $ 25,000.00 $ 0.00 Client Fees $ 30,000.00 $ 25,000.00 Individual Donors $ 10,000.00 $ 10,000.00 Client Fees $ 0.00 $ 0.00 Total $ 115,000.00 $ 35,000.00 Funding Uses/Expenses Budget Amount Amount Committed Salary for licensed clinician (LCSW or LMFT) $ 75,000.00 Payroll taxes $ 5,738.00 Benefits $ 7,500.00 Retirement $ 3,750.00 Rent $ 4,500.00 Computer $ 900.00 Attachment 2 174 Phone $ 600.00 Charting and office supplies $ 150.00 Billing software $ 1,200.00 EHR software $ 1,200.00 Accounting/Audit $ 8,000.00 Clinical Director (5% FTE) $ 6,850.00 Total $ 115,388.00 $ 0.00 Budget Narrative Grant funds will be used to provide salary and benefits for a full-time, licensed clinician for one year. While the overall agency budget is nearly $23 million, approximately 95% of the funds are considered “pass through” dollars, which we use to pay subsidies for child care. The remainder of the operating budget is approximately $1 million. When combined with the services now being provided in the San Leandro clinic, mental health services will make up approximately 5% of the budget. Providing operating funds (through this grant and other funding sources) to support mental health services in the Tri-Valley will represent approximately 8% of the overall mental health operation. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense for all grants Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Dir. Current Annual Budget for the Entire Agency ✔✔✔✔ Annual Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Designated Official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorization for funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ 501(c) Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Financial Statements REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) Attachment 2 175 REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Vanessa Dilks 2. Program Title: Director of Community Services 3. Telephone: 925-595-5177 4. E-Mail: vdilks@behively.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Hively is continuing to provide mental health services including consultation, assessment, diagnosis and treatment of a wide range of mental health issues facing children and families in the Tri-Valley. With the current shelter at home order in place, and now with a undefined end date, most services are being offered virtually, as well as as needed telephone appointments. The COVID-19 pandemic is causing many families to experience a heightened sense of anxiety and fear. Many of them feeling it for the first times, and struggling with the uncertainty of their feelings and emotions. Families continue to stay at home with the constant fear of going out into the community. Hively has been able to continue to provide training and coaching on the topics of stress and anxiety to educators, health care providers, child care providers, parents, and additional members from the community. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. As families are becoming more aware that the COVID-19 pandemic is far from over, families have begin to struggle with the realities of a global pandemic. We have seen the need for services dramatically expand, and are providing additional resources, and opportunities for group, as well as individual, coaching sessions. ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 176 The biggest modification to the project has been the need to provide services virtually. We are not seeing clients in person because of the requirements and recommendations of the Alameda County Public Health Department regarding physical distancing. We have had to pivot and adapt to both the dramatic increase in demand for services and the limitations on how services can be provided. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. As mentioned above, the pandemic has heightened many new anxieties and fears in children and families in our community. To meet the needs of the community Hively is providing virtual one on one coaching sessions, as well as large group sessions. We are thankful that Hively is able to pivot our services so effectively to continue to provide this essential services to the community. Observing the need of the community, Hively started facilitating weekly listening sessions for child care providers. Many of those that attend are at risk of closing their business, losing their retirement, and foreclosure on their homes. This support network has become essential for this audience each week, as they have learned to lean on each other, as well as Hively staff. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 286 Total Program Participants 286 total to date 162 Total Dublin residents 162 total to date 448.00448.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 300 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 300 total to date 300.00300.00 TOTAL 84 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 84 total to date 162 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 162 total to date 246.00246.00 TOTAL 84 Low Income (50% to 80% Median) 84 total to date 54 Very Low Income (30% to 50% Median) 54 total to date Attachment 2 177 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Mental health contact by individual; 800 units. 18. What is your goal for units of service for this fiscal year? 800 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 24 Extremely Low Income (<30% Median) 24 total to date 162.00162.00 SUBTOTAL 162.00162.00 TOTAL 5 Seniors (62 and older) 5 total to date 11 Disabled 11 total to date 67 Female-Headed Households 67 total to date 83.0083.00 TOTAL 38 White 38 total to date 42 White + HISPANIC 42 total to date 18 Black/African American 18 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 2 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 100.00100.00 TOTAL n/a Number of persons assisted with new access to a service. Attachment 2 178 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: Hively is so grateful to receive funding this year. Families are suffering in our community and we are so thankful that we can continue to provide this serve. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 179 Application ID: 156547 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. sources and amounts. n/a Attachment 2 180 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Hively Hively Diaper Pantry Jump to: Organization Information Questions Budget Documents $ 15,000.00 Requested Submitted: 1/13/2020 7:01:24 PM (Pacific) Project Contact Kelly O'Lague Dulka kelly@behively.org Tel: (925) 417-8733 Additional Contacts none entered Hively 6601 Owens Dr. Ste 100 Pleasanton, CA 94588 United States CEO Kelly O'Lague Dulka kelly@behively.org Telephone(925) 417-8733 Fax (925) 730-4942 Web www.behively.org Organization Information top 1. Business License Number BL-109890 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Hively's mission is to strengthen and support children and their families. At Hively, we believe that everyone should have the resources & support they need to feel supported, cared for, and able to thrive. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 181 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. “Give a man a fish and he will eat for a day. Teach a man how to fish and you feed him for a lifetime.” - Italian proverb The Hively Diaper Pantry provides families in need with a month’s supply of diapers and wipes, an age-appropriate children’s book, and parent educational materials to promote children’s literacy. In so doing, not only do we “feed the family for the day” by providing a crucial basic necessity, but we also “feed the family for a lifetime” by providing a path to break the cycle of poverty through the promotion of early childhood literacy. The Diaper Pantry serves families living significantly below the poverty line, like Marta’s family. Marta is mom to 3-yr-old Jose and 1-yr-old Gabby and is one of the 436 families Hively served last fiscal year. Before coming to Hively, Marta was one of the 61% of low-income households who did not have a single children’s book in the house. When Marta ran short on diapers, out of desperation she’d scoop out the contents of a soiled diaper and put the dirty diaper back on Gabby, even though she knew it would probably lead to another ER visit for an infection or severe diaper rash. What other option did she have? Then she heard about the Diaper Pantry. 44% of children in Alameda County are not ready for Kindergarten. The books and resources provided allowed Marta to change the trajectory of her children’s lives, build their critical literacy skills and improve their success rate in Kindergarten and beyond. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) We aim to serve 300 distinct Dublin residents, who may come for the free diapers, but who can then access Hively's other resources, like free clothing & shoes through our Community Closet; child care subsidies & referrals; & parent education classes. 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing ✔✔✔✔ Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services ✔✔✔✔ Youth Services ✔✔✔✔ Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above ✔✔✔✔ Please explain: By helping to meet basic needs, the Diaper Pantry aligns with Dublin’s values of safety & customer service. Attachment 2 182 timeline. (What specifically will the grant funds be used for?) Grant funds will be used to help pay the partial salary of an employee who will staff the Diaper Pantry - including receiving, unpacking, organizing, and storing donated and purchased supplies; bagging diapers and wipes for distribution; literacy program development, and customer service on diaper distribution days. This project is cost effective because we are able get diapers donated and purchase diapers in bulk at the lowest possible price. Furthermore, Hively has partnered with several community organizations who have conducted diaper drives for the Diaper Pantry, including Kaiser, Dublin Unified School District, Boys Team Charity, National Charity League, Help A Mother Out, the Church of Jesus Christ of Latter-Day Saints, St. Raymond's Church, Safeway, and local child care providers. Through these community diaper drives, 40% of the diapers and wipes Hively distributed last year were donated at NO cost to our program. Last year, the Hively Diaper Pantry made over 1,200 diaper distributions which totaled over 135,000 diapers. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. The outcome measures that are crucial to the success of this project are: 1) parent’s ability to go to work or school by having an adequate supply of diapers to meet child care requirements; 2) an increase in the number of parents who are talking, singing, and counting with their babies during diaper changing time; and 3) an increase in parents reading age-appropriate books to their children. The number of diapers, age-appropriate books, and parent educational materials distributed, the number of program participants, and the frequency that parents are engaging with their children during diaper time will be tracked to measure the success of this project. The target populations for this project are families living well below the poverty line and limited English speaking families living in Dublin, Livermore, and Pleasanton. Participant data collected between Jan 2017 and Dec 2018 revealed that 67% of Diaper Pantry participants were Hispanic with limited English skills, 15% Caucasian, and 11% African American. 80% of participants reported an income level of <$24k/year and 19% reported an income level of <$48k/year. Therefore, 99% of Diaper Pantry participants are living significantly below the poverty line. Hively services and programming are culturally appropriate. We are inclusive and strive to employ staff who reflect the communities we serve and who are experienced in providing support and resources to the target populations. Our staff is very diverse with fluency in 14 languages, which ensures that we can communicate effectively with our families. The Diaper Pantry is culturally appropriate because we provide bilingual children’s books and parent educational materials in Spanish. This not only meets the needs of our Spanish-speaking populations, it also provides an opportunity for parents and children to increase their dual-language literacy skills together. Hively has established successful partnerships with CityServe of the Tri-Valley, Axis Community Health, and WIC of Pleasanton, all of whom refer qualified clients to Hively’s Diaper Pantry. In joining forces with these partners, Hively aims to deliver the most comprehensive services to its families. Our outreach efforts also include digital and printed community resource materials, Constant Contact, SurveyMonkey, social media, community events, and the agency website. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail ✔✔✔✔ Not Applicable gfedc Yes gfedc No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. Attachment 2 183 Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. Attachment 2 184 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to Attachment 2 185 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Attachment 2 186 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL gfedc #1 - This program/project has the agency's highest priority for funding. ✔✔✔✔ #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Pleasanton $ 15,000.00 $ 0.00 City of Dublin $ 15,000.00 $ 0.00 City of Livermore $ 15,000.00 $ 0.00 In-kind donations $ 30,000.00 $ 0.00 Other Grants $ 15,000.00 Monetary Contributions $ 30,000.00 Total $ 120,000.00 $ 0.00 Funding Uses/Expenses Budget Amount Amount Committed 30% FTE Diaper Pantry Admin $ 30,000.00 Benefits $ 7,500.00 Supplies - Diapers $ 89,000.00 Supplies - Books $ 18,000.00 Supplies - Parent Educational Materials $ 8,000.00 $ 0.00 Total $ 152,500.00 $ 0.00 Budget Narrative The partial salaries of Hively employees comprise the bulk of this grant. Diapers were distributed over 1,200 times last year, with more than 135,000 diapers distributed. Therefore, customer service on diaper distribution days is an integral part of the success of this program. In addition, developing and maintaining community partnerships and executing successful fundraising strategies is vital to maximizing resources, securing diverse funding streams, and reducing program costs. Funding will cover staff salary and benefits, program materials, and supplies. Hively utilizes in-kind resources, community partnerships, fundraising Attachment 2 187 strategies, and volunteers to help minimize costs. With participant data showing a dire need for low-income families to have access to free diapers/wipes and literacy materials, and despite an increase in the program’s capacity over the last year, demand still exceeds supply. Hively is honored that the City of Dublin has contributed to the success of the Diaper Pantry and would be grateful for the City’s continued support. Hively does not anticipate having any unspent grant funds at the end of the fiscal year. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense for all grants Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Dir. Current Annual Budget for the Entire Agency ✔✔✔✔ Annual Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Designated Official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorization for funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ 501(C) Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Financial Statements REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Attachment 2 188 Other Supporting Documents (Not Required) Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Vanessa Dilks 2. Program Title: Director of Community Services 3. Telephone: 925-595-5177 4. E-Mail: vdilks@behively.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. As of December 31st, 2020, the Hively Diaper Pantry has distributed a total of 123,428 diapers to 354 unduplicated families. This is an increase of 21,968 diapers in comparison to the 2019-2020 fiscal year. In addition to children's books, each family also had the opportunity to receive food, warm clothing, household items, toys, baby wipes, dental kits, and feminine products. Of the 354 families served, 102 were unduplicated Dublin residents. Due to receiving services through the Hively Diaper Pantry, families are changing their child's diaper more often, experiencing less stress due to being able to provide an adequate supply of diapers, and are reporting that they are now talking, reading, and singing more to their children due to the books they receive each time they visit the Diaper Pantry. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Due to COVID-19, Hively has pivoted our services from what was having the Hively Diaper Pantry open twice a week, to now providing monthly distributions on weekends, as well as individual appointments during the week. In a two hour timeframe, Hively distributes an average of 15,000 diapers. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The success of this project is measured by the number of young children that had access to clean diapers each month. This ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 354 Total Program Participants 354 total to date 102 Total Dublin residents 102 total to date 456.00456.00 TOTAL Attachment 2 189 year we saw a need higher then ever in our community. Families who never thought that they would ever be standing in line to receive diapers, are now standing in our line. In 6 months, 354 unduplicated families received services through the Hively Diaper Pantry. This resulted in 354 parents having the ability to not only change their child's diaper more often, buy food for their family, go to work or school, because they had a diapers to give to their child care provider, and reduce the stress in the household. It also allowed parents to increase the amount of time they were spending talking, reading and singing to their child. As mentioned in question number 5, by allowing us to continue to provide diapers to Dublin babies, we are also able to provide them additional essential items including gas gift cards, boxes of food, warm clothing, household items, toys for the holidays, baby wipes, children's books, and so much more. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 1 total to date 210 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 210 total to date 210.00210.00 TOTAL 102 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 102 total to date 354 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 354 total to date 456.00456.00 TOTAL 8 Low Income (50% to 80% Median) 8 total to date 28 Very Low Income (30% to 50% Median) 28 total to date 66 Extremely Low Income (<30% Median) 66 total to date 102.00102.00 SUBTOTAL 102.00102.00 TOTAL Seniors (62 and older) 2 Disabled 2 total to date Attachment 2 190 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. n/a 18. What is your goal for units of service for this fiscal year? n/a 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 8 Female-Headed Households 8 total to date 10.0010.00 TOTAL 18 White 18 total to date White + HISPANIC 12 Black/African American 12 total to date Black/African American + HISPANIC 32 Asian 32 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC 4 Native Hawaiian/Other Pacific Islander 4 total to date Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC 6 Asian and White 6 total to date Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 30 Other/Multi Racial 30 total to date Other/Multi Racial + HISPANIC 102.00102.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 191 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: Hively is so grateful to receive funding this year. Families that never expected to stand in line for diapers, are now standing in line to receive diapers. By allowing us to continue to provide diapers to Dublin babies, we are also able to provide them additional essential items including gas gift cards, boxes of food, warm clothing, household items, toys for the holidays, baby wipes, children's books, and so much more. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Vanessa Dilks Attachment 2 192 2. Program Title: Director of Community Services 3. Telephone: 925-595-5177 4. E-Mail: vdilks@behively.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. As of June 30th, 2021 the Hively Diaper Pantry has distributed a total of 449,799 diapers to 587 unduplicated families. This is an increase of 226,655 diapers in comparison to the 2019-2020 fiscal year. As stated in the mid-year report, Hively continued to provide additional resources at each large diaper distribution. Items included, children's books, food, warm clothing, household items, toys, baby wipes, dental kits, and feminine products. Of the 587 families served, 214 were unduplicated Dublin residents. No child left Hively's distribution empty handed. Each child left with at least one book that they could keep in order to grown their own personal library at home. In addition to books they also received toys, backpacks filled with school supplies, toothbrushes and toothpaste, fresh food, and gently used and new clothing. Parents left with arms full of diapers to clean their babies, food to feed their children, and clothing to replace their used and worn clothing. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. During this reporting period, Hively continued to provide monthly distributions on weekends, as well as individual appointments during the week. Many times Hively staff was delivering to the family's home, as the parent expressed a hardship to visit our distributions. Beginning August 2021, Hively will open a Family Resource Center in Dublin where families can visit anytime during the week, at their convenience, to pick up diapers, food, clothing and other essential items. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The success of this program is measured by the number of families who received services and resources this fiscal year. Hively distributed an extremely high number of diapers to families in the Tri-Valley. Many of them from Dublin, and due to the increased investment from the City of Dublin, Hively was able to expand the agency's reach and serve more Dublin then from prior years. gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 233 Total Program Participants 587 total to date 112 Total Dublin residents 214 total to date 345.00345.00 TOTAL Attachment 2 193 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) gfedc Other: gfedc Persons ✔✔✔✔ Households 2 total to date 210 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 420 total to date 210.00210.00 TOTAL 112 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 214 total to date 233 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 587 total to date 345.00345.00 TOTAL 7 Low Income (50% to 80% Median) 15 total to date 33 Very Low Income (30% to 50% Median) 61 total to date 72 Extremely Low Income (<30% Median) 138 total to date 112.00112.00 SUBTOTAL 112.00112.00 TOTAL 9 Seniors (62 and older) 9 total to date 4 Disabled 6 total to date 32 Female-Headed Households 40 total to date 45.0045.00 TOTAL 27 White 45 total to date 6 White + HISPANIC 6 total to date 23 Black/African American 35 total to date Black/African American + HISPANIC Attachment 2 194 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Clients 18. What is your goal for units of service for this fiscal year? 210 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 10 Asian 42 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC 1 Native Hawaiian/Other Pacific Islander 5 total to date Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White 6 total to date Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 29 Other/Multi Racial 59 total to date 16 Other/Multi Racial + HISPANIC 16 total to date 112.00112.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 195 Application ID: 155617 * ZoomGrants™ is not responsible for the content of uploaded documents. 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The Hively Diaper Pantry provides low-income families in the Tri-Valley with a month’s supply of diapers and wipes, a children’s book, and parent educational materials to promote children’s literacy. The City of Dublin plays a critical role in assisting low income Dublin families with access to diapers, wipes, and children's books. In additional, when clients are visiting the agency's diaper distributions they are also receiving food, warm clothing, household items, toys, baby wipes, dental kits, feminine products, and other essential items through the agency's Community Closet. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. Hively successfully served 214 Dublin families, a significant increase from 131 from the previous fiscal year. Even though many agencies shut down to the public, Hively increased the amount of services provided to families, and served more families then ever. Families who never anticipated themselves standing in line for free items where now standing in line with their family. When monthly distributions were not accessible to families, we provided weekday appointments for families to pick up diapers at our office, and then when that wasn't accessible to families, staff delivered directly to the homes of families. We ensured families needed what they needed in order to stay safe and healthy during a pandemic. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh The success of this program is measured by the number of families who received services and resources this fiscal year. Hively distributed an extremely high number of diapers to families in the Tri-Valley. Many of them from Dublin, and due to the increased investment from the City of Dublin, Hively was able to expand the agency's reach and serve more Dublin residents then from prior years. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea As mentioned in the mid-year reporting, no problems or delays were encountered during this fiscal year. Hively pivoted many of the agency's services in order to continue to provide services to Dublin families during a very financially challenging time. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Hively collaborated with the City of Pleasanton, and First 5 Alameda County to provide diapers, and books low income families living in the Tri-Valley. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Hively did not obtain funding from other sources that not listed above. n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 196 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser Attachment 2 197 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Tri-Valley Haven Homeless Services Jump to: Organization Information Questions Budget Documents $ 25,000.00 Requested Submitted: 1/10/2020 2:03:50 PM (Pacific) Project Contact Cynthia Cunningham Morales cynthia@trivalleyhaven.org Tel: (925) 449-5845 Additional Contacts irina@trivalleyhaven.org, ralph@trivalleyhaven.org Tri-Valley Haven 3663 Pacific Avenue Livermore, CA 94550 United States Executive Director Ann King ann@trivalleyhaven.org Telephone(925) 449-5845 x Fax (925) 449-2684 x Web www.trivalleyhaven.org Organization Information top 1. Business License Number BL-007058 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Tri-Valley Haven creates homes safe from abuse, contributes to a more peaceful society. One person, one family, one community at a time. Together we build a world without violence. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 198 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Funding will support TVH’s Homeless and Family Support Services programs. TVH’s family shelter, Sojourner House, provides homeless clients with support services while the Food Pantry (FP) provides nutritious food to low income & homeless Tri-Valley residents. Sojourner House will continue to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Program participants are offered up to six months shelter residency. Shelter clients are provided case management, life skills classes, parenting groups and counseling services. The FP will continue to provide food to low income, homeless, and “at risk of becoming homeless” Tri-Valley residents. On the second Friday of each month our Mobile Food Pantry distributes USDA items, meat and produce at three housing complexes in Dublin: Wexford and Carlow Court Apartments and Wicklow Sqare. The FP receives food through the Alameda County Community Food Bank, participation in the local Grocery Rescue program and membership in the FEED TRI-VALLEY (Give Local/Stay Local) project. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 425 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The funds requested from Dublin will be used to pay a portion of the time of the following positions: a) Sojourner House Case Manager and b) Food Pantry Coordinator. We utilize multiple funding sources to support the staff positions and operating costs at both Sojourner and the FP. The ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) ✔✔✔✔ Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development ✔✔✔✔ Homelessness gfedc Transportation Services and Access ✔✔✔✔ Domestic Violence and Child Abuse gfedc Disabilities ✔✔✔✔ Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 199 staffing at both programs is sufficient to meet and exceed the anticipated results. The FP relies on a large number of volunteers to address the collection, sorting, shelving and distribution of food to clients, as well as the implementation of the Mobile Food Pantry. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. The success of the Sojourner House will be measured through statistical results and the individual goals set by the program participant and their case manager. Examples of those goals will include: a resident gaining employment, a family transitioning into a permanent living and feeling confident that it will be able to keep it, a family obtaining medical insurance etc. Long-term self-sufficiency achieved by a client would be a success. The population that we anticipate serving at Sojourner House will continue to be drastically different from the population served in previous years. This is due to the County mandated Coordinated Entry System (CES) which was initiated at Sojourner House in December 2018. In previous years TVH staff provided screening for all its potential clients. With the CES all potential clients go through an assessment process with a HUB agency. In the Tri-Valley Area the HUB agency is Abode. The more vulnerable the individual the higher the score. TVH contacts Abode when there are openings. Outreach is then provided by their staff. During the past year we have experienced a higher rate of individuals with mental health and/or substance abuse issues, conflicts arising between clients and a resistance to comply with shelter guidelines and expectations. Sojourner House and Food Pantry clients are almost exclusively extremely low through low income single parents with their children, two parent families, single women, disabled individuals and seniors. Clients will also benefit from our Food Pantry by receiving free groceries that in many cases they can’t afford. Our clients in Dublin, most of them being seniors, will be getting their food from our Mobile Food Pantry, meaning that the transportation issues will be minimized. In FY 1819 Sojourner served 72 unduplicated clients, providing 5,177 bed nights, and the Food Pantry served 5,386 unduplicated clients. Statistics are maintained on the agency’s O-Soft database which include individuals served at each program and services provided. We have multi-cultural staff members and volunteers who utilize their cultural backgrounds to enhance the services in the homeless program. We presently have multiple staff fluent in Spanish, Russian, Hindi, Punjabi, and French. Multi language fluency is always a consideration when hiring staff and recruiting volunteers. All of the Sojourner House and Food Pantry intake forms, paperwork and flyers are in English and Spanish, and some are in Chinese. We make sure that we have cooking utensils and dishes that are multi-culturally appropriate such as rice cookers, chopsticks, etc. Our Food Pantry has a capacity to offer ethnic food when needed. Every year our Holiday Program for low-income families from the Tri-Valley area brings new participants and spreads the word about our services. 160 Dublin residents participated in our 2019 Holiday Program. TVH staff maintains a good working relationship with CRIL, a local service provider for persons with disabilities and also is aware of key services such transportation for persons with disabilities and how to access them. Sojourner House was remodeled before it was opened in 2002 to include a ramp and a handicap accessible bathroom. Our Food Pantry has a portable ramp when needed. There are many ways we outreach to Dublin residents. Together with the Cities of Dublin, Livermore, and Pleasanton, Open Heart Kitchen and Interfaith Sharing, Tri-Valley Haven participates annually in FEED TRI-VALLEY. The mission of FEED TRI- VALLEY is to end hunger by educating and soliciting donations to feed our local community. We also participated in the Dublin Pride week and shared our programs and volunteer needs with the community through brochures and presentations. We have expanded our services to Dublin residents by bringing our Mobile Food Pantry to now three housing complexes in Dublin every second Friday of the month providing groceries to 70-80 residents, mostly seniors. In addition, we regularly conduct presentations to the Dublin Police Services on Domestic Violence, Sexual Assault and Homelessness issues and the programs that Tri-Valley Haven offers. Our Community Education Program reaches 2,454 students through Health Education classes that we teach in Dublin High School covering topics such as healthy relationships and teen dating violence. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. Attachment 2 200 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. TVH is committed to providing services to limited English speaking clients. We presently have multiple staff fluent in Spanish. Additionally staff is available to provide assistance in Russian, Punjabi, Hindi, French, and Finnish. We seek out bilingual/bicultural staff, and provide a wage differential for those that speak Spanish. At Sojourner House and the Food Pantry we offer the use of Alameda County Social Services Agency’s Language Line Solutions service for clients to access an on- demand interpreter. In Dublin, our largest LEP client group is Chinese-speaking. We make sure that our intake forms for the mobile food pantry are available in Chinese. In addition most flyers, client materials and other communications are created in both English and Spanish. We produce and distribute documents in other languages when available. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive ✔✔✔✔ Encourage community engagement and involvement gfedc Promote energy and resource efficiency ✔✔✔✔ Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: ✔✔✔✔ *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing ✔✔✔✔ Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities Attachment 2 201 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. ✔✔✔✔ End chronic homelessness within ten years. ✔✔✔✔ Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability ✔✔✔✔ Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. Attachment 2 202 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. ✔✔✔✔ Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 35 Disabled 120 Women/Female Headed Households 225 Seniors 0 Youth 25 Homeless 0 Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 405.00405.00 TOTAL 25 Low Income (50%-80% AMI) 400 Extremely Low Income (<30% AMI) 0 Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 425.00425.00 TOTAL 100 White Attachment 2 203 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 0 White + HISPANIC 50 Black/African American 0 Black/African American + HISPANIC 200 Asian 0 Asian + HISPANIC 5 American Indian/Alaskan Native 0 American Indian/Alaskan Native + HISPANIC 5 Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC 0 Black/African American and White 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 65 Multi Racial + HISPANIC OR other Multi Racial 0 Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 425.00425.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Alameda County SSA $ 212,693.00 $ 0.00 HCD Linkages $ 40,577.00 $ 0.00 Local/Dublin/Pleasanton/Livermore $ 98,449.00 $ 0.00 Individual Donations/Foundations $ 12,000.00 $ 0.00 EFSP $ 27,500.00 $ 0.00 Alameda County ESG $ 97,601.00 $ 97,601.00 Total $ 488,820.00 $ 97,601.00 Funding Uses/Expenses Budget Amount Amount Committed Salaries $ 286,934.00 $ 46,241.00 Benefits $ 84,876.00 $ 8,160.00 Supplies $ 29,280.00 $ 17,280.00 Printing/Copying $ 1,200.00 $ 0.00 Telephone $ 8,250.00 $ 0.00 Rent and Utilities $ 2,100.00 $ 0.00 Attachment 2 204 Accounting/Audit $ 3,260.00 $ 0.00 Other $ 72,920.00 $ 25,920.00 Total $ 488,820.00 $ 97,601.00 Budget Narrative Revenue: The composition of revenue is our best estimate based on the previous year of operation and also includes a contract from Alameda County ESG which began 1/1/2020. Expenses: personnel costs include salaries and benefits. Sick leave, vacation, and holidays are not included in the benefits calculation for staff that will be paid with the Dublin grant funds. Other operating expenses include:travel and mileage, portion of liability, property, D&O, and auto insurance, auto expense, staff development, and client assistance. The Homeless Services budget is part of the overall agency budget that includes other programs and departments such as Domestic Violence Services, Sexual Assault Services, Finance, and Administration. thus only a portion of liability insurance, auto insurance, audit etc. are being charged to this program. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Annual Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ IRS 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ BOD Resolution and Authority Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ BOD Resolution and Authority Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Non-profit Status State Non-Profit Status Certified Audit and/or Certified Financial Statements ✔✔✔✔ Audit Part 1 Audit Part 2 Audit Part 3 REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Personnel Policies REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Audit Requirement REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws By-Laws Articles of Incorporation Attachment 2 205 REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) By-Laws REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. LEP Access Plan REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Strategic Plan Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/16/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Tri-Valley Haven’s Sojourner House continues to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Program participants are offered up to six months shelter residency. Adult shelter clients are provided case management, group life skills and counseling services. Assessments are made on each client with regards to individual needs, i.e. health, mental health, housing, employment, public entitlements. Case management staff then provides referrals to the appropriate public/private community resources. Weekly Life Skills groups were held for discussion on such topics as Self-Care, Establishing Healthy Personal Boundaries, Social Distancing and Using Community Resources. Counseling services are available to both individuals and families at Tri-Valley Haven’s community building, while developmental assessments (Ages & Stages) are available to shelter children age 0-5. Tri-Valley Haven continues as a participant in the Southern Alameda County Housing/Jobs LINKAGES program along with four other shelter providers in the county. For eligible families residing at Sojourner House or referred by community service agencies, the ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 206 Linkages Case Manager completes an application which is submitted to Alameda County HCD. Once approved for the program the Case Manager will assist the family in locating housing. Once housing is secured the family enters a lease and the subsidy is applied. The Linkages program provides each family subsidy support and continued case management services for up to one year. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. On Tuesday, March 17th operations at Sojourner House changed drastically. This was in response to the statewide shelter in place order and the urgent need for social distancing. An assessment was made agency-wide as to which staff were most vulnerable to the coronavirus pandemic. A majority of staff were either asked to work from home exclusively or have their on- site schedules reduced while also working from home. As for Sojourner House staff on-site schedules were reduced. A decision was also made to not accept any new referrals until the number of clients matched the configuration of the shelter to provide adequate social distancing. Once this reduction was accomplished Sojourner House staff alerted Abode (coordinated entry system) staff of the number of open beds and as to whether we could accept individuals and/or families. Once individuals/families were accepted Sojourner House staff would meet with them, hold a mini-intake and place them in a local motel for a two week isolation. Sojourner House staff contacted these individuals on a daily basis to monitor their health and ensure that temperatures were taken daily. These individuals/families were asked to have a COVID-19 test taken at the county fairgrounds and to provide staff with the results. After the two week motel stay individuals/families were able to enter Sojourner House. All residents are required to limit their time away from the shelter for two hours maximum daily for medical needs, food purchase and exercise. Staff and resident temperatures are taken and recorded daily. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Yes, we believe our Sojourner House and Food Pantry programs are a continuing success. This success is defined by our ability to meet, and hopefully exceed, the needs of our program participants from the Tri-Valley community. We served 33% of our stated fiscal year goal during this reporting period. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 934 Total Program Participants 934 total to date 142 Total Dublin residents 142 total to date 1,076.001,076.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 425 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 425 total to date 425.00425.00 TOTAL 142 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 142 total to date Attachment 2 207 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 934 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 934 total to date 1,076.001,076.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 142 Extremely Low Income (<30% Median) 142 total to date 142.00142.00 SUBTOTAL 142.00142.00 TOTAL 69 Seniors (62 and older) 69 total to date 7 Disabled 7 total to date 49 Female-Headed Households 49 total to date 125.00125.00 TOTAL 15 White 15 total to date 0 White + HISPANIC 0 total to date 8 Black/African American 8 total to date 0 Black/African American + HISPANIC 0 total to date 60 Asian 60 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 46 Other/Multi Racial 46 total to date 13 Other/Multi Racial + HISPANIC 13 total to date 142.00142.00 TOTAL Attachment 2 208 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. N/A 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 209 make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Tri-Valley Haven’s Sojourner House continues to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Homeless individuals and families continue to access Sojourner House shelter services through the County’s Coordinated Entry system, direct referrals from the Alameda County Social Services Agency and 211. Tri-Valley Haven’s Sojourner House continues to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Homeless individuals and families continue to access Sojourner House shelter services through the County’s Coordinated Entry system, direct referrals from the Alameda County Social Services Agency and 211. We continue to accept new families/individuals based on the bed space configuration of the shelter in order to provide adequate social distancing. Once individuals/families are accepted Sojourner House staff hold a mini-intake and place them in a local motel for a two-week isolation. We continue to follow Shelter in Place protocols - all residents are required to limit their time away from the shelter for two hours maximum daily for medical needs, food purchases and exercise. Exceptions are made for all working residents. Tri-Valley Haven’s Food Pantry continues to provide free food and personal necessities to low income, homeless, and “at risk of becoming homeless” Tri-Valley residents. The TVH Food Pantry operates each afternoon Monday through Friday. The Food Pantry receives a monthly food delivery from the Alameda County Community Food Bank consisting of USDA and Emergency Food Box allocations. Our involvement in the local Grocery Rescue Program includes weekly pickups at Whole Foods, gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 210 Target, Trader Joe’s, the Walmart Neighborhood Store, Safeway, Raley’s /Nob Hill and Big Lots. This donated food includes fresh bread, meat, fish, eggs and produce. TVH’s Food Pantry is also the recipient of food drives sponsored by local churches, businesses and schools. TVH continues to operate a Mobile Food Pantry providing food at three housing complex sites in Livermore. These efforts assisted individuals who are not able to travel to the food pantry site. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The number of clients served at Sojourner House continues to be affected due to the Covid-19 pandemic. Since March of 2020 we have designated the four shelter bedrooms to either individuals or families in order to practice social distancing. On a number of occasions either individuals or families that are accepted and placed in a motel for the two-week isolation and Covid-19 testing have left the motel without notice or have decided not to be placed at Sojourner House after their two-week stay. This has limited the number of residents we are serving. Sojourner House staff on-site schedules continue to be reduced. We are receiving fewer calls from the County’s AC Fast system for referrals – ACSSA or 211. There are fewer referrals from the Coordinated Entry System as well. Covid-19 continues to provide challenges to both staff and residents. It has become more difficult to fill all available beds at Sojourner House in a timely manner. The establishment of Operation Room Key in Alameda County has resulted in numerous placements into hotels. The Food Pantry has remained open to the community each weekday afternoon. The changes in program design, operations and staffing were referenced in the above Project/Program Status section. The economic fallout that Covid-19 has presented to Tri-Valley area households has resulted in an increase in the number of families in need of food. During the reporting period Tri-Valley Haven staff and volunteers provided assistance to Open Heart Kitchen for food distribution efforts at the Alameda County Fairgrounds on Tuesdays and Thursdays of each week. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Yes, we believe our Sojourner House and Food Pantry programs are a continuing success. This success is defined by our ability to meet, and hopefully exceed, the needs of our program participants from the Tri-Valley community. In the midst of the continuing Covid19 pandemic we have carried out our program services at Sojourner House and the Food Pantry efficiently. We were successful in providing shelter services and food distribution to clients while practicing shelter in place protocols. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 281 Total Program Participants 1,215 total to date 24 Total Dublin residents 166 total to date 305.00305.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 425 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 850 total to date 425.00425.00 TOTAL 24 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated 166 total to date Attachment 2 211 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 281 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 1,215 total to date 305.00305.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 0 total to date 24 Extremely Low Income (<30% Median) 166 total to date 24.0024.00 SUBTOTAL 24.0024.00 TOTAL 2 Seniors (62 and older) 71 total to date 0 Disabled 7 total to date 2 Female-Headed Households 51 total to date 4.004.00 TOTAL 1 White 16 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 8 total to date 0 Black/African American + HISPANIC 0 total to date 10 Asian 70 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 13 Other/Multi Racial 59 total to date 0 Other/Multi Racial + HISPANIC 13 total to date 24.0024.00 TOTAL Attachment 2 212 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. n/a 18. What is your goal for units of service for this fiscal year? n/a 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 213 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a Report 3 due 4/15/2021 (submitted 4/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Tri-Valley Haven’s Sojourner House continues to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Homeless individuals and families continue to access Sojourner House shelter services through the County’s Coordinated Entry System, direct referrals from the Alameda County Social Services Agency and 211. Adult shelter clients are provided case management, group life skills and counseling services. Assessments are made on each client with regards to individual needs, i.e. health, mental health, housing, employment, public entitlements. Case management staff then provides referrals to the appropriate public/private community resources. Counseling services are available to both individuals and families at Tri-Valley Haven’s community building, while developmental assessments (Ages & Stages) are available to shelter children age 0-5. Tri-Valley Haven continues as a participant in the Southern Alameda County Housing/Jobs LINKAGES program along with four other shelter providers in the county to secure housing for eligible families. We continue to accept new families/individuals based on the bed space configuration of the shelter in order to provide adequate social distancing. Once individuals/families are accepted Sojourner House staff hold a mini-intake and place them in a local motel for a two-week isolation. Sojourner House staff continue to contact these individuals on a daily basis to monitor their health and ensure that temperatures are taken daily. These individuals/families are asked to have a COVID-19 test taken at the county fairgrounds. After the two-week motel stay individuals/families are able to enter Sojourner House. We continue gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 2 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 214 to follow Shelter in Place protocols - all residents are required to limit their time away from the shelter for two hours maximum daily for medical needs, food purchases and exercise. Exceptions are made for all working residents. Staff and resident temperatures are taken and recorded daily. We provide both staff and residents with gloves, masks, cleaning disinfectant and hand sanitizers. Tri-Valley Haven’s Food Pantry continues to provide free food and personal necessities to low income, homeless, and “at risk of becoming homeless” Tri-Valley residents. The TVH Food Pantry operates each afternoon Monday through Friday. On average 40-50 households are provided assistance each day. In April 2021, Saturday afternoons will be added to the food pantry distribution schedule. The Food Pantry receives a monthly food delivery from the Alameda County Community Food Bank consisting of USDA and Emergency Food Box allocations. Our involvement in the local Grocery Rescue Program includes weekly pickups at Whole Foods, Target, Trader Joe’s, the Walmart Neighborhood Store, Safeway, Raley’s /Nob Hill and Big Lots. This donated food includes fresh bread, meat, fish, eggs and produce. TVH’s Food Pantry is also the recipient of food drives sponsored by local churches, businesses and schools. During the reporting period a new Food Pantry Coordinator and Food Pantry Assistant were hired. TVH staff from other departments continue to assist with the food pantry duties that the pre-COVID-19 volunteers were doing, i.e., unloading the truck and vans returning from morning grocery rescue pickups, weighing donations, sorting, bagging, shelving and afternoon distribution to customers. Tents and tables continue to be utilized in the parking lot for food distribution. Gloves, masks, cleaning disinfectant and hand sanitizers are utilized and customers are required to wear masks. TVH continues to operate its Mobile Food Pantry providing food at nine housing complex sites in the Tri-Valley area: three sites in Dublin, four sites in Livermore, and two sites in Pleasanton. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The number of clients served at Sojourner House continues to be affected due to the Covid-19 pandemic. Since March of 2020 we have designated the four shelter bedrooms to either individuals or families in order to practice social distancing. On a number of occasions either individuals or families that are accepted and placed in a motel for the two-week isolation and Covid-19 testing have left the motel without notice or have decided not to be placed at Sojourner House after their two-week stay. This has limited the number of residents we are serving. Sojourner House staff on-site schedules continue to be reduced. We are receiving fewer calls from the County’s AC Fast system for referrals or from 211. There are fewer referrals from the Coordinated Entry System as well. It has become more difficult to fill all available beds at Sojourner House in a timely manner. The establishment of Operation Room Key in Alameda County has resulted in numerous placements into hotels as opposed to shelters. Invoices have been submitted in a timely fashion. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Yes, we believe our Sojourner House and Food Pantry programs are a continuing success. This success is defined by our ability to meet, and hopefully exceed, the needs of our program participants from the Tri-Valley community. Our goal was to provide homeless services to 425 Dublin residents during the fiscal year. Through the 3rd Quarter we have served 641* Dublin residents. In the midst of the continuing Covid19 pandemic we have carried out our program services at Sojourner House and the Food Pantry efficiently. We were successful in providing shelter services and food distribution to clients while practicing shelter in place protocols. *Please note number of residents reported this quarter reflect individuals served and not households as reported in the first two reports. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 1211 Total Program Participants 2,426 total to date 467 Total Dublin residents 633 total to date 1,678.001,678.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: Attachment 2 215 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Persons 3 total to date gfedc Households 425 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 1,275 total to date 425.00425.00 TOTAL 467 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 633 total to date 1211 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 2,426 total to date 1,678.001,678.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 5 Very Low Income (30% to 50% Median) 5 total to date 462 Extremely Low Income (<30% Median) 628 total to date 467.00467.00 SUBTOTAL 467.00467.00 TOTAL 224 Seniors (62 and older) 295 total to date 18 Disabled 25 total to date 10 Female-Headed Households 61 total to date 252.00252.00 TOTAL 56 White 72 total to date 0 White + HISPANIC 0 total to date 32 Black/African American 40 total to date 0 Black/African American + HISPANIC 0 total to date 210 Asian 280 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 9 Native Hawaiian/Other Pacific Islander 9 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date Attachment 2 216 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. N/A 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 123 Other/Multi Racial 182 total to date 37 Other/Multi Racial + HISPANIC 50 total to date 467.00467.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 217 FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Joe Maguigad 2. Program Title: Data Manager 3. Telephone: 925-449-5845 4. E-Mail: joe@trivalleyhaven.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 218 Tri-Valley Haven’s Sojourner House continues to provide homeless clients (women, women with children, two parent families with children, men with children) with shelter and support services to help them to overcome the barriers that led to their homelessness and to assist them in securing stable housing. Adult shelter clients are provided case management, group life skills and counseling services. Assessments are made on each client with regards to individual needs, i.e. health, mental health, housing, employment, public entitlements. TVH continues as a participant in the Southern Alameda County Housing/Jobs LINKAGES program. We continue to accept new families/individuals based on the bedspace configuration of the shelter in order to provide adequate social distancing and follow Shelter in Place protocols - all residents are required to limit their time away from the shelter for up to six hours daily for medical needs, food purchases and exercise. TVH’s Food Pantry continues to provide free food and personal necessities to low income, homeless, and “at risk of becoming homeless” Tri-Valley residents. The TVH Food Pantry operates each afternoon Monday through Friday. On average 40-50 households are aided each day. In April we commenced with food distribution on Saturday afternoons. We are involved in the local Grocery Rescue Program includes weekly pickups at Whole Foods, Target, Trader Joe’s, the Walmart Neighborhood Store, Safeway, Raley’s /Nob Hill, Lucky’s and Big Lots. This donated food includes fresh bread, meat, fish, eggs and produce. TVH’s Food Pantry is also items from food drives sponsored by local churches, businesses and schools. TVH continues to operate a Mobile Food Pantry providing food to Dublin Ranch Senior Apartments, Carlow Court/Wexford Way and Wicklow Square Apartments. These efforts assisted individuals who are not able to travel to the food pantry site. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The number of clients served at Sojourner House continues to be affected due to the Covid-19 pandemic. Since March of 2020 we have designated the four shelter bedrooms to either individuals or families in order to practice social distancing. On a number of occasions either individuals or families that are accepted and placed in a motel for the two-week isolation and Covid-19 testing have left the motel without notice or have decided not to be placed at Sojourner House after their two-week stay. This has limited the number of residents we are serving. Sojourner House staff on-site schedules continue to be reduced. We are receiving fewer calls from the County’s AC Fast system for referrals – ACSSA or 211. There are fewer referrals from the Coordinated Entry System as well. Covid-19 continues to provide challenges to both staff and residents. It has become more difficult to fill all available beds at Sojourner House in a timely manner. The establishment of Operation Room Key in Alameda County has resulted in numerous placements into hotels. The Food Pantry has remained open to the community each weekday afternoon and have added Saturday afternoons as well. The changes in program design, operations and staffing were referenced in the above Project/Program Status section. The economic fallout that Covid-19 has presented to Tri-Valley area households has resulted in an increase in the number of families in need of food. During the reporting period Tri-Valley Haven staff and volunteers provided assistance to Open Heart Kitchen for food distribution efforts at the Alameda County Fairgrounds on Tuesdays and Thursdays of each week. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Yes, we believe our Sojourner House and Food Pantry programs are a continuing success. This success is defined by our ability to meet, and exceed, the needs of our program participants from the Tri-Valley community. Throughout the fiscal year TVH Mobile Pantry has continued to provide over 90 grocery packages per month to Dublin housing complexes. In addition, Dublin residents benefited greatly during our Thanksgiving and December food distribution programs. Tri-Valley Haven exceeded the original objective. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 735 Total Program Participants 3,161 total to date 53 Total Dublin residents 686 total to date 788.00788.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 4 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households Attachment 2 219 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 425 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 1,700 total to date 425.00425.00 TOTAL 53 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 686 total to date 735 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 3,161 total to date 788.00788.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 5 total to date 53 Extremely Low Income (<30% Median) 681 total to date 53.0053.00 SUBTOTAL 53.0053.00 TOTAL 30 Seniors (62 and older) 325 total to date 3 Disabled 28 total to date 19 Female-Headed Households 80 total to date 52.0052.00 TOTAL 6 White 78 total to date 0 White + HISPANIC 0 total to date 2 Black/African American 42 total to date 0 Black/African American + HISPANIC 0 total to date 38 Asian 318 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 9 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date Attachment 2 220 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. n/a 18. What is your goal for units of service for this fiscal year? n/a 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 3 Other/Multi Racial 185 total to date 4 Other/Multi Racial + HISPANIC 54 total to date 53.0053.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 221 explain why your agency did not spend the entire grant. Support for Salaries and Benefits for the Food Pantry Coordinator (Food Pantry) and Case Manager (Sojourner House). 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. Sojourner House is one of the few shelters in the county that accepts two-parent households and single-father households, thus addressing a huge need within the community. Because of the scope of our agency, we are able to assist our shelter clients through other Tri-Valley Haven programs such as counseling, the TVH Food pantry and the TVH Thrift Store, all of which may continue to be resources for the clients after their stay at the shelter. Furthermore, we hold annual community events such as our Holiday Food Distribution and our Back-To-School Backpack program that provide valuable community outreach as well as assistance for shelter clients. We actively network and outreach to the local community to solicit food donations to meet the needs of our program participants. We also continue to provide a Mobile Food Pantry service at three Dublin housing complexes in Dublin: Wexford Way/Carlow Court Apartments, Wicklow Square and Dublin Ranch Senior Apartments. Tri-Valley Haven held an annual Winter Outreach Event to provide homeless customers with seasonal supplies, an annual Back-To-School Backpack event to prepare local students for the upcoming school year, as well as Thanksgiving and December holiday distribution events to provide Tri-Valley households with holiday food. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes, we believe our Sojourner House and Food Pantry programs are a continuing success. This success is defined by our ability to meet, and hopefully exceed, the needs of our program participants from the Tri-Valley community. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea Sojourner House staff on-site schedules continued to be reduced due to Covid-19 protocols. New referrals continue to be accepted based on the configuration of the shelter to provide adequate social distancing. Once individuals/families are accepted Sojourner House staff meet with them, hold a mini-intake and place them in a local motel for a two-week isolation. Sojourner House staff contacted these individuals on a daily basis to monitor their health and ensure that temperatures were taken daily. These individuals/families were asked to have a COVID-19 test taken at the county fairgrounds and to provide staff with the results. After the two-week motel stay individuals/families were able to enter Sojourner House. All residents continue to be required to limit their time away from the shelter for six hours maximum daily for medical needs, food purchase and exercise. Staff and resident temperatures continue to be taken daily. A number of TVH staff from other departments continued to be scheduled to assist the few volunteers who returned during the reporting period for unloading the truck and vans returning from morning grocery rescue pickups, weighing donations, sorting, bagging, shelving and afternoon distribution to customers. Food distribution to our customers remained outside in the parking lot under canopies that are weighed down due to the frequent gust of winds that appear. TVH continues to distribute food on- site at its regular afternoon weekday hours practicing social distancing with the clients. In April food distribution on Saturday afternoons was initiated. During the reporting period TVH continued to operate its Mobile Food Pantry providing food at seven housing complex sites in the Tri-Valley area: two sites in Livermore, three sites in Dublin and two sites in Pleasanton. Distribution at these sites are on a monthly or bi-monthly schedule. TVH continues to purchase food items to accommodate the food distribution to our Mobile Food Pantry customers. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Sojourner House staff worked with Abode Coordinated Entry System staff, the Alameda County Social Services Agency and 211 for referrals and placement of new residents. The Tri-Valley Haven Food Pantry receives a monthly food delivery from the Alameda County Community Food Bank consisting of USDA and Emergency Food Box allocations. Our involvement in the local Food Rescue Program includes weekly pickups at Target, Trader Joe’s, the Walmart Neighborhood Store, Nob Hill/Raley’s, Safeway, Lucky’s and Big Lot’s. Tri-Valley Haven’s Food Pantry benefits from food drives sponsored by local churches, businesses and schools. A number of long-term volunteers help weigh, sort and stage food items that are picked up through our grocery rescue program each weekday morning. Private donors provide gift cards to local stores which allow the Food Pantry Coordinator to purchase items in low supply or items to meet special dietary needs. We were successful in securing local grants (Kaiser Permanente and StopWaste) to support and expand Food Pantry Operations. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Local: $261,114 County: $568,282 Attachment 2 222 Application ID: 155603 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. Foundation: $14,000 Faith and Individual Donations, Fundraising: $40,642 In-Kind Donations: $395,854 (note: this is food donations ONLY. This is NOT cash donations) Attachment 2 223 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Community Resources for Independent Living Housing and Independent Living Skills Jump to: Organization Information Questions Budget Documents $ 14,779.00 Requested Submitted: 1/13/2020 11:47:04 AM (Pacific) Project Contact Michael Galvan Programs@crilhayward.org Tel: 510 881 5743 x30 Additional Contacts none entered Community Resources for Independent Living 439 A Street Hayward, CA 94541 United States Executive Director Michael Galvan Michael.Galvan@crilhayward.org Telephone(510) 881-5743 Fax (510) 881-1593 Web www.crilhayward.org Organization Information top 1. Business License Number Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). CRIL is a peer-based disability resource agency that provides advocacy, services and resources for people with disabilities to improve lives and make communities fully accessible. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes ✔✔✔✔ No Attachment 2 224 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. CRIL's Independent Living Services for Persons with Disabilities will provide low-income Dublin residents who have a disability with peer counseling, independent living skills & self-advocacy training, personal assistant/homecare worker referrals, benefits advocacy, travel training, housing search assistance and emergency preparation planning. The primary goals of the program are to: 1) Enhance the self-efficiency of low income Dublin residents with disabilities, including youth and seniors with functional limitations; 2) Increase the availability of resources to Dublin's most vulnerable residents; and 3) Improve the integration of existing social services in Dublin. 4) Assist people with disabilities who use life-saving to obtain alternative sources energy during Public Safety Power Shut-offs (PSPS). CRIL will directly serve 30 low-income Dublin residents, In addition, CRIL will indirectly serve 75 more individuals and businesses through disability education, technical assistance and information & referral. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 30 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) CRIL is requesting $14,779 in Dublin funding for FY 2020-21, which will allow us to increase Independent Living (IL), Housing Search Services, Youth Services, Travel Training, as well as, Job Readiness support in the Tri-Valley area. CRIL projects to serve 30 low income Dublin seniors and residents with disabilities (a 380% increase in consumers since 2011), as well as gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) ✔✔✔✔ Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development ✔✔✔✔ Homelessness ✔✔✔✔ Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities ✔✔✔✔ Food and Nutrition ✔✔✔✔ Senior Services ✔✔✔✔ Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity ✔✔✔✔ Financial Assistance gfedc None of the Above ✔✔✔✔ Please explain: 100% of CRIL consumers have disabilities - 30% are homeless and 40% are seniors. Services most needed: Housing & Travel Training. Attachment 2 225 provide I & R to 75 other residents. CRIL will actively recruit youth to form a Disability Action Network for Youth (group advocacy) and to offer a Community Leadership Academy: Leaders Without Leaders which develops leadership skills and encourages participants to join community and government committees and commissions. FY 2020-21 continues to see an increase in the number of Dublin consumers served. Funds will primarily cover 91.14% of the salary and benefits of the IL Coordinator with a small amount for shared indirect costs associated with necessary program admin and office operations (e.g., admin, telephone, supplies, insurance, etc.). 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. CRIL's Housing, Employment & IL Services for people with disabilities will provide 30 Dublin residents with improved access to affordable housing, peer counseling, employment & benefits counseling, travel training, I & R, assistive technology info & AT device loans & advocacy. Housing Search Counseling will include local resource info, application assistance, budgeting & credit counseling, landlord mediation and/or applications to Season of Sharing and Dept. of Rehabilitation's housing transition fund. CRIL will also provide indirect information & referral, technical & assistive technology support, ADA & disability law education and community advocacy to 75 additional Dublin residents & businesses to increase their knowledge & independence. CRIL utilizes a national online database management system called CILSuite, which is specifically designed to track data and services for independent living centers. Data can be entered securely from any computer with internet access and CRIL management is able to monitor the timeliness and completeness of every consumer's service record. The structure of the online Intake form and data logs allows for uniformity and consistency in all consumer service records. CILSuite allows CRIL staff and management to regularly track and monitor each consumer's status with completing steps to achieve their personalized goals, as well as progress toward achieving the defined program outcomes: retention or placement in affordable, accessible housing & an increase in personal independence & self-sufficiency. Consumers complete an annual Satisfaction Survey which allows us to evaluate the type & quality of services provided. Consumers provide management & the board of directors with feedback on the impact that our services & supports have had on their level of independence. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. CRIL offers it services in English, Spanish, Farsi and Dari. CRIL materials are available in English, Spanish, Chinese, Braille, in enlarged format, on CD, and electronically which is accessible. CRIL utilizes the County's Language Line for other language translations. CRIL's website (www.crilhayward.org) has a button which provides basic translation into many different languages. CRIL's website also can adjust size of text and brightness of page. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive ✔✔✔✔ Encourage community engagement and involvement gfedc Promote energy and resource efficiency ✔✔✔✔ Encourage networking and information sharing across service providers Attachment 2 226 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: gfedc Encourage process streamlining ✔✔✔✔ Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: ✔✔✔✔ *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. ✔✔✔✔ *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. ✔✔✔✔ *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. ✔✔✔✔ C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. ✔✔✔✔ D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. ✔✔✔✔ E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership ✔✔✔✔ Promote decent affordable housing ✔✔✔✔ Strengthen communities ✔✔✔✔ Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities ✔✔✔✔ Encouraging accessible design features. ✔✔✔✔ Participation of minority-serving institutions in HUD programs. ✔✔✔✔ End chronic homelessness within ten years. ✔✔✔✔ Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. ✔✔✔✔ Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. ✔✔✔✔ Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. ✔✔✔✔ Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 227 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Creating a Suitable Living Environment ✔✔✔✔ Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Availability/Accessibility gfedc Affordability gfedc Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of Attachment 2 228 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 30 Disabled 3 Women/Female Headed Households 12 Seniors 5 Youth 5 Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 55.0055.00 TOTAL 25 Low Income (50%-80% AMI) 5 Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 30.0030.00 TOTAL 12 White 5 White + HISPANIC 2 Black/African American 0 Black/African American + HISPANIC 5 Asian 2 Asian + HISPANIC 0 American Indian/Alaskan Native 1 American Indian/Alaskan Native + HISPANIC 2 Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC 0 Black/African American and White Attachment 2 229 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 1 Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 30.0030.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin-City Funds $ 14,779.00 City of Livermore-Federal $ 11,818.00 City of Pleasanton-Federal $ 19,501.00 Metropolitan Transportation Commision-Federal $ 61,068.00 $ 61,070.00 Department of Rehabilitataion-General Fund $ 13,298.00 $ 13,299.00 Total $ 120,464.00 $ 74,369.00 Funding Uses/Expenses Budget Amount Amount Committed ILC-Tri-Valley Coordinator-44.73% $ 53,888.00 ILC-Mobility Travel Trainer-37.27% $ 44,899.00 Executive Director-.81% $ 979.00 Finance Director-.84% $ 1,010.00 Supplies $ 928.00 $ 565.00 Printing/Copying $ 399.00 $ 361.00 Postage $ 276.00 $ 168.00 Telephone $ 2,760.00 $ 2,152.00 Rent and Utilities $ 221.00 $ 134.00 Accounting and Audit $ 520.00 $ 318.00 Contracted Services $ 3,197.00 $ 1,950.00 Books Dues and Publications $ 778.00 $ 474.00 Insurance $ 4,059.00 $ 3,728.00 Travel $ 5,300.00 $ 5,300.00 Staff Development $ 1,250.00 $ 1,250.00 Total $ 120,464.00 $ 16,400.00 Budget Narrative The overall operational budget for CRIL's full service Tri-Valley branch office is $120,464 which covers 2.0 FTE for direct service provision - ILC- Tri Valley Coordinator and ILC- Mobility Travel Trainer- Tri Valley. A small percentage is allocated to the Executive Director and Finance Director. Additional program expenses include essential, non-personnel, direct costs such as supplies, printing, telephone, occupancy, insurance and outside contractors (computers and server) that are allocated to this project based on a federally approved Cost Allocation Plan. Attachment 2 230 The City of Dublin's portion of $14,779 would cover 12.27% of the total project budget. The City of Dublin represents roughly 1.33% of the proposed overall agency budget for 2020-2021. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financeial Information Form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ List of Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Current Annual Budget for the Entire Agency Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ IRS 990 form IRS 990 form 2nd half Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Board of Director's (or governing body's) designation of authorized official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Board of Director's (or governing body's) authorization to request funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ General Liability Workers Compensation STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ IRS Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ 2017 2018 Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Attachment 2 231 Report 1 due 10/15/2020 (submitted 10/15/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edymir Guerrero (Program Director) 2. Program Title: Housing and Independent Living Skills 3. Telephone: 510-881-5743 4. E-Mail: edymir.guerrero@crilhayward.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. On March 17, 2020 - CRIL moved to a virtual office in response to the COVID 19 pandemic. The Livermore Multiservice Center is closed. CRIL staff remains in contact with our consumers through phone, email and zoom conferences. Though there has been a steep decline in new consumers, staff have been able to provide services through outreach services to 6 consumers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. With the shelter-in-place which began on March 17, 2020 - CRIL has moved to providing services by phone and internet. This has dramatically reduced the number of new consumers since all of CRIL's outreach activities have ceased. Coupled with Social Services moving out of the Multi-Service Center, foot traffic has dramatically declined. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CRIL is learning how to provide services by phone and digitally through email, zoom and or video conferencing. The learning curve for CRIL consumers is steep. Moreover, many of CRIL's consumers have lower immune systems. In time, we will all adapt to the new normal. 10. Were any Dublin grant funds expended for this project during this reporting period? gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 6 Total Program Participants 6 total to date 6 Total Dublin residents 6 total to date 12.0012.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: Attachment 2 232 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Persons 1 total to date gfedc Households 30 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 30 total to date 30.0030.00 TOTAL 6 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 6 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 6.006.00 TOTAL 1 Low Income (50% to 80% Median) 1 total to date 3 Very Low Income (30% to 50% Median) 3 total to date 2 Extremely Low Income (<30% Median) 2 total to date 6.006.00 SUBTOTAL 6.006.00 TOTAL 1 Seniors (62 and older) 1 total to date 6 Disabled 6 total to date 3 Female-Headed Households 3 total to date 10.0010.00 TOTAL 3 White 3 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 0 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 2 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date Attachment 2 233 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of counseling 18. What is your goal for units of service for this fiscal year? 30 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 1 American Indian/ Alaskan Native and White 1 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 6.006.00 TOTAL 4 Number of persons assisted with new access to a service. 4 total to date 2 Number of persons assisted with improved access to a service. 2 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 6.006.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 234 24. Please include any additional comments or clarifications here: With Alameda County Social Services' moved out of the Livermore Multiservice Center and the COVID 19 shelter in place order, has resulted in almost all of CRIL's outreach efforts being scaled back and the number of new consumers have lowered in this reporting period. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 2 due 1/15/2021 (submitted 1/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edymir Guerrero (Program Director) 2. Program Title: Housing and Independent Living Skills 3. Telephone: 510-881-5743 4. E-Mail: edymir.guerrero@crilhayward.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 235 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. CRIL is continuing with its virtual office in response to the COVID 19 pandemic. The Livermore Multiservice Center is closed. CRIL staff remains in contact with our consumers through phone, email and zoom conferences. Though there has been a steep decline in new consumers, staff have been able to provide services through outreach services to 5 consumers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. With the shelter-in-place CRIL moved to providing services by phone and internet. This has dramatically reduced the number of new consumers since all of CRIL's outreach activities have ceased. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CRIL has adapted to the shelter in place order and is currently providing services by phone and digitally through email, zoom and or video conferencing. The learning curve for CRIL consumers has been steep but consumers have adjusted to this new normal. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as 5 Total Program Participants 11 total to date 5 Total Dublin residents 11 total to date 10.0010.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 30 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 60 total to date 30.0030.00 TOTAL 5 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 11 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 5.005.00 TOTAL Attachment 2 236 reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of counseling 0 Low Income (50% to 80% Median) 1 total to date 2 Very Low Income (30% to 50% Median) 5 total to date 3 Extremely Low Income (<30% Median) 5 total to date 5.005.00 SUBTOTAL 5.005.00 TOTAL 0 Seniors (62 and older) 1 total to date 5 Disabled 11 total to date 1 Female-Headed Households 4 total to date 6.006.00 TOTAL 0 White 3 total to date 1 White + HISPANIC 1 total to date 1 Black/African American 1 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 4 total to date 0 Asian + HISPANIC 0 total to date 1 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 1 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 5.005.00 TOTAL Attachment 2 237 18. What is your goal for units of service for this fiscal year? 30 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: With the COVID 19 shelter in place order, CRIL's outreach efforts have been scaled back and the number of new consumers have lowered during this reporting period. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. 2 Number of persons assisted with new access to a service. 6 total to date 3 Number of persons assisted with improved access to a service. 5 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 5.005.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 238 N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 3 due 4/15/2021 (submitted 4/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edymir Guerrero (Program Director) 2. Program Title: Housing and Independent Living Skills 3. Telephone: 510-881-5743 4. E-Mail: edymir.guerrero@crilhayward.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. CRIL is continuing with its virtual office in response to the COVID 19 pandemic. The Livermore Multiservice Center is still currently closed. CRIL staff remains in contact with our consumers through phone, email and zoom conferences. Though there has been a steep decline in new consumers, staff have been able to provide services through outreach services to 7 consumers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. With the current shelter-in-place order and our Livermore Multiservice Center office still closed, CRIL continues to provide services by phone, internet, and zoom virtual meetings. This has dramatically reduced the number of new consumers since all of CRIL's outreach activities have ceased. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CRIL has adapted to the shelter in place order and with the Livermore Multiservice Center being closed, CRIL staff continues to provide services by phone and digitally through email, zoom and or video conferencing. Also, our monthly mask and PPE giveaway in the tri-valley area has been tremendously important because it has helped the community we serve and has gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 7 Total Program Participants 18 total to date 7 Total Dublin residents 18 total to date 14.0014.00 TOTAL Attachment 2 239 increased the visibly of CRIL programs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 3 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 30 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 90 total to date 30.0030.00 TOTAL 7 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 18 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 7.007.00 TOTAL 3 Low Income (50% to 80% Median) 4 total to date 4 Very Low Income (30% to 50% Median) 9 total to date 0 Extremely Low Income (<30% Median) 5 total to date 7.007.00 SUBTOTAL 7.007.00 TOTAL 1 Seniors (62 and older) 2 total to date 7 Disabled 18 total to date 0 Female-Headed Households 4 total to date 8.008.00 TOTAL 0 White 3 total to date 2 White + HISPANIC 3 total to date Attachment 2 240 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of counseling 18. What is your goal for units of service for this fiscal year? 30 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): 0 Black/African American 1 total to date 0 Black/African American + HISPANIC 0 total to date 5 Asian 9 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 1 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 7.007.00 TOTAL 2 Number of persons assisted with new access to a service. 8 total to date 5 Number of persons assisted with improved access to a service. 10 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 7.007.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 241 N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: With the COVID 19 shelter in place order and our Livermore Multiservice Center office closed, CRIL's outreach efforts have been scaled back and the number of new consumers have lowered during this reporting period. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edymir Guerrero (Program Director) 2. Program Title: Housing and Independent Living Skills 3. Telephone: 510-881-5743 4. E-Mail: edymir.guerrero@crilhayward.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. Attachment 2 242 General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. CRIL continued with its virtual office and implemented virtual workshops in response to the COVID-19 pandemic. The Livermore Multiservice Center is still currently closed, which contributed to the decrease in meeting our targeted goals. CRIL staff remains in contact with our consumers through phone, email, zoom conferences and limited capacity community outreaches that there has been a steep decline in new consumers, staff have been able to provide services through outreach services to 4 consumers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. With the Livermore Multiservice Center office still closed, CRIL continues to provide services by phone, internet, and zoom virtual meetings. CRIL has developed and implemented virtual workshops to address the needs of consumers. Virtual workshops such as housing, benefits, travel training and device lending have been workshops that have been proven useful for consumers as the workshops give them the support they need during this difficult time. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. CRIL has adapted to the effects of the COVID-19 pandemic and with the Livermore Multiservice Center being closed, CRIL staff continues to provide services by phone and digitally through email, zoom and or video conferencing and workshops. Our continued monthly mask and PPE giveaway in the tri-valley area has been tremendously important because it has helped the community we serve and has increased the visibly of CRIL programs during the shelter in place order. In April 2021, our Hayward office was able to host a vaccine clinic with Well-Spring Pharmacy, which saw a few Dublin consumers in attendance. This new partnership with Well-Spring Pharmacy is exciting and also helpful for our consumers as it will give them access to medical resources as needed. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date 4 Total Program Participants 22 total to date 4 Total Dublin residents 22 total to date 8.008.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 4 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 30 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 120 total to date Attachment 2 243 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 30.0030.00 TOTAL 4 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 22 total to date 0 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 0 total to date 4.004.00 TOTAL 4 Low Income (50% to 80% Median) 8 total to date 0 Very Low Income (30% to 50% Median) 9 total to date 0 Extremely Low Income (<30% Median) 5 total to date 4.004.00 SUBTOTAL 4.004.00 TOTAL 3 Seniors (62 and older) 5 total to date 4 Disabled 22 total to date 1 Female-Headed Households 5 total to date 8.008.00 TOTAL 0 White 3 total to date 2 White + HISPANIC 5 total to date 0 Black/African American 1 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 11 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 1 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date Attachment 2 244 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of counseling 18. What is your goal for units of service for this fiscal year? 30 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: With the COVID-19 pandemic and our Livermore Multiservice Center office still closed, CRIL's outreach efforts have been modified and the number of new consumers have significantly decreased during this reporting period. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The original purpose of CRIL's Housing, Employment & IL Services for people with disabilities was to provide 30 Dublin residents with improved access to affordable housing, peer counseling, employment & benefits counseling, travel training, I & R, assistive technology info & AT device loans & advocacy. Housing Search Counseling includes local resource info, 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 0 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 4.004.00 TOTAL 4 Number of persons assisted with new access to a service. 12 total to date 0 Number of persons assisted with improved access to a service. 10 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 4.004.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL Attachment 2 245 application assistance, budgeting & credit counseling, landlord mediation and/or applications to Season of Sharing and Dept. of Rehabilitation's housing transition fund. Due to the COVID-19 pandemic and with the Livermore Multi-Service Center being closed, CRIL fell short of its goals. We look forward to rebounding in 2021-2022. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. In response to the COVID-19 pandemic and shelter in place order during this recent grant cycle, CRIL has developed and implemented virtual workshops to continue to support clients with there needs in regards to housing, device lending, travel training, and recently with our development of programming of our digital programs such as GOOGLE Chrome Connect and Voice options. Both new programs assists consumers with accessing laptops and or tablets to address their needs of digital access. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes, even though CRIL fell short of our targeted goal for the 2020-2021 because of the COVID-19 pandemic and shelter in place order, which adversely affected CRIL’s numbers. We continue to be a full-service disability office, through a virtual office and more so recently as our Hayward and Fremont office are allowing walk-ins. Our mission is to provide advocacy and resources for people with disabilities to improve lives and make communities fully accessible. This FY 2020-21, CRIL continued to experience growth in its newest programs: GOOGLE Chrome Connect and Voice Options and expect continued growth in its programs in the Tri-Valley especially in Dublin as the population continues to grow. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea The COVID-19 pandemic and the high cost of rent in Dublin still present challenges. CRIL continues to work with the Housing Authority of Alameda County on accessing its Mainstream Voucher program to address the needs for affordable housing. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. ABODE (refer consumers back and forth) Alameda County Housing Authority (collaborate to find low-cost housing) Alameda County Public Authority for IHSS (collaborate to match consumers with caregivers) Alameda County Public Health (collaborate to find medical services) Alameda County Social Services (collaborate to find benefits) Alliance Healthcare (affordable health insurance our consumers) American Job Center (Pre-employment Job Services) AXIS Healthcare Center (collaborate to find medical services for consumers) Carlow Court at Emerald Vista (collaborate to provide services) CityServe of the Tri-Valley (collaborate to provide services) Department of Rehabilitation (refer consumers back and forth) Dublin Chamber of Commerce (outreach to businesses) Dublin Senior Center (collaborate to provide services) ECHO (collaborate to ensure fair housing laws are followed) Eden I & R (to assist in housing search and to provide connection to emergency shelters) FERC (collaborated to assist parents of psychotic children) Legal Assistance for Seniors (legal advice for our consumers) NAMI Tri-Valley (psychological counseling) Open Heart Kitchen (food assistance) Satellite Affordable Housing Associates (low-cost housing for consumers) St. Vincent de Paul (food assistance) Season of Sharing (Security Deposits & Delinquent Rent) Tri-City Healthcare Center (medical services for consumers) WHEELS (para-transit services for consumers) Wicklow Square (services for Seniors) Well Spring Pharmacy - (medical services) Alameda County Agency on Aging - (Services for Seniors) 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Livermore - $9, 325 Pleasanton - $19,501 Department of Rehabilitation - $21,000 Attachment 2 246 Application ID: 155919 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. Attachment 2 247 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Legal Assistance for Seniors Legal Services, Medicare Counseling and Education for Dublin Seniors Jump to: Organization Information Questions Budget Documents $ 7,500.00 Requested Submitted: 1/13/2020 4:56:11 PM (Pacific) Project Contact James Treggiari jtreggiari@lashicap.org Tel: (510) 832-3040 x302 Additional Contacts emercado@lashicap.org Legal Assistance for Seniors 333 Hegenberger Road Suite 850 Oakland, CA 94621 United States Executive Director James Treggiari jtreggiari@lashicap.org Telephone(510) 832-3040 x302 Fax (510) 842-1080 Web www.lashicap.org Organization Information top 1. Business License Number BL-110718 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). The mission of Legal Assistance for Seniors is to ensure the independence and dignity of seniors by protecting their legal rights through education, counseling and advocacy. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 248 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Legal Assistance for Seniors (LAS) will provide free legal services, community education, and health (Medicare) insurance counseling to Dublin seniors. LAS’ legal program will serve elder abuse survivors and those needing legal assistance with guardianship, citizenship, public benefits, health law and housing. Legal services will include representation in court and at administrative hearings, legal advice and counsel, referrals to other community resources, and home visits for seniors with mobility or financial issues. LAS will also provide free community education and outreach on a variety of legal and health care related topics to seniors, seniors’ families, and service providers. Community education is provided at locations within the Dublin community that are accessible and familiar to seniors. Presentations include How to Get Help with Health Care Costs, An Overview of Long Term Care Insurance, and Basic Housing Rights for Seniors, among other topics. Finally, the Health Insurance Counseling and Advocacy Program (HICAP) will provide free individual counseling on Medicare and related health insurance issues at the Dublin Senior Center. LAS’ state-registered volunteer HICAP counselors help seniors and people with disabilities enroll in Medicare, supplemental and prescription drug plans and apply for cost-saving programs. Counselors also assist to resolve coverage issues, referring clients to LAS’ legal program for further assistance if necessary. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 142 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The proposed funds from the City of Dublin will be used to provide free legal services, community education, outreach, and ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing ✔✔✔✔ Health Care (including dental) gfedc Workforce Development ✔✔✔✔ Homelessness gfedc Transportation Services and Access ✔✔✔✔ Domestic Violence and Child Abuse ✔✔✔✔ Disabilities gfedc Food and Nutrition ✔✔✔✔ Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above ✔✔✔✔ Please explain: Senior services for elder abuse, eviction defense, health coverage. Culturally competent services, accessible for people with disabilities. Attachment 2 249 HICAP counseling to Dublin seniors. Services will be focused on low or extremely low income seniors and will be provided not only at LAS’ Oakland office, but several community locations throughout Dublin and the surrounding areas. Specifically, funds will contribute to salaries for LAS’ program staff, including staff attorneys and advocates. Funds will also be used for postage, phones, rent, and outreach activities, plus materials expenses such as printing costs for legal cases and community education presentation handouts. Funding will also be used to support the cost of staff and volunteer travel for home visits, community education and outreach, and HICAP appointments. Legal home visits are essential for seniors who are home-bound or have difficulty traveling, who would otherwise be unable to access help for urgent issues such as elder abuse and public benefits. And providing community education and HICAP appointments directly in Dublin, in places where seniors live and spend their time, allows more seniors to be aware of and access these essential services. To ensure services are provided in a cost-effective manner, LAS works extensively with volunteers who provide both overall program support and direct services to clients, with supervision and support from program staff. For example, LAS currently has 33 extensively trained and state-registered volunteer HICAP counselors who provide hundreds of hours of service per year. Additionally, ten paid staff counselors provide supervision and support to the volunteers. In addition to providing individual health insurance counseling, a select number of LAS’ HICAP counselors also provide community education and translation services. LAS also works with legal interns and summer law clerks to provide support to the legal program, including legal research, writing, and intake. Because LAS has provided legal, educational, and HICAP services in Dublin for many years, we are able to base the current year’s budget on past results. This helps to ensure that the current budget will meet the needs of the anticipated results. Further, the project budget is also leveraged with additional county grants. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. LAS will provide legal services to seven Dublin seniors. LAS will also provide three community education presentations and/or outreach events in Dublin, reaching a minimum of 100 Dublin residents. LAS’ HICAP will provide individual detailed counseling to 65 Dublin residents. While services are available to residents of any income, LAS focuses its efforts on serving low income clients, including conducting outreach in low income areas and partnering with other agencies that serve low income communities. LAS’ legal services program will provide free services in the areas of elder abuse, health law, public benefits, guardianship, naturalization, housing, and general legal services for those needing assistance in other areas. Services will be provided to Dublin residents 60 and older, or 50 and older for guardianship. In the area of elder abuse, LAS will assist seniors over the age of 65, or dependent adults of any age. Services range from legal counsel and advice to full representation in court, depending on the client’s situation. This year, LAS will also be piloting a monthly housing clinic in Dublin, staffed by LAS’ legal fellow. The clinic will be assessed based on effectiveness, available funding and client interest to determine long-term viability of the project. LAS will provide community education presentations and/or outreach events for Dublin seniors, pre-retirees, caregivers and senior and disability service providers. Presentations will be provided in community locations convenient and accessible to seniors on a wide variety of topics that are relevant to seniors’ lives, including health care, public benefits, housing, and more. Finally, LAS will also provide free HICAP counseling, in-person or over the phone, to Dublin Medicare recipients, with in- person counseling done at the Dublin Senior Center. While most Medicare recipients are seniors, LAS will also provide HICAP counseling to younger individuals who are eligible for Medicare due to disability. To monitor the progress of these outcomes, LAS will utilize client databases that track client demographics and case outcomes. Periodic database reports will be generated and reviewed by LAS’ management team to ensure LAS is on track to meet all project goals. If LAS notices a deficiency in one program area, adjustments will be made to ensure that all goals are met, including increasing outreach efforts in Dublin to make more seniors aware of LAS’ services. LAS also distributes evaluation forms to all clients and community education participants to assess the quality of services provided. LAS’ management team reviews all returned evaluations to ensure compliance with LAS’ standards of service. LAS’ services are designed to be easily accessible for seniors who are low income or have language barriers or disabilities. LAS makes home visits for legal clients who are unable to travel due to cost or mobility issues and provides HICAP and community education services at multiple community locations. LAS also accommodates seniors who prefer to receive assistance over the phone or have written materials mailed to them. To ensure seniors from isolated or underserved areas are aware of the services offered, LAS also conducts extensive outreach activities across the county. Attachment 2 250 To make sure non-English speaking seniors can meaningfully access LAS’ services, written materials are provided in multiple languages. LAS staff and volunteers can also provide services in several languages, and for all other language needs, a phone interpretation service is used. LAS’ HICAP program currently has counselors providing services at the Dublin Senior Center that speak Cantonese, Mandarin and Dutch. Community education presentations are provided in multiple languages, including Cantonese, Mandarin, Korean, Spanish, Hindi and Punjabi. For court appearances, LAS attorneys arrange with the court to have an interpreter provided when needed. To ensure LAS’ services are culturally appropriate, LAS collaborates with several cultural centers, including Multicultural Institute, Asian Health Services, and The Fruitvale Senior Center. LAS is also currently undertaking a comprehensive Equity, Diversity and Inclusion (EDI) initiative, including agency-wide staff training, to make our services as welcoming to all seniors as possible, regardless of ethnicity, sexual orientation, language, or disability. LAS’ marketing and outreach strategies include distributing marketing communications at the Dublin Senior Center and throughout its robust network of partners. These marketing communications include event and service fliers, a quarterly newsletter, website links, Facebook posts, other publicity, and informative literature. The Dublin Senior Center is a primary source of outreach as HICAP services are delivered onsite. HICAP’s state registered counselors are able to spot barriers to care first-hand and provide necessary intervention to seniors in at-risk situations. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. LAS does not allow language to be a barrier in its service delivery. Our Language Access Plan states that all program notices include a statement that translators will be available upon request for presentations, meetings and all in the field project activities. To encourage limited English speaking residents to access LAS’ services, we coordinate with partnering agencies that specialize in serving monolingual seniors whenever possible. For example, we maintain Medicare counseling and community education sites at Fruitvale Senior Center, which serves predominately Hispanic seniors in Oakland, and Asian Health Services, serving many mono-lingual seniors, also in Oakland. LAS also outreaches to limited English speaking residents by making program materials available in various languages. We use translators to review any materials created and translated by LAS for linguistic accuracy. LAS also uses government documents for HICAP counseling that explain Medicare in multiple languages. In the past, we have provided written materials in Chinese, Farsi, Korean, Spanish, Tagalog, and Vietnamese. In addition, LAS recruits and trains HICAP counselors whose ethnicities reflect the diverse communities that we serve. It is common for LAS to have HICAP counselors that speak Cantonese, Mandarin, Spanish, Korean, Hindi, and Punjabi. LAS uses a telephone interpreter service (Language Line Solutions) for its legal and HICAP counseling services, which provides translators in 240 different languages including American Sign Language. LAS also arranges interpreter services with the courts in legal cases to ensure a translator is available. In addition, LAS uses bilingual staff and volunteers to provide translation for all its services. Bilingual staff are also available to attend home visits for clients who are unable to travel. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive ✔✔✔✔ Encourage community engagement and involvement gfedc Promote energy and resource efficiency Attachment 2 251 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: ✔✔✔✔ Encourage networking and information sharing across service providers ✔✔✔✔ Encourage process streamlining ✔✔✔✔ Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. ✔✔✔✔ *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. ✔✔✔✔ *Promote fair housing and reduce housing discrimination. ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. ✔✔✔✔ D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. ✔✔✔✔ E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. Attachment 2 252 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability ✔✔✔✔ Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) Attachment 2 253 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households 142 Seniors Youth Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 142.00142.00 TOTAL 57 Low Income (50%-80% AMI) 85 Extremely Low Income (<30% AMI) 0 Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 142 284.00284.00 TOTAL 53 White 0 White + HISPANIC 18 Black/African American 0 Black/African American + HISPANIC 35 Asian 0 Asian + HISPANIC 0 American Indian/Alaskan Native 0 American Indian/Alaskan Native + HISPANIC 9 Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC Attachment 2 254 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 0 Black/African American and White 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 27 Multi Racial + HISPANIC OR other Multi Racial 0 Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 142.00142.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed State of California, Office of Emergency Services $ 120,000.00 $ 120,000.00 Alameda County Social Services Agency: Title III lgl svcs, Title TVII, HICAP, MIPPA $ 990,271.00 $ 954,909.00 Alameda County Health Care Services Agency $ 337,115.00 $ 322,115.00 County of Contra Costa/HICAP $ 6,000.00 $ 0.00 Cities of Alameda, Dublin, Fremont, Hayward, Livermore, Pleasanton & Union City $ 80,939.00 State Bar of California: IOLTA, EAF, EAP & Bank Grant $ 247,108.00 $ 123,554.00 Foundations/Corporations: Berkeley Pilgrimafe, SAFE, Bigglesworth Family, Albert & Elaine Borchard, Van Loben Sels/Rembe Rock, San Francisco, East Bay Foundation on Aging, Bernard E & Alba Witkin and others $ 371,076.00 $ 95,000.00 Pass through/contractual: Family Support Services & DayBreak Adult Care Centers $ 15,000.00 $ 0.00 Court Awarded Fees, Elder Abuse Conference Sponsorship & registration fees $ 291,166.00 Individual Donations, Annual Appeal & Fundraising Event $ 172,578.00 Total $ 2,631,253.00 $ 1,615,578.00 Funding Uses/Expenses Budget Amount Amount Committed Personnel Salaries (see budget narrative) $ 1,696,892.00 $ 1,109,181.00 Personnel Fringe Benefits $ 458,161.00 $ 302,044.00 Operating Expenses: Supplies $ 11,000.00 $ 7,272.00 Operating Expenses: Printing $ 18,000.00 $ 9,007.00 Operating Expenses: Postage $ 8,000.00 $ 7,272.00 Operating Expenses: Telephone $ 15,000.00 $ 7,899.00 Operating Expenses: Rent $ 198,500.00 $ 84,373.00 Operating Expenses: Accounting/Audit/Payroll/Bank Fees $ 23,000.00 $ 5,028.00 Operating Expenses: Contracted Services $ 24,000.00 $ 9,684.00 Operating Expenses: Insurance $ 37,000.00 $ 19,433.00 Operating Expenses: Membership, Books & Dues $ 18,000.00 $ 9,974.00 Operating Expenses: Equipment Lease, Maintenance, Upgrades $ 14,200.00 $ 2,714.00 Operating Expenses: Staff & Volunteer Travel, Training, Recruitment, Support $ 47,000.00 $ 19,428.00 Operating Expenses:Conference & Annual Fundraising Food/Entertainment $ 17,000.00 $ 5,000.00 Operating Expenses: Client Costs $ 27,500.00 $ 6,500.00 Operating Expenses: Technology (on-line research/svcs $ 13,000.00 $ 7,588.00 Operating Expenses: Outreach $ 5,000.00 $ 3,181.00 Attachment 2 255 Total $ 2,631,253.00 $ 1,615,578.00 Budget Narrative The requested budget funds from the City for Salaries are as follows: Managing Attorney (1% @ $720); Sr Staff Attorney (2% @ $1,279), Sr Staff Attorney (1% @ $624); Staff Attorney (2% @ $1,136), Staff Attorney (2% @ $1,084), Advocate (1% @ $382) and Advocate (1% @ $374). Fringe Benefits include FICAer (7.65%), SUI & workers compensation (1% each), health/dental/vision/life insurance (15%) and retirement/benefit plan fees (3%) for a total of $1,373. Operating expenses include Rent ($223), Telephone ($30), Insurance ($50), Office Supplies ($40), Printing/Copying ($50), Postage/Delivery ($35). Staff/Volunteer Travel @ $.58 per/mile ($100) will be underwritten with additional funds. The requested grant amount represents less than .3% of the total LAS agency budget. Our program services of legal assistance (guardianship, elder abuse prevention, immigration/naturalization, housing & public assistance), HICAP health insurance counseling and advocacy and community education presentation of these matters to the general public as well as assistance providers are all services that our agency provides to all Alameda County residents that enables their ability to live independently in safety and with dignity. In addition LAS recognized in fiscal year 2018/19 in kind volunteer services, attorneys (34 hours), advocates (546 hours) with a value of $27,268 as recognized in our audited financial statement. In addition HICAP counselors provided 3,515 volunteer hours and presenters to our annual Elder Abuse Conference provided 179 volunteer hours. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ 2020/21 Dublin Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ 2020/21 Dublin Financial Information Sources Staffing List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ FY201920 List of Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ FY201920 Annual Agency Board Approved Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ IRS Tax Return Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Board Resolution Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ LAS Board Resolution Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ FY201920 General and Auto Insurance COI FY201920 Workers Compensation COIf FY201920 Professional Liability COI STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ IRS Determination Letter State of CA-Determination Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ FY201819 Audited Financial Statement REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure LAS Employee Handbook REQUIRED FOR CDBG ONLY - Agency Audit Audit Requirements Attachment 2 256 Requirements and Copy of Last Audit Highlighting "Findings" Section 201819 Audit Management Letter REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Articles of Incorporation LAS By Laws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) Conflict of Interest Policy REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. LAS Language Access Plan REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) LAS 2023 Strategic Plan Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/16/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edita Mercado/Accounting Associate 2. Program Title: Legal Services, Medicare Counseling and Education for Dublin Seniors 3. Telephone: 510-832-3040 4. E-Mail: emercado@lashicap.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Legal Assistance for Seniors program scope of work for FY 2020-2021 is to provide advocacy, counseling and education to City of Dublin seniors. Our agency is to provide free legal services to seven seniors on the areas of housing, health law, public benefits, guardianship, naturalization, elder abuse and general legal services for those that may need assistance in other areas of law. Also, LAS is to reach at least 100 Dublin seniors, caregivers and service providers through a minimum of three community education presentations and/or outreach events that are to be held within the city. Lastly, 65 seniors are to be provided with free, unbiased health insurance counseling through Alameda County’s Health Insurance Counseling and Advocacy Program. Overall, LAS is to reach a total of 142 unduplicated seniors. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 257 During quarter one, LAS reached eight seniors through the legal program. The HICAP Program counseled one individual and the community education program reached no seniors. During quarter one, LAS reached eight seniors. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications during this time frame. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Since LAS reached 8 Dublin Seniors through the legal program, 100% of our contract’s legal goal has been met. The CE program was not able to reach any seniors, caregivers or senior service providers during quarter one; however, one outreach event and group presentation has been scheduled for quarter two at Dublin Senior Center and Hope Hospice where it is estimated that over 250 individuals will be reached. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 655 Total Program Participants 655 total to date 8 Total Dublin residents 8 total to date 663.00663.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 7 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 7 total to date 7.007.00 TOTAL 8 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 8 total to date 655 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 655 total to date 663.00663.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 3 Very Low Income (30% to 50% Median) 3 total to date 3 Extremely Low Income (<30% Median) 3 total to date Attachment 2 258 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. The primary unit of service to track this project is hours of legal services. 18. What is your goal for units of service for this fiscal year? 0 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 6.006.00 SUBTOTAL 6.006.00 TOTAL 6 Seniors (62 and older) 6 total to date 3 Disabled 3 total to date 3 Female-Headed Households 3 total to date 12.0012.00 TOTAL 1 White 1 total to date 0 White + HISPANIC 0 total to date 3 Black/African American 3 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 1 Other/Multi Racial 1 total to date 3 Other/Multi Racial + HISPANIC 3 total to date 8.008.00 TOTAL 8 Number of persons assisted with new access to a service. 8 total to date 0 Number of persons assisted with improved access to a service. 0 total to date Attachment 2 259 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: We are happy to be working with the City of Dublin for FY2020-21. Due to the shelter-in-place order that was placed in Alameda County, LAS office remains closed until further notice; however, our attorneys, advocated and staff continue to provide services remotely. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 8.008.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 260 Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nora Abushaaban 2. Program Title: Contracts Assistant 3. Telephone: 510-832-3040 4. E-Mail: nabushaaban@lashicap.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Legal Assistance for Seniors program scope of work for FY 2020-2021 is to provide advocacy, counseling and education to City of Dublin seniors. Our agency is to provide free legal services to seven seniors on the areas of housing, health law, public benefits, guardianship, naturalization, elder abuse and general legal services for those that may need assistance in other areas of law. Also, LAS is to reach at least 100 Dublin seniors, caregivers and service providers through a minimum of three community education presentations and/or outreach events that are to be held within the city. Lastly, 65 seniors are to be provided with free, unbiased health insurance counseling through Alameda County’s Health Insurance Counseling and Advocacy Program. Overall, LAS is to reach a total of 142 unduplicated seniors. During quarter two, LAS reached one senior through the legal program. The HICAP Program counseled fifteen individuals and the Community Education Program reached 313 seniors, senior service providers, and caregivers through one senior fair and two group presentations. During quarter two, LAS reached a total of 329 individuals in the City of Dublin. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications during this time frame. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The Community Education Program was able to reach 313 seniors, caregivers or senior service providers during quarter two. 10. Were any Dublin grant funds expended for this project during this reporting period? gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 100 Total Program Participants 755 total to date 1 Total Dublin residents 9 total to date 101.00101.00 TOTAL gfedc Yes (already submitted invoice/s) Attachment 2 261 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (but invoice/s not yet submitted) 2 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 7 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 14 total to date 7.007.00 TOTAL 1 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 9 total to date 100 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 755 total to date 101.00101.00 TOTAL 0 Low Income (50% to 80% Median) 0 total to date 0 Very Low Income (30% to 50% Median) 3 total to date 0 Extremely Low Income (<30% Median) 3 total to date 0.000.00 SUBTOTAL 0.000.00 TOTAL 1 Seniors (62 and older) 7 total to date 0 Disabled 3 total to date 0 Female-Headed Households 3 total to date 1.001.00 TOTAL 1 White 2 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 3 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date Attachment 2 262 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. The primary unit of service to track this project is hours of legal services. 18. What is your goal for units of service for this fiscal year? 0 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 1 total to date 0 Other/Multi Racial + HISPANIC 3 total to date 1.001.00 TOTAL 1 Number of persons assisted with new access to a service. 9 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 1.001.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. Attachment 2 263 24. Please include any additional comments or clarifications here: We are happy to be working with the City of Dublin for FY2020-21. Due to the shelter-in-place order that was placed in Alameda County, LAS office remains closed until further notice; however, our attorneys, advocated and staff continue to provide services remotely. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 3 due 4/15/2021 (submitted 4/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Nora Abushaaban 2. Program Title: Contracts Assistant 3. Telephone: 510-832-3040 4. E-Mail: nabushaaban@lashicap.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report Attachment 2 264 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Legal Assistance for Seniors program scope of work for FY 2020-2021 is to provide advocacy, counseling and education to City of Dublin seniors. Our agency is to provide free legal services to seven seniors on the areas of housing, health law, public benefits, guardianship, naturalization, elder abuse and general legal services for those that may need assistance in other areas of law. Also, LAS is to reach at least 100 Dublin seniors, caregivers and service providers through a minimum of three community education presentations and/or outreach events that are to be held within the city. Lastly, 65 seniors are to be provided with free, unbiased health insurance counseling through Alameda County’s Health Insurance Counseling and Advocacy Program. Overall, LAS is to reach a total of 142 unduplicated seniors. During quarter three, LAS reached 1 senior through the legal program. The HICAP Program counseled 7 individuals and the community education program was unable to reach any seniors, senior service providers, and caregivers. During quarter three, LAS reached a total of 8 individuals in the City of Dublin. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications during this time frame. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The Community Education Program was not able to reach seniors, caregivers or senior service providers during quarter three. There is one presentation planned for quarter four with the Dublin Senior Center and the Community Education team is working hard to schedule more presentations. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 112 Total Program Participants 867 total to date 2 Total Dublin residents 11 total to date 114.00114.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 3 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 7 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 21 total to date 7.007.00 TOTAL Attachment 2 265 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 1 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 10 total to date 112 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 867 total to date 113.00113.00 TOTAL 1 Low Income (50% to 80% Median) 1 total to date 0 Very Low Income (30% to 50% Median) 3 total to date 0 Extremely Low Income (<30% Median) 3 total to date 1.001.00 SUBTOTAL 1.001.00 TOTAL 1 Seniors (62 and older) 8 total to date 1 Disabled 4 total to date 0 Female-Headed Households 3 total to date 2.002.00 TOTAL 1 White 3 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 3 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date Attachment 2 266 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. The primary unit of service to track this project is hours of legal services. 18. What is your goal for units of service for this fiscal year? 0 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: We are happy to be working with the City of Dublin for FY2020-21. Due to the shelter-in-place order that was placed in Alameda County, LAS office remains closed until further notice; however, our attorneys, advocated and staff continue to provide services remotely. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how 0 Other/Multi Racial 1 total to date 0 Other/Multi Racial + HISPANIC 3 total to date 1.001.00 TOTAL 1 Number of persons assisted with new access to a service. 10 total to date 0 Number of persons assisted with improved access to a service. 0 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 1.001.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 267 the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/17/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Edita Mercado 2. Program Title: Accounting Associate 3. Telephone: 510-832-3040 ext 328 4. E-Mail: emercado@lashicap.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Legal Assistance for Seniors program scope of work for FY 2020-2021 is to provide advocacy, counseling and education to City of Dublin seniors. Our agency is to provide free legal services to seven seniors on the areas of housing, health law, public benefits, guardianship, naturalization, elder abuse and general legal services for those that may need assistance in other areas of law. Also, LAS is to reach at least 100 Dublin seniors, caregivers and service providers through a minimum of three community education presentations and/or outreach events that are to be held within the city. Lastly, 65 seniors are to be provided with free, unbiased health insurance counseling through Alameda County’s Health Insurance Counseling and Advocacy Program. Overall, LAS is to reach a total of 142 unduplicated seniors. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date Attachment 2 268 During quarter four, LAS reached no seniors through the legal program. The HICAP Program counseled 6 individuals and the community education program was able to reach 8 seniors, senior service providers, and caregivers through one presentation held at the Dublin Senior Center. During quarter four, LAS reached a total of 14 individuals in the City of Dublin. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications during this time frame. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. The legal department was not able to reach any seniors during quarter four; however, we were successful at reaching over 250% of our contract goal by reaching 142 individuals through out all three of our programs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 119 Total Program Participants 986 total to date 0 Total Dublin residents 11 total to date 119.00119.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) 3 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 7 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 28 total to date 7.007.00 TOTAL 0 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 10 total to date 119 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 986 total to date 119.00119.00 TOTAL 0 Low Income (50% to 80% Median) 1 total to date 0 Very Low Income (30% to 50% Median) 3 total to date 0 Extremely Low Income (<30% Median) 3 total to date Attachment 2 269 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. The primary unit of service to track this project is hours of legal services. 18. What is your goal for units of service for this fiscal year? 0 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 0.000.00 SUBTOTAL 0.000.00 TOTAL 0 Seniors (62 and older) 8 total to date 0 Disabled 4 total to date 0 Female-Headed Households 3 total to date 0.000.00 TOTAL 0 White 3 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 3 total to date 0 Black/African American + HISPANIC 0 total to date 0 Asian 0 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 0 Other/Multi Racial 1 total to date 0 Other/Multi Racial + HISPANIC 3 total to date 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 10 total to date 0 Number of persons assisted with improved access to a service. 0 total to date Attachment 2 270 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: We are happy to be working with the City of Dublin for FY2020-21. Due to the shelter-in-place order that was placed in Alameda County, LAS office remains closed until further notice; however, our attorneys, advocated and staff continue to provide services remotely. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. LAS was granted funding to provide legal services to 7 Dublin seniors in the areas of public benefits, health law, elder abuse, naturalization, housing and legal guardianship of minor children. LAS was also granted funding to conduct three educational presentations and outreach events to 65 Dublin seniors, service providers, and caregivers at various sites throughout the city. The Health Insurance Counseling and Advocacy Program goal was to provide individual counseling sessions to 65 Dublin Medicare recipients. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. LAS exceeded the number of clients to be reached. While contracted to provide legal services to 7 Dublin seniors, we provided legal services to 10 seniors. LAS also provided four community education presentations and one outreach event, having reached a total of 329 individuals in Dublin. HICAP was able to provide services to a total of 29 Dublin residents. To meet the needs of the Dublin community, which is a great distance from our Oakland office, LAS attorneys met legal clients in their homes or at other designated locations when clients were unable to travel. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh LAS believes this program was a great success; we provided services to more individuals than originally projected, and more importantly, as almost 80% of the legal clients served were low or extremely low income, provided free services to seniors who would otherwise be unable to afford the assistance of an attorney. In addition to our contract goals, we also measure success by the satisfaction of our clients. Legal clients, as well as community education attendees, are provided with an evaluation form to provide feedback; the responses we receive are overwhelmingly positive, providing confirmation that we are meeting the needs of our clients and that they are satisfied with the services received. 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 271 Application ID: 155552 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea There were no problems or delays encountered. The fact that LAS attorneys are able to make home visits to Dublin clients makes this project especially successful in addressing client needs. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. LAS relies on collaborative relationships to leverage resources, expand services to reach more seniors, and improve seniors’ access to services. These collaborations lead to greater service integration. LAS partnered with the following agencies to provide community education presentations to Dublin seniors: Creating New Hope and Dublin Senior Center. Through a contract with Adult Protective Services (APS), LAS accepts legal referrals for elder abuse restraining orders and other areas of law as needed. LAS has relationships with Family Support Services, DayBreak Adult Care Centers, and Alameda County Department of Children and Family Services, which make referrals for those seniors needing guardianship assistance and family support or services. We also work with the State Bar of California, the Alameda County Area Agency on Aging, Alameda County Courts as well as the California Department of Aging and California Health Advocates. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. LAS is funded by the Alameda County Department of Social Services (which includes the Area Agency on Aging) for legal services as well as the cities of Dublin, Union City, Pleasanton, Alameda, Fremont, Hayward and Livermore. We are also funded by the State Bar of California and California Department of Social Services. We received funding from private foundations including California Health Advocates, Hindu Community and Cultural Center, True North, Van Loben Sels/Rembe Rock, West Davis and Bergard, Bernard E. & Alba Witkin, East Bay Foundation on Aging and San Francisco Foundation. During fiscal year 2020/2021, LAS received $1,348,617 from governmental sources, $314,752 from foundations and corporations, $129,691 from court appointed fees, $203,912 from the State Bar of California, $32,391 from conference sponsorships, registration fees and training events, and $167,291.75 from individual donors, client donations and fundraising campaigns. Attachment 2 272 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Spectrum Community Services Meals on Wheels for Homebound Dublin Seniors Jump to: Organization Information Questions Budget Documents $ 13,500.00 Requested Submitted: 1/13/2020 12:51:02 PM (Pacific) Project Contact Lara Calvert LCalvert@spectrumcs.org Tel: (510) 881-0300 ext. 243 Additional Contacts admin@spectrumcs.org, coldes@spectrumcs.org, pherndon@spectrumcs.org Spectrum Community Services 2621 Barrington Court Hayward, CA 94545 United States Executive Director Lara Calvert lcalvert@spectrumcs.org Telephone(510) 881-0300 x243 Fax (510) 537-3340 Web www.spectrumcs.org Organization Information top 1. Business License Number 006992 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Spectrum Community Services’ mission is to improve the health and safety of seniors and low-income residents in Alameda County by enhancing their quality of life and helping them age at home with dignity. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project Attachment 2 273 operation. 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Spectrum Community Services’ Meals on Wheels Program will deliver at least 8,000 nutritious, life-sustaining meals and a vital daily safety check to low/extremely low-income disabled and homebound seniors residing in Dublin. Spectrum’s Meals on Wheels Program is one of two nutrition services provided through our Senior Nutrition Program, exclusively for Alameda County seniors. Our Spectrum Meals on Wheels Coordinator for Dublin is based in the Tri-Valley and implements day-to-day program activities, such as conducting in-home assessments, making appropriate referrals on behalf of participants, completing meal orders, and determining daily routes for drivers. They also confirms all volunteer drivers have reported in and routes will be covered. If necessary the Coordinator will deliver meals personally. Meals are planned by our partner Stanford Healthcare-Valley Care’s Registered Dietitian, who strictly adheres to the Older Americans Act-Title IIIC. Spectrum’s volunteer drivers pick up freshly prepared, nutritious meals each morning then deliver meals as well as provide safety checks and a warm smile with each delivery. They become a vital safety net for our seniors, combating their potential isolation and ensuring their well-being. Often, this special delivery is the only reason our senior participants get up in the morning. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) Spectrum’s Meals On Wheels Program will provide daily meals to approximately 55 unduplicated Dublin senior residents. 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) Spectrum is asking for $13,500 to support the Dublin Meals on Wheels Program. This request will fund a percentage of salaries and benefits for two positions: our Tri-Valley Supervisor ($5,819); and our Dublin Meals on Wheels Coordinator ($7,681). gfedc Yes ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities ✔✔✔✔ Food and Nutrition ✔✔✔✔ Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 274 Our Dublin Meals on Wheels Coordinator is the backbone of the program. They are the main contact for each homebound Dublin senior, whether it is to register them for new service, complete their intake assessment,or talk to them about their meal schedule/preferences/other needs. The Coordinator completes personal, semiannual assessments with each senior in their home. This allows the Coordinator to provide a more personal touch and better assess each senior’s needs/additional resources they might benefit from. The Dulbin Meals on Wheels Coordinator also assists with volunteer scheduling/planning routes to ensure all meals are delivered timely. Spectrum’s Tri-Valley Supervisor recruits, trains, schedules, and manages the dedicated volunteers. Meals are delivered daily, primarily by volunteers, who are dedicated to the program and the seniors they serve. The Supervisor is an active participant in the community and expands Spectrum’s outreach efforts. The Supervisor works to cultivate connections in Dublin with faith- based and cultural organizations at business and community venues where seniors and their families gather. Involvement in the community is not only important to raise awareness of services Spectrum's Dublin Meals on Wheels offers, it provides opportunities to support the program through recruiting new volunteers. Trained volunteers are an essential component of providing daily meals and safety-checks for homebound seniors. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. The first and primary outcome measure crucial to Spectrum’s Meals On Wheels Program success is to ensure all low and extremely low-income frail, homebound seniors, who reside in Dublin, have access to our program services. This guarantees we can meet their nutritional needs through our home delivered meals, as well as safeguard their wellbeing through daily safety checks. We want to ensure if a senior qualifies and wants or needs our support, we will be there to assist. Our goal is to meet or exceed our contracted outcome by providing home-delivered meals to 55 or more unduplicated Dublin in FY 2020- 2021. Another outcome that measures the success of our Program is the number of meals we deliver each fiscal year. In FY 2020- 2021, we will home-deliver 8,000 or more meals to Dublin seniors, sometimes the only meal they get each day. Finally, the Meals on Wheels Program can only be successful if, not only seniors served are happy with our meals and services, but we ensure Dublin seniors thrive by positively impacting their health through a well-balanced/nutrient-rich diet. To certify this outcome, our meals comply with the Dietary Guidelines for Older Americans, meeting 1/3 of the Dietary Reference Intakes for seniors, and meet strict food safety guidelines. We also guarantee seniors are happy with our meals through periodic Satisfaction Surveys filled out by our program seniors. Spectrum outcome data/demographics are collected daily through program meal orders and then input into the agency’s database. Reports are generated monthly and Spectrum’s management staff review these reports to confirm the program is on track to meet our stated goals, thus ensuring the success of Spectrum’s Meals On Wheels Program. Spectrum continues to interact with other social agencies within Alameda County and the Tri Valley to ensure that seniors in need are directed to our program. Many doctor offices, senior apartments, social workers and churches direct clients to us. Both Meals on Wheels of Alameda County and Meals on Wheels America websites also direct potential clients in Dublin to Spectrum Community Services. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? gfedc Not Applicable gfedc Yes ✔✔✔✔ No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. Attachment 2 275 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. Spectrum conducts an Annual Language Survey with staff, volunteers, senior program participants and their families, and the community. Based on this survey, we are able to identify gaps in our current Limited English Proficiency/Language Access Plan, and address those gaps with the additional resources and revised/enhanced protocols necessary to address these needs. Our LEP/LAP informs our ongoing staffing, outreach activities, informational materials, website, communications and operations. In combination with our Annual Language Survey, we periodically update our Internal Language Directory, which allows our agency team to quickly access non-English proficient speakers on staff (we update this document whenever there is a staff change). Our staff and volunteers include individuals fluent in English, Korean, Spanish, Hindi, Cantonese, Vietnamese, and Mandarin. When a staffer with certain language expertise is out sick or on vacation, Spectrum’s management staff uses the Language Directory to identify a fluent speaker from another department who can assist if needed. We can also access Alameda County’s Translation Line or Google Translate. Our goal is to always ensure our agency’s cultural proficiency, so that all current and prospective senior participants and their families have access to Spectrum services in the language in which they are proficient, that they are treated with cultural sensitivity/respect and dignity, and that their questions are answered in a timely fashion. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: ✔✔✔✔ Be culturally accessible, appropriate and inclusive ✔✔✔✔ Encourage community engagement and involvement gfedc Promote energy and resource efficiency ✔✔✔✔ Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. ✔✔✔✔ D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. ✔✔✔✔ E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing ✔✔✔✔ Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with Attachment 2 276 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Availability/Accessibility gfedc Affordability gfedc Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number Attachment 2 277 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 55 Disabled 15 Women/Female Headed Households 55 Seniors Youth Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 125.00125.00 TOTAL 28 Low Income (50%-80% AMI) 27 Extremely Low Income (<30% AMI) Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 55.0055.00 TOTAL Attachment 2 278 The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 21 White 6 White + HISPANIC 8 Black/African American Black/African American + HISPANIC 4 Asian Asian + HISPANIC 1 American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 15 Multi Racial + HISPANIC OR other Multi Racial Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 55.0055.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Area Agency on Aging $ 49,241.00 $ 49,241.00 Measure A $ 37,500.00 $ 37,500.00 MOWAC $ 75,000.00 $ 75,000.00 City of Livermore $ 35,640.00 City of Pleasanton $ 22,680.00 Private Donations $ 37,500.00 $ 15,000.00 Program Revenue $ 65,000.00 Volunteers $ 70,000.00 Total $ 392,561.00 $ 176,741.00 Funding Uses/Expenses Budget Amount Amount Committed Salaries and Wages $ 167,826.00 Attachment 2 279 Benefits $ 35,500.00 Supplies $ 2,500.00 Postage $ 750.00 Telephone $ 2,700.00 Rent and Utilities $ 2,125.00 Accounting/Audit $ 990.00 Taxes & Licenses $ 1,850.00 Contracted Services $ 83,000.00 Travel & Company Vehicles $ 16,785.00 In Kind $ 70,000.00 Misc Expense $ 22,035.00 Total $ 406,061.00 $ 0.00 Budget Narrative We are asking for $13,500 from the City of Dublin to fund 3.5% of this project. We will use this funding for the salaries of two key individuals in this life saving service to Dublin homebound seniors. These funds will help prevent us from going back to a wait list. Individual 1. - Meals on Wheels Coordinator who ensures that daily operations run smoothly - 24% of her salary and benefits which is $615/mos, $7,681 annually. 2. Tri-Valley Supervisor establishes partnerships as well as trains, recruits, and appreciates volunteers which is vital to our program - 9% of her salary which is $485/mos, $5,819 annually. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information Form List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board Roster Current Annual Budget for the Entire Agency ✔✔✔✔ Agency Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ 990 Tax Return Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Authorized Official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Authorization to Request Funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Insurance Certificate STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ IRS Exempt Letter CA Statement of Information Certified Audit and/or Certified Financial Statements ✔✔✔✔ Financial Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Affirmative Plan and Grievance Procedure Attachment 2 280 REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Agency Audit Management Letter REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Articles of Incorporation Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) Conflict of Interest REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. Language Access Plan REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/14/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Carrie Oldes 2. Program Title: Meals on Wheels Program Manager 3. Telephone: 925-483-1989 4. E-Mail: coldes@spectrumcs.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Spectrum Community Services is serving meals to the homebound seniors of Dublin. These meals meet the nutritional requirements as prescribed in Title IIIC of the Older Americans Act. With each meal, our trained volunteers provide a safety check to ensure the client's safety and well being. This has been crucial during Covid shelter in place. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. NA gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 281 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. While serving the homebound seniors of the Tri Valley, including Dublin, we have been able to provide 17,003 nutritious meals program wide, with 3,079 of those meals delivered to 57 Dublin residents. This quarter we exceeded our goal by 6,538 meals. This quarter we have continued to employ the new standards that were created to comply with COVID social distancing. This has meant that our volunteers have to be more attentive to visual changes in clients. Our trained volunteers have been instrumental in getting needed medical care for several seniors. We have also continued to call our seniors on a regular basis to check how they are doing and offering a friendly voice. The trained community volunteers are key to keeping our costs down and helping make real community connections for both the homebound elderly and volunteers. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 317 Total Program Participants 317 total to date 57 Total Dublin residents 57 total to date 374.00374.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 55 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 55 total to date 55.0055.00 TOTAL 57 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 57 total to date 317 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 317 total to date 374.00374.00 TOTAL 19 Low Income (50% to 80% Median) 19 total to date 16 Very Low Income (30% to 50% Median) 16 total to date 22 Extremely Low Income (<30% Median) 22 total to date 57.0057.00 SUBTOTAL 57.0057.00 TOTAL Attachment 2 282 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Our goal is to serve 8,000 meals home delivered meals in Dublin 18. What is your goal for units of service for this fiscal year? 8,000 home delivered meals 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 57 Seniors (62 and older) 57 total to date 3 Disabled 3 total to date 23 Female-Headed Households 23 total to date 83.0083.00 TOTAL 21 White 21 total to date 0 White + HISPANIC 0 total to date 5 Black/African American 5 total to date 0 Black/African American + HISPANIC 0 total to date 7 Asian 7 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 24 Other/Multi Racial 24 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 57.0057.00 TOTAL 57 Number of persons assisted with new access to a service. 57 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 57.0057.00 TOTAL Attachment 2 283 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 2 due 1/15/2021 (submitted 1/15/2021) top Attachment 2 284 GENERAL INFORMATION 1. Name and Title of Person Completing Report: Carrie Oldes, Meals on Wheels Program Manager 2. Program Title: Meals on Wheels 3. Telephone: 925-483-1989 4. E-Mail: coldes@spectrumcs.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Spectrum Community Services is serving nutritious meals to homebound seniors in Dublin. The meals provided meet the nutrition requirements outlined in Title IIIC of the Older Americans Act. In addition to providing a nutritious meal, the volunteer delivery drivers provide a safety check to ensure the clients well-being. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. No modifications have been made 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. While serving the homebound seniors of the Tri Valley, including Dublin, we have been able to provide 16,722 nutritious meals program wide, with 2997 of those meals delivered to 53 Dublin residents, exceeding both of our numeric goals for the quarter. Our trained community volunteers are vital to our program, making real connections with homebound seniors in Dublin. While delivering meals, our volunteers also provide daily welfare checks. This quarter, with the help of our trained volunteers we have followed all COVID protocols and have been able to provide uninterrupted meal delivery. Volunteers are instrumental in getting additional service referrals for our clients. A daily update is given to staff so that they can follow up on the ongoing needs of the seniors. Many of our volunteers go beyond the expectations of our agency, building long lasting friendships with the seniors they serve. 10. Were any Dublin grant funds expended for this project during this reporting period? gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 276 Total Program Participants 593 total to date 53 Total Dublin residents 110 total to date 329.00329.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) Attachment 2 285 CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 55 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 110 total to date 55.0055.00 TOTAL 8 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 65 total to date 66 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 383 total to date 74.0074.00 TOTAL 3 Low Income (50% to 80% Median) 22 total to date 2 Very Low Income (30% to 50% Median) 18 total to date 3 Extremely Low Income (<30% Median) 25 total to date 8.008.00 SUBTOTAL 8.008.00 TOTAL 8 Seniors (62 and older) 65 total to date 8 Disabled 11 total to date 3 Female-Headed Households 26 total to date 19.0019.00 TOTAL 0 White 21 total to date 0 White + HISPANIC 0 total to date 0 Black/African American 5 total to date 0 Black/African American + HISPANIC 0 total to date 2 Asian 9 total to date 0 Asian + HISPANIC 0 total to date Attachment 2 286 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals served 18. What is your goal for units of service for this fiscal year? 8,000 home delivered meals 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 6 Other/Multi Racial 30 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 8.008.00 TOTAL 8 Number of persons assisted with new access to a service. 65 total to date 8 Number of persons assisted with improved access to a service. 8 total to date 0 Number of persons assisted who no longer have access to a substandard service. 0 total to date 16.0016.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. Attachment 2 287 24. Please include any additional comments or clarifications here: This quarter we were able to provide holiday wishes with the support of business, civic organizations and the community. We also provided card packets to all seniors that wanted them so that they could send out cards. We will be launching a pen pal program to help keep the seniors engaged with the community. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 3 due 4/15/2021 (submitted 4/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Carrie Oldes 2. Program Title: Meals on Wheels Program Manager 3. Telephone: 925-483-1989 4. E-Mail: coldes@spectrumcs.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report Attachment 2 288 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. We continue to serve hot nutritious meals to the homebound seniors of Dublin. With the support of trained community volunteers. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. This quarter we implemented a mobile delivery app. This app limits the need to print out daily route sheets. The app collects meal delivery status as well as allowing volunteers to record any changes in a client's condition. This information is available in real time to the Coordinator via an online dashboard. This helps us prepare as more Insurance plans move towards providing meals to seniors. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. We have been able to serve every eligible resident that has called for service. We continue to provide other service providers with information about our program and our ability to serve all homebound seniors during SIP. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 327 Total Program Participants 920 total to date 56 Total Dublin residents 166 total to date 383.00383.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 55 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 165 total to date 55.0055.00 TOTAL 17 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 82 total to date Attachment 2 289 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 78 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 461 total to date 95.0095.00 TOTAL 2 Low Income (50% to 80% Median) 24 total to date 8 Very Low Income (30% to 50% Median) 26 total to date 7 Extremely Low Income (<30% Median) 32 total to date 17.0017.00 SUBTOTAL 17.0017.00 TOTAL 17 Seniors (62 and older) 82 total to date 17 Disabled 28 total to date 11 Female-Headed Households 37 total to date 45.0045.00 TOTAL 8 White 29 total to date 0 White + HISPANIC 0 total to date 1 Black/African American 6 total to date 0 Black/African American + HISPANIC 0 total to date 3 Asian 12 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 0 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 5 Other/Multi Racial 35 total to date 0 Other/Multi Racial + HISPANIC 0 total to date 17.0017.00 TOTAL Attachment 2 290 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals Served 18. What is your goal for units of service for this fiscal year? 8000 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will 17 Number of persons assisted with new access to a service. 82 total to date Number of persons assisted with improved access to a service. 8 total to date Number of persons assisted who no longer have access to a substandard service. 0 total to date 17.0017.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 291 make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Carrie Oldes 2. Program Title: Meals on Wheels Program Manager 3. Telephone: 925-483-1989 4. E-Mail: Coldes@Spectrumcs.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Spectrum’s Meals on Wheels program continues to serve all eligible Dublin seniors that ask for service. With the additional funding that was provided we were able to exceed the original goal of service in Dublin. We have been fortunate in not needing to begin a waitlist. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Spectrum’s Meals on Wheels program continues to serve all eligible Dublin seniors that ask for service. With the additional funding that was provided we were able to exceed the original goal of service in Dublin. We have been fortunate in not needing to begin a waitlist. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date 283 Total Program Participants 1,203 total to date 52 Total Dublin residents 218 total to date 335.00335.00 TOTAL Attachment 2 292 application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Our goal for this grant was to serve 55 Dublin residents 8,000 meals. We served 94 seniors 12,685 meals in Dublin. We exceeded our goal. Throughout the year we made needed safety and health adjustments per county and state directives. We were able to serve meals and provide wellness checks without missing one scheduled delivery day. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 4 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 55 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 220 total to date 55.0055.00 TOTAL 12 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 94 total to date 66 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 527 total to date 78.0078.00 TOTAL Low Income (50% to 80% Median) 24 total to date 4 Very Low Income (30% to 50% Median) 30 total to date 8 Extremely Low Income (<30% Median) 40 total to date 12.0012.00 SUBTOTAL 12.0012.00 TOTAL 12 Seniors (62 and older) 94 total to date 12 Disabled 40 total to date 4 Female-Headed Households 41 total to date 28.0028.00 TOTAL Attachment 2 293 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. meals served 18. What is your goal for units of service for this fiscal year? 8,000 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 3 White 32 total to date 1 White + HISPANIC 1 total to date 1 Black/African American 7 total to date Black/African American + HISPANIC 0 total to date 4 Asian 16 total to date Asian + HISPANIC 0 total to date American Indian/Alaskan Native 0 total to date American Indian/Alaskan Native + HISPANIC 0 total to date Native Hawaiian/Other Pacific Islander 0 total to date Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date American Indian/ Alaskan Native and White 0 total to date American Indian/ Alaskan Native and White + HISPANIC 0 total to date Asian and White 0 total to date Asian and White + HISPANIC 0 total to date Black/African American and White 0 total to date Black/African American and White + HISPANIC 0 total to date American Indian/Alaskan Native and Black/African American 0 total to date American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 3 Other/Multi Racial 38 total to date Other/Multi Racial + HISPANIC 0 total to date 12.0012.00 TOTAL 12 Number of persons assisted with new access to a service. 94 total to date 12 Number of persons assisted with improved access to a service. 20 total to date Number of persons assisted who no longer have access to a substandard service. 0 total to date 24.0024.00 TOTAL n/a Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 294 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: With the COVID-19 emergency and Shelter-in-Place, we have seen a marked increase in the need for home-delivered meals to seniors 60 years and older in the Tri-Valley. Throughout the Pandemic and SIP we averaged 5643 meals a month for the entire program. When we look back at pre COVID numbers we were serving on average 550 meals per month to Dublin seniors. During COVID this number increased to an average of 1050 per month. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The purpose of this grant was to serve 8,000 nutritious meals and wellness checks to 55 homebound seniors and disabled adults in Dublin Spectrum served 12,685 nutritious meals and wellness checks to 94 homebound seniors and disabled adults in Dublin. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. As the COVID-19 emergency and Shelter-in-Place continued throughout 2020, Spectrum Community Services had no interruption of delivering hot, nutritious meals to homebound seniors in Dublin. We did not miss a single scheduled delivery day. Spectrum made necessary adjustments to face the pandemic. We continued to recruit, train and support community volunteers. As our client numbers increased we needed to increase our volunteer base. From March 2020 through June 2021 we cleared over 200 volunteers. In March of 2021 we moved to a mobile app for meal delivery. This was the last step in changing our software program. All of this was done during the pandemic and was received well by our volunteers. Throughout the entire SIP we have been able to give our homebound seniors, cards and gifts provided by the community. This has helped the seniors keep their spirits up during this trying time. Spectrum was able to serve 67,719 meals from July 2020 through June 2021. This is an increase of 11,376 over the 19/20 service year. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Spectrum's Meals on Wheels program has been able to provide 67,719 nutritious meals in the Tri-Valley, with 12,685 of those meals delivered to 94 Dublin residents. This year we exceeded our service goal by 4,685 meals and our numeric goal by 39 seniors served. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea Spectrum Community Services is currently serving 220 meals per day, 1,300 meals per week. Each meal costs $10. After government funding and $1.08 per meal average donation from our seniors, we still have a shortfall. n/a Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 295 Application ID: 156247 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. We continue to pursue grants to cover the additional costs. We have had a few virtual fundraisers with fair results. We are continually looking for new fundraising opportunities. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Our Meals On Wheels staff works to cultivate connections with faith-based and cultural organizations, local businesses, and community venues, to assist us in providing referrals, and bring awareness to seniors who currently or will need these services. We perform outreach regularly with the area cities and Chambers of Commerce, public libraries, senior housing facilities, churches, business establishments, service organizations and places where seniors and their families frequent, being a sustained presence in the community to help us better serve more seniors in need. We started a new partnership with Mercy Brown Bag. They are giving us bags of groceries with food specific to the needs of seniors. We have identified 30 low-income seniors who have the need for this food, and deliver it to them once every two weeks with their meal. Spectrum works with the following organizations: Stanford Healthcare-ValleyCare Hospital: Plans, prepares and packages our nutritious meals, while Spectrum provides all administration and delivery. Our Livermore Meals on Wheels Coordinator’s office is also located here. Senior Support Program of the Tri-Valley: Provides a broad range of social services and care management for Spectrum’s Dublin seniors and makes regular referrals to our Meals on Wheels program. Alameda County Area Agency on Aging: Provides countywide services, a 1-800 number assistance line, and is the primary contractor with Spectrum’s Congregate Meals and Meals on Wheels Program to seniors. CityServe: Spectrum is an active member. As part of the Tri-Valley safety net, we exchange cross referrals to best assist Dublin seniors meet their needs. Alameda County 2-1-1 (Eden I&R): Provides a county-wide information/referral line that assists individuals access social services and resources in Alameda County. Spectrum’s coordinated service network: Enables the Dublin Meals on Wheels Coordinator to effectively provide access to needed supportive services. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. The primary funding source for Spectrum Community Services’ Meals on Wheels program are grants from the federal Older American Act and the USDA, both administered by the Alameda County Area Agency on Aging. We have a partner contract relationship with Stanford Healthcare - ValleyCare, who also gets direct funding from this same source. This funding covers $6.50 of the $10.00 cost of each meal served in the contract, which covers only 39,475 of the 67,719 meals needed. In order to bridge the gap and provide services to those who are most at-risk, Spectrum also relies on donations from cities, foundations, individual donors, companies and organizations. Attachment 2 296 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Open Heart Kitchen Open Heart Kitchen Dublin Meal Programs Jump to: Organization Information Questions Budget Documents $ 24,000.00 Requested Submitted: 12/26/2019 12:33:06 PM (Pacific) Project Contact Heather Greaux executivedirector@openheartkitchen.org Tel: 925-580-1616 ext 402 Additional Contacts none entered Open Heart Kitchen 1141 Catalina Drive #137 Livermore, CA 94550 United States Executive Director Heather Greaux executivedirector@openheartkitchen.org Telephone(925) 580-1616 Fax Web www.openheartkitchen.org Organization Information top 1. Business License Number BL-009270 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Open Heart Kitchen serves prepared, nutritious meals free of charge to the hungry people of the Tri-Valley area. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 297 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Open Heart Kitchen (OHK) is seeking funding for meal programs conducted in the City of Dublin. We serve meals to seniors 5 days a week at the Dublin Senior Center, we deliver bag lunch meals to 9 Dublin schools, and we serve hot meals every Saturday in Dublin. Our Hot Meal Program welcomes anyone in need. We serve homeless, senior citizens on a fixed income, and mostly the working poor. Meals can be eaten in our dining room or taken to-go. Many working mothers and fathers pick up meals for their families on their way home from work. We make every effort to make our meal service convenient for those who struggle with time, child care, and transportation. OHK’s Senior Meal Program addresses the nutritional gap of low-income seniors. The program provides necessary nutrition as well as emotional support. Getting out of the house and interacting with everyone at the meal sites helps break the isolation that impacts many seniors. Their improved emotional well-being and access to nutrition helps keep them out of the emergency room and leads to a more balanced lifestyle. Our Weekend Bag Lunch Program addresses the nutritional gap of children who receive free or reduced school lunches during the week, but lack a secure source of nutrition over the weekend. By providing a stable source of nutrition to children over the weekend, the program helps mitigate the numerous physical and emotional impacts of hunger. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 700 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The grant funds will be used to purchase the food used in the Dublin meal programs. In an effort to provide a program based ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) gfedc Workforce Development ✔✔✔✔ Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities ✔✔✔✔ Food and Nutrition ✔✔✔✔ Senior Services ✔✔✔✔ Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 298 budget for Board Approval, OHK staff performs an extensive review of all program expenses and goals. The program budget includes an appropriate meal count growth and new program expansion goals established by the OHK Strategic Planning Committee. All organization budgets are approved by the Board of Directors annually. Budget performance is reviewed by the Board of Directors quarterly and by staff monthly. OHK utilizes donated food and holds food drives throughout the year in an effort to reduce the amount of purchased food. A contract with US Foods has also been established that takes advantage of their Manufacturer Cost Reduction Program. OHK is also a member of the local affiliate of Feeding America, the Alameda County Community Food Bank. As a member agency, OHK is able to purchase food from the Alameda County Community Food Bank in bulk below wholesale prices. The Alameda County Community Food Bank also provides fresh produce at no cost that OHK distributes directly to clients, as well as utilizes in the prepared meal programs and children's bag lunches. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. Metrics Objective: End hunger by providing nutritious food. Activities: Work with the Alameda County Community Food Bank to distribute fresh produce. Follow nutrition guidelines for meal programs. Provide nutrition education to clients so they make healthy food choices. Timeline 07/01/2020-06/30/2021 Outcomes Clients have access to fresh produce. Approximately 450 pounds of fresh produce per week is distributed in Dublin. Clients only receive food that is healthy and appealing. Nutrition education flyers will be included in bag lunches at least twice a year. (With permission from schools). Nutrition education outreach will be performed at the Dublin Senior Center quarterly. Measurement Pounds of produce delivered. Nutritional analysis by Registered Dietitian. Annual satisfaction surveys. Number of flyers. Number of outreach days. Number of people served. Given the vulnerability to diet-related diseases such as diabetes, people facing food insecurity deserve food that will not aggravate their existing medical predispositions. OHK focuses on distributing food that is high quality and healthful. A diet based on cheap foods of low nutritional value often leads to disease and increased work/school absenteeism. By distributing educational flyers focused on nutrition and access to safety net services, OHK provides families with the tools to better understand the implications of their food choices and how to navigate the food system. The number of flyers distributed in programs is tracked quarterly. Our Hot Meal Program welcomes anyone in need. Anyone who is struggling to make ends meet can rely on OHK for a source of nutrition for their families. We serve the homeless, senior citizens on a fixed income, and mostly the working poor. Low- income single-parent families, children and multi-generational families, the disabled, and veterans can find a free, healthy meal in an environment that upholds their dignity at our serving sites. Open Heart Kitchen’s Senior Meal Program serves seniors 60 years and older. Food insecurity especially impacts our growing senior population. Our Senior Meal Program sees continual growth as the cost of housing, food, and health care continues to rise. According to Feeding America, one in six children in the United States do not have enough to eat. Sometimes school lunches, on which millions of kids rely, are the only meal they are sure to get during the day. Children need proper nutrition to grow and learn, making hunger an urgent problem that needs to be solved. Our Children's Weekend Bag Lunch Program serves low-income children who qualify for the Free/Reduced School Lunch Program. This specialized program provides the only weekend hunger relief geared specifically to at-risk children. Attachment 2 299 OHK has made great efforts to improve the quality of the meals in our Hot Meal Program. We recognize that the low-income and homeless population that this program serves is considered an "at-risk" population. They are much more likely to suffer from many health problems such as obesity and diabetes. Many of our clients have severe dental problems from lack of access to dental care. Several of our homeless guests are seniors with special dietary needs. We have a responsibility to provide our guests with the most nutritious meal as we possibly can. The meals for our Senior Meal Program are reviewed by a Registered Dietitian, then approved by the County of Alameda Area Agency on Aging. The senior meal menu is specifically designed to meet the special dietary needs of seniors. The food provided in our Children's Weekend Bag Lunch Program is reviewed by a Registered Dietitian and must meet dietary specifications for calories, saturated fat, and sodium. The items in the bags are appropriate for school age children and we provide at least three pieces of fresh produce in each bag. We find that many of our homeless and low-income guests utilize mobile devices to find services. Our website offers a daily calendar of our meal sites and hours of operation. We are also registered with City Serve and 211. We are a part of Alameda County Community Food Bank's referral system and we collaborate with several local churches and community service organizations. We distribute our meal program flyers in multiple languages and the flyers are distributed at our sites, in the bags of the Bag Lunch Program, we send them to schools who can email families, and other community based organizations. We work with area schools to identify children who can benefit from our Children's Weekend Bag Lunch Program. The Dublin Senior Center helps promote our Senior Meal Program to its visitors. We are always trying to recruit volunteers who speak languages other than English and encourage them to interact with our guests who speak the same language not only to tell them about our services, but to get to know them a little better. We also participate in several outreach events. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. OHK is committed to making sure individuals with limited English proficiency have access to our programs. We recruit multilingual volunteers and offer our quarterly surveys and program flyers in multiple languages. We collaborate with agencies like the Alameda County Community Food Bank that provide translation services. All OHK program staff have been provided with "I Speak" cards to assist in identifying the language interpretation a guest may need should the occasion arise. The OHK staff are informally surveyed periodically on their experience concerning any contact with LEP persons during the year. This allows OHK to identify what translation services may need to be provided in the future. OHK takes reasonable steps to provide the opportunity for meaningful access to guests who have difficulty communicating in English, although a very low percentage of OHK clients are limited English speaking. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive ✔✔✔✔ Encourage community engagement and involvement gfedc Promote energy and resource efficiency ✔✔✔✔ Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 300 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. ✔✔✔✔ D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. ✔✔✔✔ E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing ✔✔✔✔ Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. ✔✔✔✔ End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. ✔✔✔✔ Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment Attachment 2 301 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability ✔✔✔✔ Sustainability gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 302 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. 48 Disabled 86 Women/Female Headed Households 359 Seniors 435 Youth 10 Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 938.00938.00 TOTAL 8 Low Income (50%-80% AMI) 663 Extremely Low Income (<30% AMI) Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 29 700.00700.00 TOTAL 187 White 26 White + HISPANIC 56 Black/African American Black/African American + HISPANIC 209 Asian Asian + HISPANIC 6 American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC 12 Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 204 Multi Racial + HISPANIC OR other Multi Racial Attachment 2 303 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 700.00700.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Individual Contributions $ 415,879.00 City Grants $ 99,718.00 County Grants $ 259,625.00 Federal Grants $ 14,000.00 Grants (non-Government) $ 318,500.00 Program Service Revenue $ 78,743.00 Special Events $ 100,000.00 In-Kind Contributions $ 263,926.00 Total $ 1,550,391.00 $ 0.00 Funding Uses/Expenses Budget Amount Amount Committed Food and Supplies $ 785,065.00 Food Delivery (Auto) $ 33,000.00 Personnel $ 587,300.00 Facility and Equipment $ 24,000.00 Information Technology and Communications $ 14,555.00 Insurance (non-employee related) $ 7,740.00 Office Supplies $ 6,020.00 Postage and Printing $ 3,735.00 Program Outreach Supplies $ 2,490.00 Rent and Utilites $ 53,406.00 Other $ 2,220.00 Depreciation $ 30,860.00 Total $ 1,550,391.00 $ 0.00 Budget Narrative Open Heart Kitchen is requesting $24,000 to help support the Dublin meal program’s food costs. OHK utilizes donated food and holds food drives throughout the year in an effort to reduce the amount of purchased food. A contract with US Foods has also been established that takes advantage of their Manufacturer Cost Reduction Program. 16 percent of the food that OHK serves is distributed in Dublin and we are requesting that Dublin cover 3 percent of our total food costs. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Financial Information Form for ALL Grant Requests ✔✔✔✔ Financial Information Attachment 2 304 download template List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board Roster Current Annual Budget for the Entire Agency ✔✔✔✔ Agency Budget Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ Form 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Board Authorization Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Board Authorization Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Worker's Compensation General Liability STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Nonprofit Determination Certified Audit and/or Certified Financial Statements ✔✔✔✔ Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Employee Policy Handbook REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Audit Requirements from Bylaws Highlighted Audit REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Articles of Incorporation Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) Conflict of Interest Policy REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. LEP Plan REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Strategic Plan Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/15/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Taylor Hoover-Hart 2. Program Title: Attachment 2 305 Program Manager 3. Telephone: 510-931-0486 4. E-Mail: taylor@openheartkitchen.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. In response to COVID-19 the Open Heart Kitchen congregate Senior Meal Program service has transitioned into an outdoor curbside pickup, accessible to diners by car, bike, and on foot. When our service transitioned to curbside pickup we had to notify our existing diners, as well as conduct outreach within the community to inform others in need of our services about our free meals. This has included contacting diners by phone, online platforms (including social media), word of mouth and referrals within the senior community, and by collaborating with other local service providers so that their clients are made aware of our service. We continue to work alongside Dublin Senior Center staff members to facilitate the distribution of relevant information and updates to the senior community of Dublin during our meal service, including legal services for seniors, additional local food resources, and events hosted by the Dublin Senior Center. Our Children’s Weekend Bag Lunch Program was suspended at the start of the pandemic when schools closed, and remains suspended while other meal services are available to families at DUSD schools. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. The Open Heart Kitchen meal services relied heavily on a volunteer workforce before COVID-19. As a matter of safety for our staff and diners, we have transitioned to an almost entirely hired team at our Dublin Senior Center location, which included recruiting and training new staff members. Additionally, during COVID-19 we have made efforts to connect with our most vulnerable Senior Meal Program clients to check-in on individuals who may need additional assistance and provide our clients with other resources over the phone. Our Children’s Weekend Bag Lunch Program was suspended when schools shut down due in part to the food resources made available to Dublin children and their families by DUSD and the Alameda County Community Food Bank. The other reason for having to suspend this program was due to the lack of available space to store and assemble the components of the bags (we previously used donated space at Stanford Hospital in Livermore, but we lost access to that site at the start of the pandemic as a matter of safety for the hospital staff and patients) as well as the fact that we can no longer utilize the 15- 30 volunteers that it takes weekly to assemble the bags needed for the program. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Our Senior Meal Program service at the Dublin Senior Center has increased dramatically since the start of the COVID-19 pandemic. Open Heart Kitchen is serving more Dublin seniors than ever before. In early August our team received a kind gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 958 Total Program Participants 958 total to date 165 Total Dublin residents 165 total to date 1,123.001,123.00 TOTAL Attachment 2 306 shoutout by Dublin Recreation Supervisor Rich Jochner during the bi-monthly Tri-Valley Emergency Operations Meeting with Senior Service Providers call. He described the flourishing service that he has observed first hand while visiting the Dublin Senior Center during our Senior Meal service, including what we described as a “total transformation” of our meal service over the previous 6 months. Mr. Jochner described the increased diner turnout at the Dublin Senior Center, which had increased from roughly 20-25 diners on average per day, to a new record (as of early August) of service in the 140's. Since Mr. Jochner’s early August observation, our new record at the Dublin Senior Center has increased to 160 seniors served during a single 45- minute meal service. Mr. Jochner also applauded the Open Heart Kitchen team for our efforts to foster a strengthened relationship with the senior community in Dublin, particularly the Dublin Mandarin-speaking senior community who have historically not participated in our meal service at the Dublin Senior Center. Between July 1st and September 30th we welcomed 94 Dublin seniors into our Senior Meal Program for the very first time. Since the start of the pandemic, we have welcomed 244 total new Dublin seniors to our meal program (including the 94 during the 7/1-9/30 period), and we expect this program growth to continue as more Dublin seniors in need learn about our services during this pandemic and beyond. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 700 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 700 total to date 700.00700.00 TOTAL 165 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 165 total to date 793 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 793 total to date 958.00958.00 TOTAL 36 Low Income (50% to 80% Median) 36 total to date 40 Very Low Income (30% to 50% Median) 40 total to date 89 Extremely Low Income (<30% Median) 89 total to date 165.00165.00 SUBTOTAL 165.00165.00 TOTAL 156 Seniors (62 and older) 156 total to date 23 Disabled 23 total to date Attachment 2 307 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals served 18. What is your goal for units of service for this fiscal year? 7100 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 30 Female-Headed Households 30 total to date 209.00209.00 TOTAL 54 White 54 total to date 5 White + HISPANIC 5 total to date 11 Black/African American 11 total to date 1 Black/African American + HISPANIC 1 total to date 80 Asian 80 total to date 0 Asian + HISPANIC 0 total to date 1 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 2 American Indian/ Alaskan Native and White 2 total to date 1 American Indian/ Alaskan Native and White + HISPANIC 1 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 7 Other/Multi Racial 7 total to date 3 Other/Multi Racial + HISPANIC 3 total to date 165.00165.00 TOTAL 165 Number of persons assisted with new access to a service. 165 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 165.00165.00 TOTAL Attachment 2 308 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: During the 7/1/2020 - 9/30/2020 a total of 8,255 meals have been served to residents of Dublin. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 2 due 1/15/2021 (submitted 1/13/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Taylor Hoover-Hart, Program Manager 2. Program Title: Dublin Meal Programs Attachment 2 309 3. Telephone: 925-500-8241 4. E-Mail: taylor@openheartkitchen.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. We are continuing to safely serve seniors at the Dublin Senior Center outdoors using a drive-thru or walk-up process. All COVID-19 protocols continue to be strictly enforced, including the wearing of masks, social distancing, and sanitizing equipment between each use. In order to limit the number of individuals that our seniors clients are exposed to, and to maintain social distancing within the Dublin Senior Center kitchen, we are continuing to facilitate our service utilizing a team of dedicated staff rather than relying on rotating volunteers as we did prior to the pandemic. By creating this dedicated team, we are able to foster deeper connections with the seniors we serve and keep a close eye on at-risk seniors who may be in need of additional support. This includes following up with seniors who make sudden changes to their dining schedules in order to identify what factors may be keeping them from participating in our program including transportation barriers or diet restrictions. Additionally, as the pandemic continues our seniors are feeling more and more isolated and many have little to no face-to-face interaction outside of our Senior Meal Program. Our dedicated team has forged deep personal connections over the months, providing care that enriches the short but meaningful daily check-in with a friendly and familiar (masked) face. We take efforts to provide the seniors of our community with resources that will help them continue to quarantine, including the ability for seniors or their caregivers to pick up meals on behalf of at-risk seniors who cannot come to our service, and providing our Senior Meal Program clients with information on our other programs such as our drive-thru grocery distribution to keep them from having to grocery shop in person. Our Children’s Weekend Bag Lunch Program remains suspended as DUSD schools continue to provide meals to students and their families. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. We are continuing with the program modifications that we implemented in early 2020 in response to the pandemic. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. We continue to be humbled by the number of seniors who have entrusted us to provide them with stable access to nutrition during this challenging time. Many seniors have either increased the frequency that they dine with us, or have become new members to our program since the pandemic began. From October 1, 2019 - December 31, 2019 we served 2,036 meals to 159 individuals at the Dublin Senior Center. During the October 1, 2020 - December 31, 2020 period we served 8,306 meals to 280 individuals at the Dublin Senior Center. This dramatic increase demonstrates not just the increased need, but also the continued success of our program as we continue to provide local seniors with the nutritious meals they require to stay healthy. During this time of uncertainty, we are proud to say that our Senior Meal Program has remained a consistent and reliable resource for the seniors of Dublin. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 744 Total Program Participants 1,702 total to date 280 Total Dublin residents 445 total to date 1,024.001,024.00 TOTAL Attachment 2 310 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 700 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 1,400 total to date 700.00700.00 TOTAL 60 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 225 total to date 51 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 844 total to date 111.00111.00 TOTAL 4 Low Income (50% to 80% Median) 40 total to date 0 Very Low Income (30% to 50% Median) 40 total to date 56 Extremely Low Income (<30% Median) 145 total to date 60.0060.00 SUBTOTAL 60.0060.00 TOTAL 57 Seniors (62 and older) 213 total to date 4 Disabled 27 total to date 9 Female-Headed Households 39 total to date 70.0070.00 TOTAL 21 White 75 total to date 9 White + HISPANIC 14 total to date 1 Black/African American 12 total to date Black/African American + HISPANIC 1 total to date Attachment 2 311 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals served 18. What is your goal for units of service for this fiscal year? 7100 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 25 Asian 105 total to date Asian + HISPANIC 0 total to date American Indian/Alaskan Native 1 total to date American Indian/Alaskan Native + HISPANIC 0 total to date Native Hawaiian/Other Pacific Islander 0 total to date Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date American Indian/ Alaskan Native and White 2 total to date American Indian/ Alaskan Native and White + HISPANIC 1 total to date Asian and White 0 total to date Asian and White + HISPANIC 0 total to date Black/African American and White 0 total to date Black/African American and White + HISPANIC 0 total to date American Indian/Alaskan Native and Black/African American 0 total to date American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 2 Other/Multi Racial 9 total to date 2 Other/Multi Racial + HISPANIC 5 total to date 60.0060.00 TOTAL 60 Number of persons assisted with new access to a service. 225 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 60.0060.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 312 24. Please include any additional comments or clarifications here: During the 10/1/2020 - 12/31/2020 a total of 6,811 meals have been served to residents of Dublin. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 3 due 4/15/2021 (submitted 4/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Taylor Hoover-Hart 2. Program Title: Program Manager 3. Telephone: 925-580-1616 4. E-Mail: taylor@openheartkitchen.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report Attachment 2 313 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Our dedicated team continues to safely serve seniors at the Dublin Senior Center outdoors using a drive-thru or walk-up process, with all COVID-19 and traffic safety protocols strictly enforced. Most recently, we have implemented a new procedure to accommodate our most at-risk seniors who require that their meals be deposited into the trunk of their vehicle. Seniors requiring that service will enter the service queue and indicate through their car window that they would like assistance. Our team members then stop traffic, guide the senior into a safe parking stall, and load their meals into their trunk before helping them safely exit the parking lot with traffic still halted. This gives peace of mind to at-risk seniors, as well as ensures the safety of our staff and volunteers who do not have to place themselves between 2 vehicles in order to access the trunk. The safety of our team and our guests remains our top priority at all times. We are communicating with the Dublin Senior Center team to plan ahead for the anticipated facility reopening later this year, including exploring options for seniors to park and walk up to the Center to pick up their meals so as not to impact the main parking lot or building entrance. We are following the strictest state and county guidelines and will continue to do so throughout the pandemic. Our Children’s Weekend Bag Lunch Program remains suspended as DUSD schools continue to provide meals to students and their families. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. We are continuing with the program modifications that were implemented in early 2020. No specific modifications have been made to our program goals this reporting period. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Between January 1 - March 31 we welcomed 67 new diners to our Dublin Senior Center location, for a total of 278 diners at that location. We continue to provide the senior community of Dublin with stable access to the nutrition services they need to lead an active lifestyle. As the need has increased in Dublin, our team has risen to the challenge and continues to outreach and onboard new clients into our program. Through translated flyers, word-of-mouth referrals, and our team of administrative staff who communicate with clients over the phone we continue to connect with and serve the seniors of our community despite language and technology barriers. We are also continuing our efforts to strengthen our relationship with the AAPI senior community by gaining trust through consistent service and by maintaining a safe space for our clients of all races. Of the 67 newly registered clients at our Dublin Senior Center location 27 identify as Asian American. Another notable example of our outreach to the community is a comprehensive flyer that we created and distributed that outlines free pantry and food resources available in the Tri-Valley. We distributed this flyer to all of our guests across our Programs, and from that outreach we saw many new clients joining our services. In March we served approximately 900 seniors at our drive-thru grocery distribution. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 764 Total Program Participants 2,466 total to date 278 Total Dublin residents 723 total to date 1,042.001,042.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: Attachment 2 314 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Persons 3 total to date gfedc Households 700 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 2,100 total to date 700.00700.00 TOTAL 67 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 292 total to date 147 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 991 total to date 214.00214.00 TOTAL 2 Low Income (50% to 80% Median) 42 total to date 11 Very Low Income (30% to 50% Median) 51 total to date 52 Extremely Low Income (<30% Median) 197 total to date 65.0065.00 SUBTOTAL 65.0065.00 TOTAL 60 Seniors (62 and older) 273 total to date 4 Disabled 31 total to date 3 Female-Headed Households 42 total to date 67.0067.00 TOTAL 24 White 99 total to date 8 White + HISPANIC 22 total to date Black/African American 12 total to date Black/African American + HISPANIC 1 total to date 27 Asian 132 total to date Asian + HISPANIC 0 total to date American Indian/Alaskan Native 1 total to date American Indian/Alaskan Native + HISPANIC 0 total to date Native Hawaiian/Other Pacific Islander 0 total to date Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date Attachment 2 315 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals served 18. What is your goal for units of service for this fiscal year? 7100 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: During the 1/1/2021 - 3/31/2021 period a total of 8,717 meals have been served to clients in Dublin at our Dublin Senior Center American Indian/ Alaskan Native and White 2 total to date American Indian/ Alaskan Native and White + HISPANIC 1 total to date Asian and White 0 total to date Asian and White + HISPANIC 0 total to date Black/African American and White 0 total to date Black/African American and White + HISPANIC 0 total to date American Indian/Alaskan Native and Black/African American 0 total to date American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 6 Other/Multi Racial 15 total to date 2 Other/Multi Racial + HISPANIC 7 total to date 67.0067.00 TOTAL 67 Number of persons assisted with new access to a service. 292 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 67.0067.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 316 location. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Taylor Hoover-Hart, Executive Assistant 2. Program Title: Dublin Meal Programs 3. Telephone: 925-500-8241 4. E-Mail: taylor@openheartkitchen.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 2 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date Attachment 2 317 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. We continue to serve seniors at the Dublin Senior Center (DSC), in fact this location continues to be our most popular Senior Meal Program site. Our compassionate team of 5 staff members continue to serve to-go style meals outside of the building via a drive or walk-up line. Over the months our program has welcomed many new diners, and we have continued to explore new ways to better serve the needs of our ever-evolving clientele. One of our largest obstacles is communicating with our clients who speak limited or no English. Our teams use iSpeak cards to help identify a client’s preferred language, and this quarter we also began releasing our monthly menus in English, Spanish, and Mandarin Chinese. A number of our senior clients have expressed that they are vegetarian either by preference, for their health, or for religious or cultural reasons. In April we began “Meatless Mondays”, serving delicious and totally meat-free meals, including no use of animal broths. We are happy to report that these meals are a hit, and we received great feedback on the meatless meals from vegetarians and non-vegetarians alike when we surveyed our diners’ satisfaction in May, 2021. As DSC has reopened, our team is continuing to communicate with the DSC staff to plan ahead for our eventual return to congregate dining inside of the building. At this time, our service remains to-go only outdoors until further notice. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Our program goals have not been modified since the last reporting period. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Between April 1 - June 30 we welcomed 71 new diners to our DSC location, for a total of 293 active diners at that location throughout the quarter. During the reporting period we served an incredible 9,245 meals at DSC alone, making this our most busy quarter of the grant period. In April we relocated our production kitchen from our out-dated and cramped kitchen of the past 2+ decades into a larger facility that allows us the storage and prep space to increase our capacity. This move ensures that we can continue to fulfill the hunger relief needs of our community as it increases. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 749 Total Program Participants 3,215 total to date 293 Total Dublin residents 1,016 total to date 1,042.001,042.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 4 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households 700 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 2,800 total to date 700.00700.00 TOTAL 71 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated 363 total to date Attachment 2 318 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 107 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 1,098 total to date 178.00178.00 TOTAL 8 Low Income (50% to 80% Median) 50 total to date 10 Very Low Income (30% to 50% Median) 61 total to date 49 Extremely Low Income (<30% Median) 246 total to date 67.0067.00 SUBTOTAL 67.0067.00 TOTAL 68 Seniors (62 and older) 341 total to date 3 Disabled 34 total to date 7 Female-Headed Households 49 total to date 78.0078.00 TOTAL 28 White 127 total to date 8 White + HISPANIC 30 total to date 1 Black/African American 13 total to date 0 Black/African American + HISPANIC 1 total to date 26 Asian 158 total to date 0 Asian + HISPANIC 0 total to date 0 American Indian/Alaskan Native 1 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 0 Native Hawaiian/Other Pacific Islander 0 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 2 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 1 total to date 1 Asian and White 1 total to date 1 Asian and White + HISPANIC 1 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 3 Other/Multi Racial 18 total to date 3 Other/Multi Racial + HISPANIC 10 total to date 71.0071.00 TOTAL Attachment 2 319 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Meals Served 18. What is your goal for units of service for this fiscal year? 7100 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The purpose of this grant is to fund our meal programs conducted in the City of Dublin. Due to the pandemic, we had to suspend our Children’s Weekend Bag Lunch Program, as well as our Hot Meal Program service in Dublin. Our Senior Meal Program at DSC remains fully operational 5 days per week offered free of charge to our diners. Our service at the DSC location is busier than ever, and the most popular of all of our service locations throughout the Tri-Valley. The entire awarded grant amount was spent during the service period. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. 71 Number of persons assisted with new access to a service. 363 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 71.0071.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL 0 Number of persons assisted with new access to a service. 0 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 320 Application ID: 155600 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. We have seen the demand for food assistance continue to grow over the months, and we have been able to keep up with the demands. Every month we welcome more new clients to our program and we continue to connect with more at-risk seniors so that they can benefit from our free services. Through online and printed materials and word-of-mouth referrals we have connected with many new clients from diverse backgrounds. We are humbled to be trusted by the seniors of this community to provide consistent and well-balanced meals that they can rely on and trust to nourish them. We have broadened our menu offerings to be more inclusive of cultural tastes and preferences, as well as to provide more options for diners who follow a meat-free diet. By offering more resources translated into the languages our diners speak and read, we are able to provide our guests with more needed resources and a greater level of care. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes, we absolutely consider this program to be a success. Between July 1, 2020 - June 30, 2021 we served 34,230 free and nutritious meals to 504 diners at our DSC location. This is a huge accomplishment, especially when compared to our service during the July 1, 2019 - June 30 2020 period during which we served 13,029 meals to 490 diners at this location. Although we did not meet our goal to serve 700 unduplicated Dublin residents during this grant period, that goal was set when we were still planning to run our Children’s Weekend Bag Lunch Program and our Hot Meal Program. If those 2 programs were not suspended at the start of the pandemic, we would have undoubtedly surpassed our estimations. Our program has remained a consistent resource to help seniors who are struggling to meet their dietary needs, and our quarterly nutrition education flyers keep clients aware of healthy practices. We are also proud of the emotional wellbeing that we have been able to provide our guests. Our daily meal service also acts as a daily check-in with a familiar team of trained professionals who care for the needs of the seniors, and care about the seniors themselves. These short but meaningful interactions with our guests let them know that they are not alone and that someone cares about them, and despite a busy service our team is encouraged to slow down and connect with their guests. Over the months, our team has memorized the names, relationships, schedules, tastes, jokes, and dietary preferences of hundreds of seniors, and warmly greet each guest daily despite any obstacles our team may be facing. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea We continued to work through issues related to the pandemic. Our outdoors service leaves our team vulnerable to the elements, and traffic safety remains a top priority that we are constantly seeking ways to improve upon. We have had to make changes to the ways that we prepare and serve our meals, including the use of expensive single use to-go containers that have to be stored in expensive heated mobile units. Despite a multitude of obstacles our team has continued to serve the seniors of Dublin and our project remained a success without service disruptions. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. The Alameda County Community Food Bank provides us with produce, juice boxes, and other supplies for our program. We also collaborate with DSC directly. The Center staff help our team with ongoing operational logistics including planning for crowd control and traffic safety, and coordinating our service alongside other events held at the Center including cooling centers, blood banks, and more. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. -City of Livermore Housing & Human Services Grants, Livermore Meal Programs, $19,000.00 -City of Pleasanton Housing and Human Services Grant Program, Pleasanton Senior Meal Program, $50,000.00 -Alameda Area Agency on Aging grant, $344,256.00 Attachment 2 321 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Sunflower Hill Program Support for Adults with Developmental Disabilties Jump to: Organization Information Questions Budget Documents $ 25,000.00 Requested Submitted: 1/13/2020 1:54:43 PM (Pacific) Project Contact Pamela Zielske Kathyl@sunflowerhill.org Tel: 925-519-1347 Additional Contacts none entered Sunflower Hill P.O. Box 11436 Pleasanton, CA 94588 Executive Director Edie Nehls Edie@sunflowerhill.org Telephone925-519-1347 Fax Web www.sunflowerhill.org Organization Information top 1. Business License Number BL-110708 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Sunflower Hill is a nonprofit organization that develops places and spaces where adults with developmental disabilities thrive. We are committed to creating residential communities, along with educational and vocational programs that ensure a full life. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 322 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Sunflower Hill Garden has been actively providing educational and vocational horticulture training to individuals with developmental disabilities since April of 2015. Each week our team serves approximately 50 program participants from 16 different high school transition, adult-in-transition and adult day programs based in the Tri-Valley and beyond. We strive to serve a diverse population and have developed an engaging curriculum and setting to meet the needs of all learners. Our staffing ratio is based on each program participant’s abilities and ranges from 1 staff member to 1 program participant to 1 staff member to 3 participants. The garden provides a unique backdrop to develop functional fitness, learn about nutrition and how food is grown, and practice social interaction skills, which are all critical elements that enable our program participants to lead rich and meaningful lives. Furthermore, we are honored to donate our produce to nonprofit organizations serving the needs of Tri-Valley families, such as Culinary Angels, Open Heart Kitchen, Tri-Valley Haven, and East Bay Stand Down. In 2019, Sunflower Hill donated 77% of our total produce, or 5,713 lbs., to these nonprofit partners. Additionally, Sunflower Hill Garden offers an employment program that provides individualized vocational coaching to moderate to high functioning adults with developmental disabilities. The goal of this 9-month program is for each individual to have a real- life work experience. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 48 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) The funds requested are to be used to support our Garden Teacher, Abby Lourenco, through funding 79% of her salary. Abby leads all classes each week in the garden. She is dedicated to creating an engaging, hands-on curriculum that enables each ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing gfedc Health Care (including dental) ✔✔✔✔ Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities ✔✔✔✔ Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 323 program participant to have the opportunity to experience the garden in a way that is unique and meaningful. Abby also has experience with Americorps/Foodcorps, and as a result, has been implementing new curriculum into our program, including simple cooking lessons and taste testing. Each session in the garden begins with an opening lesson where program participants explore the day’s theme. Lessons will often include sensory exploration, a life science component, nutritional training, and therapeutic elements. Each lesson also includes an opportunity for each program participant to choose the task they wish to work on that day. Abby works collaboratively with our garden team to ensure that there are tasks for all abilities; table top activities for those who are unable to bend or squat, large muscle group activities for participants who like to be physically active, and close, hands-on work for those desiring to further develop fine-motor skills. The session is designed so that each program participant is able to successfully complete a task at the end of each session. Program participants end their session with a closing circle where they enjoy a snack of the produce they harvested, practice their social interaction skills and table manners, as well as learn about the importance of making healthy food choices. Sunflower Hill’s Garden program is tremendously cost effective. Our garden team is comprised of a full-time teacher, program manager, program assistant, and farmer, as well as a part-time vocational coach, and volunteer assistant. We also have three adults with developmental disabilities participating in our employment program by working part-time as garden interns with the support of our vocational coach. Our team is highly skilled, and work collaboratively to ensure that the garden program runs smoothly and efficiently. We also have a team of dedicated and talented volunteers who work in the garden each week. These individuals are vital to our program and assist with directly supporting program participants, as well as with labor in the field, such as planting, harvesting, or weeding. All volunteers are trained and supervised by our garden teacher and farmer, and they are passionate about working with adults with developmental disabilities. We are also very fortunate to have a number of master gardeners and retired teachers regularly volunteering in the garden and sharing their knowledge with fellow volunteers and program participants. Under the leadership of our farmer, the Sunflower Hill Garden team has also taken significant efforts to ensure the garden’s sustainability. The team sheet mulches using cardboard and organic materials (wood chips and straw) between perennial beds. This practice conserves water, builds soil, and reduces weed pressure. The team has also streamlined our composting practices by using more of the green waste produced in the garden. Working in the compost area of the garden also provides an excellent educational opportunity for program participants. Furthermore, the Sunflower Hill Garden is on a three-year crop rotation in the main field to reduce pest pressure. We use both winter and summer cover crops between heavy feeding crop plants to recharge the soil with nutrients for the next season of crops. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. This project is specifically designed to meet the unique needs of the local developmentally disabled population. The CDC estimates that 1 in 6 children, or approximately 15%, aged 3-17 have one or more developmental disabilities. These conditions begin early in childhood development, may impact day-to-day functioning, and usually continue throughout a person's lifetime. Locally, these numbers are consistent with national trends, with approximately 5,500 individuals with developmental disabilities living in Alameda County. Furthermore, it is estimated that roughly 395 Dublin residents, 471 Pleasanton residents, and 580 Livermore residents have a developmental disability. These members of our communities represent overlooked population groups in Eastern Alameda County in terms of services, living options, and job opportunities, as was reported in the 2011 Human Services Needs Assessment. It is critical for Tri- Valley cities to solicit and implement programs that address the diverse needs of the adult developmentally disabled population as programs and activities are significantly reduced once a person ages out of the public school system. In addition, individuals with developmental disabilities are considered extremely low income, living as adults on Social Security Income, or with assistance from family members, if available. Through an engaging, hands-on curriculum, and guidance from high skilled staff members and volunteers, program participants are able to achieve a number of objectives that lead to greater independence and empowerment. The Sunflower Hill team tracks their progress through the success of the lessons themselves. Lessons are designed so that program participants are able to achieve the following: • Working to stay focused on a task until completion; • Following step by step instructions and asking follow-up questions, as needed; • Executing against work activities discussed in circle time with hands-on activities in the field; • Practicing simple math, writing, and life science concepts as part of hands-on learning activities; Attachment 2 324 • Improving social and communication skills with peers, Sunflower Hill staff, and volunteers; • Learning how food is grown from seed to harvesting; • Harvesting, washing, packing, and weighing food that is donated to local nonprofit organizations and ultimately distributed to low-income families throughout the Tri-Valley region. Support of our Garden Teacher will help to further enable the execution of the above objectives. Additionally, we are able to assess the success of our program by tracking programs that return to us year after year. Of our current programs, most of them are repeat groups who have been attending since we first began offering horticultural programming in April 2015. We have also increased the number of Adult Day programs we are serving by going from two Adult Day programs to five in the last year. This increase speaks to the need for local Adult Day programs to find quality, unique programming opportunities. Sunflower Hill is honored to be able to fill this need for adults with developmental disabilities in the Tri-Valley community. Our Garden Teacher and Programs Manager also gather information and feedback through program surveys of teachers, program participants, and volunteers. Donating a large portion of our produce to local nonprofit organizations, such as Culinary Angels, Open Heart Kitchen, and Tri- Valley Haven is an additional way that we measure our overall success. The Sunflower Hill team also actively engages in a variety of community outreach efforts. Our Communications Manager produces a regular monthly newsletter and maintains an active social media presence to encourage community engagement. Additionally, staff give presentations on the value of our programming to local school districts, clubs, organizations, and corporations. We also host tours in the garden to enable members of the public and elected officials to have the opportunity to see our programs in action. Our Programs Manager also actively builds relationships with new leadership in local Tri-Valley programs. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: gfedc Not Applicable gfedc Yes ✔✔✔✔ No gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. Attachment 2 325 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 326 (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households Attachment 2 327 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" 26. If your agency is submitting more than one application or the same agency has different programs within it, ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Attachment 2 328 please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 25,000.00 $ 0.00 City of Pleasanton $ 30,000.00 $ 0.00 Clif Bar Family Foundation $ 3,500.00 $ 3,500.00 Whole Foods Kids Foundation $ 2,000.00 $ 0.00 City of Livermore $ 92,700.00 $ 0.00 Giving Tuesday campaign revenue $ 25,760.00 $ 25,760.00 Sunflower Fun Run - projected $ 100,000.00 $ 0.00 Total $ 278,960.00 $ 29,260.00 Funding Uses/Expenses Budget Amount Amount Committed SFH Garden Teacher salary $ 31,680.00 $ 0.00 Total $ 31,680.00 $ 0.00 Budget Narrative Sunflower Hill's funding request of $25,000 will cover 79% of the salary for our Garden Teacher in FY 2020. The remaining budget required for both the Garden Teacher's salary as well as the Garden program will covered by contributed income from other city and private grants, as well as Sunflower Hill's robust fundraising efforts. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expenses Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ SFH Board of Directors - 2020 Current Annual Budget for the Entire Agency ✔✔✔✔ SFH Budget FY 2020 Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ SFH 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ SFH Dublin authorization Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ SFH Dublin authorization Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Worker's comp insurance SFH Liability Insurance STATE AND FEDERAL NON-PROFIT ✔✔✔✔ SFH Nonprofit determination Attachment 2 329 DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. CA nonprofit determination Certified Audit and/or Certified Financial Statements ✔✔✔✔ SFH 990 REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) SFH Strategic Plan Other Supporting Documents (Not Required) Dublin business license SFH By the Numbers 2020 Report 2 due 1/15/2021 (submitted 1/20/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Pamela Zielske 2. Program Title: Program Support for Adults with Developmental Disabilities 3. Telephone: 925-519-1347 4. E-Mail: pamela@sunflowerhill.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report Attachment 2 330 PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Prior to the COVID-19 pandemic, our staff provided an engaging, hands-on program each week in the Sunflower Hill Garden for approximately 50 adults and teens with developmental disabilities from 16 different high school transition, adult-in-transition and adult day programs in the Tri-Valley and beyond. As a result of COVID-19 and the subsequent shelter-in-place orders, Sunflower Hill staff have transitioned to offering virtual programs, as well as a small number of in-person programs at the Garden. As many of our program participants are considered vulnerable with underlying health concerns, and disruptions in daily schedules severely impact people with developmental disabilities, our programs team developed and introduced our distance learning plan, Sunflower Hill Online Activities approximately 10 days after the first shelter in place order was implemented. Our online activities program was created with the goal of assisting caregivers with developing a routine of participating in regular Sunflower Hill Online Activities. The response to our virtual programs has been overwhelmingly positive. To date, we have created a robust repository of 134 free, activity videos, designed specifically for individuals with developmental disabilities, which have been viewed 6,027 times. In addition to the pre-recorded content offered through our Sunflower Hill Online Activities Program, in October we began to offer live, virtual programming, along with small in-person programs at the Sunflower Hill Garden. Throughout the pandemic, our staff have also continued to maintain the Sunflower Hill Garden for the purpose of harvesting and donating produce to local nonprofits. During this reporting period, we have donated 85%, or 3,532 pounds, of fresh, organic produce to our nonprofit partners, Culinary Angels, Shepherd’s Gate, and Tri-Valley Haven’s Food Pantry. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. As noted above, Sunflower Hill staff significantly modified our programs in response to the COVID-19 public health crisis. Since March 2020, our team has posted a variety of free, online activities each week, including garden updates, scavenger hunts, simple cooking lessons, yoga and meditation exercises, arts and crafts activities, and skill challenges. Much of our virtual content uses the garden as a backdrop for programming. This unique curriculum is designed to keep program participants connected with up-to-date happenings at the Sunflower Hill Garden, as well as inspire them to explore new ways of interacting with the nature surrounding their own homes. In addition to developing virtual programming, we welcomed a small group of program participants back to in-person programming at the Sunflower Hill Garden in October 2020. Following strict CDC guidelines, we launched our Hands-On Garden Groups to small cohorts of adults with developmental disabilities. These cohorts are uniquely designed to honor all ability levels and are smaller in size to guarantee intentional interaction, ensuring an environment that equips each person for success. Weekly tasks are designed with individual participants in mind, allowing for a variety of garden tasking to appeal to all functioning levels. Tasks include a range of gross and fine motor movements and a variety of standing, kneeling, lifting, and/or table top tasks. We are hopeful to return to hosting larger groups in the Sunflower Hill Garden later in 2021. However, until it is safe to do so, Sunflower Hill staff will continue to offer engaging, virtual programming, along with in-person programs for small groups, specifically designed to meet the unique needs of individuals with developmental disabilities. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Since the onset of the pandemic, our staff have consistently innovated our virtual programs, based on feedback from our participants and their caregivers. Initially, all programming was pre-recorded. However, we have transitioned to offering a combination of pre-recorded and live programming to enable greater engagement and opportunities for connection for the participants we serve. gfedc Community Development Block Grant (CDBG), FINAL Report 30 Total Program Participants 30 total to date 1 Total Dublin residents 1 total to date 31.0031.00 TOTAL Attachment 2 331 For example, in October, we began offering a live, virtual cooking class. This interactive, live class builds independent living skills through cooking discussions, teacher demonstrations, and group activities. Participants can either cook along with our Garden Teacher, who provides step-by-step guidance during class time, or choose to enjoy and learn while watching cooking demonstrations. Our instructor has developed a curriculum that teaches basic cooking skills, kitchen utensil safety, and includes seasonal, fresh produce from the Sunflower Hill Garden. Each class uses a main Zoom camera to provide step-by-step instruction as well as a secondary camera to show a close-up of the instructor’s hands to highlight the specialized skill being taught. Recipes are all original creations of our teacher, with modifications to accommodate participant dietary restrictions. We are also offering weekly, life skills virtual sessions called, Popcorn Chats, hosted by our Programs Manager. These sessions enable participants to engage in activities to build community and friendship with one another, experience supported leadership, and learn tools necessary to enjoy their own virtual and social independence. The continuation of our produce donation program during the pandemic is another measure of our organization’s success. Our staff have continued to cultivate relationships with our nonprofit partners receiving produce during this uncertain time, and we are thrilled to have donated over 3,500 pounds of produce during this reporting period. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 48 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 48 total to date 48.0048.00 TOTAL 1 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 1 total to date 29 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 29 total to date 30.0030.00 TOTAL 1 Low Income (50% to 80% Median) 1 total to date Very Low Income (30% to 50% Median) Extremely Low Income (<30% Median) 1.001.00 SUBTOTAL 1.001.00 TOTAL Attachment 2 332 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Instructional hours/Curriculum planning 18. What is your goal for units of service for this fiscal year? 1,500 hours 19. Please complete the following table regarding the UNIT OF SERVICE listed above: Seniors (62 and older) 1 Disabled 1 total to date Female-Headed Households 1.001.00 TOTAL 1 White 1 total to date White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Other/Multi Racial Other/Multi Racial + HISPANIC 1.001.00 TOTAL 30 Number of persons assisted with new access to a service. 30 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 30.0030.00 TOTAL Attachment 2 333 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The number of Dublin residents currently being served through live, virtual programs or in-person programming is significantly lower than the number of program participants we have historically served in person at the Sunflower Hill Garden. These numbers are temporarily lower to enable us to adhere to strict COVID-related safety protocols for our in-person programs. It is also important to note that the number of clients referenced above does not accurately reflect the number of individuals accessing all of Sunflower Hill’s virtual programming. While we are able to accurately count those individuals who are registered and participating in our live cooking classes or Popcorn Chats, we are not able to identify those individuals who are viewing our free Sunflower Hill Online Activities. To date, our Online Activities have been viewed over 6,000 times, however, we are not able to determine the exact location of the individuals viewing this content. We are pleased to report that we are sharing our free, virtual programming broadly, and it is being used extensively by our colleagues in the industry, Tri-Valley REACH, RADD in Pleasanton, the Developmental Disabilities Councils in Alameda and Contra Costa Counties, Pleasanton Adult and Career Education, Strides in Castro Valley, and Camp Krem. Our staff also continues to maintain relationships and share our virtual curriculum with the programs in Dublin that were accessing the garden prior to the implementation of COVID-related restrictions, including Dublin High School, Valley High School and the Kaleidoscope Adult Day Program. We look forward to a time in 2021 when we are able to safely welcome these groups back to in-person programming at the Sunflower Hill Garden. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 334 make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Pamela Zielske, Advancement Director 2. Program Title: Sunflower Hill's Program Support for Adults with Developmental Disabilities 3. Telephone: 925-519-1347 4. E-Mail: pamela@sunflowerhill.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. Prior to the COVID-19 pandemic, our staff provided hands-on programming each week in the Sunflower Hill Garden for approximately 50 adults and teens with intellectual and developmental disabilities (I/DD) from 16 different high school transition, adult-in-transition and adult day programs in the Tri-Valley and beyond. As a result of the pandemic, Sunflower Hill staff have transitioned to offering virtual programs, as well as a small number of in-person programs at the Garden. As many of our program participants are considered vulnerable with underlying health concerns, and disruptions in daily schedules severely impact people with developmental disabilities, our Programs Team developed and introduced our distance learning plan, Sunflower Hill Online Activities approximately 10 days after the first shelter in place order was implemented. The response to our virtual programs has continued to be overwhelmingly positive. To date, we have created a robust repository of 185 free, activity videos, designed specifically for individuals with I/DD, which have been over 17,000 times. In addition to the pre-recorded content offered through our Sunflower Hill Online Activities Program, in October of 2020, we began to offer a series of live, virtual programming to support independent living, along with small in-person programs at the Sunflower Hill Garden, called Hands-On Garden Groups. Each of these programs are thriving, and the response has been tremendously positive. As it has become safe to do so, we have been able to gradually increase the number of individuals participating in programming at the Sunflower Hill Garden. Throughout the pandemic, our staff have also continued to maintain the Sunflower Hill Garden for the purpose of harvesting and donating produce to local nonprofits. During this reporting period, we have donated over 1,600 pounds, of fresh, organic produce to Culinary Angels, Shepherd’s Gate, and Tri-Valley Haven’s Food Pantry. gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 335 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. As noted above, in October 2020, and following strict CDC guidelines, we launched our Hands-On Garden Groups to small cohorts of adults with I/DD and their caregivers. These cohorts are uniquely designed to honor all ability levels and are smaller in size to guarantee intentional interaction, ensuring an environment that equips each person for success. Weekly tasks are designed with individual participants in mind, allowing for a variety of garden tasking to appeal to all functioning levels. Tasks include a range of gross and fine motor movements and a variety of standing, kneeling, lifting, and/or table top tasks. All programming enables participants to develop plant knowledge, explore tastes of new and healthy foods, and engage their senses in the garden’s natural setting. These in-person groups at the garden remain small in size to enable our staff to safely meet COVID-related safety protocols. We initially were offering in-person programming to two separate groups of 3 adults with I/DD and their caregivers. While we have gradually increased the number of in-person program participants in the garden, we are hoping to continue to grow these numbers as we move into our fall and winter programs. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Our program continues to succeed in several vital areas – produce donations, in-person programming, and virtual programming. Success in the area of our produce donations is measured through the continuation of our partnerships with local nonprofit organizations. Our team continues to measure the following outcomes: frequency by which produce is delivered; the amount of produce delivered each week (in pounds); and the variety of produce donated. We also rely on feedback from our nonprofit partners, which has been consistently positive. So far in 2021, we have donated over 1,600 pounds of produce to Culinary Angels, Shepherd’s Gate, and Tri-Valley Haven. Our virtual programs been incredibly successful as well. To date we have created a robust library of 185 free activity videos for individuals with I/DD and their families, which are being utilized by the greater community. Success for our in-person garden groups, as well as our cooking and our virtual life skills program, called Popcorn Chats, have been measured by direct feedback received from participants and their caregivers, along with our registration numbers, and students returning for additional programs. Feedback has been overwhelmingly positive and has resulted in staff opening additional sessions of programming up to participants. Growth in the area of our in-person programs has been intentionally slow to enable us to continue to meet COVID safety protocol while in the garden. The demand is high, however, for in-person programming, particularly in the garden, and we are already planning for fall and winter of 2021, as well as for 2022, when we are able to host larger groups of program participants in the Sunflower Hill Garden. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 51 Total Program Participants 81 total to date 2 Total Dublin residents 3 total to date 53.0053.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households Attachment 2 336 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 48 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 96 total to date 48.0048.00 TOTAL 2 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 3 total to date 28 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 57 total to date 30.0030.00 TOTAL 2 Low Income (50% to 80% Median) 3 total to date Very Low Income (30% to 50% Median) Extremely Low Income (<30% Median) 2.002.00 SUBTOTAL 2.002.00 TOTAL Seniors (62 and older) 2 Disabled 3 total to date Female-Headed Households 2.002.00 TOTAL 2 White 3 total to date White + HISPANIC Black/African American Black/African American + HISPANIC Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Attachment 2 337 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Instructional hours/curriculum development 18. What is your goal for units of service for this fiscal year? 1,500 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: The number of Dublin residents currently being served is significantly lower than the number of program participants we have historically served in person at the Sunflower Hill Garden. These numbers are temporarily lower to enable us to adhere to strict COVID-related safety protocols for our in-person programs. We do anticipate that these number will significantly increase as we move into our fall and winter sessions in the garden. It is also important to note that that our produce donations to both Tri-Valley Haven and Culinary Angels are serving a number of Dublin residents each week. Furthermore, while we are able to track those individuals who are registered and participating in our garden program and live cooking classes or Popcorn Chats, we are not able to identify those individuals who are viewing Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Other/Multi Racial Other/Multi Racial + HISPANIC 2.002.00 TOTAL 51 Number of persons assisted with new access to a service. 81 total to date Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 51.0051.00 TOTAL N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. Number of persons assisted with improved access to a service. Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 338 our free online activities. To date, our online activities have been viewed over 17,000 times, however, we are not able to determine the exact location of the individuals viewing this content. We are pleased to report that we are sharing our free, virtual programming broadly, and it is being used extensively by our colleagues in the industry, including by the staff at Dublin High School and Valley High School. A wide range of organizations in the area are also utilizing our online programming, including Tri-Valley REACH, RADD in Pleasanton, the Developmental Disabilities Councils in Alameda and Contra Costa Counties, Pleasanton Adult and Career Education, Strides in Castro Valley, and Camp Krem. Additionally, our staff continues to maintain relationships with the programs in Dublin that were accessing the garden prior to the implementation of COVID-related restrictions, including Dublin High School, Valley High School, and the Kaleidoscope Adult Day Program. These programs will have the opportunity to access the garden once again, likely in the fall or winter of 2021. FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The original purpose of this grant was to support our program in the Sunflower Hill Garden and our produce donation efforts. While we have grown and innovated our garden program extensively since the time the original application was submitted in response to the COVID-19 pandemic, we have expended the grant in its entirety to support our staff’s time teaching, both in person and through virtual programming, as well as maintaining the garden, and managing all aspects of our produce donation efforts to local nonprofits. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. Sunflower Hill’s engaging, hands-on garden program, extensive produce donation efforts, along with our virtual programs, demonstrate our ability to be nimble and collaborate with one another to serve the community’s needs in creative and innovative ways. Our staff has continued to offer a unique, in-person garden program that provides every participant an opportunity to find success. Because weekly tasks are designed with each participant in mind, all groups allow for a variety of garden tasks to appeal to high, medium, and low function levels, which may include any range of gross and fine motor movements, and a variety of standing, kneeling, lifting, and/or table tasks. In response to COVID-19 safety guidelines, and in order to ensure safety when in the fields, all garden programs require participants to be accompanied by a caregiver/support staff to provide a 1:1 ratio. These small group sizes have enabled us to provide safe, socially distanced, and meaningful indoor experiences at the garden as well, which has allowed us to accommodate groups during inclement weather. We have also continued to maintain the garden throughout the pandemic for the purpose of harvesting and donating produce. We are thrilled that our produce is being used to feed those struggling with food insecurity or significant medical challenges throughout the Tri-Valley. In addition, our staff continues to cultivate relationships with new potential partners to increase the reach of our produce donation efforts. Our virtual programmatic offerings, are also specifically designed to support adults with I/DD, and enable them with a variety of opportunities to develop life skills that support independent living. Our team is constantly evaluating our virtual programs and making modifications based on the data and feedback from participants. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh As noted above in question 9, Sunflower Hill believes our program was and continues to be a success. As with many nonprofits, the pandemic resulted in Sunflower Hill re-envisioning how we meet the needs of our constituents. We are a resilient and flexible organization and are extremely proud of our work to support the I/DD community and their families during this challenging time. Our program continues to succeed in several vital areas – produce donations, in-person programming, and virtual programming. Success in the area of our produce donations is measured through the continuation of our partnerships with local nonprofit organizations, and during this reporting period that included Culinary Angels, Shepherd's Gate, and Tri-Valley Haven. Our team measures the following outcomes with respect to our produce donation program: frequency by which produce is delivered; the amount of produce delivered each week (in pounds); and the variety of produce donated. The success of our virtual programs are measured by the number of views received, and by direct feedback from our program participants, their caregivers, and our colleagues in the industry. Attachment 2 339 Application ID: 155835 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. Growth in the area of our in-person programs has been intentionally slow to enable us to continue to meet COVID safety protocol while in the garden. The demand is high, however, for in-person programming, particularly in the garden, and we are already planning for fall and winter of 2021, when we are able to host larger groups of program participants in the Sunflower Hill Garden. This will also include welcoming adult day programs and transition classes that were regularly attending programming pre-COVID back to the garden, beginning in September 2021. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea The Sunflower Hill team has continued to adapt quickly and with effectiveness to our ever-changing environment. While we are thrilled to be able to offer in person programming in the garden, we are looking forward to be able to offer programming to a greater number of program participants in the future. This process has been slow, to enable us to ensure that we are following COVID-related safety protocol at the garden. We also continue to work closely with local adult day programs and high school transition classes that utilized our in-person programs pre-COVID, to determine how to continue to best meet the needs of our program participants in the future. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. We continue to collaborate with Shepherd’s Gate, Tri-Valley Haven, and Culinary Angels to coordinate weekly produce donations. Additionally, our team continues to collaborate with our colleagues in the industry, including local adult day programs and school districts to ensure that our virtual programming continues to be engaging and accessible to their students. In Dublin specifically, we have continued to partner with staff from Dublin High School, Valley High School, and the Kaleidoscope Adult Day Program. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. We have received funding from the City of Pleasanton, as well as small grants from the following companies and foundations: Clif Family Foundation, East Bay Community Energy, Robert Half, Rotarian Foundation of Livermore, and the San Ramon Kiwanis Foundation. In addition, we continue to support our programs through contributions from generous donors and our robust fundraising efforts, including our inaugural virtual gala, Moonlight at Home, and our monthly giving program. Attachment 2 340 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Axis Community Health Triage Call Nurse Jump to: Organization Information Questions Budget Documents $ 9,135.00 Requested Submitted: 1/12/2020 1:34:40 PM (Pacific) Project Contact Valerie Jonas vjonas@axishealth.org Tel: 925.201.6068 Additional Contacts contracts@axishealth.org,scompton@axishealth.org Axis Community Health 5925 W. Las Positas Blvd., Suite 100 Pleasanton, CA 94588 United States CEO Sue Compton scompton@axishealth.org Telephone(925) 201-6068 x Fax (925) 417-1503 x Web axishealth.org Organization Information top 1. Business License Number 112438 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Axis provides quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 341 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The role of the call center triage nurse is a vital part of the Axis care delivery system because it gives patients quick access to medical advice through our call center. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 1000 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) Funds from this grant will address the need to provide quick phone access to a medical professional when patients are experiencing a health problem. It is also the link for parents/guardians of children who tend to require more frequent medical guidance. This funding will ensure Axis’s ability to fund this critical position without a reduction in service hours. When a patient is experiencing symptoms, they can call our main phone line and be connected to the Triage Nurse, a licensed RN with specialized training in responding to patient calls, gathering information on symptoms, and assisting patients with accessing appropriate care. The Triage Nurse is available during business hours to patients (Axis has an on-call phone service for after-hours care.) When a call center operator receives a call requiring a response from a licensed professional, the call is transferred to the Triage Nurse. The caller describes symptoms to the nurse and responds to the nurse’s questions. The Triage Nurse uses a web-based decision-making tool, called Clear Triage, to assist in the process. Depending upon the severity of the symptoms and the patient’s condition, the nurse advises on the appropriate next step. Options include having the patient proceed to emergency care, scheduling a same-day appointment with their Axis provider, scheduling a future appointment for the patient, or giving the patient advice for home care and follow-up. The nurse responds to ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing ✔✔✔✔ Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse gfedc Disabilities gfedc Food and Nutrition gfedc Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education gfedc Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 342 patients of all ages, from newborns to geriatrics. As needed, the nurse brings a professional medical translator on the call to ensure clarity of information. The Triage Nurse is also the Specific Point of Contact (SPOC) for patients being discharged from the hospital. Through a dedicated phone line, area hospitals, including Stanford Health Care-Valley Care, Highland Hospital, and John George, call the Triage Nurse to arrange care for the patient after hospital discharge. This is a critical point of contact for ensuring continuity of care. During 2019, the Triage Nurse responded to 5,313 calls and assisted nearly 1,000 patients in discharge planning. The Dublin grant funds, in combination with funds from the cities of Livermore and Pleasanton, will help support a .5 FTE Triage Nurse, who will be available to 2,046 Axis patients who are Dublin residents. Axis was receiving an operational support grant annually for 10 years from Blue Shield of California Foundation (BSCF) which helped support the Triage Nurse position. However, BSCF has depleted this special fund for community health centers and is not providing any future support. In order to continue to have this critical role in the care delivery system, Axis must find sufficient funding. The provision of Triage Nurse call services is central to providing an appropriate standard of health care. Moreover, the project is targeted to reduce health care costs by ensuring that appropriate care levels are accessed in relation to patient symptoms, and further reduces health care costs by prioritizing care access in appropriate timeframes. Without this resource, patients may delay accessing treatment which can escalate health problems and cost of care. The salary cost for Triage Nurse services are reasonable in relation to the cost-savings realized when people are able to access health information that directs them appropriately. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. Achieving appropriate levels of staffing that support a comprehensive system of care delivery is critical to the ongoing success of service delivery. The Triage Nurse is a position that, in many ways, is the backbone of medical serve delivery. Outcome measures that are crucial to the success of this project are: • Keeping patients who are experiencing symptoms safe by ensuring care that is timely and appropriate in relation to the symptoms. For example, directing a patient with chest pain or severe bleeding directly to emergency care which hastens access to essential care. • Preventing delay in care by promptly speaking with patients, or parents/guardians of patients, about the medical condition and facilitating appointments with care providers. • Assuring continuity of care for patients being discharged from an acute care setting by scheduling appropriate follow-up care with the patient’s provider. • Addressing the needs of patients who are being discharged from other care settings. Strategies and objectives that will be used to track the progress are: • Tracking phone system data to monitor call volume and disposition. • Ongoing review by the Nurse Manager and Chief of Clinic Operations of workflows for calls coming into the Triage Nurse and their disposition. • Ongoing review of patient health outcomes by Nurse Manager, Chief of Clinic Operations, and Quality Enhancement data team by utilization of our Electronic Health Records system (Epic) to track health data. Axis serves low-income and uninsured Tri-Valley residents of all ages with medical, mental health and dental services. This program serves Dublin families living below 200% of the federal poverty level (FPL)—Dublin’s most impoverished residents. Many are the working poor who are struggling to maintain life’s basic needs for their families. Dublin has experienced a substantial population growth and a growing poverty rate. The population jumped more than 53% over the past decade (Census 2010) and the number of Dublin residents in need of general assistance has doubled since 2003 (2011 Tri-Valley Needs Assessment). The past decade has seen growing diversity, with an increase of nearly 400% in the Asian population . Twenty-one percent of Dublin residents are foreign-born and 29% speak a language other than English at home. These demographics present cultural and linguistic barriers to attaining and maintaining good health. Axis continues to see a tremendous rise in the number of impoverished Dublin residents in need of our services. In fact, we have gone from providing services for 1,012 Dublin residents in 2010 to serving 2,046 in 2018, a 102% increase in just eight years (UDS Reports, 2010- 2018). This project will benefit these residents by providing them access to medical advice by phone. Axis’s mission is to provide quality, affordable, accessible and compassionate health care services that promote the well- being of all members of our community. To meet this goal, Axis provides linguistically and culturally appropriate services throughout our organization, including with our Triage Nurse calls. All of our call center operators and front desk staff are bilingual (Spanish and English) and translation services for other languages are available as needed. Our employees are trained to recognize and respect differences among patients’ values, expectations and experiences. Staff members represent the cultures and backgrounds of our patients, with care providers fluent in many languages. Attachment 2 343 Axis is the sole agency providing health care services for low-income and uninsured Dublin residents. Particular focus is put on reaching limited English speakers. These efforts have been successful and half our patients are limited English speakers. Axis promotes its services at community events, at organizations who serve low-income populations, and in media outlets. Activities include monthly outreach at the library, presentations at low-income housing communities, and coordination with school nurses. Our Enrollment Specialists and Community Relations Manager focus on reaching low-income limited English speakers and other challenged populations, such as those who have language or cultural differences, or a lack of knowledge of how to enroll in public insurance. Other multi-lingual referral mechanisms include the patient services specialists who field calls from the public and the CareMessage automated text appointment-reminders. In addition, Axis receives referrals form Alameda County’s 211 agency, whose staff has the capacity to speak to callers in more than 150 languages. All Axis services are designed to accommodate individuals with disabilities and to comply with the Americans with Disabilities Act. Once enrolled as an Axis patient, these individuals benefit from the services offered through this Triage Nurse project. 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. Axis’s mission is to provide preventive and primary medical care to all members of the community, regardless of income, language, ethnicity or any other factor. Axis’s services are designed to reach out to underserved and uninsured populations, including low-income racial and ethnic minority populations who otherwise lack access to health care. Our ability to effectively engage this population is evidenced by the increasing number of Dublin residents we serve. As the sole provider of medical services for the region’s low-income and uninsured population, Axis serves a patient population that is ethnically and linguistically diverse. Because half of our medical patients are Spanish-speaking, all front-line staff (call center, case managers, enrollment staff, receptionists and medical assistants) are required to be bilingual in English and Spanish. Axis’s medical staff speaks a variety of languages, including Spanish, Hindi, Farsi, Mandarin, and Urdu and also has expert multicultural health care skills and specific knowledge relevant to serving low-income, culturally diverse communities. This expertise successfully transcends cultural and other barriers, creating a bridge to health care and a medical home for Dublin’s underserved residents. 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: ✔✔✔✔ Not Applicable gfedc Yes gfedc No ✔✔✔✔ Yes. If so, check box here and answer questions 29 through 41. gfedc No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. ✔✔✔✔ Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. Attachment 2 344 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") ✔✔✔✔ B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: ✔✔✔✔ * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. ✔✔✔✔ * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. gfedc F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing ✔✔✔✔ Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. ✔✔✔✔ Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. ✔✔✔✔ Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Availability/Accessibility gfedc Affordability gfedc Sustainability Attachment 2 345 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". gfedc Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. ✔✔✔✔ Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. gfedc Not Applicable. I am not interested in qualifying for CDBG funding. ✔✔✔✔ Persons gfedc Households gfedc Not Applicable. I am not interested in qualifying for CDBG funding. Attachment 2 346 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY 50 Disabled 150 Women/Female Headed Households 140 Seniors 230 Youth 20 Homeless Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 590.00590.00 TOTAL 220 Low Income (50%-80% AMI) 720 Extremely Low Income (<30% AMI) Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 940.00940.00 TOTAL 275 White 395 White + HISPANIC 39 Black/African American 1 Black/African American + HISPANIC 228 Asian 2 Asian + HISPANIC 8 American Indian/Alaskan Native 2 American Indian/Alaskan Native + HISPANIC 9 Native Hawaiian/Other Pacific Islander 1 Native Hawaiian/Other Pacific Islander + HISPANIC 0 American Indian/ Alaskan Native and White 0 American Indian/ Alaskan Native and White + HISPANIC 0 Asian and White 0 Asian and White + HISPANIC 0 Black/African American and White 0 Black/African American and White + HISPANIC 0 American Indian/Alaskan Native and Black/African American 0 American Indian/Alaskan Native and Black/African American + HISPANIC 40 Multi Racial + HISPANIC OR other Multi Racial Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 1,000.001,000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. Attachment 2 347 gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed City of Dublin $ 9,135.00 $ 0.00 City of Livermore $ 28,421.00 $ 0.00 City of Pleasanton $ 13,195.00 $ 0.00 Foundation Grants $ 40,753.00 $ 0.00 Community Donations $ 10,000.00 $ 0.00 Total $ 101,504.00 $ 0.00 Funding Uses/Expenses Budget Amount Amount Committed Triage Call Nurse Salary $ 83,200.00 $ 0.00 Triage Call Nurse Benefits $ 18,304.00 $ 0.00 Total $ 101,504.00 $ 0.00 Budget Narrative This project is for the salary for a 1.0 FTE phone Triage Nurse at a rate of $40/hour plus 22% for benefits. Funding is sought from Dublin, which will be combined with grant funds from Livermore and Pleasanton, to fund .5 FTE. The request amounts for this funding is in ratio to the number of patients served from each city by this project. Axis is seeking funding from other sources for the remaining .5 FTE for this project. This critical service is in proportion to the overall staffing budget for health services at the organization. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Axis Program Expense Budget Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Axis Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Axis Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Axis Current Budget for Entire Agency Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ Axis most recent IRS 990 form Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Axis Authorized Official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Axis Board Authorization to Request Funding Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Axis Proof of Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Axis Non-Profit Determination Letter Axis State Tax Letter Certified Audit and/or Certified Financial Statements ✔✔✔✔ Axis Certified Audit Attachment 2 348 REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure Axis Personnel Policies REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section Axis Audited Financials REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws Axis Bylaws 2018 Axis Articles of Incorporation REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. Axis LEP REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Report 1 due 10/15/2020 (submitted 10/13/2020) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Gillian Flagg, Grants & Contracts Manager 2. Program Title: Triage Call Nurse 3. Telephone: 925-201-6035 4. E-Mail: contracts@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report ✔✔✔✔ Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 349 service marketing, etc.) and the current focus of any activity. The status of the project is fully operational and is more essential than ever before given the current health emergency. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The project also has had the added significance of supporting Axis patients by responding to questions about COVID-19, providing guidance for care, and responding to community questions about coronavirus. Activities include the caller describing symptoms to the nurse and responding to the nurse's questions; the nurse using a web-based decision-making tool called Clear Triage to assist in the process; and the nurse advising the patient based on symptom severity and patient condition. The nurse also provides discharge planning for patients being discharged from the hospital and other health care settings. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. There were no modifications made to the project. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This was a very successful quarter for this project. During the reporting period, the most significant action has undoubtedly been the ongoing public health crisis due to the global COVID-19 pandemic. In response to the pandemic, Axis completely transformed daily operations at an organization-wide level to minimize face-to-face interactions. As a result, 90% of Axis's patient visits were converted to telehealth visits. Axis has been able to phase in providing essential visits, either in-person or by drive-thru service. The triage nurse service supported by Dublin played a key role in these operational shifts by providing patients with guidance in accessing needed care. Throughout this time, the Axis triage nurse continued to provide patients with services by phone, thus maintaining a key part of the Axis continuum of care. This succeeded at keeping patients experiencing symptoms safe by ensuring care that was timely and appropriate for all health needs; at preventing delay in care by providing information on treatment by phone; and at assuring continuity of care for patients being discharged from the hospital or other settings. Axis used its phone tracking system to monitor call volume and data. The data and call information was reviewed by the Nurse Manager and Chief of Clinic Operations, and was assessed for efficiency and quality. During the reporting period, the Axis Triage Nurse received 1980 phone calls, of which 356 were Dublin residents. The Triage Nurse spent approximately 43 hours assisting Dublin residents with their medical needs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this 1980 Total Program Participants 1,980 total to date 356 Total Dublin residents 356 total to date 2,336.002,336.00 TOTAL gfedc Yes (already submitted invoice/s) ✔✔✔✔ Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 1000 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 1,000 total to date 1,000.001,000.00 TOTAL Attachment 2 350 reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 356 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 356 total to date 1980 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 1,980 total to date 2,336.002,336.00 TOTAL 78 Low Income (50% to 80% Median) 78 total to date 139 Very Low Income (30% to 50% Median) 139 total to date 139 Extremely Low Income (<30% Median) 139 total to date 356.00356.00 SUBTOTAL 356.00356.00 TOTAL 46 Seniors (62 and older) 46 total to date 18 Disabled 18 total to date 53 Female-Headed Households 53 total to date 117.00117.00 TOTAL 100 White 100 total to date 139 White + HISPANIC 139 total to date 14 Black/African American 14 total to date 0 Black/African American + HISPANIC 0 total to date 82 Asian 82 total to date 0 Asian + HISPANIC 0 total to date 4 American Indian/Alaskan Native 4 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 3 Native Hawaiian/Other Pacific Islander 3 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 7 Other/Multi Racial 7 total to date Attachment 2 351 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of triage nurse service 18. What is your goal for units of service for this fiscal year? 172 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 7 Other/Multi Racial + HISPANIC 7 total to date 356.00356.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 352 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Gillian Flagg, Grants & Contracts Manager 2. Program Title: Triage Call Nurse 3. Telephone: (925) 201-6035 4. E-Mail: contracts@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The status of the project is fully operational and is more essential than ever before given the current health emergency. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The project also has had the added significance of supporting Axis patients by responding to questions about COVID-19, providing guidance for care, and responding to community questions about coronavirus. Activities include the caller describing symptoms to the nurse and responding to the nurse's questions; the nurse using a web-based decision-making tool called Clear Triage to assist in the process; and the nurse advising the patient based on symptom severity and patient condition. The nurse also provides discharge planning for patients being discharged from the hospital and other health care settings. gfedc General Fund/Affordable Housing Fund, FIRST Report ✔✔✔✔ General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report Attachment 2 353 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. There were no modifications to this project during the reporting period. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This was a very successful quarter for this project. During the reporting period, Axis increased staffing in our call center and added a second triage call nurse to respond to the huge increase in the number of calls asking for information about COVID- 19 and how best to access care for other medical needs. This succeeded at keeping patients experiencing symptoms safe by ensuring care that was timely and appropriate for all health needs; at preventing delay in care by providing information on treatment by phone; and at assuring continuity of care for patients being discharged from the hospital or other settings. During the reporting period, the Axis Triage Nurse received 1581 phone calls, of which 285 were Dublin residents. The Triage Nurse spent approximately 43 hours assisting Dublin residents with their medical needs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 1581 Total Program Participants 3,561 total to date 285 Total Dublin residents 641 total to date 1,866.001,866.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 1000 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 2,000 total to date 1,000.001,000.00 TOTAL 285 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 641 total to date 1581 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 3,561 total to date 1,866.001,866.00 TOTAL 63 Low Income (50% to 80% Median) 141 total to date 111 Very Low Income (30% to 50% Median) 250 total to date 111 Extremely Low Income (<30% Median) 250 total to date Attachment 2 354 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of triage nurse service 18. What is your goal for units of service for this fiscal year? 172 hours 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 285.00285.00 SUBTOTAL 285.00285.00 TOTAL 37 Seniors (62 and older) 83 total to date 14 Disabled 32 total to date 43 Female-Headed Households 96 total to date 94.0094.00 TOTAL 80 White 180 total to date 112 White + HISPANIC 251 total to date 12 Black/African American 26 total to date Black/African American + HISPANIC 0 total to date 66 Asian 148 total to date Asian + HISPANIC 0 total to date American Indian/Alaskan Native 4 total to date American Indian/Alaskan Native + HISPANIC 0 total to date 3 Native Hawaiian/Other Pacific Islander 6 total to date Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date American Indian/ Alaskan Native and White 0 total to date American Indian/ Alaskan Native and White + HISPANIC 0 total to date Asian and White 0 total to date Asian and White + HISPANIC 0 total to date Black/African American and White 0 total to date Black/African American and White + HISPANIC 0 total to date American Indian/Alaskan Native and Black/African American 0 total to date American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 6 Other/Multi Racial 13 total to date 6 Other/Multi Racial + HISPANIC 13 total to date 285.00285.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. Attachment 2 355 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 356 Report 3 due 4/15/2021 (submitted 4/13/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Gillian Flagg, Grants & Contracts Manager 2. Program Title: Triage Call Nurse 3. Telephone: (925) 201-6035 4. E-Mail: contracts@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The status of the project is fully operational and is more essential than ever before given the current health emergency. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The project also has had the added significance of supporting Axis patients by responding to questions about COVID-19, providing guidance for care, and responding to community questions about coronavirus. Activities include the caller describing symptoms to the nurse and responding to the nurse's questions; the nurse using a web-based decision-making tool called Clear Triage to assist in the process; and the nurse advising the patient based on symptom severity and patient condition. The nurse also provides discharge planning for patients being discharged from the hospital and other health care settings. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. There have been no modifications to this program. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This was a very successful quarter for this project. During the reporting period, Axis retained the increased number of staff in our call center, including a second triage call nurse, to respond to the huge increase in the number of calls asking for information about COVID-19 and how best to access care for other medical needs. This succeeded at keeping patients experiencing symptoms safe by ensuring care that was timely and appropriate for all health needs; at preventing delay in care by providing information on treatment by phone; and at assuring continuity of care for patients being discharged from the hospital or other settings. During the reporting period, the Axis Triage Nurse received 1532 phone calls, of which 276 were gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FINAL Report 1532 Total Program Participants 5,093 total to date 276 Total Dublin residents 917 total to date 1,808.001,808.00 TOTAL Attachment 2 357 Dublin residents. The Triage Nurse spent approximately 43 hours assisting Dublin residents with their medical needs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 3 total to date gfedc Households 1000 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 3,000 total to date 1,000.001,000.00 TOTAL 276 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 917 total to date 1532 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 5,093 total to date 1,808.001,808.00 TOTAL 61 Low Income (50% to 80% Median) 202 total to date 108 Very Low Income (30% to 50% Median) 358 total to date 108 Extremely Low Income (<30% Median) 358 total to date 277.00277.00 SUBTOTAL 277.00277.00 TOTAL 36 Seniors (62 and older) 119 total to date 14 Disabled 46 total to date 41 Female-Headed Households 137 total to date 91.0091.00 TOTAL 77 White 257 total to date 108 White + HISPANIC 359 total to date Attachment 2 358 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of triage nurse service 18. What is your goal for units of service for this fiscal year? 172 hours 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): 11 Black/African American 37 total to date 0 Black/African American + HISPANIC 0 total to date 63 Asian 211 total to date 0 Asian + HISPANIC 0 total to date 3 American Indian/Alaskan Native 7 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 2 Native Hawaiian/Other Pacific Islander 8 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 6 Other/Multi Racial 19 total to date 6 Other/Multi Racial + HISPANIC 19 total to date 276.00276.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 359 n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. n/a 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. n/a 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh n/a 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea n/a 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. n/a 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. n/a n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Report 4 due 7/15/2021 (submitted 7/14/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Gillian Flagg, Grants & Contracts Manager 2. Program Title: Triage Call Nurse 3. Telephone: (925) 201-6035 4. E-Mail: contracts@axishealth.org 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 Attachment 2 360 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. The status of the project is fully operational and is more essential than ever before given the current health emergency. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The project also has had the added significance of supporting Axis patients by responding to questions about COVID-19, providing guidance for care, and responding to community questions about COVID-19 and its variants. Activities include the caller describing symptoms to the nurse and responding to the nurse's questions; the nurse using a web-based decision-making tool called Clear Triage to assist in the process; and the nurse advising the patient based on symptom severity and patient condition. The nurse also provides discharge planning for patients being discharged from the hospital and other health care settings. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. There were no modifications made to this project. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. This was a very successful quarter for this project. During the reporting period, Axis retained the increased number of staff in our call center, including a second triage call nurse, to respond to the huge increase in the number of calls asking for information about COVID-19 and how best to access care for other medical needs. This succeeded at keeping patients experiencing symptoms safe by ensuring care that was timely and appropriate for all health needs; at preventing delay in care by providing information on treatment by phone; and at assuring continuity of care for patients being discharged from the hospital or other settings. During the reporting period, the Axis Triage Nurse received 1,403 phone calls, of which 253 were Dublin residents. The Triage Nurse spent approximately 43 hours assisting Dublin residents with their medical needs. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) gfedc General Fund/Affordable Housing Fund, FIRST Report gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report 1 total to date gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report 1 total to date gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report 1 total to date ✔✔✔✔ Community Development Block Grant (CDBG), FINAL Report 1 total to date 1403 Total Program Participants 6,496 total to date 253 Total Dublin residents 1,170 total to date 1,656.001,656.00 TOTAL ✔✔✔✔ Yes (already submitted invoice/s) 3 total to date gfedc Yes (but invoice/s not yet submitted) 1 total to date gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 4 total to date gfedc Households Attachment 2 361 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] 1000 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 4,000 total to date 1,000.001,000.00 TOTAL 253 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 1,170 total to date 1403 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 6,496 total to date 1,656.001,656.00 TOTAL 8 Low Income (50% to 80% Median) 210 total to date 35 Very Low Income (30% to 50% Median) 393 total to date 210 Extremely Low Income (<30% Median) 568 total to date 253.00253.00 SUBTOTAL 253.00253.00 TOTAL 33 Seniors (62 and older) 152 total to date 13 Disabled 59 total to date 38 Female-Headed Households 175 total to date 84.0084.00 TOTAL 71 White 328 total to date 99 White + HISPANIC 458 total to date 10 Black/African American 47 total to date 0 Black/African American + HISPANIC 0 total to date 58 Asian 269 total to date 0 Asian + HISPANIC 0 total to date 2 American Indian/Alaskan Native 9 total to date 0 American Indian/Alaskan Native + HISPANIC 0 total to date 3 Native Hawaiian/Other Pacific Islander 11 total to date 0 Native Hawaiian/Other Pacific Islander + HISPANIC 0 total to date 0 American Indian/ Alaskan Native and White 0 total to date 0 American Indian/ Alaskan Native and White + HISPANIC 0 total to date 0 Asian and White 0 total to date 0 Asian and White + HISPANIC 0 total to date 0 Black/African American and White 0 total to date Attachment 2 362 UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. Hours of triage nurse service 18. What is your goal for units of service for this fiscal year? 172 hours 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): n/a 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): n/a 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: n/a FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. This project ensures patients have phone access to a triage nurse to talk with about health symptoms and to guide them in 0 Black/African American and White + HISPANIC 0 total to date 0 American Indian/Alaskan Native and Black/African American 0 total to date 0 American Indian/Alaskan Native and Black/African American + HISPANIC 0 total to date 5 Other/Multi Racial 24 total to date 5 Other/Multi Racial + HISPANIC 24 total to date 253.00253.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL n/a Number of persons assisted with new access to a service. n/a Number of persons assisted with improved access to a service. n/a Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 363 Application ID: 156042 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. accessing treatment. This ensures patients receive safe, timely and appropriate care and reduces risk for acute health problems. The role of the call center triage nurse is a vital part of the Axis care delivery system because it gives patients quick access to medical advice through our call center. All funds from this grant were expended during the grant term. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. The project’s accomplishments have been many. In addition to successfully completing planned goals, the Triage Nurse became a center point for patients needing to access care for COVID related health needs. Axis responded to the needs of the community for continued health care by transitioning most all medical visits to telehealth, which ensured safety for patients and staff. The Triage Nurse provided guidance to patients on how and where to access needed care. The Triage Nurse also provided guidance for COVID patients on symptoms, testing, at-home care, and vaccine information. Throughout this time, the Triage Nurse continued to provide non-COVID patients with services by phone, thus maintaining a key part of the Axis continuum of care. The nurse was also an important link for parents/guardians of children who tend to require more frequent medical guidance. This succeeded at keeping patients experiencing symptoms safe by ensuring care that was timely and appropriate; at preventing delay in care by providing information on treatment by phone; and at assuring continuity of care for patients being discharged from the hospital or other settings. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Axis found this project to be very successful in meeting the immediate needs for health care advice of Dublin patients who called our call center and spoke to the Triage Nurse. The Triage Nurse served 1,170 Dublin patients during the program period, surpassing the project’s goal of 1,000 Dublin residents served. The project became particularly critical for providing immediate and essential medical advice during the COVID health crisis, and the Triage Nurse was the pivotal staff member for assisting patients with questions about COVID symptoms, when to seek treatment, how to maintain care at home, and vaccine information. We measured the success of the project by the health outcomes and successes for the patients who received guidance from the Triage Nurse. We utilized phone system tracking data, workflow reviews for effectiveness, and health data quality reviews of health outcomes to determine success. The project met or exceeded all goals for: 1) Keeping patients experiencing symptoms safe and ensuring timely and appropriate care, especially with the on-set of COVID; 2) Preventing delay in care by promptly responding to patients, or parents/guardians of patients, about medical conditions; and 3) Assuring continuity of care for patients being discharged from an acute care setting or other care settings. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea There were no problems or delays encountered with implementing the project. The biggest challenge faced during the project was the COVID-19 pandemic. This resulted in a huge increase in calls to the Triage Nurse seeking information about COVID symptoms, treatment, and vaccines. It also increased calls to the Triage Nurse from patients who were uncertain how to manage other non-COVID health situations. The successful management of these calls demonstrates that the Triage Nurse project continues to be a critical center point for providing patients guidance on accessing health care, especially during a health emergency. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. This project did not require any collaboration with other agencies to provide triage nurse services. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. Axis also obtained funding for this project from the following sources: -City of Pleasanton: $13,195 Attachment 2 364 Powered by ZoomGrants™ Email This Preview Save as PDF Print Close Window A▲▼ City of Dublin PCS - Human Services Division 2020-2021 Human Services Grant Program Deadline: 1/13/2020 Hope Hospice, Inc Volunteer Services and Grief Support Program Jump to: Organization Information Questions Budget Documents $ 18,000.00 Requested Submitted: 1/13/2020 3:13:26 PM (Pacific) Project Contact Jennifer Pettley jenniferp@hopehospice.com Tel: (925) 829-8770 Additional Contacts none entered Hope Hospice, Inc 6377 Clark Avenue Suite 100 Dublin, CA 94568 Chief Executive Officer Jennifer Hansen jenniferh@hopehospice.com Telephone(925) 829-8770 Fax (925) 829-0868 Web www.hopehospice.com Organization Information top 1. Business License Number BL-005299 Questions top 1. Select the category that best describes your organization: (Select only one.) 2. Please describe your agency's mission (no more than 3 sentences or 250 characters). Since 1980, Hope’s mission has been to provide compassionate in-home health care services for people at the end of life, and guidance and assistance to families who are caring for them. Hope is the leading non-profit hospice provider in Tri-Valley. 3. Select the category that best describes the project: (Select only one.) 4. Is this a "new" service, program, project or activity? "New" is identified as not yet started, implemented or in operation. ✔✔✔✔ Non-Profit gfedc Public Agency gfedc Other: gfedc Capital Project ✔✔✔✔ Public Service Program or Project gfedc Yes Attachment 2 365 5. Is this request for one-time, seed or operational funding? 6. Provide a concise, executive summary of the project (no more than 1500 characters). This summary will be used widely during the review and implementation process to describe your project. Hope’s Grief Support and Volunteer Services are key components of Hope Hospice's patient care program which last year cared for 654 patients at the end of life and their families, a 21 percent increase over the previous year. Following the loss of their loved one, hospice family members receive one-on-one or group bereavement support as well as follow up contacts for up to 13 months to ascertain how they are coping. Members of the community are also welcomed into the program. Participants learn coping skills, how to connect with other community resources, and how to move successfully forward in their lives. The City of Dublin funding will allow Hope to offer 20 grief support groups throughout the year for adults, youth and children in the community at no charge. Volunteer Support Services provide cost-effective, high-quality support and companionship to Hope's patients, and vital respite for their caregivers. Unique to the hospice model of care, each patient care volunteer undergoes extensive training, including how to support patients with dementia conditions which create special challenges for families. These cases now comprise nearly 50 percent of Hope's admissions. Other volunteers serve on the board of directors, event committees, perform office work, assist at fundraising events, and help with our community outreach. This funding will allow Hope to recruit and train 30 new patient care volunteers and manage more than 150 volunteers agency-wide. 7. Estimate the total number of UNDUPLICATED Dublin residents to be served by this project. (UNDUPLICATED means client is counted only once regardless of number of services received in a year.) 147 8. Which of the 14 Areas of Concern identified in the Eastern County 2011 Needs Assessment Report does your project identify with? Please explain how your project meets the selected Areas of Concerns as well as helps the City of Dublin archive its Vision Statement that was included in its 2018 Strategic Plan. The mission and vision statements are available online at www.dublin.ca.gov/1956/Application-Requirements-Process 9. Describe in detail how Dublin grant funds will be used for this project. In this narrative, please include what measures are taken to ensure this project is cost effective, and how the budget meets the needs of the anticipated results. If capital funding is being requested, this narrative should include a detailed project scope and project timeline. (What specifically will the grant funds be used for?) ✔✔✔✔ No gfedc One-time funding gfedc Seed funding gfedc One-time and Seed funding ✔✔✔✔ Operational funding gfedc None gfedc Behavioral Health (mental health and substance abuse) gfedc Affordable Housing ✔✔✔✔ Health Care (including dental) gfedc Workforce Development gfedc Homelessness gfedc Transportation Services and Access gfedc Domestic Violence and Child Abuse ✔✔✔✔ Disabilities gfedc Food and Nutrition ✔✔✔✔ Senior Services gfedc Youth Services gfedc Child Care, Early Childhood Development and Education ✔✔✔✔ Changing Demographics and Growing Diversity gfedc Financial Assistance gfedc None of the Above gfedc Please explain: Attachment 2 366 While direct patient care at Hope is reimbursed by Medicare or other insurances, Hope’s vital Grief Support and Volunteer Services Programs are funded with grants and community donations. These resources make it possible for Hope to provide services at no charge to all in the community who need them. Both programs complement Hope’s direct medical care for patients, offering comprehensive support at a time when families need it most. Volunteers are utilized whenever possible, greatly enhancing the cost effectiveness of the programs. According to the Independent Sector, in 2019 the value of a volunteer hour was $25.43. Hope’s volunteers logged 3,000 hours during FY 18/19, bringing a total value of $76,290 to the agency. Volunteers are vital to providing the range of support that patients, families and our events need. Not only do they bring a special service dimension to the Hope team but they help Hope save significantly in operational and staffing costs. We simply could not sustain these costs over the scope of care, support and service we provide. Grief Support Program Funding from the City of Dublin will allow Hope to offer 20 Grief Support Groups and recruit and train at least 30 patient care volunteers throughout the grant period. City of Dublin funds will be used to administer and operate Hope’s Grief Support and Volunteer Services Programs, including staffing costs. Grief Support includes groups, individual sessions, telephone follow-up, and correspondence. In addition to general grief support, specific groups are offered for children and teens, and those who have lost a partner or child. Children meet in age- appropriate group sessions to express their feelings of grief through art projects, writing, music, games and discussions. Hope’s new Mindfulness and Grief Group focuses on mindfulness meditation practice and deepening awareness relating to loss and change. Grief Support helps family members who have lost a loved one process their grief, learn healthy coping skills, and connect with a caring community. Hope staff and volunteers monitor and follow the progress of grieving individuals for up to 13 months. Hope’s grief support team helps adults and youth learn healthy ways to process feelings and rebuild their lives in the aftermath of their loss. Our grief support groups and workshops offer an environment of hope, acceptance, and cooperative learning. We believe: • Grief is a natural reaction to death. • Everyone processes death and loss differently. • Sharing one’s story of pain and loss helps lessen suffering. • Being in community with others helps process grief. Hope’s Grief Support Center staff and volunteers hold memorial events and provide on-site support for local schools, senior centers, and other organizations. Volunteer Services Program Through Hope’s Volunteer Services Program, trained volunteers provide support and companionship to patients and families through vigil at the bedside, reading, music, art, prayer, home repair, meal preparation, accompanying patients to medical appointments, and gentle touch (including massage, Reiki, and cosmetology). They also provide respite so family members can "take a break" to run errands, attend to their own health, or simply take some time away for themselves to recharge. In addition, volunteers provide support to families as their loved one is near death or at the time of death, and through bereavement, often helping them produce treasured mementos or write life reviews. Other volunteers at Hope provide vital office support, participate on committees or boards, offer fundraising assistance, and conduct community outreach. Some volunteers assist with outreach or fundraising events including registration and setting up or taking down equipment. Their assistance is invaluable to the hospice patient care experience and in assisting the organization in so many other ways. The Manager of Volunteers and staff conduct recruitment, training, scheduling and monitoring of our 150 volunteers who are working at many levels of the organization. Volunteers are initially interviewed to determine their area of interest and level of time commitment and then complete a registration and orientation process. Patient care volunteers undergo nearly 20 hours of extensive training and preparation to work in a home setting where someone is critically ill or who has a dementia-related condition. Volunteers are recognized frequently for their work, and we host an annual Volunteer Recognition Dinner at a casual location. 10. Please list and briefly describe the outcome measures that are crucial to the success of this project. What strategies or objectives will your agency use to track the progress of meeting the outcome(s)? This should include the population your agency anticipates serving, how this project is culturally appropriate, and how low-come, ESL persons, and/or disabled persons will access this project. Be sure to include your agencies marketing and outreach strategies and efforts. Strategies and Objectives Objectives include the following: Grief Support Objective: Hope Hospice will provide 20 Grief Support Groups during the grant period. Grief Support staff collects client satisfaction surveys following all of its programs, as well as evaluations from hospice families 13 months after their loss. The surveys and evaluations measure perceptions and assess how participants are coping in their Attachment 2 367 grief experience. Service contacts and number of sessions are tracked in Hope’s extensive database management system. The results help drive the development of new services and help to refine current services to ensure they continue to meet community needs. In addition, Grief Support staff make frequent follow up contacts with grief clients to ensure they are moving forward successfully in their grief journey or if they may need referrals to additional community services. Volunteer Services Objective: Hope Hospice will recruit and train at least 30 new volunteers during the grant period and provide 3,000 hours of volunteer services throughout the year. Volunteer hours and progress are carefully logged. Families complete satisfaction surveys which help us understand and respond to the ongoing and emerging needs of those in our care, including services provided by volunteers. In addition, our case managers, registered nurses, and medical social workers are in constant contact with our patients and families, regularly conduct needs assessments and measure levels of satisfaction. Population to be Served Hope Hospice served 654 patients last year, a 21% increase over the previous year. Hope also served 1,072 family members and members of the general public through Grief Support Services. Eighty-three percent of our hospice patients are aged 80 or more, a demographic group that is growing as our population ages. The increase in admissions has coincided with an increase in dementia-related cases, now outpacing cancer as the most common condition on admission. Hope Hospice serves primarily frail seniors with advanced illnesses who have received diagnoses limiting life to six months or less. Often their main caregiver is a spouse of equivalent age, also of frail condition. The hospice approach is to also support the needs of family caregivers as they cope with the care of their loved one at home. Case managers arrange visits by social workers, chaplains, or volunteers. Accessibility to Low-Income, ESL and Disabled Persons All Dublin residents who seek care from Hope Hospice are served. No one is turned away and all of these community- centered services are provided free of charge, enabling low-income residents to access all services. Hope Hospice is committed to serving families of diverse backgrounds. Patients are admitted for Hope Hospice services following a doctor's referral and after receiving a diagnosis that will limit their life to six months or less. Our patient care and support services are fully accessible since they are provided in the patient's home. Hope employs a diverse clinical team with multiple language and cultural capacity, including bilingual staff. We utilize a language translation service, including ASL, which is available 24/7/365. Our second-floor Grief Support Center is easily accessible by elevator and is fully able to accommodate the needs of disabled persons. We are walking distance to BART. Also, Hope's office and Grief Support Center are a block from the Dublin City Center and accessible by all major bus lines. Cultural Appropriateness All staff and patient care volunteers are trained in cultural sensitivity with special focus on the emotional, social and spiritual issues of the dying and bereaved, family dynamics and communication. In particular, they learn about beliefs held by many cultural and religious groups surrounding death and dying in the home setting and elsewhere. The experiences of caring for a dying loved one and grieving are unique to each individual. Our professionally trained hospice and grief support providers skillfully apply their experience and training in dealing with highly individualized cultural experiences. Marketing and Outreach To connect with the community, our Outreach staff conducts regular visits and presentations in senior centers, assisted living facilities, physicians' offices and medical groups, hospitals and health centers, elder care facilities, schools, government agencies, elder care nonprofits, and tables at numerous Chamber of Commerce events in the Tri-Valley region. Grief support staff often visit these offices and facilities and serve as members of the Critical Incident Stress Management team for local school districts. We also regularly send calendar notices and press releases to local newspapers and post information on our website and regularly to Facebook and Twitter. We also recently started a blog and post educational content there, as well as event and program informatio 11. If your agency is requesting Capital funding, will this project require implementation of Davis-Bacon/Fair Labor Standards Act requirements? NOTE: Please contact City staff immediately if you have any questions regarding Davis-Bacon requirements. 12. ** QUESTIONS 13 THROUGH 25 ARE FOR THOSE ORGANIZATIONS INTERESTED IN APPLYING FOR FEDERAL COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) FUNDING ONLY. ** Are you are interested in applying for CDBG funds? ✔✔✔✔ Not Applicable gfedc Yes gfedc No Attachment 2 368 13. CDBG ONLY- Explain your Limited English Proficiency/Language Access Plan (LEP/LAP). How does your agency outreach to limited English speaking residents to encourage access to services? What access accommodations are used? Etc. Provide detail Please enter "N/A" if you are not interested in qualifying for CDBG funding. N/A 14. CDBG ONLY - Identify at least one HUD Consolidated Plan Guiding Principle that relates to your project: 15. CDBG ONLY - Identify at least HUD Consolidated Plan Goal that relates to your project: 16. CDBG ONLY - Identify at least one HUD Strategic Goal that relates to your project: 17. CDBG ONLY - Identify at least one HUD Policy Priority that relates to your project: gfedc Yes. If so, check box here and answer questions 29 through 41. ✔✔✔✔ No. If no, check box here and enter gfedc Don't know. If you are unsure, please call City staff at (925) 833-6645. gfedc Be culturally accessible, appropriate and inclusive gfedc Encourage community engagement and involvement gfedc Promote energy and resource efficiency gfedc Encourage networking and information sharing across service providers gfedc Encourage process streamlining gfedc Consolidate service delivery ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc A) Support and develop a continuum of housing resources that will increase access to low-income, seniors, disabled and homeless persons with emphasis on activities that: gfedc *Increase and maintain transitional housing opportunities with supportive services to increase positive outcomes and stability into permanent housing. gfedc *Preserve and increase affordable rental housing opportunities for low and moderate income households. gfedc *Assist with homeownership opportunities for first-time homebuyers and ensure existing homeowners have safe housing that maintains affordability. gfedc *Promote fair housing and reduce housing discrimination. gfedc B) Improve community health and access to basic and specialty care including dental and optometry care, behavioral and mental health care services especially for low-income, uninsured and under-insured residents with emphasis on activities that: gfedc * Support the maintenance and expansion of services and programs aimed at wellness and preventative care services. gfedc * Increase outreach and access for underserved populations including limited English speaking persons, youth, disabled, seniors and homeless persons. gfedc C) Increase and maintain affordable and accessible wellness and development opportunities for youth that are age appropriate. gfedc D) Support and expand programs and opportunities that keep seniors engaged and involved in their community. gfedc E) Foster and encourage innovative programs that meet emerging community needs with emphasis on low-income and underserved populations. ✔✔✔✔ F) Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase homeownership gfedc Promote decent affordable housing gfedc Strengthen communities gfedc Ensure equal opportunity in housing gfedc Promote participation of grass-roots, faith-based, and other community-based organizations ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Provide increased homeownership and rental opportunities for low and moderate-income persons, persons with disabilities, the elderly, minorities, and families with limited English proficiency. gfedc Improving the quality of life for our Nation's communities gfedc Encouraging accessible design features. gfedc Participation of minority-serving institutions in HUD programs. gfedc End chronic homelessness within ten years. gfedc Removal of barriers to affordable housing. Attachment 2 369 18. CDBG ONLY - Identify at least one HUD Consolidated Plan objective that relates to your project: 19. CDBG ONLY - Select one HUD Objective that relates to your project: (TIP: When selecting an objective ask yourself, "What is the purpose of the activity? What is the larger community need that I am seeking to address?") 20. CDBG ONLY - Select one HUD Outcome that relates to your project: (TIP: When selecting an outcome ask yourself, "What type of change or result am I seeking?") 21. CDBG ONLY - Select one HUD Specific Indicator that relates to your project: ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Increase the availability of affordable rental housing for extremely low income (30%), very low income (50%) and low income (80%) households. gfedc Preserve existing affordable rental housing and ownership for households at or below 80% of Area Median Income (AMI). gfedc Assist low and moderate income first-time homebuyers. gfedc Reduce housing discrimination. gfedc Maintain, improve and expand (as needed) the capacity of housing, shelter and services for homeless individuals and families including integrated healthcare, employment services and other supportive services. gfedc Maintain and expand activities designed to prevent those currently housed from becoming homeless. gfedc Build on inter-jurisdictional cooperation to achieve housing and homeless needs. gfedc Increase the availability of service-enriched housing for persons with special needs. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Creating a Suitable Living Environment gfedc Providing Decent Affordable Housing gfedc Creating Economic Opportunities ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Availability/Accessibility gfedc Affordability gfedc Sustainability ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Public facility or infrastructure: This indicator shows the number of persons that have been assisted by public facility or infrastructure activities that provide individuals with new or improved access to the facility or infrastructure. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of household units that no longer have access to a substandard service. gfedc Public Service: This indicator shows the number of persons that have been assisted with new or improved access to a service. If the activity was used to meet a quality standard or to measurably improve quality, then this indicator will report the number of persons that no longer have access to a substandard service. gfedc Targeted revitalization: This indicator shows a range of outcomes such as jobs created and retained, businesses assisted, low- and moderate-income persons and households served, slum/blight demolition, number of acres of brownfields remediated, etc. in a targeted area. gfedc Commercial facade treatments or business building rehabilitation: This indicator shows the number of commercial facade treatments undertaken and the number of business buildings that were rehabilitated. gfedc Brownfields remediated: This indicator shows the number of acres of brownfields that were remediated. gfedc Rental units constructed: This indicator shows the number of affordable rental units created, as well as the number of years of affordability, number of units occupied by the elderly, and those units designated for chronically homeless persons and persons with HIV/AIDS. gfedc Rental units rehabilitated: This indicator shows the number of affordable rental units rehabilitated as well as the number of years of affordability, units for chronically homeless persons, elderly persons, and persons with HIV/AIDS. gfedc Homeownership units constructed or acquired with rehabilitation: This indicator shows the total number of homeownership units constructed, acquired, and/or acquired with rehabilitation per activity. This includes total number of affordable units, number of years of affordability, Energy Star qualified units, section 504 accessible units, and number of households previously living in subsidized housing. In addition, data will be collected on the number of units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Owner occupied units rehabilitated: This indicator shows the total number of owner occupied units rehabilitated, including the number of these units occupied by the elderly, number of units designated for persons with HIV/AIDS, and number of units for the chronically homeless. gfedc Direct financial assistance to homebuyers: This indicator shows the number of homebuyers receiving direct financial assistance, housing counseling, and down payment assistance/closing costs. Attachment 2 370 22. CDBG ONLY - Please choose a common indicator that your agency will use to track clients: (Select only ONE.) 23. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". 24. CDBG ONLY - Based on the common indicator you selected above, please list the number of unduplicated Dublin clients (EITHER Persons OR Households) your agency anticipates serving in each category. If none, please enter "0". Area Median Income ("AMI") information is available online at www.dublin.ca.gov/1956/Application-Requirements-Process 25. CDBG ONLY - List the number of clients your agency anticipates serving in race/ethnicity categories. Per HUD, "Hispanic" is an ethnicity, not a race. The sum entered below must match the total clients entered in Question #9 above. If none, please enter "0" gfedc Tenant Based Rental Assistance (TBRA): This indicator shows the total number of households receiving TBRA as well as the number with short-term rental assistance (less than 12 months) and the number of homeless and chronically homeless households assisted. gfedc Homeless shelters: This indicator shows the number of homeless persons given overnight shelter. gfedc Emergency housing: This indicator shows the number of beds created in an overnight shelter or other emergency housing. gfedc Homeless prevention: This indicator shows the number of households that received emergency financial assistance to prevent homelessness and emergency legal assistance to prevent homelessness. gfedc Jobs created: Of the total number of jobs created, this indicator shows the number of jobs that have employee- sponsored health care, the types of jobs created (using Economic Development Administration (EDA) classifications) and the number of persons unemployed before taking the job. gfedc Jobs retained: Of the total number of jobs retained, this indicator shows the number of jobs retained, the number of jobs with employer-sponsored health care benefits, and the types of jobs retained (using EDA classifications) gfedc Business assistance: This indicator shows the total number of businesses assisted. Specifically, it shows the number of new businesses, existing businesses, and the DUNS number of each business so that HUD can track the number of new businesses that remain operational for three years after assistance. gfedc Businesses providing goods or services: This indicator shows whether an assisted business provides goods or services to meet the needs of the service area, neighborhood, or community, as determined by the grantee. ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. gfedc Persons gfedc Households ✔✔✔✔ Not Applicable. I am not interested in qualifying for CDBG funding. Disabled Women/Female Headed Households Seniors Youth Homeless N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL Low Income (50%-80% AMI) Extremely Low Income (<30% AMI) N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL White White + HISPANIC Black/African American Black/African American + HISPANIC Attachment 2 371 26. If your agency is submitting more than one application or the same agency has different programs within it, please RANK the priority of this application, with number 1 being the highest priority for funding. There should only be one #1 PER AGENCY Asian Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC Multi Racial + HISPANIC OR other Multi Racial N/A Not Applicable. I am not interested in qualifying for CDBG funding. (Type N/A) 0.000.00 TOTAL ✔✔✔✔ #1 - This program/project has the agency's highest priority for funding. gfedc #2 - This program/project has the agency's 2nd highest priority for funding. gfedc #3 - This program/project has the agency's 3rd highest priority for funding. gfedc #4 - This program/project has the agency's 4th highest priority for funding. gfedc #5 - This program/project has the agency's 5th highest priority for funding. gfedc #6 - This program/project has the agency's 6th highest priority for funding. gfedc If you have more than 6 applications per organization, agency, district or entity, check here. Budget top Funding Sources/Revenues Budget Amount Amount Committed Event Income $ 115,000.00 $ 115,000.00 Grants $ 46,000.00 $ 0.00 Individual Donations $ 440,000.00 $ 440,000.00 $ 0.00 Total $ 601,000.00 $ 555,000.00 Funding Uses/Expenses Budget Amount Amount Committed Grief Support Staffing $ 300,000.00 $ 300,000.00 Volunteer Services Program Staffing $ 301,000.00 $ 301,000.00 Total $ 601,000.00 $ 601,000.00 Budget Narrative Hope Hospice experienced a 20 percent increase in admissions over the last year. Due to our community's aging population, we expect this growth trajectory to continue. All programs are preparing, scaling and realigning to accommodate this increasing demand. While we are a Medicare-certified agency in which reimbursement for most direct patient care is received, many support services, which are unique to the hospice experience, have no reimbursement source and continue long after the patient has died. Hospice families are followed in their grief journey for Attachment 2 372 up to 13 months after the passing of their loved one. In addition, we welcome anyone in the community who has experienced a loss. We do not charge for these services. They are available to anyone who needs them, thanks to community support through contributions and grants. In addition, our caregiving workshops and presentations on end of life care and planning at local facilities, senior centers and other locations in the community are free of charge. Documents top Documents Requested *Required?Attached Documents * Program Expense Budget for ALL Grant Requests download template ✔✔✔✔ Program Expense Budget Form Financial Information Form for ALL Grant Requests download template ✔✔✔✔ Financial Information List of Board of Directors (or governing body) with agency contact information ✔✔✔✔ Board of Directors Current Annual Budget for the Entire Agency ✔✔✔✔ Hope Hospice Agency-Wide Budget FY19/20 Copy of most recently submitted IRS 990 form or Tax Return (include complete form) ✔✔✔✔ Form 990 Board of Director's (or governing body's) designation of authorized official ✔✔✔✔ Designation of official Board of Director's (or governing body's) authorization to request funding (may be same document as one above) ✔✔✔✔ Designation of official Proof of insurance carried, including bonding, liability and/or workers' compensation ✔✔✔✔ Certificate of Liability Insurance STATE AND FEDERAL NON-PROFIT DETERMINATION LETTER. All organizations MUST have approved non-profit status from the State of California and Federal Tax Identification Number at time of application. Non-compliant applicants will be disqualified. ✔✔✔✔ Tax Exempt Letters Certified Audit and/or Certified Financial Statements ✔✔✔✔ Current Audit REQUIRED FOR CDBG ONLY - If requesting Capital Funding, please upload your Capital expenditure budget (your own format is acceptable) REQUIRED FOR CDBG ONLY - Personnel Policies Including Affirmative Action Plan and Grievance Procedure REQUIRED FOR CDBG ONLY - Agency Audit Requirements and Copy of Last Audit Highlighting "Findings" Section REQUIRED FOR CDBG ONLY - Articles of Incorporation and Bylaws REQUIRED FOR CDBG ONLY - Conflict of Interest Statement (if not included in Bylaws) REQUIRED FOR CDBG ONLY - AGENCY'S LIMITED ENGLISH PROFICIENCY LANGUAGE ACCESS PLAN (LEP/LAP). Must include outreach to limited English speaking residents to encourage access to services & housing. Include what access accommodations are used. REQUIRED FOR CDBG ONLY - LEVERAGING REPORT- this is due with the 2nd quarter report no later than January 15th Supporting Documents such as Agency Strategic Plan, Needs Assessment, etc. (Not Required) Other Supporting Documents (Not Required) Attachment 2 373 Report 2 due 1/15/2021 (submitted 1/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Jennifer Pettley 2. Program Title: Grant Writer 3. Telephone: (925) 719-6268 4. E-Mail: jenniferp@hopehospice.com 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. While in-person visits have been temporarily suspended due to public health restrictions, Hope Hospice continues during the pandemic to develop creative and innovative methods to engage and support patient and families in our program. Trained patient care volunteers and members of the community have been helping our patients and families stay connected with the agency, to receive information, have their questions answered. These connections help reduce patient and family feelings of isolation and anxiety. Volunteers have provided excellent fellowship and connection through interactions by telephone, through Zoom videoconferencing, when possible; and mailed correspondence. Similarly, the Grief Support Dept. has pivoted to provide its full range of grief support programs and services for individuals and groups via videoconferencing, telephone and correspondence. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. Volunteer Support - In-person visits to patients homes have been temporarily suspended due to COVID-19 public health restrictions and are now being conducted via telephone and videoconferencing when appropriate. New programs were rolled out as we continued to recruit and engage volunteers in the support our patients/families. Grief support - The Grief Support Dept. continued to offer all of its programs in a virtual environment, conducting individual and group support sessions through videoconferencing and by telephone for those without internet access. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. As the pandemic hit, we successfully pivoted programs in order to continue to serve our community's needs for care and ✔✔✔✔ General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report gfedc General Fund/Affordable Housing Fund, FINAL Report gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 1169 Total Program Participants 1,169 total to date 98 Total Dublin residents 98 total to date 1,267.001,267.00 TOTAL Attachment 2 374 support: Volunteer Services - The program increased interactions through phone calls to patients to continue to engage and support their needs. The new Works of Hope Art project was launched, whereby Hope received donations of hand-drawn artwork or paintings from members of the community. Volunteers delivered this artwork to patients' homes for them and their families to enjoy. A Pen Pal program was begun, whereby community and patient care volunteers wrote letters of support and encouragement to patients and families, as well as greeting and holiday cards. Volunteers reached out to patients within two weeks of admission, twice per week, sending a total of130 to 150 pieces of correspondence per month census-wide. For Veterans Day, volunteers delivered to the homes of veterans/patients a specially designed pin honoring their military service and included a blanket and card signed by fellow veterans and staff. New robotic pets were provided to mid- to advanced-dementia patients who could benefit from this kind of specialized companionship and engagement. Volunteers were recognized in October for their service with gift bags of 40th anniversary pens, certificates of hours and years served, and other items. Staff continued to recruit volunteers through Hope's website and internet ads, and BETA testing the Better Impact software platform to enhance volunteer management activities. Grief Support Program - A marriage/family therapy (MFT) trainee from Pepperdine University augmented staff to assist with programs and outreach. The trainee conducts facilitates many of the group support sessions and individual sessions with youngsters in our program where group sessions are not appropriate for the age group. Support groups are offered for general grief, spousal loss, and child loss for eight weeks each quarter in 1 1/2-hour sessions. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): ✔✔✔✔ Yes (already submitted invoice/s) 1 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 1 total to date gfedc Households 147 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 147 total to date 147.00147.00 TOTAL 24 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 24 total to date 304 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 304 total to date 328.00328.00 TOTAL 1 Low Income (50% to 80% Median) 1 total to date 2 Very Low Income (30% to 50% Median) 2 total to date 1 Extremely Low Income (<30% Median) 1 total to date Attachment 2 375 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. service contacts 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 4.004.00 SUBTOTAL 4.004.00 TOTAL 24 Seniors (62 and older) 24 total to date Disabled Female-Headed Households 24.0024.00 TOTAL 2 White 2 total to date White + HISPANIC Black/African American Black/African American + HISPANIC 1 Asian 1 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 37 Other/Multi Racial 37 total to date Other/Multi Racial + HISPANIC 40.0040.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. Attachment 2 376 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. N/A 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. N/A 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh N/A 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea N/A 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. N/A 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. N/A N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 377 Report 4 due 7/15/2021 (submitted 7/15/2021) top GENERAL INFORMATION 1. Name and Title of Person Completing Report: Jennifer Pettley, Grant Writer 2. Program Title: Volunteer Services and Grief Support Program 3. Telephone: 925-719-6268 4. E-Mail: jenniferp@hopehospice.com 5. Please indicate what type of grant funding you are receiving AND whether or not this is your first or final report. General Fund/Affordable Housing Fund - Answer questions 1-13 and 24 for midyear report; answer questions 1-13 and 24-30 for Final Report. CDBG - Answer questions 1-24 for quarterly reports; answer all questions for Final Report. PROJECT/PROGRAM STATUS 6. Describe the current status of your project or program (e.g., planning, pre-development, activity underway, service marketing, etc.) and the current focus of any activity. As COVID restrictions ease, Hope's patient support volunteers are returning to in-home visits. In preparation, Volunteer Dept. staff has been auditing records for any missing or expired contact information and other compliance information, as well as updating agency volunteer policies. Volunteers are also taking refresher trainings over Zoom on principles and practices of patient and family support, and reviewing rules and regulations. As safety is always a high priority, staff continues to acquire PPE for volunteer use and provide instruction to volunteers on how to screen themselves and their patients. Currently, vaccinated volunteers will be placed only with vaccinated patients, and staff will continue to evaluate on a case-by-case basis safety protocols for visits with unvaccinated patients. A new volunteer management database, Better Impact, has now been fully implemented. Volunteers can now log in directly to complete their onboarding, receive training materials and videos, and update their profile information. This new system helps increase efficiencies in managing our volunteer corps. Staff is currently onboarding 18 new volunteers, and 16 others have attended informational sessions. The Grief Support program welcomed a new director and two new staff members during this period. The team is providing three to four support groups every quarter with approximately 8 to 10 people in attendance, as well as one-on-one sessions. Currently all sessions are being conducted via Zoom. In addition to general grief support, sessions are offered for teens, spouses/partners, and for the loss of a child. Staff also remains in contact with bereaved clients for up to 13 months following their loss to check in, offer resource information or referrals, and to ensure they are successfully moving forward in their lives. 7. If applicable, describe any modifications to the project or program goals, timelines, etc., and reason(s) for change. If you have not submitted invoices due to project delays, please provide details here. During the pandemic, volunteers have been keeping open the channels of communication and support with their patients and families primarily through telephone and pen pal activities. They also have been making door step deliveries of blankets, plush toys and other items, As COVID restrictions have eased, they are returning to in-person home visits. Grief support groups are continuing successfully in the Zoom format. 8. How many TOTAL participants were served by this PROJECT/PROGRAM THIS QUARTER? How many of those participants are Dublin residents? gfedc General Fund/Affordable Housing Fund, FIRST Report 1 total to date gfedc General Fund/Affordable Housing Fund, Neither FIRST nor FINAL Report ✔✔✔✔ General Fund/Affordable Housing Fund, FINAL Report 1 total to date gfedc Community Development Block Grant (CDBG), FIRST Report gfedc Community Development Block Grant (CDBG), Neither FIRST nor FINAL Report gfedc Community Development Block Grant (CDBG), FINAL Report 519 Total Program Participants 1,688 total to date 27 Total Dublin residents 125 total to date 546.00546.00 TOTAL Attachment 2 378 9. Please evaluate the success of your PROJECT/PROGRAM during this quarter. Were the goals outlined in the application met? Was the PROJECT/PROGRAM carried out efficiently? Please discuss the successes and impacts. Yes. Though volunteers were not able to see patients in-person, the department still maintained a robust program of engagement and connection with families. Through videoconferencing, phone calling, correspondence, email and doorstep deliveries, our patients and their caregivers continued to be supported. One volunteer even expressed, "Thank You for Keeping the Lights On." Most volunteers have now returned to service and staff is currently onboarding a new cohort of volunteers. Feedback is received from families and participants through surveys which are reviewed and reported out by our Chief of Quality and Compliance. Our bereaved clients also were supported during this period with regular online sessions, phone calls and mailed correspondence. Volunteer Services upgraded its technology capabilities during this period. Both the Better Impact volunteer management system and MatrixCare patient care management system agency-wide became fully implemented. MatrixCare now also includes a portal for use by volunteers, as hospice team members, to record their patient care activities. These tech upgrades help increase department efficiencies and are helping to facilitate the smooth return of volunteers to their patient care activities. The Grief Support Services department has been seamless in its ability to support families and members of the community through Zoom videoconferencing. Those who have not felt comfortable in an online group environment were supported one-on- one, as needed. Grief support education materials were distributed through email and regular postal service. The department is reviewing procedures and protocols and preparing its programs for a safe, post-COVID experience for participants. 10. Were any Dublin grant funds expended for this project during this reporting period? CLIENT DATA 11. Please indicate how client data are reported for this project (please keep consistent for questions 11 through 13 and with your original application): 12. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS TO BE SERVED using the indicator chosen above (persons OR households) 13. Please complete the following table regarding the NUMBER OF UNDUPLICATED CLIENTS SERVED during this reporting period using the indicator chosen above (persons OR households): 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): ✔✔✔✔ Yes (already submitted invoice/s) 2 total to date gfedc Yes (but invoice/s not yet submitted) gfedc No (no expenditures this period) gfedc Other: ✔✔✔✔ Persons 2 total to date gfedc Households 147 Numeric GOAL stated in your Agreement for the number of Dublin clients to be served THIS FISCAL YEAR (unduplicated) 294 total to date 147.00147.00 TOTAL 27 Number of NEW DUBLIN CLIENTS served by this project during this reporting period (unduplicated) [NOTES: In the 1st quarter report, all unduplicated clients are considered to be new. In the subsequent 3 quarterly reports, include only new unduplicated clients who were not included in the previous report.] 51 total to date 519 Number of NEW CLIENTS AGENCY-WIDE served by this project during this reporting period (unduplicated; if project serves only Dublin clients, enter a zero) 823 total to date 546.00546.00 TOTAL Low Income (50% to 80% Median) 1 total to date 27 Very Low Income (30% to 50% Median) 29 total to date Extremely Low Income (<30% Median) 1 total to date 27.0027.00 SUBTOTAL Attachment 2 379 15. 14. Please indicate the number of new, unduplicated DUBLIN clients served during this reporting period, as reported in 11B above, who met the following special categories (note that some clients may meet multiple categories and some not any): 16. List the number of new, unduplicated Dublin clients your agency served during this reporting period in the following race/ethnicity categories. [Notes: Total must equal 11B. HUD considers "Hispanic" as an ethnicity and not a separate race.] UNITS OF SERVICE 17. Please define the primary UNIT OF SERVICE you use when tracking this project, submitting invoices, etc. AND What is your goal for units of service for this fiscal year? e.g., hours of counseling, medical visits, meals served, miles driven, etc.; should match the unit of service stated in your Agreement/Contract. service contacts 18. What is your goal for units of service for this fiscal year? N/A 19. Please complete the following table regarding the UNIT OF SERVICE listed above: 27.0027.00 TOTAL 13 Seniors (62 and older) 37 total to date Disabled Female-Headed Households 13.0013.00 TOTAL White 2 total to date White + HISPANIC Black/African American Black/African American + HISPANIC Asian 1 total to date Asian + HISPANIC American Indian/Alaskan Native American Indian/Alaskan Native + HISPANIC Native Hawaiian/Other Pacific Islander Native Hawaiian/Other Pacific Islander + HISPANIC American Indian/ Alaskan Native and White American Indian/ Alaskan Native and White + HISPANIC Asian and White Asian and White + HISPANIC Black/African American and White Black/African American and White + HISPANIC American Indian/Alaskan Native and Black/African American American Indian/Alaskan Native and Black/African American + HISPANIC 27 Other/Multi Racial 64 total to date Other/Multi Racial + HISPANIC 27.0027.00 TOTAL 519 Number of persons assisted with new access to a service. 519 total to date N/A Number of persons assisted with improved access to a service. Attachment 2 380 20. If you had TWO unit of service types, please define the second UNIT OF SERVICE here (if you did not have a second unit of service, enter “N/A”): N/A 21. Please complete the following table regarding the second UNIT OF SERVICE listed above: 22. If you had THREE unit of service types, please define the third UNIT OF SERVICE here (if you did not have a third unit of service, enter “N/A”): N/A 23. Please complete the following table regarding the third UNIT OF SERVICE listed above: 24. Please include any additional comments or clarifications here: N/A FINAL REPORT QUESTIONS 25. FOR THE FINAL REPORT ONLY: Describe the original purpose for which the funds were granted. If applicable, explain why your agency did not spend the entire grant. The purpose of the funding from the City of Dublin is to help provide support of Hope Hospice's Grief Support Services and Volunteer Services programs. Specifically, the funding helped support the salaries and benefits of staff who administer these programs for hospice patients, families, and the general public. Hope's community services are provided at no charge and help support families during a most challenging and stressful time--during the care of a loved one at the end of life or while coping with the loss of a loved one. 26. FOR THE FINAL REPORT ONLY: Describe the accomplishments of the program funded. Provide detail on how the program responded to needs within the community. Describe any new and creative methods the agency implemented to meet community needs. Volunteer Services upgraded its technology capabilities during this period. Both the Better Impact volunteer management program and MatrixCare patient care management program agency-wide became fully implemented. MatrixCare now also includes a portal for use by volunteers to record their patient care activities. These tech upgrades help increase department efficiencies and helping to facilitate the return of volunteers to their patient care activities. The Grief Support Services department has been seamless in its ability to support families and members of the community through Zoom videoconferencing. Those who have not felt comfortable in an online group environment were supported one on one, as needed. Grief support education materials were distributed through email and regular postal service. The department is reviewing procedures and protocols and preparing its programs for a safe, post-COVID experience for participants. 27. FOR THE FINAL REPORT ONLY: Does the agency feel this program was a success? How do you measure the success of the program? Did it meet or exceed the goals and outcomes described in the performance measures in the original application? If not, wh Yes. Though volunteers were not able to see patients in-person, the department still maintained a robust program of engagement and connection with families. Through videoconferencing, phone calling, correspondence, email and doorstep drop-offs, our patients and their caregivers continued to be supported through their journey. One volunteer even expressed, "Thank you for keeping the lights on." Most volunteers have returned to service and staff is currently onboarding a new cohort. N/A Number of persons assisted who no longer have access to a substandard service. 519.00519.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL N/A Number of persons assisted with new access to a service. N/A Number of persons assisted with improved access to a service. N/A Number of persons assisted who no longer have access to a substandard service. 0.000.00 TOTAL Attachment 2 381 Application ID: 155715 Become a fan of ZoomGrants™ on Facebook Problems? Contact us at Questions@ZoomGrants.com ©2002-2021 GrantAnalyst.com. All rights reserved. "ZoomGrants" and the ZoomGrants logo are trademarks of GrantAnalyst.com, LLC. Logout | Browser * ZoomGrants™ is not responsible for the content of uploaded documents. Feedback is received from families and participants through surveys which are reviewed and reported by our Chief of Quality and Compliance. Our bereaved clients also were supported during this period with regular online sessions, phone calls and mailed correspondence. 28. FOR THE FINAL REPORT ONLY: Describe any problems/delays encountered with the project. How were they handled? What effects were there on project costs? Describe any changes that made the project successful or will make it successful in future yea Though we were still in the height at the pandemic at the beginning of this reporting period, both the Grief Support and Volunteer Services departments creatively and effectively delivered their services and support through Zoom and other online platforms. And videoconferencing created new conveniences for some people who may not otherwise have been able to participate and receive support and information. Since the grant helped support staff salaries and benefits, there were neutral effects on costs as the services continued to be administered and delivered. The Grief Support program had to suspend for the time being the in-person groups that involved both teens and their parents. Group support was moved to a videoconference format with just teens attending. When it is safe to do so, this teens and parents group will likely resume. 29. FOR THE FINAL REPORT ONLY: List agencies you collaborated with on this project. Describe the nature of the collaboration. Collaborations and referrals are received from Stanford Health Care-ValleyCare, Kaiser Permanente, San Ramon Regional, John Muir, Sutter Health, physicians groups, and various board and care homes, senior residential, assisted living, and skilled nursing facilities throughout the region. 30. FOR THE FINAL REPORT ONLY: Did you obtain other funding sources for this particular project? If so, list sources and amounts. City of Pleasanton - $18,000 Sunstate Equipment Foundation - (Grief Support) - $7,500 Kiwanis Club of San Ramon Valley - (PPE for Volunteers) $2,000 Attachment 2 382 STAFF REPORT Human Services Commission Page 1 of 2 Agenda Item 4.3 DATE:November 18, 2021 TO:Honorable Chair and Commissioners FROM:La Shawn Butler, Parks & Community Services Director SUBJECT:Review of Final Grant Awards for the Fiscal Year 2021-22 Human Services Grant Program Prepared by: Tyler Phillips, Heritage & Cultural Arts Supervisor EXECUTIVE SUMMARY: The Commission will receive a report on the final grant awards for the Fiscal Year 2021-22 Human Services Grant Program. STAFF RECOMMENDATION: Receive the report. FINANCIAL IMPACT: For Fiscal Year 2021-22, the Human Services Grants Program is supported by four funding sources including the federally funded Community Development Block Grant (CDBG) Fund, the City’s General Fund, the City’s Affordable Housing Fund, and a new funding source, the American Rescue Plan Act (ARPA). The total funding awarded is summarized in the table below. Table 1: Summary of Funding Awards by Source Source Amount Awarded CDBG $99,183 City General Fund $89,780 Affordable Housing Fund $0* ARPA Funding $163,251 Total $352,214 *For FY 2021-22 this funding source was not utilized as all grantees eligible for this source were fully funded with other available sources. DESCRIPTION: Fiscal Year 2021-22 marks the 17th year of Dublin’s Human Services Grants Program which 383 Page 2 of 2 provides financial support to local non-profit organizations serving the Dublin community. Preliminary Recommendation At the Commission’s March 25, 2021 Regular Meeting, a grant funding recommendation was made using information known at the time. That recommendation, plus Staff adjustments, was based on an estimated available allocation of $267,183. New Funding Source In April 2021, and before the City Council approved the final grant funding, an additional funding source became available via ARPA. Funds from ARPA can be used to cover programs or activities that provide relief from the impacts of COVID-19. At its April 20, 2021 meeting, the City Council authorized the allocation of $163,251 in ARPA funding to support the Human Services Grants Program where applicable. Revised Recommendation At the Commission’s May 20, 2021 Special Meeting, a revised grant funding recommendation was made based on the allocation of ARPA funds. This recommendation was presented to the City Council for approval in June 2021. City Council Approval On June 1, 2021 and June 15, 2021, the City Council approved the Human Services Grant Program funding allocations. The funding allocations were approved as recommended by the Commission with one modification. That modification was to increase the funding for the Hope Hospice Grief Support Program to $20,000 as it was considered a particularly important program due to the grief services provided given the pandemic. These services include providing support to families that recently experienced a loss. A full breakdown of the grant programs, funding sources, and grant amounts is included as Attachment 1. STRATEGIC PLAN INITIATIVE: None. NOTICING REQUIREMENTS/PUBLIC OUTREACH: The Commission Agenda was posted. ATTACHMENTS: 1) Final Fiscal Year 2021-22 Human Services Grant Program Funding Allocations 384 CDBG ARPA General Fund Axis Loan Axis Section 108 Loan Obligation $15,575.00 $15,575.00 NA NA $15,575.00 Axis Triage Call Nurse $9,135.00 $9,135.00 1000 $9.14 $3,124.00 $6,011.00 CALICO Center Child Abuse Prevention $15,000.00 $15,000.00 18 $833.33 $15,000.00 Centro Legal de la Raza Fair and Secure Housing Project $22,984.00 $22,984.00 60 $383.07 $22,984.00 Chabot Las Positas Dublin Community Jobs Support Expansion $14,308.00 $9,400.00 750 $12.53 $9,400.00 Chabot Las Positas Dublin EITC Support Program 2021-22 $9,240.00 $9,240.00 75 $123.20 $9,240.00 City Serve of the Tri-Valley Homelessness Prevention / Family Stabilization $25,000.00 $25,000.00 30 $833.33 $25,000.00 Community Resources for Independent Living Housing and Independent Living Skills $15,000.00 $15,000.00 30 $500.00 $15,000.00 Easter Seals Bay Area Kaleidoscope Community Adult Program $24,420.00 $10,830.00 22 $492.27 $10,830.00 Hively Early Childhood Literacy $15,000.00 $9,810.00 240 $40.88 $9,810.00 Hively Community Resources $25,000.00 $25,000.00 525 $47.62 $25,000.00 Hively Strengthening Families through Trauma Informed Care $25,000.00 $25,000.00 125 $200.00 $25,000.00 Hope Hospice Grief Support Center and Hospice Volunteer $20,000.00 $20,000.00 336 $59.52 $20,000.00 Legal Assistance for Seniors Legal Services, Medicare Counseling and Education for Dublin Seniors $7,500.00 $7,500.00 142 $52.82 $7,500.00 Narika Culturally Responsive Domestic Violence Surge Support Services $25,000.00 $10,930.00 125 $87.44 $10,930.00 Open Heart Kitchen Dublin Senior Meal Program $25,000.00 $25,000.00 500 $50.00 $25,000.00 Senior Support Program of the Tri-Valley Case Management $16,505.00 $15,020.00 50 $300.40 $15,020.00 Spectrum Community Services Meals on Wheels for Dublin's Homebound Elderly $20,000.00 $20,000.00 60 $333.33 $20,000.00 Sunflower Hill Program Support for Adults with Developmental Disabilites $20,100.00 $13,790.00 45 $306.44 $13,790.00 Tri-Valley Haven Homeless Services Program $24,000.00 $24,000.00 425 $56.47 $24,000.00 Tri-Valley Haven Domestic Violence Services Program $24,000.00 $24,000.00 75 $320.00 $24,000.00 $397,767.00 $352,214.00 $99,183.00 $163,251.00 $89,780.00 City of Dublin Human Services Grant Program - Grant Funding for Fiscal Year 2021-22 Organization Grant Proposal Grant Amount Requested FY21-22 Average Cost Per Unduplicated Resident FY21-22 Final Funding Amount Estimated Unduplicated Residents Served FY21-22 Allocation Funding Source Attachment 1 385