HomeMy WebLinkAbout1986-278
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RESOLUTION NO.
86 -2 7 8
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING AND
DIRECTING THE EXECUTION OF COMMUNITY DEVELOPMENT BLOCK GRANT
FUNDING AGREEMENT BETWEEN THE CITY OF SAN BERNARDINO AND THE
INLAND COUNTIES REGIONAL CENTER.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The Mayor of the City of San Bernardino is
hereby authorized and directed to execute for and on behalf of
said City a Community Development Block Grant funding agreement
9 with the Inland Counties Regional Center. A copy of said
10 agreement is attached hereto as Exhibit "1" and incorporated
11 herein by reference as though fully set forth at length.
12 I HEREBY CERTIFY that the foregoing resolution was duly
13 adopted by the Mayor and Common Council of the City of San
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16 wit:
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25 of
Bernardino at a
r~ g11 1 t=l r
meeting thereof, held on the
, 1986, by the following vote, to
7th
day of
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AYES:
Council Members Rejlly Hernt=lnnp.7., Frt=l7.i~r
Strickler
NAY S :
None
ABSENT:
Council Members Estrada, Marks Ouie]
~Ll/L;Vll1JdJi/~
../" City Clerk
The foregoing resolution/fs hereby approved this /()G~ day
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Jul.y , 1986. /,,/ /J ~~.
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/C v-"'L-,J
of t e City of
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Approved as to form:
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{/
City Attorney
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THIS AGREEMENT is entered into effective as of
JULY 1
4 1986, at San Bernardino, California, between the CITY OF SAN BERNARDINO, a
5 municipal corporation, referred to as "City", and INLAND COUNTIES REGIONAL
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CENTER
a nonprofit community service organization,
7 referred to as "Subrecipien t" .
8 City and Subrecipient agree as follows:
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1. lec! tals .
10 (a) Subrecipient has requested financial assistance from City for
11 fiscal year 1986/1987 from funds available through a community development
12 block grant from the United States of America to City.
13 (b) Subrecipient represents that the expenditures authorized by
14 this Agreement are for valid community development purposes, in accordance
15 with federal law and regulations, and that all funds granted under this
16 Agreement will be used for no purpose other than those purposes specifically
1 i authorized. The specific purposes and scope of services of this particular
18 grant are set forth in Exhibit "An, attached hereto and incorporated into this
19 Agreement as though fully set forth herein.
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2. Payments. City shall reimburse Subrecipient for allowable costs
21 incurred under the scope of this Agreement and applicable Federal regulations,
221 which have not been paid for or reimbursed in any other manner or by any other
23 Agency. Reimbursement will be made at least on a monthly basis, with the,
24 total of all such reimbursements not to exceed $ 50,000.00
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3. Tera.
This Agreement shall commence July 1 J 1986 J and termina te
June 30, 1987.
4. Use of Funds; Budget; Travel L1adtation.
The funds paid to
2R Subrecipient shall be used by it solely for the purposes set forth in
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1 Paragraph l(b) of this Agreement, and in accordance with the program budget
2 submitted by Subrecipient to the Redevelopment Agency of the City of San
3 Bernardino, a copy of which is attached to this Agreement as Exhibit "B".
4 This budget shall list all sources of funding for the program covered by this
5 Agreement, whether from State, Federal, local or private sources, and shall
6 identify which sources are paying for which specific portions of the program,
7 by line-item, to the extent practicable. No travel expenses for out-of-state
travel shall be included in this program unless specifically listed in the
budget as subm1~ted and approved, and all travel expenses to be funded from
funds provided hereunder shall be specifically identified as travel expense,
which shall be neg~tiated between Agency and Subrecipient in the budget. Any
travel expenses incurred by Subrecipient above the budgeted amount or for
out-of-town travel shall not be eligible for reimbursement unless the prior
written approval of the Executive Director of the Redevelopment Agency of the
Ci ty of San Bernardino, or his or her designee, has been obtained. Funds
shall be used for purposes authorized by the Community Development Block Grant
program only, and no portion of the funds granted hereby shall be used for any
purpose not specifically authorized by this agreement. Only net payroll shall
be periodically reimbursed by City as an allowable cost. Any amounts withheld
by Subrecipient from an employee's pay for taxes, social security, or other
withholding and not immediately paid over to another entity, shall not be
included as wages or expenses eligible for reimbursement as an allowable cost
until such time as the withheld taxes, social security, or other withholdingsi
are actually paid over to the entity entitled to such payment. Upon suchl
payment and the submission of evidence of such payment to the Redevelopment
Agency, such expenses shall be regarded as allowable cost, and City shal
reimburse Subrecipient for such obligation. A variation in the itemization 0
cos ts, as set forth in the proposed budget submitted to City, not to excee
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1 10% as to any particular line item, shall be allowed, provided the prior
2 written approval of the Executive Director of the Redevelopment Agency of the
3 City of San Bernardino is obtained, it being understood that the total amount
4 of the grant shall not be varied thereby. At the end of the term, all
5 unexpended funds shall be returned to the City by Subrecipient. The parties
6 intend that grant funds be utilized within the time period covered by this
7 Agreement, and any funds not used shall revert to the City. No reserve for
8 the future shall be established with the funds except as may be authorized to
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9 meet commitments made for services provided during the period .~of this
10 Agreement, but not yet paid for at the conclusion of this Agreement.
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5. - Accounting. Prior to the final payment under this Agreement, and
12 at such other times as may be requested by the Executive Director of the
13 Redevelopment Agency of the City of San Bernardino, Subrecipient shall submit
14 to the Executive Director an accounting of the proposed and actual
15 expenditures of all revenues accruing to the organization for the fiscal year
16 ending June 30, 1987. Financial records shall be maintained by Subrecipient
Ii in accordance with generally accepted accounting principles, in a manner whic
18 permits City to trace the expenditures of funds to source documentation. All
19 books and records of Subrecipient are to be kept open for inspection at any
20 time during the business day by the City, its officers or agents, and by any
21 representative of the United States of America authorized to audit Community
22 Development Block Grant programs. Standards for financial management systems
23 and financial reporting requirements established by Attachment "Fit and
24 Attachment "G" of Office of Management and Budget Circular No. A-IIO shall be
25 fully complied with by Subrecipient. Subrecipient acknowledges that the funds
26 provided are federal funds. Subrecipient's financial management system shall
27 provide for accurate, current and complete disclosure of the financial results
28 of each program sponsored by this Agreement. It is the responsibility of
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1 Subrecipient to adequately safeguard all assets of the program, and
2 Subrecipient shall assure that they are used solely for authorized purposes.
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6. Services Available to Residents; Monitoring and Reporting Program
4 Performance.
The services of Subrecipient shall be made available to
5 residents and inhabitants of the City of San Bernardino unless otherwise noted
6 in Exhibit "'A"'. No person shall be denied service because of race, color,
7 national origin, creed, sex, marital status, or physical handicapp.
8 Subrecipient shall comply with Affirmative Action guidelines in its employment
9 practices. Subrecipient shall also monitor the program's activities and
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10 submit written reports quarterly, or more often if requested, to the Executive
11 Director of the Redevelopment Agency of the City of San Bernardino, in
12 accordance with Attachment "'H", Office of Management and Budget Circular No.
13 A-lID. Failure to provide such quarterly performance reports may prevent the
14 processing by City of Subrecipient's requests for reimbursement, and may
15 justify temporary withholding as provided for in Paragraph 11 hereof.
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7 . Procurement
Subrecipient
comply
with
shall
Practices.
17 procurement procedures and guidelines established by Attachment .0" to Office
18 of Management and Budget Circular No. A-I02, .Procurement Standards". In
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addition to the specific requirements of Attachment "'0. to Circular No. A-102,
Subrecipient shall maintain a code or standards of conduct which shall govern
the performance of its officers, employees or agents in contracting with and
expending the Federal grant funds made available to Subrecipient under this
Agreement. Subrecipient's officers, employees or agents shall neither solicit
nor accept gratuities, favors, or anything of monetary value from contractors I
25! or potential contractors. To the extent permissible by State law, rules, and
26 regulations, the standards adopted by Subrecipient shall provide for
27 penalties, sanctions or other disciplinary actions to be applied for
28 violations of such standards by either the Subrecipient's officers, employees
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or agents, or by contractors or their agents.
Subrecipient shall provide a
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copy of the c,ode or standards adopted to City forthwith.
All procurement
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transactions without regard to dollar value shall be conducted in a manner so
as to provide maximum opeD: and free competition.
The Subrecipient shall be
alert to organizational conflicts of interest or non-competitive practices
among contractors which may restrict or eliminate competition or otherwise
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restrain trade.
Subrecipient agrees to adhere to the procurement rules
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specified in Office of Management and Budget Circular No. A-l02 Attachment "0"
in its expenditure of all funds received under this Agreement.
8. Anti-Kick Back Provisions; Equal laployment Opportunity.
All
contract for construction or repair using funds provided under this Agreement
shall include a provision for compliance with the Copeland "Anti-Kick Back"
Act (lB.U.S.C. 874) as supplemented in Department of Labor Regulations (29
CPR, Part 3). This act provides that each contractor or subgrantee shall be
prohibited from inducing,
by any means,
any person employed in the
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construction, completion or repair of public work, to give up any part of the
compensation to which he is otherwise entitled. Subrecipient shall report all
suspected or reported violations to City. All contracts in excess of
$10,000.00 entered into by Subrecipient using funds provided under this
Agreement shall contain a provision requiring compliance with Equal Employment
Opportunity provisions established by Executive Order #11246 as amended.
9. Prevailing Wage Requirement. Any construction contracts awarded
by Subrecipient using funds provided under this Agreement in excess of
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$2,000.00 shall include a provision for compliance with the Davis-Bacon Act
(40.U.S.C. 276a to 276a-7) and as supplemented by Department of Labor
Regulations (29CFR). Under this act, contractors shall be required to pay
wages to laborers and mechanics at a rate not less than the minimum wages
specified in a wage determination made by the Secretary of Labor. In
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addition, contractors shall be required to pay wages not less often than once
a week. Subrecipient shall place a copy of the current prevailing wage
determination issued by the Department of Labor in each solicitation and the
award of a contract shall. be conditioned upon the acceptance of the wage
determination. Subrecipient shall report all suspected or reported violations
to City.
10. Approval of Ci ty of any Charges j Use of Program InCOIle. Ci ty
reserves the right to require Subrecipient to obtain the prior written
approval of City of any charges or fees to be charged by Subrecipient for
services provided under this Agreement, and of any rules and regulations
governing. the provision of services hereunder. Program income represents
gross income earned by the Subrecipient from the Federally supported
activities.
Such earnings exclude interest earned on advances and may
include, but will not be limited to, income from service fees, sale of
commodities, usage and rental fees. These funds shall be used first for
eligible program activities, before reques ts for reimbursement, or shall be
remitted to the City. Subrecipient shall remit all unspent program income to
the City within thirty (30) days subsequent to the end of the program year
(June 30, 1987). Interest earned on funds advanced under the Agreement shall
be paid to the City.
11. Temporary
Withholding.
The
of
the
Executive
Director
Redevelopment Agency of the City of San Bernardino is authorized to
temporarily withhold the payment of funds to Subrecipient when the Executive
Director determines that any violation of this Agreement has occurred. Funds,
shall be withheld until the violation is corrected to the satisfaction of the
Executive Director or of the Mayor and Common Council. Subrecipient shall
have the right to be heard by the Mayor and Common Council if Subreciplen t
maintains no violation of the Agreement has occurred, which hearing shall be
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1 held within 45 days after the funds have first been withheld, provided
2 Subrecipient requests such hearing within 15 days after such first withholding.
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12. Records Retention.
Financial records, supporting documents,
4 statistical records, and all other records pertaining to the use of the funds
5 provided under this Agreement shall be retained by Subrecipient for a period
6 of three (3) years, at a minimum, and in the event of litigation, claim or
7 audit, the records shall be retained until all litigation, claims, and audit
8 findings involving the records, have been fully resolved. Records for
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9 non-expendable property acquired with federal funds provided under this
10 Agreement shall be retained for three (3) years after the final disposition of
11 such property.
12 13. Property Management Standards. Non-expendable personal property,
13 for the purposes of this Agreement, 1s defined as tangible personal property,
14 purchased in whole or in part with Federal funds, which has useful life of
15 more than one (1) year and an acquisition cost of three hundred dollars
16 ($300.00) or more Per unit. Real property means land, including land
1 i improvements, structures and appurtenances thereto, excluding movable
18 machinery and equipnent. Non-expendable personal property and real property
19 purchased with or improved by funds provided under this Agreement shall be
20 subject to the property management standards specified in Attachment "N" of
21 Office of Management and Budget Circular No. A-102, "Property Management
22 Standards" .
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14. Termination for Cause. City reserves the right to terminate this
24 Agreement and any and all grants and future payments under this Agreement inl
251 whole or in part at any time before the date of completion of this Agreement
26 whenever City determines that the Subrecipient has failed to comply with the
27 conditions of this Agreement. In the event City seeks to terminate this
28 Agreement for cause, City shall promptly notify the Subrecipient in writing of
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1 the proposed termination and the reasons therefore, together with the proposed
21 effective date. Subrecipient shall be given an opportunity to appear before
3 the Mayor and Common Council at the time at which the Mayor and Common Council
4 are to consider such recommended termination, and shall be given a reasonable
5 opportunity to show cause why, if any exists, the Agreement should not be
6 terminated for cause. Upon determination by this Mayor and Common Council
i that the contract should be terminated for cause, notice thereof, including
8 reasons for the determination, shall promptly be given to Subrecipient,
9 together with information as to the effective date of the termination. The
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10 determination of the Mayor and Common Council as to cause shall be final.
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15. Termination for Convenience. City or Subrecipient may terminate
12 this Agreement in whole or in part provided both parties agree that the
13 continuation of the project would not produce beneficial results commensurate
14 with further expenditure of funds. In such event, the parties shall agree
15 upon the termination conditions, including the effective date and, in the case
16 of partial terminations, the portion to be terminated. The Subrecipient shall
Ii not incur new obligations for the terminated portion after the effective date
18 and shall cancel as many outstanding obligations as possible. City shall
19 allow Subrecipient full credit for the City's share of the non-cancellable
20 obligations properly incurred by the Subrecipient prior to termination.
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16. Hold Harmless.
Subrecipient agrees to indemnify and save
22 harmless the City and its employees and agents from all liabilities and
23 charges, expenses (including counsel fees), suits or losses, however
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24 occurring, or damages, arising or growing out of the use of or receipt of
25 I funds paid under this Agreement and all operations under this Agreement.
26 Payments under this Agreement are made with the understanding that the City is
271 : not involved
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in the performance of services or other activities of
Subrecipient and its employees and agents are independent
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contractors and not employees or agents of City.
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17. .endment. This Agreement may be amended or modified only by
written agreement signed by both parties, and failure on the part of either
party to enforce any provision of this Agreement shall not be construed as a
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waiver of the right to compel enforcement of any provision or provisions.
6 18. Assignment. This Agreement shall not be assigned by Subrecipient
7 without the prior written consent of City.
8 19. Notices. All notices herein required shall be in writing and
9 delivered in person or sent by certified mail, postage prepaid, addressed as
10 follows:
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_ As to City:
As to Subrecipient:
Executive Director,
Redevelopment Agency of the
City of San Bernardino
City Hall, Third Floor Rm. 320
300 North "D" Street
San Bernardino, Calif. 92418
INLAND COUNTIES
REGIONAL CENTER
1020 Cooley Drive
Colton, Ca. 92324
20. Evidence of Authority.
Subrecipient shall provide to City
evidence in the form of a certified copy of minutes of the governing body of
Subrecipient, or other adequate proof, that this Agreement has been approved
in all its detail by the governing body of Subrecipient, that the person(s)
executing it are authorized to act on behalf of Subrecipient, and that this
Agreement is a binding obligation on Subrecipient.
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IN WITNESS WBEiEOF. the parties hereto have executed this Agreement
on the day and year first hereinabove written.
ATTEST:
,.~////(l(~~/
/' City Clerk
Approved as to legal form:
~~~~
ity Attorney
June I 1985
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c~ IWf BEIUWlDIRO:
BY .. ~~, /~/ 1L~'-Z.~
Mayor '
EXHIBIT "A"
~ rE@~UWlE fD)
r'f'v 2 1 "',~8""
..-,.1_ ..J 0
REDEVELOPMENT AGENCY OF THE
CITY OF SAN BERNARDINO, CA
THE F.I.N.D. AT-RISK PROJECT
FOR PREVENTION OF CHILD ABUSE/NEGLECT
IN SAN BERNARDINO CITY
A GRANT PROPOSAL
SUBMITTED TO:
REDEVELOPMENT AGENCY
THIRD FLOOR, CITY HALL
SAN BERNARDINO, CALIFORNIA
FOR FISCAL YEAR 1986-87
BY:
INLAND REGIONAL CENTER, INC., F.I.N.D. PROGRAM
1020 COOLEY DRIVE
COLTON, CALIFORNIA 92324
CONTACT PERSON: DARLENE ROBINSON, R. N., M. S .
PREVENTION SERVICES COORDINATOR
F.I.N.D. PROGRAM, I.C.R.C.
EXHIBIT "A"
TABLE OF CONTENTS
I. Funding Request................................................2
A. Current Program Activities.....................................2
B.
II.
A.
B.
Increase in Service..........................................2.3
Project Description............................................4
Description of AgencY..........................................4
Target Population..............................................4
c. Role of F.I.N.D. in Preventing Abuse...........................4
D. Goals and Objectives...........................................5
E. Description of Services........................................5
F. Monitoring and Evaluation......................................6
III.
Budget Proposal.................................................7
I. Fundin2 Request
EXHIBIT "A"
Inland Counties Regional Center is requesting continued funding through a $50,000
Grant from the Community Development Block Grant Funds. Our agency has already
received this level of funding for the F.I.N.D. Program for the fiscal years 1983-84,
1984-85. and 1985-a6. The purpose for our continued request for funding is to reduce
the case load ratio within the program to the more effective level of 50 at-risk
infants to one counselor. Without continued funding, the case load ratio would
return to the previous less effective 120 infant to 1 counselor level. This
increased number of clients per counselor will again make it impossible to provide
services at the intensive level needed.
In the period of time we have received funding, very positive changes and results
have occurred in our level. of delivery of services and assistance to the poor
families living in San Bernardino and their fragile babies.
A. Current Pro2ram Activities
This program has accepted 394 at-risk infants since the beginning of our
contract. Our counselors attend discharge planning sessions on a weekly basis at San
Bernardino County Medical Center, Kaiser Hospital Fontana, and Loma Linda University
Medical Center. These meetings are coordinated with the N$onatal Intensive Care Unit
staff, the San Bernardino County Health Department, and California Children's
Services.
The services provided to these clients have included in-depth monitoring of
_ infant developmental progress, assessment of parent-infant bonding, instruction and
role modeling in enhancement of normal development, coordination of all medical
services, parental education relative to their infant's very specific needs, and
ongoing reporting of our interventions/evaluations to the referring Intensive Care
Nursery staff. We continue to have an increase in the very medically fragile infant.
The doctors at the intensive care nurseries in our local hospitals are saving smaller
infants who, in turn, have many more chronic medical problems, and special nursing
care needs. These infants are going home with portable oxygen equipment,
intervenous feedings, suctioning equipment, heart and respiratory monitors, special
formulas. and many medication needs. The parents are required to learn the special
equipment needs and other techniques for their infant's survival. In addition, these
infants frequently have to see several different physicians for specific medical
follow-up needs. Needless to say, this puts a special stress on the family and
they are in great need of our counselors' support and instruction.
1. Your past funding of our program has helped us to respond to the needs of these
infants and their families.
2. Further, we have been able to greatly increase our contact with other
professionals and more intensive coordination with other service agencies.
3. Continued funding will help us to meet the challenge of these very medically
fragile infants and enable them to reach their maximum potential for a normal
life. Again, we are asking for your help to provide support for these special
infants and their families.
B. Increase in Services due to Present Grant Fundin2
Funding for two added staff members has allowed the counselors to keep their case
load ratio at 50 infants to 1 counselor rather than the 120: 1 ratio. This more
manageable number of clients has enabled the counselors to visit their families far
more frequently. This has become increasingly necessary with the number of very
medically fragile infants we are now being asked to follow. The families contact us
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EXHIBIT "A"
much more often "and the counselors are required to provide a great deal of crlS1S
intervention. Early and intensive intervention has helped to cut down on the need
for rehospitalization and enhanced the parents I ability to provide special care
needs. This support not only helps to alleviate the high stress/anxiety level for
the families, but is a valuable deterrent for probable abuse/neglect.
We are also providing short term respite care for the infants to allow parents to
spend some time away from this very demanding responsibility. This, in turn,
strengthens the parents I relationship and their coping resources. This type of
support has proven to be very powerful in preventing abuse/neglect.
Thus far, our abuse/neglect rate among our infants has been less than one
percent. -We feel strongly that this is due to our intensive level of inteMntion
and services.
The additional staff has made it possible for the counselors to attend and be
more involved in infant discharge planning at the hospitals. In addition, the
counselors are now meeting the parents before the infant goes home in order to
provide support, planning, and coordination of care. This makes them more available
to the families when problems occur such as a malfunction of equipment, a medication
problem, or the need to communicate with their physician. The ability to be more
intensely involved has again enhanced our ability to provide QUALITY follow-up and
intervention services for these infants.
Referrals to the program have increased through physician and. parent satisfaction
with our highly raised level of involvement. We have included some of the results of
- our parent satisfaction survey in Appendix E.
TO CONTINUE THIS QUALITY SERVICE, OUR AGENCY IS ASKING FOR A C.D.B.G. GRANT IN
THE AMOUNT OF $50,000. OUR AGENCY WILL CONTRIBUTE $53,363 FOR THE SAME PROJECT.
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II. Pro;ect Desc~iptian
EXHIBIT "A"
A. Description of ARencv
Inland Regional Center, Inc., is a private, non-profit agency, which has provided
diagnosis and case management services, as will be explained, for developmentally
disabled persons since 1971. The intent of these services is to assist individuals
to overcome their handicaps insofar as possible and become productive citizens. (See
Brochure - Appendix A). Case management includes coordination of needed services,
and purchase of a basic rehabilitation plan which may include: in-home teachers,
respite care, transportation to medical services, infant stimulation activities, and
physical therapy. The goal of these services is to enable the parent to rehabilitate
their children within the home environment.
Our Regional Center program, F.I.N.D., serves infants who will possibly become
development~lly disabled if our services are not provided during the first critical
year of life. Our client population is comprised of newborns who are discharged from
intensive care nurseries at San Bernardino County Medical Center, Kaiser Hospital
Fontana, and Loma Linda University Medical Center. The main office is located at
1020 Cooley Drive, Colton, California, 92324.
B. TarRet Population of F.I.N.D. In San Bernardino County
In San Bernardino City, there are approximately 150 at-risk infants identified
and served each year who graduate from intensive care nurseries or are identified by
doctors, public aiencies, and other such sources. With each' identified baby, a
complete rehabilitation plan is established and coordinated by the F.I.N.D.
counselor. (See Individual Program Plan - Appendix B). All program objectives are
made with the intent of helping each child develop to his or her maximum potential.
Our program goal is for each child to become a normal individual.
Evidence shows, time after time, that if these children are not helped during
this early critical stage of development, their problems compound making them forever
dependent on Welfare, Social Security Income, or other transfer payment systems.
Sixty-five percent of these infants and their parents live below the poverty
level. Also, many of these parents are developmentally disabled and receive S5I
benefits. The ethnic breakdown of the infants served is: 68.5 percent Anglo, 19.5
percent Hispanic, 6 percent Black and 6 percent other. The majority of all assisted
are poor and usually come from families receiving A.F.D.C. Although F.I.N.D. works
with all infants who meet our criteria, those living at the poverty level are always
given priority, (See Criteria - Appendix C).
c. Role of F.I.N.D. In Prevention Abuse
Recent research has shown that with infants discharged from an intensive care
nursery, the incidence of abuse was from three to eight times the expected rate in a
population of normal newborns.
There are many factors characteristic to our population of' infants that
contribute to child abuse: emotional and financial stress and strain on the family
unit, unrealistic expectations of the infant, and low self-esteem as a result of
producing a "less than perfect" infant. The emotional and social isolation that
accompanies poverty is a major contribution to abuse. The F.I.N.D. Program addresses
these problems through crisis counseling, emotional support, parent education, and
coordination of community resources. Our past experience has shown us that effective
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EXHIBIT "A"
delivery of these "needed services requires case load ratios of no greater than 50-1.
By July, 1983, the case load ratio for the F.I.N.D. Program would have exceeded 120
infants per counselor, providing what is considered to be a less than acceptable
service level. Further, the effectiveness of parent education to the families of
these potentially developmentally disabled newborns is diminished as counselor time
is reduced per case. These families need intensive, continuous intervention which is
both positive and supportive. It makes little sense to provide excellent prenatal,
obstetrical and neonatal pediatric care in our hospitals only to abandon the most
needy young families at the hospital door and leave to chance, or to parent
motivation, the needed access to helping professionals.
D. Goals and Objectives
Our primary goal is to prevent child abuse/neglect in 150 at-risk newborns in San
Bernardino City during 1986-87.
Our major objectives are as follows:
1. To encourage parent-infant attachment by helping to eliminate the stigma of
imperfection in the infant.
2. To educate parents regarding infant development by showing them techniques
to stimulate normal development and prevent developmental disabilities.
3. To educate parents regarding well-child care especially focusing on the
developmentally disabled, young, and uneducated parents.
4. To coordinate medical services by providing the best possible. services for
the infant and assisting in transportation.
_5. To facilitate use of community services by coordination of referrals such as:
Welfare services, California Children's Services, Supplemental Food services, .
Mental Health services, and Public Health Nursing services.
E. Description of Services
To administer the Child Abuse Prevention Project, Regional Center will assign
primary responsibility to the Prevention Services Coordinator. The coordinator will
accept the referrals on infants, and only those infants born to San Bernardino area
residents will be accepted for serivces into the project. Home visitations will be
made by F .I.N.D. counselors at a level of 50 infants to one counselor. These
counselors will be a Pediatric Nurse Practitioner, and a Public Health Nurse with
bilingual capabilities. Infants will be seen weekly, monthly, or on an as-needed
basis and will be followed to their first birthday, or longer if their developmental
status is questionable. Once their level of need is determined, they will be
released as normal or moved on to a higher level of care which exists within other
programs of our agency. The maj or components of the program will be quarterly
developmental monitoring, assessment of parent-infant bonding, instruction in infant
activities to stimulate development, coordination of medical services, and parenting
education relative to the infants specific needs.
Over the years each counselor has worked with various ethnic groups and cultural
approaches. All written materials for use with families are available in English and
Spanish. All documents and materials given to Hispanic families are written in both
English and Spanish. Our Hispanic counselor attends medical appointments with her
clients and families for the purpose of interpreting. All counselors have experience
in working with interpretors for Vietnamese, Laotion, and Japanese. Wi th this
support system, parents will be enabled to "parent" more effectively and, thus, the
potential for abuse and complications leading to more disabilities is diminished.
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EXHIBIT "A"
F. MonitorinR and Evaluation
Regional Center will monitor the project by means of intensive staff reviews and
data collection, (see forms in Appendix D). The information we will obtain includes:
The current status of the client in regard to developmental outcomes, income level,
ethnicity, community agencies involved with the client,. services received from
community agencies, and services provided or purchased by Regional Center.
This data will show which infants are normal or improving and which infants need
further follow-up. We will also have information relative to the parents' ability to
attach to their infants and care for them in their home. Finally, the data collected
on the abuse/neglect rate in our clients will be compared to the expected rate of
child abuse/neglect reported in current literature.
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EXHIBIT "B"
INLAND COUNTIES REGIONAL CENTER, INC.
F.I.N.D.
BUDGET
Applicant Requested
Items Total Cost Hatching Funds Grant Support
Two Counselor Positions $ 76,427 $26,427 $50,000
Travel, Office Costs 1,466 1,466 0
Telephone Expenses 1,785 1,785 0
- Supervision 11,898 11,898 0
Clerical Support llt787 llt787 0
TOTAL $103,363 $53,363 $50,000
Percent 100% 51.6% 48.4%
Inland Regional Center will pay 51.6% of the cost of the program. The project cost
per infant per year is only $500.00 per each infant. This amount is many times less
than the cost to provide services to an abused infant, who may then require
additional services if he/she is further developmentally disabled due to abuse.
The actual cost per infant is somewhat higher than the Project cost, since Regional
Center is contributing a substantial amount in "in-kind" services including travel,
space, supervision, communication, utilities, etc.
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