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Home My WebLink About2008-292 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 RESOLUTION NO. 2008-292 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION GRANT APPLICATION TO THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE, ACCEPTING THE GRANT AMOUNT OF $295,349 TO CONTINUE THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION PROGRAM FOR THE PERIOD OF JULY 1,2008 THROUGH JUNE 30, 2009, AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1,2008 AND THE DATE THAT TmS RESOLUTION IS ADOPTED. BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: SECTION 1. That the Mayor and Common Council hereby ratify submittal of a continuation grant application to the Corporation for National and Community Service for the Senior Companion Program for the period of July I, 2008 through June 30, 2009, a copy of which is attached hereto, marked Exhibit "A" and incorporated herein by reference as fully as though set for at length; and SECTION 2. That the grant amount of $295,349, as referenced in the Notice of Grant Award, a copy of which is attached hereto, marked Exhibit "8" and incorporated herein by reference as fully as though set forth at length, is hereby accepted, and SECTION 3. That the implementation date of the grant is July 1,2008; therefore, any action taken between July 1, 2008 and the date that this Resolution is adopted is hereby ratified. III III III III III III III 2008-292 1 2 3 4 5 6 7 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION GRANT APPLICATION TO THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE, ACCEPTING THE GRANT AMOUNT OF $295,349 TO CONTINUE THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION PROGRAM FOR THE PERIOD OF JULY 1, 2008 THROUGH JUNE 30, 2009, AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1,2008 AND THE DATE THAT THIS RESOLUTION IS ADOPTED. I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and Common Council of the City of San Bernardino at a joint regulameeting thereof, held 8 on the 21st day of July , 2008, by the following vote, to wit: 9 Council Members: 10 11 12 13 14 15 16 17 18 19 AYES NAYS ABSTAIN ABSENT ESTRADA X - BAXTER X BRINKER X DERRY X KELLEY X JOHNSON X MCCAMMACK X 20 21 22 23 24 25 26 27 28 ~h.~ Rachl? G. Clark, City Clerk The foregoing resolution is hereby approved this 07~day of July ,2008. ~. ~- --- a k 1. Morris, M~YOr City of San Bernardino Approved as to Form: es F. Penman, City Attorney 2008-292 PART I - FACE SHEET APPLICATION FOR FEDERAL ASSISTANCE Mxlified Stand6rd Form424 (Rev .02107 10 confirm to the Corporation's eGranls System) ,. lYFE OF SlIlMSSIllN: AppIcoIlon X Non-Olna_.... 2.. 0. 'IE SlIlMTTED TO CXlRFORA OON FOR NA ~l A~ cnM..NTY SBlVICE (CNCS), 04103/08 2b. AA'UCA lIlN n oescoIllal 3. OA TE REC9/B) BY STATE: STA'lEAI'l'lCA11OtUENlFa 01sc.o76938 4. DAlE_B)8Y FBlEAALAGaCt, - FBlEAAL IlENlFER: 0ISCJ'CAOO4 -"~_.'.'-.-~-'- lI. AJllIUCAlDllII'\RM1Dl LEGAL NA~ cay '" Son ...'.dIolO tl.NS N.MIIR 013604563 i I , I I I I . ----1 ! NAKAII) CONTACT N'~ lIlN FOR PAO.JB::T .......,.... OR O'MR FBlSON TO BE CONTACTm ON w.TI'BlS NIIOlVNG 1ltS AI'l'lCAlIlN (give aru codel): NAME Betty A. Ooal AlXJf&S (give Itreellddrass. city. alate. zip code and county): 300_0_ San Bernardino CA 92418.0001 Count." TaEI'HJNE tI..MlER: (909) )84-5413 FAX tI..MlER: (909) 889-9801 ~E.MA.LAOClRESS; deatbe@sbcity,org 6. B.A.OYER IJENTFCA 110N tI..MlER (EN)' 956000772 1. lYFE OF AI'l'lCANT: 78. local Governrrenl- MJnicipal 7b. Local Governrrenl, Mlnicipal 8. TYFE OF AA=\.ICATDN (Qeckappropriate box). .- X CXJNlNJA T10N .-/FREVIJUS GAANTBi: At.eI:MNT A. AUGM:NTA Tl)N S. Sl.OGET REVISION I I I 9. NAKOF FElERAl AGIl'CY, ...---. _....~ Corporation for National and Community servl~_._._1 l'.a. CESCRPTlVE TTfLE OF AFR.CANT'S PROJECT: I . S.CP of San Bernardino I 11.b. a<<::s PROGRAM NllATlVE (F ANY): I Arrendmmt, enter appropriate Iener(s) n bolC(eS): C NO COST ElmNSION D. 0nt;R (spee'Y below!' lOa. CATALOG OF FEDERAL OOM:sOC ASSISTANCE NlJ\oSBt 94.016 lOb. 1Tn..E SenIOr CofT1)anion R'ogram 12. AREAS AFfECTED BY ~(List Cities, Counties, Stales. ete): Greater San Bernardino, Victor Valey and M:M'ongo Basin 13. FROR)SB>moJECT: STARTOATE: 07101106 B<<) OA TE 06130109 14. OONGRESS()NA.L OISTRCT OF' a.Applicant b.~_ ICA43j a. FED:RAL S 295,)49.00 b. APR.CANT S 88.523,00 e. STATE S 000 d. LOCAL S 71.311.00 e.O~ S 17,212.00 f. PROGRAM INCOM: S 0.00 16.15 APR.CATDNSlIIJECTTO REVEW BY STAlEEXEOITlVE ORDER 12372 PROCESS? X YES. THIS PREAPFl.CA. TDM'APR.CA T10N WAS *CEAVALABlE TO TIE STAlE EXEOJl1IIE c:lRI:ER 12372 FRCX:ESS FOR REVEWQN, ~TE: 01-.A..N-08 15.ESl"'f.MTBJ~: Year': 3 NO. PRQGRAMIS NOT COV6lS>8Y E.O.12372 17 _ IS T'tE APR.ICANT OELNQlSrIT ON ANY FB:lERA.L tEB17 YES if .Yes,. anach an explanation. X NO 9 TOTAL S 383.872.00 .- -- ---..---- 18 TO nEaesTOFMY KNOWlEllGEA'-O SaEF. All o.TA N 1ltS APFLlCA11ONIPRfAPFLCAT1ONARE TRLE 1.'-0 COflFIfCT. MIXlCI.f,S{THASBIIN llU.Y Al11>OlIZ8lSY nEGO\IERNNG BOOY OF nEAPFLICANT 1.'-0 THEAPFLICANTWLl COt.A.Y WIIH THEATTACIBlASSLflANCe F nEASSlSTANCE IS AWARIED. . lY~ NAldO OF AlITliORIZ8lREl'RESENTA TIllE: Kevin Haiwkr1s b. TTTLE: Director PR&CS Oepf. c_mEF'HOl"E~ (909))84-5233 .----_. --.--- d SGNA T\RO OF AUTHDRlZ8l REPRESENTA TIllE: e_ OA.lE SGNED: 04/29108 Page' Exhibit A Budget Narrative: SCP of San Bernardino for City of San Bernardino 2008-292 Section I. Volunteer Support Expenses A. Project Personnel Expenses Posilionfl'iue -ClIy -Annual SateIy -% Tine CNCS Share Grantee Total Amount Excess . SM" Amount $CP'" 11 . -11l1111OnC.) 8145792 each x 100 % .... 37.611 6.161 45.792 0 _ Clod< III: . 1 ....-.<.) II 37104 each x 20 % usage 0 7.421 7.421 0 Community Selvlces Program Spedalist . 1 porson(s) at 30516 4,225 26,291 30.516 0 each x 100 % usage CATEGORY Totals 41.836 41.a93 83.729 0 B. Personnel Fringe Benefits Item -Description CNCS Share Grantee Total Amount Excess Share Amount FICA: 0 0 0 0 Health Insurance: $409 por employee (2) x 12 months plus $559 7.330 3.82a 11.15a 0 por family (I) x 12 months. Retirement: 0 0 0 0 Life Insurance: 0 0 0 0 PERS: 23 266% 2.645 16.a35 19.480 0 Unemploymenl: 1.45% 0 1.214 1.214 0 Wo!'1(ers Compensabon: 3.5% 2.760 171 2.931 0 CATEGORY Totals 12.735 22.048 34.783 0 C. Project Staff Travel Local Travel Purpose .Calculation CNCS Share Grantee Total Amount Excess Share Amount Site visits and meetings: 14 sites x 4 visits x 9 miles round tnp, + 1.200 0 1.200 0 2 sites x 10 visits x 100 miles round Inp @.485 Other: I x 0 " 0 0 0 0 CATEGORY Totals 1.200 0 1,200 0 Long Distance Travel Purpose -Destination ~MealsJ Lodging .Trans. Amount -Other CNCS Share Grantee Total Amount Excess Travel Share Amount Training: NSSC Conference- Meals 550 lodgingfTrans 930 Other I,SOO 0 I,SOO 0 20 CATEGORY T.,gls 1.500 0 1.500 0 2008-292 D. Equipment ~.QIy -Unil Coal CNCS Share Grantee Total Amount Excess Share Amount CATEGORY T.,gls 0 0 0 0 E. Supplies Item! Purpose -Cak:ulation CNCS Share Grantee T alai Amount Excess Share Amount General office such as paper. pens, clips.etc.: Aprox. $83.33 per 1,000 0 1,000 0 month x 12 months. CATEGORY Totals 1.000 0 1.000 0 F. Contractual and Consultant Services Purpose -Cak:ulation CNcS Share Grantee Total Amount Excess Share Amount software contract: annual fee 0 300 300 0 CATEGORY Totals 0 300 300 0 I. Other Volunteer Support Costs Item CNCS Share Grantee Total Amount Excess Share Amounl postage: $25 per monlh x 12' 300 0 300 0 telephone: $100 per month x 12: 0 1.200 1.200 0 printing and photocopying (including ink cartridges): 500 0 500 0 space 8% of $36.500 cuslodial service and $31,000 utililies. 0 5.400 5.400 0 Background checks ($47 x 10 per year)' 0 470 470 0 CATEGORY Totals 800 7.070 7.a70 0 J. Indirect Costs .' Grantee Excess Calculation -Claimed -Rate Type -Cosl Basis -Rate cNCS Share Share Total Amount Amount CATEGORY Totals 0 0 0 0 SECTION Totals I 59.071 I 71.311 1 130.382 0 PERCENTAGE I 45% I 55% I 2008-292 Section II. Volunteer Expenses A. Stipends Item.. -AnnUli ~ CNcS Share Grantee Total Amount Excess Share Amount Co<poration Funded: -66 x 2767 182.622 0 la2.622 0 Non-Corporation Funded:. 0 x 0 0 0 0 0 Non-Stipended:. 0 x 0 0 0 0 0 CATEGORY Totats 182.622 0 182.622 0 B. Other Volunteer Costs Item -Desaiption CNCS Share Grantee Total Amount Excess Share Amount Meals: 66 VOl5 x 201 days x $2 18.200 0 26.532 8.332 Uniforms: 0 0 0 0 Insurance: 1.000 0 1.000 0 Recognition. 66 vol$. x $75 each 4.950 0 4.950 0 Volunteer Travel: 51 vols x 80 mi x 12 me x.485 per mi, plus 10 vols x 200 mi x 12 mo x .485 per mi, plus 5 vcls x 12 ma x $22.50 29.506 0 36.736 7.230 per bus pass. Physical Examinations: 66 "01$ x 525.00 each 0 0 1.650 1.650 CATEGORY Totals 53.656 0 70.86a 17.212 SECTION Totals 236.278 0 253.490 17.212 PERCENT AGE I 93% I 0'41 BUDGET Totals I 295.349 I 71.311 I 383.872 17.212 PERCENTAGE -, 77% I 19%1 SourCe of Funds Section Description Section I. Volunteer Support Expenses Excess amount: Meals are provided by volunteer stations Travel amount Section 11_ Volunteer Expenses provided by The Community Foundation Physical examinations provided by the San Bdno. Co. Heanh Dept. May 29.2008 11 43 AM Application 10: 08SC087729 Section I. Volunteer Support Expenses A. R'Ojecl A3rson~ Expenses B. ~onnel Fringe _110 R:A ....'-- ......... ure m..anc:e C. A'oject Stell Travel Locel Travel Long lJistance Travel D. Equipment E. Suppies F. Contractual and ConsuRant Services I. OIher Volunteer Support Costs J. hdirect Costs Section I. Subtotal Section I. Volunteer ExpenHs A. Stipends Corporation Funded ~n-Corporalicn Funded Non-Stipended B. Other Volunteer Costs Meals l.IliforlT6 tlsurance Recognition Volunteer Travel Rlyscat Exarrinations Section n. Subtotal BudgetT otala Funding Percentages Required Match . of years Receiving CNCS Funds "- ._-...._..4.. . 2008-292 SCP of San Bernardino City of San Bernardino Budge! 0_: 0710112006 - 06l3Ol2OO9 Total AmI CNCS ShiN _ntH ShiN Ex...._ .-..- 83.729 41.836 41.893 0 23,825 5.405 18.220 0 a 0 0 0 11.158 7.330 3.B2a 0 0 0 0 0 0 0 0 0 Total 534.783 512.735 $22,04a sO- 1.200 1.200 0 0 1.500 1.500 0 0 - Total 52.700 52.700 50 SO 1.000 1.000 0 0 300 0 300 0 7.870 aoo 7.070 0 5130,382 559,071 $71,311 so 182.622 la2.622 0 0 0 0 0 0 0 0 0 0 Total 5182.622 5182.622 50 50 26,532 18,200 0 a.332 0 0 0 0 1.000 1.000 0 0 4.950 4.950 0 0 36.736 29.506 0 7.230 1.650 0 0 1.650__ Total 570.a68 553.656 50 517.212 S253,490 S236,2T8 SO S17,212 $383,872 $295.349 $71.311 517,212 80.6% 19.4% n/a nJa Form 424A Page' IJodWied SF-424A (4/88 and 12197) 2008-292 For Official U. Only Narratives Strengthening Communities Volunteer stations and senior service opportunities that address specific community needs are developed after completion of area visitations and reviewing of infonnation being provided through an intense effort to collaborate with the community and area agencies on aging. Programming for impact statements are used to establish timelines for review and detennine continued needs for volunteer placement. The Senior Companion Program (SCP) Manager and/or Community Service Program Specialist will visit stations quarterly. Site supervisors will be required to complete and provide a written annual evaluation to the SCP staff. Volunteers will be encouraged to evaluate the program and give input to the SCP staff at all times. Volunteers are also required to participate in surveys or evaluations directly related to their volunteer service; thus ensuring that the highest quality experience is provided for the senior volunteer, as well as establishing opportunities for the volunteer to reflect on their service and the changes and benefits directly related to it. SCP enhances the capacity of other organizations and institutions within the community and integrates senior service into the activities of other service programs in the following ways: 1. Referrals for Companion service are accepted from the Visiting Nurses Association, thus allowing their staff to serve more clients in their homes. 2. In-Home Supportive Service (IHSS) referrals not only increase the amount of socialization and support for clients, but allows the IHSS workers to perfonn their domestic duties while Companions grocery-shop, fix a light meal, read or write for the clients. 3. Working closely with Pacific Hospice and Inland Caregiver Resource Center enhances the clients' social interaction with their peers and gives the family caregivers some well-deserved respite, while allowing these agencies ta handle the severe dementia cases. 4. Hospital Home Care programs, whose services give short-tenn assistance to discharged patients receive on-going follow-up reports from SCPo Also, the patients receive long term care from their Companions as needed. For O1lIcial U.. Only ~-_.. 2008-292 For OlIlcl~1 U.. Only Narratives 5. The Adult Protective Service agency utilizes Senior Companions to give support, love, and trust to abused clients. tbua UIIIlring them of their worth and right to security. These and other agencies also learn about and take advantage of SCP services by serving on the advisory council, assisting with pre and in-service training for the Companions and becoming involved in the evaluation process. Other cooperating entities include Senior Legal Service, San Bernardino County Adult School, Adult day care centers, convalescent hospitals, mental health programs, multi-purpose centers and area agencies on aging. Recruitment and Development Program infonnation and applications will be distn'buted to local senior infonnation and assistance agencies, community service and volunteer organizations, senior housing facilities and senior centers for promotion of the program and to increase public awareness of the need for senior volunteer participants. Local newspapers will be utilized to run feature articles and recruitment advertisements. Press releases featuring volunteers on assignment or providing unique and special circumstance services will also be distributed. Recognition of volunteers will be requested of the agencies served. Volunteers will be invited to attend the program's annual recognition event. Relevant and specific infonnation will be provided to the senior volunteers in the fonn of a mandatory 20 hour pre-service training that will be conducted annually for all new volunteers. Monthly in- service training will be held for all volunteers and staff. Training and technical assistance and support are requested from and shared with all partners to promote and create a strong network in the community and within the program. Program Management As of this year, there are 200,000 senior citizens in San Bernardino County. By 2020, Department of Aging & Adult Serivces predict that number will reach 404,655. Senior housing complexes and nursing (healthcare) facilities are numerous and varied in our area. The SCP Manager and Community Service Program Specialist continue to manage the stations in accordance with specified For OlIlcial U. Oniy 2008-292 For OIfiolal Use Only Narratives guidelines, making quarterly site visits, as well as making routine check-in calls to ensure station and volunteer ....etioo. In many instances potential volunteer stations are also a venue for volunteer recruitment. Program presentations depict opportunities for diverse senior volunteering, as well as promote the services available. Applications are provided to prospective volunteers at the 5th Street Senior Services Center and also mailed to anyone requesting one directly from our office. Interviews are conducted prior to the annual 20 hour intensive training provided to those who meet the eligibility requirements. Participation in the training gives us a chance to further evaluate the appropriateness of each potential volunteer. Monthly in-services are provided utilizing a variety of resources including advisory council input and Community and Senior Resources such as Social Security, Family Services Agency, Alzheimers Association and the Visiting Nurses Association. Recognition of the volunteers is held annually. Staff, site supervisors, sponsors, advisory council members and local dignitaries join together to honor our dedicated volunteers. This annual celebration ordinarily includes a luncheon and awards for the volunteers. The advisory council members continue to provide assistance with annual program assessment of stations, clients and/or volunteers. Both the Manager and Community Service Program Specialist make numerous presentations each year. These are made at service club meetings such as Kiwanis, Rotary and to other civic groups such as Women's Clubs, Jr. League and the Chamber of Commerce. Senior information and health fairs are held throughout the County at malls, hospitals, churches and government buildings. Appearances on localtelevision..and radio PSA's areways the program is increasing public awareness about how senior volunteers are addressing priority community needs. This SCP is fortunate to be under the same sponsorship as the Retired and Senior Volunteer Program (RSVP). The RSVP staff continues to assist and work with us on a daily basis in a true team effort to For OIlIclal Uee Only 2008-292 For Otftcial U. Only Narratives ensure the success and progress of both programs. Networking and information sharing is conducted beb!eeo the Corporation for National and Community Service (CNCS) programs in Riverside. Los Angeles and San Diego Counties. A committee consisting of members of the advisory council has been formed to address expanded funding opportunities, both through foundations, corporations and by increased philanthropic knowledge acquired on the Internet. These funding opportunities will be approached individually as they become known and are deemed appropriate. Program performance and quality are assured by the review of reports and recommendations by the advisory council. Evaluation of progress, goals, and objectives are outlined in the program grant application. Programming for impact statements to support the community needs are completed as required. Identification of community needs are determined by information provided by the County Department of Aging and Adult Services (DAAS) and statistics requested from station supervisors. Organizational Capacity The applicant and program's shared mission is twofold: 1. To provide opportunities for low-income seniors to remain active in their communities by providing valuable personal service to their peers, thus giving them a sense of worthiness and enhancing their self-esteem. 2. To serve seniors and at-risk adults to maintain or improve choice, independence, and quality oflife. I n a survey of personal care participants conducted by the Department of Aging and Adult Services, 57 .. percent were 75+,13 percent were minority and 72 percent were functionally impaired. Forty-five percent of the minorities served ~ere low-income. These are the populations SCP targets. Our sponsor continues to provide the support as required by the grant and encourages our endeavors to improve and increase our capacity to provide service at all levels. The City of San Bernardino Parks, Recreation and Community Service Department fully sponsors the SCP, which allows the program the additional benefit of technical support for fmancial records and management, computers, Far OtlIci.1 Uoo Only 2008-292 For Official Use Only Narratives public service announcements, interviews with staff and volunteers, volunteer recruitment and in- kind contributiou for &pedal events and recognitions. Every year local businesses continue to contribute gifts and money toward the Volunteers' Recognition event. With the continued support of the Corporation for National Service, our low-income volunteers benefit from the financial reimbursement and enjoy the emotional and physical rewards from having a reason to get out of bed each day, being needed, and most of all, that wonderful sharing and love they experience by being a part of the Senior Companion Program. Seeing a need for support staff, the City Council. several years ago funded a Community Service Program Specialist position to assist the SCP Manager with volunteer supervision, site visits, public awareness, recruiting and federal reporting. This has greatly enhanced the program's efficiency and allows more time for the Manager to participate in the aging network activities and enhancing the program. The responsibility for staffing and supervision of this program lies with the City of San Bernardino Parks, Recreation, and Community Services Department. The entire program focuses on "we" and "our program" and everyone is like fam ily, with lots of warmth and hugs. Our program truly is a team effort. Other None PNS Amendment (if applicable) Not applicable For Ollicial Uoo Only 2008-292 For OffIcial u.e Only Work Plan/Performance Measures Total Number of Unduplicated Volunteens: 66 ,.rt 1: NHcI Community Need The Community Adult Day Care Center (CADCC) of San Bernardino has identified a 75% increase risk of isolation, depression and decline in functional abilities in the frail elderly and disabled adults in the community. The nursing staff documented these conditions in 75% of the clients initially enrolled in the CADCC. Part 2: Action Plan Service Activities Friendly visiting, reminiscing, encourgement to particiapate in activities, reading, writing & assistance with getting to the activity room. Companion will also have lunch with clients. Anticipated Input Twenty-one Senior Companions will provide 420 hours of service weekly to clients attending the CADCC, 2 community centers and 6 convalescent health centers. These services will include involvement in specific activities such as, arts and crafts, assisting at mealtime, taking walks, promoting self-esteem and assisting with academic work activities. Anticipated Accomplishments/Outputs Surrrrery Clients will receive friendly visiting, encouragement to interact and assistance with activities. Period of 7/1108-6/30/09 Accomplishment: Performa_ lie....: INDICATORS: Number of clients served per week. TARGETS: 105 clients served. HOW MEASURED: Site Supervisor's observation checklist and Companions timesheets. Period of 7/1/08-6/30/09 Anticipated Intennediate Impact/Outcome Accomplishment: Surrrrery Clients will demonstrate improvement in social skills and increased self-esteem. Performa- lie."': Clients will spend more time interacting with peers, Companions and staff. For Offtci.1 U. Only P;toP. 7 2008-292 For Ofticial U9I Only Work Plan/Performance Measures INDICATORS: Percent of clients served who demonstrate an ncrease in the amount of time they in teract and socialize with peers. Com penions and staff. TARGET: go" of clients will demonstrate an increase in the amount of time they interact and socialize with peers, Companions and staff. HOW MEASURED: Site Supervisor's pre-post evaluations. Period of 7/1108-6/30/09 Anticipallld End Impact/Outcome Accomplishment: Summary Clients experience an increase in self-esteem and social skills. Perfonna- Ilea...: INDICATOR: Percent of clients demonstrating an increase in self-esteem and social skills. TARGET: 90% of clients demonstrating an increase in self-esteem and social skills. HOW MEASURED: Site Supervisor's pre-post evaluation. Part 1: Need Community Need Seven local agencies providing services to frail, isolated or homebound seniors in our service area report that many seniors are at risk of premature institutionalization if they do not receive personal in-home support. I n a survey of personal care participants conducted by the Dept. of Aging & Adult services, 57% were 75+,13% were minority & 72% were functionally impaired. Of the minorities served, 45% were low-income. These are the populations SCP will target. Part 2: Action Plan Service Activities Companions will offer their clients companionship, activities of daily living, medical reminders. and will observe and report physical or mental changes to the caregivers and/or. supervisors, as appropriate. They will give referral information to caregivers seeking additional services. Anticipated Input Thirty-eight Senior Companions will spend 20 hours per week with 4 to 5 clients each, visiting them For Oftlclal U_ Only PageS 2008-292 For OIIicial u.o Only Work Plan/Performance Measures once or twice a week based on their needs. All Companions receive 20 hours of pre-service training and 4 hours monthly in-service training. Many of the volunteer stations also provide on-site training ..nd include the Companions in their regular staff in-service training. These 38 Senior Companions will serve approximately 165 clients per week, assisting 7 volunteer stations in the care of their clients. Period of 7/1/08-6130109 Anticipated Accomplishments/Outputs Accomplishment: SUrrmBry Frail seniors will have received weekly visits from Senior Companions. Perfanna_ .......: I ndicator: II clients visited per week by Senior Com panions Target: 165 How Measured: SC timesheets Anticipated Intermediate Impact/Outcome SUrrmBry Clients will demonstrate an increase in self-esteem, will receive proper nutrition and medication and Period of 7/1/08-6130/09 Accomplishment: Perfanna_ .......: will feel happier and more independent in their own homes Indicator: % of clients per year who report improved self esteem, better nutrition and a greater ability to remain independent in their home as a result of SCP services. Target: 90% How Measured: Annual survey of clients and caregivers. For OIIiclat \Joe Only Pace 9 2008-292 For OtIIcial U_ Only Work Plan/Performance Measures Anticipated End Impact/Outcome Surrrnary Clients receiviD& in-home assistance from Senior Companions will be able to remain in their homes. Period of 7/1108-6130/09 Accomplilhment: ........... ~: Indicator: % of clients receiving in-home assistance from Senior Companions who remain in their homes for at least one year Target: 90% How Measured: Annual client care plan review Part 1: Need Community Need Several local health & social service agencies have identified respite services for caregivers as one of the most pressing community needs. Requests to agencies for caregiver respite services are rapidly increasing, causing waiting lists for these services. Demographic projections indicate that demand will continue to increase in the future. SCP will expand respite services available by placing Senior Companions to serve frail adults, who also have a caregiver needing respite service. Part 2: Action Plan Service Activities Senior Companions will provide direct services to individuals served by caregivers, allowing caregivers weekly respite. Companions will offer their clients companionship, assistance with activities of daily living, medical reminders, and will observe and report physical or mental changes to the caregivers and/or supervisors as appropriate. They will give information to caregivers seeking additional services. Anticipated Input For OlIlcla' Uoe Only Pace 10 2008-292 For Official U. Only Work Plan/Performance Measures Seven Companions will be placed with three volunteer stations. Each will serve 20 hours per week with 4 clients each. AnlldplIIcI AccolnplllhmenWOulputs Surrmary Caregivers will receive respite services. Period of 7/1108-6/30/09 Accomplishment: Pelfarma_ IV1 Me....: ~ ndicator: ~rrber of clients and caregivers served per year Target: 28# How MeasuredTrrresheet Description: Co"",anion tiresheets Anticipated Intermediate Impact/Outcome Surrmary Caregivers experience an increase in free time. Period of 7/1108-6/30/09 Accomplishment: Pelfarma_ IV1 Me....: ~ ndicator: Nurrber caregivers who report an increase of free tirre of at leas t 4 hours per week Target: 28# How MeasuredSurvey Description: Caregiver pre-post survey. Period of 7/1/08-6/30/09 Anticipated End Impact/Outcome Accomplishment: Surrmary Caregivers experience an increase in life satisfaction. pertonn._ IV1 Me....: ~ ndicator: NUrrDer of caregivers per year w ho report an increase in life satisfaction Target: 28# How MeasuredSurvey Description: Caregiver pre-post survey and advisory council evaluation. For Official U. Only 2008-292 For OIIic:ial Uoo Only Required Documents Document Name Status Aggregate Dollar AmoWlts of funding Not Applicable MicleUfIDCOI'poIation Not Applicable Board ofDim:tors Not Applicable CPA Certification Not Applicable Community Advisory Group names and addresses Sent List of thc names of any Funding Organizations/Sources Not Applicable Negotiated Indirect Cost Agreement Not Applicable Organizational Chart Already on File at CNCS Project Director's Job Description Already on File at CNCS Roster of Volunteer Stations Sent Statement of date of last A 133 audit Sent Statement of whether applicant is subject to AI33 audit Sent For OIIiclal Uoo Only Notice of Grant Award For OMcial Use Only Corporation for :'iational and Community Service 601 Walnut Street, Suite 876 E Philadephia, PA 19106 2008-292 Senior Co~anion Progr~m Grantee City of San Bernardino 3ooNorthDS_ San~CA92"I8-0001 EIN: 956000772 _._---_._--~..:."'-_._~-.-,..__._- Nwd Iftfolllllavn .--------.--. --- AgreellenJ No.: 06SCPCAOO4 Amendmenl No.: 5 CFDA No.: 94.016 Award DescriptJon FY 2008 award with 1.747% Congressional rescission. Projed Period: Budgel Period: 07/0 112006 - 0613012009 07/01/2008 - 0613012009 Purpose The purpose of this award is to assist the grantee in canying out a national service program IS authorized by the Domestic Volunteer Service Act of 1973, as amended (42 V.S.C., Chapter 22). Funding Information Current Year Previously ThisllllardJ Total Current _d Amendment V.., This V... T...I Obligated by CNCS SO 5295.349 5295.349 Granlce's Unobligaled SO SO SO Balance (Carryover) Talal Available SO 5295.349 5295.349 Cumulative Funding lor Project Period 10lal Awarded in Previous Years 5576.868 5872,217 Total CNCS Funds Awarded to Dale Special Conditions This grant award includes a Fiscal Year 2008 Congressional Consolidated Appropriations Act rescission of 1.747 %. Terms of Acceptance: By accepting funds under this granl, the Grantee agrees to comply with a11lenns and conditions of the granl thaI are on the Corporation's websile al hllps:l/egrants.cns.gov/tennsandconditionslFGP _SCP 3andC_Revised_2l1060925.pdf. all assurances and cer1ilicalions made In the Grant appUcation. and all appUcable federal stalutes. regulations and guideUnes. The Granlee agrees 10 administer the funded Program in accordance with the approved Granl appUcation and budgel(s), supporling documents. and other representations made in support or the approved Granl appUcation. Corporation for National and Community Service: ~Wh. ~~It1 05/13/200a' Signature Date Mernbeth Penla,ugha. 215.597.9999 Grants Official Merribeth Penl3suglia Name (typed) Pag" I For Ornclal Use Onlv Exhibit B , Notice o~ Grant Award For Official Use Oaly 601 Walnut Street, Suite 876 E 2008-292 Philadephia, PA 19106 Senior Co~a'!~I1.Pro9rl!'!l___ Grantee City of San Bernardino 300 North 0 Street San Bernardino CA 9241...1 c~~ fo.r~-;~ ~c..."~~.flJ s..niic: . SasIar Cftnls 0Ilicer 'Tilk ---- BIN: 956000772 Gayle Hawkins, 31 6-23S-7104 Program OffICial rale 2 for 0Ilk1al Use Oaly