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HomeMy WebLinkAbout05.P- Parks, Recreation & Community Services 5.P RESOLUTION (ID#3095) DOC ID: 3095 B CITY OF SAN BERNARDINO—REQUEST FOR COUNCIL ACTION Grant From: Mickey Valdivia M/CC Meeting Date: 06/16/2014 Prepared by: Mitch Assumma, (909) 384- 5233 Dept: Parks, Recreation& Community Ward(s): All Services Subject: 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$287,788, and Authorizing the Administrative Services Director to Appropriate Additional Grant Expenditures to Continue the Administration and Operation of the Senior Companion Program for the Period of July 1, 2014 through June 30, 2015. (#3095) Current Business Registration Certificate: Not Applicable Financial Impact: Account Budgeted Amount: Grant Application$287,788; Grant Match$47,028 Account No. General Fund(Match) 001-380-0075-5193-0000; Grant 123-509-0075-XXXX- 0000 Account Description: Senior Companion Program Balance as of. July 1, 2014 Balance after approval of this item: Grant Application$287,788; Grant Match$47,028 The grant award amount is $287,788. There is a$42,958 City Match requirement,which was included in the FY 2014/15 budget request. There is also additional in-kind service($4,070) for phone, finger printing, and utilities. Please note this balance does not indicate available funding. It does not include non-encumbered reoccurring expenses or expenses incurred,but not yet processed. Motion: Adopt the Resolution. Synopsis of Previous Council Action: 9/16/2013 Resolution No. 2013-264 Ratifying the Submittal of a Continuation Grant Application to the Corporation for National and Community Service and Accepting the Grant Amount of$299,799 to Continue the Administration and Operation of the Senior Companion Program for the Period of July 1, 2013 through June 30, 2014 and to Authorize the Director of Finance to Incorporate All Necessary Changes to the FY 2013-14 Budget Related to This Grant. 7/16/2012 Resolution No. 2012-199 executing the submittal of a continuation grant application to the Corporation for National and Community Service in the amount of$299,779 for the Senior Companion Program for the Period July 1, 2012-June 30, 2013. Updated:6/4/2014 by Georgeann"Gigi"Hanna B � 3095 6/15/2009 Resolution No. 2009-151 ratifying the submittal of a continuation grant from the Corporation National and Community Service to provide Senior Companion services to disabled and frail elderly persons. 7/15/2008 Grants Committee recommended for approval. Background: The Parks, Recreation and Community Services Department ("Parks Department") is requesting Council approval for the submittal of a continuation grant for the Senior Companion Program (SCP). The City's grant committee included agendum for approval of SCP on April 15, 2014. The continuation application shall be submitted to The Corporation for National and Community Service (CNCS). For the past five fiscal years, CNCS has consistently awarded grant funding for the City's Senior Companion Program. Since 1975, Senior Companions have provided assistance to City of San Bernardino adults with physical, emotional, or mental health limitations, most of whom are elderly. In FY 2013-14, sixty-two Senior Companions provided 261 clients with 65,850 hours of personal service. Clientele may have difficulties with daily living tasks, and Senior Companions help them retain their dignity and independence. Senior Companion volunteers provide the following services: companionship, meal preparation, grocery shopping, and transportation to medical appointments and pharmacies. Senior Companions serve between 15-40 hours per week and receive an hourly stipend of $2.65 per hour. Companions must be 55 years of age or older and meet established income eligibility guidelines. In addition to the stipend, Companions receive the following incentives: accident personal liability and excess automobile insurance coverage; assistance with the cost of transportation; an annual physical examination; recognition; and when feasible, meals during their assignments. Such incentives encourage Companions to serve as volunteers, thereby keeping them active, productive in their communities, and assisting clientele in remaining independent as long as possible. The FY 14/15 grant award is for the period of July 1, 2014 through June 30, 2015, to continue the administration and operation of SCP. CNCS requires an online submittal of the grant application, proposed budget, and narrative of proposed administration and operation of the Senior Companion Program. The application award process for this grant is as follows: staff prepares and submits grant application through the E-grant system, and a staff report is submitted to the Mayor and Common Council for approval. Both the on-line application submittal and the grant award are requested by staff for Council approval. A proposed budget was attached to the grant application(see attachment "Budget Summary 2014-15")which specified the City's grant match obligation. The City would be responsible for grant match funding in the amount of$42,958. The total grant match amount includes the grantee share and in-kind dollar amounts. City Attorney Review: Supporting Documents: reso 3095 (PDF) Exhibit a-EGrants Application- SCP 2014-15 (PDF) Exhibit B - SCP Notice of Grant Award 2014-2015 (PDF) Updated: 6/4/2014 by Georgeann"Gigi"Hanna B 5.P 3095 BudgetSummary3095 (PDF) Updated: 6/4/2014 by Georgeann"Gigi"Hanna B Packet Pg. 298 1 RESOLUTION NO. 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION 3 GRANT APPLICATION TO THE CORPORATION FOR NATIONAL AND 4 COMMUNITY SERVICE, ACCEPTING THE GRANT AMOUNT OF $287,788, AND AUTHORIZING THE ADMINISTRATIVE SERVICES DIRECTOR TO 5 APPROPRIATE ADDITIONAL GRANT EXPENDITURES TO CONTINUE THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION 6 PROGRAM FOR THE PERIOD OF JULY 1,2014 THROUGH JUNE 30,2015. 7 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF 8 SAN BERNARDINO AS FOLLOWS: r 9 SECTION 1. The Mayor and Common Council hereby ratify the submittal of the o N 10 a continuation grant application to the Corporation for National and Community Service, . 11 2 12 a copy of which is attached hereto, marked Exhibit"A"and incorporated herein by reference a 13 as fully as though set forth at length, and accept the grant award for the Senior Companion L c� 14 Program for the period of July 1, 2014 through June 30,2015,a copy of which is attached N 15 hereto, marked Exhibit"B"and incorporated herein by reference as fully as though set forth at c M 16 length; and 17 0 M SECTION 2. The Mayor and Common Council hereby accept the grant in the amount 18 of$287,788 to continue the administration and operation of the Senior Companion Program 19 20 for the period of July 1, 2014 through June 30,2015, and 21 SECTION 3.The Administrative Services Director is directed to appropriate Q 22 $287,788 in additional grant expenditures for FY2014-2015. 23 24 /ll 25 26 Ill 27 28 PacketPg.299 I RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION 2 GRANT APPLICATION TO THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE, ACCEPTING THE GRANT AMOUNT OF $287,788, AND 3 AUTHORIZING THE ADMINISTRATIVE SERVICES DIRECTOR TO 4 APPROPRIATE ADDITIONAL GRANT EXPENDITURES TO CONTINUE THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION 5 PROGRAM FOR THE PERIOD OF JULY 1, 2014 THROUGH JUNE 30,2015. 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor 7 and Common Council of the City of San Bernardino at a meeting thereof,held 8 on the day of ,2014, by the following vote,to wit: 9 4 V- Council Members: AYES NAYS ABSTAIN ABSENT N 10 0 11 MARQUEZ Q 12 BARRIOS a 13 VALDIVIA ` c� 14 SHORETT �? 15 NICKEL M 16 LO 17 JOHNSON M 0 18 MULVIHILL L r 19 _ E 20 Georgeann Hanna, City Clerk w 21 The foregoing resolution is hereby approved this day of ,2014. a 22 23 R. Carey Davis, Mayor City of San Bernardino 24 Approved as to Form: Gary D. Saenz, City Attorney 25 t By: 26 27 28 Packet Pg. 300 EXHIBIT "A" Mitch Assumma From: Femi Estrada-Petersen<FESTRADA-PETERSEN @cns.gov> Sent: Tuesday, April 08, 2014 11:53 AM To: Mitch Assumma Cc: Teresa Dobbs Subject: eGrants Application Submitted (Continuation) Submission time: Date,04/08/2014,06:53pm ET. Application Submitted! Thank you for your interest in national and community service. This is a confirmation that your LO application(App ID: 14SC1S9975) has been received by the Corporation for National and Community Service in our 0 eGrants system. N C O If you are applying for a grant competition,and your submission time is past the posted deadline (Eastern Time), note U that your application may not be considered for the competition. Please refer to the respective NOFA and application — instructions for more specifics. If you have questions about your submission,please submit a help request via Q https://guestions.nationaIservice.gov/app/ask or contact the help desk at 1-800-942-2677. c� ,L^ V Please save this confirmation for your records. a U U) Note:This is a computer-generated notice. if you are receiving this in error,please contact the eGrants Help Desk. c M LO T 1 4 r Q N a U N c 0 R v .Q a Q N a� C t6 rLn V W I X W J.I E U f9 w Q 1 Packet iPg.301 ,5,P.b PART I - FACE SHEET APPLICATION FOR FEDERAL ASSISTANCE 1.TYPE OF SUBMISSION: Modified Standard Form 424(Rev.02107 to confirm to the Corporation's eGrants System) Application X❑ Non-Construction �a.DATE SUBMITTED TO CORPORATION 3.DATE RECEIVED BY STATE STATE APPLICATION IDENTIFIER: FOR NATIONAL AND COMMUNITY ERV ICE(CNCS): 04108/14 b.APPLICATION 10: 4.DATE RECEIVED BY FEDERAL AGENCY: FEDERAL IDENTIFIER: 14SC159975 04108/14 12SCPCA003 5.APPLICATION INFORMATION LEGAL NAME: City of San Bernardino NAME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER Ln PERSON TO BE CONTACTED ON MATTERS INVOLVING THIS APPLICATION(give r DUNS NUMBER: 073604563 area codes): NAME: Teresa L.Dobbs (V ADDRESS(give street address,city,state,zip code and county): 300 North D Street TELEPHONE NUMBER: (909)384-5413 C O San Bernardino CA 92418-0001 1 FAX NUMBER: (909)889-9801 R County: INTERNET E-MAIL ADDRESS: dobbs_te®sbcity.org U_ CL 6.FJVPLOYER IDENTIFICATION NUMBER(FIN): 7.TYPE OF Go vernment- 7a. Local Government-Municipal t Q Y 956000772 C 7b. Local Government,Municipal rp L 8.TYPE OF APPLICATION(Check appropriate box). ❑ NEW ❑ NEW/PREVIOUS GRANTEE U ❑ CONTINUATION ❑ AMENDMENT fA If Amendment,enter appropriate letter(s)in box(es): ❑ W) 0 A. AUGMENTATION B.BUDGET REVISION M LO C.NO COST EXTENSION D.OTHER(specify below): r 9.NAME OF FEDERAL AGENCY: '-' Corporation for National and Community Service N a IDa.CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 94,016 11.a.DESCRIPTIVE TITLE OFAPPLICANTS PROJECT: U 10b.TITLE: Senior Companion Program SCP of San Bernardino ' C 12.AREAS AFFECTED BY PROJECT(List Cities,Counties,States,etc): 11.b.CNCS PROGRAM INITIATIVE(IF ANY): O Greater San Bernardino and Victor Valley areas,including the follow ing cities: Sa t) Bernardino,Colton,Redlands,Lorna Linda, Q s?. 13.PROPOSED PROJECT: START DATE: 07101/14 END DATE: 06130115 14.CONGRESSIONAL DISTRICT OF: a.Applicant CA 31 b.Program CA 31 Q U) 15.ESTIMATED FUNDING: Year#:❑3 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE _ ORDER 12372 PROCESS? a.FEDERAL $ 287,788.00 YES.THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE W $ ,028.00 TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR td 47 b.APPLICANT REVIEW ON: c.STATE $ 0.00 DATE 21-APR-14 ,Q 7: d.LOCAL $ 44,123.00 ❑ NO.PROGRAM IS NOT COVERED BY E.O.12372 W w e.OTHFR $ 2,905.00 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? d f.PROGRAM INCOME $ 0.00 E Q YES If"Yes,"attach an explanation. ® NO t U g.TOTAL $ 334,816.00 M 18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATIONIPREAPPLICATION ARE TRUEAND CORRECT,THE DOCUMENT HAS BEEN w DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE Q IS AWARDED. a.TYPED NAME OF AUTHORIZED REPRESENTATIVE: b.TITLE: c.TELEPHONE NUMBER: Mitchell J.Assumma (909)384-5132 e.DATE SIGNED: d.SIGNATURE OF AUTHORIZED REPRESENTATIVE. 04!08!14 Page 1 Packet'Pg.302 Narratives Executive Summary 1. THE NAME OF THE LEGAL APPLICANT(SPONSOR ORGANIZATION): City of San Bernardino ui T 4 2. A BRIEF DESCRIPTION OF THE LEGAL APPLICANT'S ORGANIZATION AND ITS MISSION: N 0 The City of San Bernardino is a local government municipality for 203 years. The city's mission is to Q provide quality and cost effective services to the people of San Bernardino. Our Senior Companion Q Y Program (SCP) is part of the Parks, Recreation and Community Services Department, which is L ca C7 dedicated to creating community through people, parks and programs. U N The City of San Bernardino ("City") is one of Southern California's most historic communities. o M Incorporated in 1854, it is a city of 21o,000 residents in 59.3 square miles at 1,049 feet above sea level. As the county seat of San Bernardino County, it lies in the midst of the booming Inland Empire o region.The City was founded early in California's history, and it had recently celebrated its � Bicentennial in 2010. Influences of Native Americans,Mexican settlers, Spanish missionaries, (n Mormon emigrants, and Railroads can still be seen throughout the City today. From 1910 when o Y Franciscan missionary Father Dumetz named the area San Bernardino to the present, San Bernardino has been recognized for its scenic beauty and strategic location,once a resort stop for movie stars and C famous entertainers traveling from L.A.to Palm Springs.The City operates under a hybrid Mayor- ca L Council-City Manager form of government. w �a Y The Department of Parks, Recreation and Community Services is committed to providing quality :Q s services, programs, and activities for all residents of the City of San Bernardino youth, adult, senior, k w Y and challenged populations. Programs include sports and fitness, after-school activities, recreational classes, open gym,nutrition programs, special events, aquatics,trips/tours, activities for the developmentally disabled, volunteer management and outdoor play. Its mission is to provide excellent Q parks, recreation and cultural opportunities which enhance the quality of life within the San Bernardino community.We create community through people, parks and programs because Parks Make Life Better!. For Official Use Only Page 2 Packet Pg.303 Narratives 3. NUMBER OF VSY's REQUESTED: 62 4. THE DOLLAR AMOUNT YOU ARE REQUESTING: v 0 N C $287,788.00 0 U Q 5. THE SERVICE CATAGORIES YOUR PROJECT WILL ADDRESS: C c co L Adult Day Care a U Independent Living �!? Respite for Caregivers CD CD 0 M LO 6, THE COMMUNITY NEEDS YOUR PROJECT WILL ADDRESS 4 a. Our SCI'will provide supportive services to disabled adults and seniors in adult day care settings. We N will provide services to terminally ill patients and their families at hospices, health care institutions o and in the home of patients. We will promote independent living by providing services of transportation, escorting clients to medical appointments. We will assist with grocery shopping,meal a a preparation,nutrition information and with referral and service coordination. We will provide respite c �a care to caregivers. w 7. THE RESEARCHED-BASED METHODS YOUR PROJECT WILL USE TO ADDRESS THAT 's NEED: w c m We will utilize our Advisory Council members to assist with surveys for Day Care facilities, in-home s U clients and caregivers to ensure that we are meeting the need, and to look for areas of improvement. Q &THE PROJECT'S ANTICIPATED OUTCOMES: We anticipate that after receiving Senior Companion services homebound frail seniors will maintain For Official Use Only Page 3 Packet Pg.304 Narratives their independence because they have assistance with their basic needs,companionship and the comfort in having someone who once a week checks on their well-being. Day Care clients who receive one-on-one attention will be able to increase their self-esteem and social skills. Caregivers receiving respite from Senior Companions will experience an increase in free time. r Strengthening Communities 0 1. DESCRIBE THE COMMUNITY YOU SERVE -- INCLUDING KEY ECONOMIC, c 0 DEMOGRAPHIC AND GEOGRAPHIC FEATURES: The 2010 U.S. Census Bureau states that there are 391,477 people who are 55 years and older in San `t Bernardino County, and is 17% of the county's population.The City of San Bernardino, Senior Companion Program's area of service is the Inland Empire region of the County.The Inland Empire a a. Cn is located in the inland valley and desert areas of the county with 23.4%of Individuals and Families w living below the poverty level. Our SCP is currently serving 11 communities within San Bernardino �°, County: San Bernardino, Colton, Rialto, Fontana, Redlands, Highland,Loma Linda,Yucaipa, f Victorville,Hesperia and Apple Valley. Information obtained from the U.S. Census Bureau indicates o N that the population of the communities served is 1,029,008 and encompasses a 452 square mile area. a. The amount of residents over the age of 65 is 193,587 (8.7%). The population by ethnicity is 53% ° White, 11% o Hispanic or Latino, and 47%Non-Hispanic or Latino. The population by race is 53% U African American, 5%Asian, 1%American Indian and Alaskan Native, .04%Native Hawaiian and Q a Pacific Islander, 24% other and 5%identified by two or more. In San Bernardino County there are N 14.8%of people living below the poverty level, which is i.1%higher than the entire State of California. L The demographic breakdown for our Senior Companion volunteers is 78%female, 22% male, 22% W Hispanic or Latino, and 78%non-Hispanic or Latino. We have 53%that are African American, 46% Y that are White and 1%Asian.The community served includes mostly low-income and/or isolated frail X elderly seniors.The 2o10 Census states that the Median household income for this area is $51,425• W m E s 2. DESCRIBE HOW YOU ENSURE LOCAL INPUT INTO PROGRAM DESIGN AND Q EVALUATION: We ensure local input through the Advisory Board members that consist of retired professionals from businesses,county government, and medical fields.We also include a cross section of community leaders from the private and non-profit sector that work in senior living homes, Catholic Charities, For Official Use Only Page 4 - Packet Pg.305 Narratives and Lighthouse for the Blind. We currently have eight very motivated Advisory Council members that meet on a quarterly basis at our location at the 5th Street Senior Center. Our Advisory Council members assist with client/caregiver phone and/or mail surveys that enable us to report the outcomes of our services. With the assistance of the Advisory Council we are working on bringing in new members. We receive input from our volunteer station supervisors via telephone calls and site visits to T 4 survey the program regarding client/patient satisfaction. N r_ 0 3. DESCRIBE THE RELATIONSHIP BETWEEN YOUR PROGRAM AND THE COMMUNITY INCLUDING HOW YOU SELECT COMMUNITY PARTNERS AND THE ROLE OF EACH Q PARTNER: L r? a We enjoy a cordial and professional relationship with the community by presenting informational programs to various civic and philanthropic organizations, other aging program providers, and senior LO 0 groups or several common interests. Partners are selected by their interests and abilities to assist the C cn program, such as fundraising,training, recognition, and evaluation. Some of our partners are the a County of San Bernardino, Catholic Charities, San Bernardino Community Hospital, Inland �°.� Caregivers Resource Center, U.S. Post Office,several senior living homes, and Lighthouse for the N Blind. Our partners assist the program by speaking about their services at our monthly In-Service o Meetings, and being part of our 20-hour Pre-Service and Orientation training. We have developed a cc resource guide for all Companions to use and share with their clients that list the services provided by a Q our partners. Y = ''Lnn V 4. PROVIDE INFORMATION ABOUT HOW YOU WILL BUILD PUBLIC AWARENESS OF AND w ca SUPPORT FOR THE PROGRAM WITHIN THE COMMUNITY: X W We will accomplish this by sending articles to newspapers,letters to the editors,public speaking engagements, community access television,distribution of flyers and brochures to senior centers, E U senior housing,libraries,promotion at community health fairs,and by word of mouth.Also the Senior Q Companion Program is housed inside of the 5th Street Senior Center where seniors come for nutrition, exercise, education, and special event programs. During these times we take advantage of the opportunity to explain the services available from the Senior Companion Program with participants and presenters before or after their programs.Through this endeavor we have increased awareness For Official Use Only Page 5 Packet Pg.306 Narratives and community support for the program, and this has helped us to bring on new sites. Staff will conduct speaking.engagements and distribute flyers and brochures at community centers and senior centers, senior housing locations, and at community service group meetings such as those by the Kiwanis, Elks, Eagles, and Lyons clubs. 4 5. DESCRIBE HOW YOU WILL BRING TOGETHER PEOPLE OF DIVERSE BACKGROUNDS: o N O O a=. We are fortunate to have a very diverse client base within our geographic service area. Currently the v breakdown for our Senior Companion volunteers is 78%female, 22%male, 22% Hispanic or Latino, and 78% non-Hispanic or Latino. We have 53% that are African American,46%that are White and L 1%Asian. Based on information acquired from the 2010 U.S. Census,the client population in the 0 CL U communities we serve is 53% Hispanic or Latino, and 47%Non-Hispanic or Latino. The population Cn by race is 53%White, 11%African American, 5%Asian, i%American Indian and Alaskan Native, o 0.04%Native Hawaiian and Pacific Islander, 24% other and 5% identified by two or more. We have a LO diverse group of Advisory Council members that include 1 White male, 1 Hispanic male, 2 African American females, 1 Hispanic female and 4 White females. Our Companions are 24% Caucasian, CL 22% Hispanic and 54%African American. Our advisory council members are 5o%Caucasian, 20% N Hispanic and 3o%African American. Currently there is no factual way to determine the break out of o our clients since this information is not required to be obtained. co .Q CL Q 6. DESCRIBE HOW YOU MOBILIZE COMMUNITY RESOURCES: L W The best way we have found to mobilize community resources around a particular cause is to speak at various service clubs; meet with local, County, and State officials; and through old-fashioned grassroots word-of-mouth. We also attend local and regional human service providers meetings, w during which we pass out resource materials that explains our mission and goals. We also take time Q after the meetings to speak with anyone who is interested in being a site manager or a Senior U Companion. Our partners conduct very informative trainings at our monthly In-Service meetings. Q They share brochures and flyers with our Companions,who in turn share the information with their clients. These partners include, Inland Caregivers Resource Center, Rolling Start,The Family Service Agency, Catholic Charities,Alzheimer's Association,Visiting Nurses Association, Inland Counties Legal Services,Meals-On-Wheels and Inland Empire United Way 211. Our Senior Companion For Official Use Only Page 6 Packet.Pg. 307 Narratives services are listed with 2-1-1, and our partners refer many of their clients to SCP. We hand out our resource guide for all Companions to use and share with their clients that list the services provided by our partners.Our partners invite us to their community resource fairs where we are able to share SCP information. r 4 7. DESCRIBE HOW, IF AT ALL,VOLUNTEERS WILL PARTICIPATE IN COMMUNITY o N _ ACTIVITIES: 0 Y M V 0. Our Senior Companions assist with manning information booths at health fairs and senior service 0. events, and handing out brochures and flyers at service clubs, churches, senior service programs and L senior apartment s in their communities.Volunteers appear on local television shows and they help a with fundraising and recognition.At these community events our Companions not only volunteer U their services to the event coordinators but also educate the community about the Senior Companion M Program itself. T_ T_ A 4 8. DESCRIBE HOW YOU ENHANCE THE CAPACITY OF ORGANIZATIONS AND �°, d INSTITUTIONS WITHIN THE COMMUNITY: U I _ 0 We enhance the capacity of organizations and institutions within the community by the placement of ca Senior Companions at the organizations to provide on-going companionship, personal assistance, a CL respite and transportation services to their clients,which either"frees up"their time and talents for 0 other care recipients or enhances otherwise very limited resources. These organizations are able to increase the amount of clients being served by the addition of Senior Companion services. One of our w stations; Inland Caregivers Resource Center,is looking to broaden their services because of the availability of Senior Companions and the services our volunteers can give to the community.We w have begun eliciting non-profit organizations with a win,win approach. Sharing with them the Senior m Companions Program as a part of their programs enhances each and every one of their own senior- s U age services. With the current state of the economy, partnering is making more and more sense and y a is encouraged by many, oftentimes making the difference in whether the services continue or not. Currently we provide on-going in-home services to clients of the Visiting Nurses Association,SB County Senior Information and Assistance(S.I.A.) & In Home Supportive Services(I.H.S.S.), Hospice, Inland Caregivers Resource Center, and the like, thus allowing their professional staff to 0 For Official Use only Page 7 Packet Pg.308 5.P.b Narratives expand service to new clients. 9. DESCRIBE HOW YOU WILL WORK TO INTEGRATE SENIOR SERVICE INTO THE ACTIVITIES OF OTHER SERVICE PROGRAMS WITHIN THE COMMUNITY: ui 4 We will continue to work closely through strong communication with programs such as Pacific o N Hospice and Inland Caregivers Resource Center to increase the number of volunteers that provide o companionship and respite to their patients and caregivers. Many of the service organizations in our c� community have disabled and senior citizen clients that need only transportation services. We plan to 0 build strong relationships with these programs and their clients,and will strive to expand our C L capabilities toward the provision of additional services such as meal preparation, personal assistance, a grocery shopping, and assistance with arranging and transporting to medical and pharmaceutical U appointments. We will work closely with the RSVP in fundraising and in coordinating Senior Corps 0 Week activities. We also plan to be involved with the RSVP in future"service day" activities. LO T 1 4 Recruitment and Development C) i. DESCRIBE HOW YOU WILL ASSURE A HIGH QUALITY EXPERIENCE FOR v VOLUNTEERS THAT OFFERS OPPORTUNITIES SUCH AS BUILDING NEW SKILLS, N c DEVELOPING LEADERSHIP POTENTIAL, REFLECTING ON THE MEANING OF SERVICE TO THE COMMUNITY,AND ENHANCING THE QUALITY OF THEIR OWN LIVES: CL a N The Companions will be able to build new skills by attending the monthly In-Service meetings. The training is generally focused around the needs of senior citizens such as changes and updates to Social w Security,mail fraud and scams from the U.S. Postal Inspector,the Weatherization Program from r Community Action Partnership(CAPS), and how to obtain needed items(safety bars, ramps, sight x w and hearing tools, etc.) for seniors and disabled adults from Rolling Start.The Department of Aging Y c and Adult Services,Adult Protective Services(APS) Division,provide training on mental,physical, and 4) financial abuse. There is in-depth training such as how to spot changes in clients with dementia s w and/or Alzheimer's disease, and what type of issues need to be reported to the Ombudsman. We ask Q the Companions for their input as to what topics they wish be included in the In-Service meeting. The Companions receive additional training at their volunteer sites in areas of mental health,how to engage clients in conversation, and how to encourage clients to participate in activities. We utilize volunteers on the Advisory Council where they develop leadership skills. The Companions begin For Official Use Only Page 8 ._ Packet Pg.309 Narratives volunteer service by providing one-on-one personal care to frail elderly and disabled adults,and they eventually develop into close relationships. The Companions are received by clients and their families with open arms and are treated as one of the family. Through volunteer service the Companions feel that they are making a difference in someone else's life. We reinforce that altruistic feeling by reinforcing it with praise,communication of successful data, and through several volunteer 4 recognition events throughout the year.Giving back to the community is very important to the o N Companions and most report that they feel that their Lives have been enhanced through their o M volunteer service. 2 Q ¢ 2. DESCRIBE HOW YOU WILL BUILD A CORPS OF VOLUNTEERS, INCLUDING L RECRUITING, RETAINING AND RECOGNIZING SENIOR VOLUNTEERS: a v N To recruit volunteers we have found that"word-of-mouth" is an excellent recruiting tool. When rn 0 potential volunteers bear how the program has changed the lives of active volunteers,they want to n LO become involved. Also,we use the media,flyers, andbrochures and speak to senior groups. We attend community health fairs and senior events to speak about the benefits of volunteering. Retaining the volunteers becomes easy when they see the benefits they receive and how much they are appreciated 0 by their clients, and SCP staff utilizes the annual Volunteer Satisfaction Survey as a tool to ensure the o Companions are happy with their volunteer service. Recognizing the volunteers is so important and so very enjoyable to do. We share oral and written comments from their clients and/or client's a CL families at In-Service meetings,and we send birthday and get well cards regularly. We thank them Y c with small treats at the monthly In-Service meeting and commend them on their faithful service. They also get lots of hugs every time we see them. We have two recognition events each year(one w during the Christmas holiday and one at the end of the fiscal year). The Holiday Social includes home baked goods, entertainment and a small gift. The Annual Recognition Event is usually held at a club w or restaurant and includes a luncheon, entertainment, a speaker, certificates, door prizes and gifts. CD E V 3. EXPLAIN HOW YOU WILL PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO r PROJECT STAFF,VOLUNTEERS,VOLUNTEER STATION SUPERVISORS AND COMMUNITY PARTICIPATION GROUPS: Project staff attends various Skillpath seminars locally. Technical assistance-is provided by The For Official Use Only Page 9 Packet Pg.310 Narratives Corporation for National and Community Service(CNCS) Program Specialist, and the CNCS Resource Center. Also,training and best practices are available through sponsored conferences and at FGP/SCP Directors'Association meetings. Staff participates in many of the Webinars that are provided by CNCS. Volunteers receive training monthly from various sources such as,Medi-Cal, Social Security, HMO's,Alzheimer's Assn., County Legal Services,Adult Education, disaster r 4 preparedness agencies, nutrition experts,Adult Protective Services,HI CAP,library services,Pacific N Hospice, etc. Volunteer station supervisors are trained as part of the MO agreement prior to 0 assigning Companions. Also,there is an annual monitoring visit of each site that is conducted by the 2 .Q Program Manager. During this monitoring period the Program Manager will again remind the sites as Q to how the program must be operated and allow for questions from each site. We belong to the San Bernardino County Coalition on Aging and High Desert Resource Network (HDRN), and we provide a U SCP information on an on-going basis to community organizations. u) LO 0 Program Management ° M z. DESCRIBE HOW YOU WILL DEVELOP AND MANAGE VOLUNTEER STATIONS AND VOLUNTEER ASSIGNMENTS THAT ADDRESS SPECIFIED COMMUNITY NEEDS AND c N PROVIDE MEANINGFUL PLACEMENTS FOR THE VOLUNTEERS: v c Through the Memorandum of Understanding (MOU) agreement,each volunteer site agrees to follow o the guidelines that are set inside the agreement. Site Supervisors are responsible to approve timesheets 2 Q and to make sure that the pay period dates, number of hours of work, and dates of work are correct N for the month being reported.Each Site Supervisor will be provided a policies and procedures manual with pertinent forms included.They are also responsible to give the Companion their work assignment W and share with the Program Manager all assigned duties.These volunteer stations are developed by meeting with station staff to explain how we can help their clients,what their responsibilities will be, x what our role is, and who will be supervising the volunteers.The Program Manager will assign W c Companions to volunteer site to develop skills and capabilities that would prepare the Companion for needed community service to the agency.All Companion assignments must meet the following a stipulations: 1. Create new or expand existing community services. 2. Provide meaningful work and the opportunity to learn new skills that can possibly help both the Companion and the client. 3. All sites must be in a safe, drug-free and healthy environment. For Official Use Only Page 10 Packet:Pg. 311 Narratives 2. DESCRIBE YOUR PROCESSES FOR ASSESSMENT OF PROJECT PERFORMANCE TO ASSURE ALL GOALS AND OBJECTIVES ARE MET AND THAT THESE RESULT IN A HIGH QUALITY PROJECT. THIS SHOULD INCLUDE AN ANNUAL ASSESSMENT OF PROJECT r 4 ACCOMPLISHMENTS AND IMPACT ON THE COMMUNITY AND/OR CLIENT POPULATION: c N C O y The advisory council conducts an annual assessment; client satisfaction surveys are conducted by CU phone and volunteer satisfaction surveys are conducted in person. Future plans include devising a Q questionnaire for High Desert Resource Network(HDRN) members,as well as for the Aging Coalition C and individual human service providers.The surveys will be developed by the Advisory Board, and n they will ask questions that will help us find out what may be some of the issues we will need to U address in the next year cycle and what areas might need improvement(from volunteer stations and LO 0 Companions), and how we might perform our services even better. We look to each Volunteer Site to n LO assist in making sure the performance measures are met by giving timely information and reports 4 CD T-- that are requested throughout the year. N CL U N 3. DESCRIBE HOW YOU MANAGE INFORMATION AND DATA TO DEMONSTRATE THE o CONCRETE IMPACTS OF THE PROJECT AND ITS VOLUNTEERS: .Q a SCP staff utilizes specifically designed reports to track budget items and volunteer hours. Reports and c graphs are created from the annual Client/Caregiver Survey and the Volunteer Satisfaction Survey. We are looking at the appropriate software available for SCP such as Volsoft and Volunteer Reporter w c� and plan to make the best choice for our program to improve on reporting options. We also prepare monthly reports for our sponsor and keep copies of all achievements,which are reported on our w Project Progress Report(PPR) and shared with the advisory council. c m E U 4. DESCRIBE HOW YOU MANAGE PROJECT RESOURCES,BOTH FINANCIAL AND IN-KIND, a TO ENSURE ACCOUNTABILITY AND EFFICIENT AND EFFECTIVE USE OF AVAILABLE RESOURCES: Financial resources are documented in the sponsor's 3-part receipt book and deposit slips showing For Official Use Only Page 11 Packet Pg.312 Narratives proper account information are completed and sent to the Parks, Recreation& Community Services Department. Department staff take the donations and deposit slips to the city Finance Department, where the financial records are kept, ensuring a proper checks and balances system. One copy of the receipt is given to the donor. "In-kind Donation"forms are usedby the Program staff to document contributions.The San Bernardino Senior Companion Program is sponsored by the City of San r v Bernardino and the fiscal management procedures including budget control,accounting systems,cash N and banking procedures, payroll systems, and internal auditing is operated,managed, and controlled o through the City of San Bernardino, Finance Department.An Independent Auditor reviews city 2 financial records annually.The Finance Department acts as the centralized and formal means of Q disseminating Cost Principle Guidelines, as well as Audit Guidelines to the rest of the Departments. Although the City had recently filed for bankruptcy protection in September 2012,the City of San n. Bernardino,Parks, Recreation and Community Services current General Fund financial capacity is U) LO $5,475,670 with $240,990 of those general fund dollars for senior services.We are constantly seeking c alternative funding sources. Currently in senior services we have a grant for the Retired and Senior LO Volunteer Program {RSVP} for $48,810 and a grant for the Senior Nutrition Program for$210,122, 4 both of which were recently re-applied for, as well as other grants that are throughout the Parks, N a Recreation& Community Services Department. v 0 5. DESCRIBE HOW YOU SECURE RESOURCES, SUCH AS CASH AND IN-KIND CONTRIBUTIONS,TO SUSTAIN AND EXPAND THE PROJECT: Q N C The City of San Bernardino, Parks, Recreation&Community Services gives approximately $50,000 in cash and in-kind contributions every year to the program through staff,building space, and utility costs that are paid through the city's general fund. The City's Facilities Division also provides routine . .c custodial services for the 5th Street Senior Center, in which the SCP staff is housed, and is responsible w for all building maintenance. The Parks Maintenance Division maintains the Center's grounds.We also request donations,either monetary or in-kind,for special occasions, such as recognition from E volunteer stations, advisory council members, service clubs and department staff. Through the a advisory council,financial support is requested from entities such as San Manuel Band of Mission Indians, Friends of San Bernardino Parks, Kiwanis Clubs, and the Eagle's Auxiliary. Organizationai Capability i. DESCRIBE YOUR ORGANIZATION'S EXPERIENCE IN THE PROPOSED PROGRAM AREA: For Official Use Only Page 12 Packet!Pg.313 5.P.b Narratives Ce, The City of San Bernardino is a government organization for over two hundred years. Today,the city houses 209,924 residents and is the largest city inside the largest county in the State of California. The City of San Bernardino is celebrating thirty-seven years of demonstrated services as a provider of Volunteer Service Programs for youth and seniors. The City of San Bernardino SCP project has been r v under the sponsorship of the City of San Bernardino Parks, Recreation and Community Services o N Department for 39 years. The Director of Parks, Recreation, and Community Services Department, _ 0 Kevin Hawkins, provides support and positive leadership for the SCP program to the City Manager, City Council and Mayor, and the San Bernardino community at large. Direct support,leadership,and Q supervision are provided to the program by Mitch Assumma,Acting Recreation Division Manager. C The City of San Bernardino SCP has and continues to work with the San Bernardino County a U Department of Aging,Adult Day Care & Convalescent facilities,Catholic Charities, Lighthouse For N The Blind, Meals On Wheels, Family Service Agency, Community and Senior Centers, etc. LO 0 M LO 2. DESCRIBE KEY STAFF POSITIONS RESPONSIBLE FOR PROGRAM MANAGEMENT, BACKGROUND, AND EXPERIENCE OF THESE STAFF MEMBERS AND/OR PLANS TO SELECT Co, a AND SUPPORT ADDITIONAL STAFF: U 0 The Program Manager,Teri Dobbs,has over fourteen years working with the San Bernardino Parks, M Recreation and Community Services Department. Ms. Dobbs started in March of Xggg as Typist Clerk a I for both RSVP and SCP programs where she performed general office duties,maintained volunteer N _ records, processed timesheets and reimbursement reports, assisted in In-Service training and w performed other related duties. ' In November of xggg she became the Coordinator of Volunteers for RSVP where she created and managed a database for senior volunteer reimbursements. She was responsible for data entry of w senior programs grants into the E-grants system and responsible for calculating and processing monthly volunteer timesheets. She participated in senior information and referral events. She made E U site visits to volunteer stations from Yucaipa to Newberry Springs,including local mountain areas. Q She initiated the annual volunteer service pin awards. She was awarded the Outstanding Coordinator of Volunteers award from the Inland Empire Volunteer Center in 2004. She assisted the Senior Companion Program for many months when one SCP staff member was absent due to ill health. From October 2006 to November 2007 Ms. Dobbs was the Acting SCP Manager where she assigned For Official use Only Page 13 Packet Pg.314 Narratives services and activities of the SCP to frail isolated elderly and disabled adults. She conducted interviews for potential volunteers. She served as liaison to the Corporation for National and Community Service. She managed and implemented goals, objectives and policies for the program. She submitted all grant reporting in the E-grants system. Ms. Dobbs recruited SCP volunteers and conducted their pre-service and monthly In-Service training. She planned and coordinated the annual volunteer recognition. Conducted site visits to volunteer stations,maintaining and updating MOU's as needed. N She developed a community resource guide for Companions and clients. Attended grant workshops = 0 and conferences. She participated in senior information&referral events. Ms.Dobbs performed a U variety of ongoing administrative duties that included budget preparation, grant renewal applications, Q and record keeping to ensure compliance with expenditure requirements, administrative and direct L program costs and performed other duties as required. In May 20o8 Ms. Dobbs became the a- a Community Service Program Specialist for SCP and her duties were to assign services and activities of LO the SCP to frail elderly and disabled adults,recruit volunteers and assist with their pre-service and 0 monthly In-Service trainings. She was responsible for the monthly In-Service training to volunteers LO in Victor Valley and the Morongo Basin. Ms. Dobbs attended annual National Senior Service Corps C) annual conference and participated in senior information and referral events. She conducted the a annual file updates on all volunteers and participated in volunteer and client/caregiver annual N surveys. She developed a budget report for maintaining budget and expenditure records. She o Z. conducted site visits to volunteer stations and maintained and updated MOU's as needed. She performed other duties as required.Ms. Dobbs received the 1st Annual Employee Excellence a Award in July, 2008. Ms. Dobbs was hired as the SCP Manager in May, 2010 her responsibilities W include,but are not limited to assigning services and activities of the SCP to frail isolated elderly and w disabled adults. She conducted interviews for potential volunteers. She managed and implemented , goals, objectives and policies for the program. She submitted all grant reporting in the E-grants system. Ms. Dobbs recruited SCP volunteers and conducted their pre-service and monthly In-Service w training. She planned and coordinated the annual volunteer recognition. Conducted site visits to volunteer stations, maintaining and updating MOU's as needed. Attended grant workshops and s U conferences. She participated in senior information &referral events. Ms. Dobbs performed a variety a of ongoing administrative duties, which include budget preparation,grant renewal applications, and record keeping to ensure compliance with expenditure requirements, administrative and direct program costs. The Coordinator of Volunteers position was filled by Shuwona Marlow in July, 2013. Prior to joining SCP Ms. Marlow was in the position of Senior Recreation Leader for the RSVP For Official Use Only Page 14 Packet Pg.315 Narratives program for over five years. She was responsible data entry of volunteer information into the Volunteer Reporter program. She assisted with gathering data for Progress Reports,and assisted with data entry into the E-grants system. Ms.Marlow assisted with the calculation and processing of volunteer timesheets. She participated in senior information and referral events. She made site visits to volunteer stations from Yucaipa to Newberry Springs,including local mountain areas. Ms.Marlow r assisted with the planning and coordination of the annual volunteer recognition. She attended several N Volunteering and Service conferences. She performed other duties as required. Supervision and c support is given through the Community Recreation Manager Mitch Assumma. He holds a Master's Degree in Public Administration, a Bachelor's Degree in Recreation Administration. Mr.Assumma 0 has over 28 years of experience in Public Administration, including over a dozen years of direct L management of senior services. LO d U N 3. DESCRIBE YOUR AGENCY'S FINANCIAL MANAGEMENT SYSTEMS AND PAST M 0 M EXPERIENCE MANAGING FEDERAL GRANT FUNDS: LO V- 4 r The City of San Bernardino fiscal management procedures,including budget control, accounting N systems, cash and banking procedures,payroll systems, and internal auditing, are operated,managed N and controlled through the City of San Bernardino, Finance Department. The budget process is 0 facilitated and administered annually via the Mayor, City Council, and City Administration. Variances in budgeted expenses are analyzed by the City of San Bernardino, Finance Department. a Q Reports on such data are disseminated quarterly. Individual City departments manage their own c budget and each department head is accountable to the City Manager. An independent auditor P reviews city financial records annually. The City of San Bernardino Parks, Recreation and cc w Community Services Department are constantly seeking alternative funding.resources in support of their community serving mission. The detailed list below shows some of the grants received by our w department(directly related to service programs). _ a� E Senior Nutrition Program -- 1978-- 2014 San Bernardino Head Start Program -- 1992 -- 2009 Q Nutrition Network Program -- 1998-- 2014 San Bernardino Mentoring Program -- 1992-- 2009 RSVP (Retired Senior Volunteer Program) -- 1975-- 2014 SCP (Senior Companion Program) -- 1975 - 2014 For Official Use Only Page 15 Packet Pg.316 0 Narratives i 4. DESCRIBE YOUR AGENCY'S TRACK RECORD IN SUCCESSFULLY MANAGING VOLUNTEER PROGRAMS, INVOLVEMENT WITH SENIORS,AND IMPACT-BASED PROGRAMMING: r 4 The Senior Companion Program and the Retired Senior Volunteer Program through the Corporation N for National and Community Service has served the Inland Empire county residents for 39 years. o w Other senior programs the City of San Bernardino has maintained for decades include the Senior 0 Nutrition Program,the management and operation of two Senior Centers, and the Inland Empire Q Senior Games.The Inland Empire Senior Games is a seven-day sports festival for people 50 years and C older reaching 300 people from the surrounding communities in Riverside, San Bernardino,Orange a and Los Angeles Counties. They participate in events such as basketball,tennis, swimming, art, volleyball and bowling. Not only are the games local but participants compete on the State and o National level. In the area of impact-base programing, the Department operates The Operation Vie► Phoenix Community Centers to work with at risk youth and families in key service area to help combat crime and poverty in the City of San Bernardino. Funding from the.California Nutrition N a. Network has improved the overall health and nutrition awareness of the teen population in San v Bernardino. Goals are set and measuring tools, such as customer satisfaction surveys, are used to 0 track patron satisfaction and involvement. In addition, the 011ie McDonald performance is a musical M production for over 24 years which showcases the diverse talents of the Inland Empire seniors; the Q production is in honor of 011ie McDonald, a very talented performer who performed throughout the Inland Empire. c9 In Parks Maintenance, the Department has agreements with several volunteer service groups such as w the Urban Conservation Corps, County of San Bernardino Sheriffs Department, and New Hope Baptist Church Summer Youth Employment Program for assistance with basic park maintenance W and beautification. In addition,the division supports the efforts of many annual park clean-up days, m special Eagle Scout Service Projects, and school community service events. Routine facility use U collaborations are engaged in with many resident volunteer youth sports groups with shared c� maintenance and programming roles and responsibilities.The Nicholson Family Resource Center makes possible the operation of a local neighborhood community center through joint coordination of essential service activities. 0 For Official Use Only Page 16 Packet Pg.317 4 Narratives 5. DESCRIBE YOUR ORGANIZATION'S CAPACITY TO ASSURE THE PROJECT HAS ADEQUATE FACILITIES, EQUIPMENT, SUPPLIES, PURCHASING PROCEDURES,AND PERSONNEL MANAGEMENT SUPPORT, INCLUDING CLEARLY DEFINED ROLES FOR STAFF AND ADMINISTRATORS; INTERNAL POLICIES, INCLUDING TRAVEL POLICY: r 4 The 5th Street Senior Center houses both the Senior Companion Program and the Retired Senior and o N Volunteer Program, which is funded through the City's General Fund. The 5th Street Senior Center is .2 ADA compliant and is currently being used for administration,training, meetings,programs, and 2 rentals. Equipment and supplies are purchased as needed through the City's chain of command, Q utilizing best practice principals. Its Financial Operation Procedures are outlined in written L documents and maintained by the Finance Department. All policies and procedures of the a. 0 Department of Parks, Recreation and Community Services are subject to City Council approval. The U) City's Fiscal Year operates July 1st through June 30th of the following year. The Finance Department c is one of ii city departments. This department acts as the centralized and formal means of n LO disseminating Cost Principle Guidelines, as well as Administrative Guidelines and Audit guidelines to the rest of the city departments/divisions. The City creates a management system and hierarchy of approval to endure timely fiscal reporting deadlines and accurate budget management for the Senor N Services division of the Department. They follow all delivery procedures of the Corporation for o National and Community Service. Clearly defined roles are in place to secure the integrity of the City CU and all of its many partners. The Senior Services Program Managers are supervised by the Acting a a Recreation Division Manager,who reports to the Director of Parks, Recreation and Community r Services Department,who in turn reports to the City Manager. Internal procedures are also in place for all accounts payable and receivables through the Finance w Department. All Budget tractions are administered by the Parks, Recreation and Community Services Department staff and then re-checked by the Finance Department staff before expending any funds. w Travel policies are in place with staff recording mileage and printing out a conformation of mileage CD from Google Maps. All mileage reimbursement also follows the prior stated chain of approvals at the s U lC rate as determined by the State. Q 6.YOUR ORGANIZATION'S PROCEDURE OR SYSTEMS FOR SELF-ASSESSMENT, EVALUATION,AND CONTINUOUS IMPROVEMENT: For Official Use Only Page 17 Packet Pg.318 5.P.b Narratives Employee self-assessment parallels the Employee Performance Evaluation process. Through the Human Resources Department,staff are trained and updated on policy changes that affect governing processes and procedures. Improvement plans are derived from the annual performance evaluation to assist in an employee's self-improvement. In addition,staff conducts yearly site visits with the site supervisor to discuss site plan objectives with performance outcomes. We also discuss how the SCP LO v office can better support the site. We gather feedback from volunteers through annual surveys. Staff N then compiles this information and looks for ways to expand and refine our program. o Other CL CL SUMMARIZE YOUR EFFORTS IN EACH OF THE FOLLOWING 2011-2012 STRATEGIC Q ca L PRIOITY AREAS,AS APPLICABLE: t9 a. 0 Disaster Services to 0 N/A Economic Opportunity ° a N/A v Education N/A Q N Environmental Stewardship c� w N/A CU 's Healthy Futures X w c a� 19 Companions provide service in Adult Day Care facilities. E 29 Companions provide rovide services for Independent Living. �o 14 Companions provide Respite for Caregivers. Q Veterans and Military Families N/A I For Official use Only Page 18 Packet,Pg 319 5.P.b Narratives PNS Amendment(if applicable) Not applicable �i v 0 N C O Y U .Q CL Q C fQ ,Ln V a U U) LO M 0 M LO d' r O N a U N C 0 R U CL Q Q 0 r O fC rL^ V W X W _ ddc G U Q For Official Use Only Page 19 Packet Pg. 320 Work Plan/Performance Measures Total Number of Unduplicated Volunteers: 62 'Pa, . &a, 3i�= ^' _....__'-,.-_•:ctl .S .�rIE�•::ht:.. . i{.�s........4€isar. ._...L.z.u.,-..- ..,A_,. rz..:!..air.x.l... , ::;9ae ...._.,.,;......xto t•in 9;i:c--::�.,a...,sy ri.::u::... y... :s„.:;;..,..... „.x.... i .. c...r.,rr•n..,.. r._..r.:..,!».....r-_....... !:-;' ux•s-.:aut. ° s:'�`:.,rrr.::: ........w..............u.-...ri_.,.,.u::.r ...c.i.a.,...,.�t...............a.f._.i....a.rz....rsx.... ..s...........�i..,., '..gym.--,{,,,!�.a... a -� :::•� tr.. s,. ....0<nu 4..........alt...t�.;...r,i........ i S.. z..:•:••.r_'.' ;a'•'.1!.....< _,,.,,.._ _..L.,r.: ..p..:. :,!'+!'z:lT �r,Qi 10.411011i:I Icz zt S r' t x.:i g:ctidii!r.7 e.!t i4 lI t Mi. ....�._.. .i z,. _.._t E�..E un ..... :..........�?a'5'r':r+l:� i i r.. .,zSr.._�!.r......... ...........zf,. C.a.:-...,...: ,!t, ,..n.u.. ..n....a.S..........zn;t..v...-:.--..-°. 9:�•i:i .93......I.e•.xi.,. ..�-t?.:31?r..L::tt:r.L....,..::::r� :.IiJ.E...,,.`.t.....4.D..L....i... a......h......,-I...aa:7s�rS.;ply:: ..,....,zr�......a....•..z..,t........,..n.:.:r::t...i:??::::r:::xit!:ar.,._:r,•t...a........ CL...:471.........r9::at -. E "*--x..i!r!:cs:.!.::.z.rat•_••-;.i'z+.:9_..,. .,L;C._.....:azr.....: a9?k•::;:»:?:;r•a:-a...,.;�:7::i!F:9:.r.'::.»..»._S.._....._..... ...........3.. iirJ.Y.tfiL... ........„..r.* t,-......0 t.m ...::nief:a:•;..x;..Y.......................... ...i::r.:.. .....a.-..-a.....f:';S;a;;.;c.....a..zt,9.”ii.5..............r.:_zi?a......£.c s....: trF:x•°.ti....... it.............D., t...r...t..z...4't...._. .._i ._.,-...«.J_•.tF'::.l i_,_r. ry.......-..�.R. ... E:�:��:>....DI.. ....f:�: •F:..^.':::•.f 1.....4...ff 1.. ... .__ _ ;....., 4...°.i.»._. .,....-:r n."':: r.^...t rnn...v ........ .....u....4 atr5,...-;.Y:...:ti°.. 4r n.....:v..E°f r.. ,s,,..Et.Sir.:::rr,?:::e?5,:7;e::::::r.:-.r....- .rm,..E....?...,ri?. a.�.....iiS:..••- __ •..-.. .F S t._ t r...ut..t a.,.. ,.u..s� ....-.. :'...:.. ••........,t.....;..5��...z.. u,f..rar •,i..;x•ri?>n•!Saf lE.i..°.-.r cif:.aJ�38?i ^i3liiig! Fk.!2i?:ioi:a:#Ei4ah:re::,.n..:3.ds...:ErL...E...,:ai.....,: �- ?+4_,�•: !:;.3i9GlEii!?"..-_.'x�,r 7�...._..aFi+a...rin..._......17:'':J�•-it...-rr. The primary objectives of Adult Day Care are to restore or maintain optimal capacity for self-care to v 0 N frail elderly persons or adults with disabilities; and delay or prevent inappropriate or personally o undesirable institutionalization. The San Bernardino Adult Day Care Center(SBADCC) of San Q CL a Bernardino has identified a 75%increase risk of isolation, depression and decline in functional = L abilities in the frail elderly and disabled adults in the community. The nursing staff documented a U these conditions in 75% of the clients initially enrolled in the SBADCC. The Hutton &Luque Centers N LO 0) along with 4 convalescent health centers have identified 60% of their clients sit alone and do not M LO participate in the daily activities. Companions are needed to assist and encourage socialization and 0 N activity participation t_....} 7 _ ... ...__a?::a(t:': �•Cstr q z t'7 aF AIR •ES,:»:i: ( rrqa-.^+�±,sra�.:�a,,Ey 4_:..��{-:.�o n..�•.,'.y.�.yS..+.v_:�C...a1.:.lx:.;_�;.:-;�rl:.:s•+r.:4r;�:.rr+�lIS.-�r,l..:.:.*:.s:._-.�.z.y.'..f lr-a.'.i'..x..i>a:R',�r•�`i.�'(Y.x.-F,,..x_:.s i:�.7.:�ce!>U r i(c:_�.....:...:�.n.:!.:$!.E f_.�•Y..:,:..�t{E d.h:._T rr::_i_:u�.xS.f r;�,I.:f.3.L.E..r:a.ca:urr...•�.ia�ri i�i,4t Ee i...zc..:.:.:_.:.a:.:;f,,,,pi1-f(�r?_.ai:.SS3a_:�a_i.t?�_xd!.,r3,.,t.i3..•tr.xEiZ t.tf,R?RtC.amurrE.z..•'�(d 4aa t:txaEL_g z!i.7.�..�.4I�E�h?E.l:..fn.a:::�ni•E f.li,4a:r u.:.i L.:�.5.:.l,iI l rJ LrxE::�m?.:�:....�ix•s u.:.:.rx�..5.0:f..?1•7�t:'.<�.:._.,�.:.._»St.4.r•3.4 tra.�•.a:L.-.'tn.-•i.l`S�I?E!.E:.;E ra�:.yi..u..:.t;u_:.l S•e•:�.�'S-E.......•.��•�pi.;r.:,i.ti r..y°t.x i�?N;.E a..:.n.i.?.j?((}.:lz .!E.r.a L?!.E.r?•�'3 r2.!...i_ •0c t i3..::.9L.•:.:4•k.:?i:.•r y+I r.E:i..-.�._iFs.^i..t. 9,-:E..*...i..a!Y-'ki_.3-.i:_t?:4t:a.E:..:r i.:.T.•ty P:,._.uu,:...c d•.I 4..M::•,E� � r 74 E�i t_t— . Ay;r 9'i�l?r,'a::_-:a..::.l:.:,e3f A•:x1�rc!-.✓:!:l i,f.v...:P�D:,S:f3,.2?.a:r.i,E: ,:r E E.T r s?,.S,?_C:eyar..3•m..<:^j3::Ea.':s...0!:. Se.:.. (/O t!it OR / P r MrM m 1EOU:r t� i+ Friendly visiting, companionship,personal one-on-one care that involves conversation, assistance v .Q CL with reading and writing, assistance with getting to the activity room,encouraging participation in N activities such as playing cards or board games, assistance with getting to the activity room. w Companions will accompany clients to the care consultants for their accessments. Companions will also have lunch with clients. ,..,.,,:F n9r•:_yi i t ..T xi- r'E3 F,t t :�,�S i t itr�'`_t xzBE'isYl...._fic q _a r?: �;n i 1 t 5 ,,E..:-•:i...b.... . - it r 1 ❑1r_.-dtp':.:.r 3!S:?,: a t' i,.l araii?7Fi F'z'S d3•r ;.i{°iF a G 3d-E i 1 :,a : .. ' ..'SI•�:{ S.�:;; 3 't. L4!:S. I t i Se. r.vE.a .... .3 E; ...r.. .... 3.. li:xr ...�. e. :�{{--,n.E..i. t�• ;ist I�,i-,::r u...k;.!!,'T a. '' tr. 3 Sub??'rttr.....iF:rNE�::-'ais•°..:iaFrtC.z: .r _:..�€.:zS^ tt:r.:ar:..::5� 1L.E., Et. : .s�,s F'�sLa.. .. .. -.�G� ..pp EH arP::•-..i l.E!H9 a:xa r. s::S:S..e.� .k:atr.�ls3'r. [ _.x:.t.t::i i..ai:.. 3..a•f=:::u°:IF°�ir::r.:8?i::a:E::.r3..: ii"s+:°.:p:e. i i �F x.3�,•m:}r•:E.r^S :... a. 9.F... t_ t°�:-. 71�._..e-r..E......, i!(... ii:. t.. !�iu{n• .�+ ...t...»....,.at... +: HIRE a'k!�3dpp:;xS •a' C rrTE :: H•5 ...#•�•:...�_.... _x�r:�'o:::li::....;�rp.�i:, ..,E.9�-•_i#h, �::....3,:..zt�Ft,�,�,F?:t:::�e:::•a�:g:x•!_!..- ....L..1-111M. .c ..t........S3�x---.: :gi.£�f;[}}I v-za i.r;,`'S.E. ;: ,•;art?? Lt: °;e!h;:,4::•IE.:°cn a-r:;t ri C ,,; s SS ..,rtL:,: + .. .. 3.; ... #.a Lr_....:S'._r-__r S..t.a•r?:9S?3:y9. . .tF!a-'r!,it....;..,....3,.. C -.. xd.»a Rs: o.,�9S:r�l��. _.��.�r.: :eu!-.i?Ir..fSit �4:�: ::;4hr lS.E.$?�ii�ri.Ey c.l i.:!:S4*:�'.°,i,ia`air.�' r. �:>�•.t;c.-.:t? F6,i.;.�.;;.i.•?...r..•::-•.E�::rl:;r�l:. !.! .. Ea+i '?x#n_�i;ss:!3::c:�s:__!=r.-;�.t.a s?!.'.� 3 z3��yml,:�.�I id._.?:�`3��sisse��e:`�€°s�'�•.�° .�s'�,i zl !`..vv.,.?� _ _i.-. Nineteen Senior Companions will provide 425 hours of service weekly to clients attending the U �a SBADCC, 2 community centers and 4 convalescent health centers. These services will include Q involvement in specific activities such as, arts and crafts, assisting at mealtime, taking walks,playing games, encouraging simple exercise, promoting self-esteem and assisting with academic work activities. For Official Use Only Page 20 Packet Pg. 321 Work Plan/Performance Measures i.t?t"xi:'!..�!!�•ri.n3'l�{v�z t i:•t:�i-ro��l 1��#."l(.,°.is`f,:,'ltc:�v P�fr i 3e•':.trrt:!:.rf:a.lg�r:Z!i.3¢`.,:1z 3<:i q�7;¢i!�i{,•:.{.}itS.'i{i r&�.t�.z.i e;f?i,.�.l.l'y..��'!l•;.'z�#�§e.P.z,i.Pi=,l:.1:i4F!�7 u us�y.?;�'sZ a�i,.'6 ,�z3ii"afa.J.ia s.!.#Sri:fs;`Ear�LESi!(sSl:i�.s:.S'kr:,rx i f#.?;r..lj:,•,ia<:3s,ri.,t!�^.rsM—SxC;i.,ia.l.msi}i l,s PP y f r.:ixsNi z•�o r it sl:G�rgA i.a;:;t�E sy3•Sjl�ik ti tE•,iith�f�z l 1.?S.-€-.?.at:.:r::t t•Y.:e#.'f z3 P r{:�i3x i!�!.az1S°ia,#�u�:-S{I r Yi::L.�.�rIei:rt R.�.<iis§��x�:�r.:��,.3f r l-hlliti:i�'.:#:.•r.i S��.xSz}z.,`tP�i.a..i:�:Aezf#x,#�St iu!P`.��.1,'5 Rt,S:F�l}tfr�l eire r.-r aaxt T;:,Pz T,:'ia P:§�t-i�x i;ii,}��:•z:zir•z;r T p: t cLi. ��n Sis az:sF:q a!;[: •if_i.,,.4 tr. . Ft Summary Clients will receive friendly visiting, companionship, encouragement to interact and assistance with activities. ui T 4 T 0 N INDICATORS: Number of clients served per week. _ 0 c~s a a Q TARGETS: 95 clients served. y L C9 IL U HOW MEASURED: Site Supervisor's observation checklist and Companions timesheets ,at _ Jtf:.z L3+ t .r.: .rst'i:i°:3,-s 7x•.Ft r •i:i :-�f,_S�tYY' #illl !ia sz:rtF 2:3;!i :r2.. N ;gj(dr. ..,tit-r° -'`•L.;.,u:r •art i!" t[tt,-•:.ri. Sr 'clu..jf»;t.slr za:pr..a�t�i;�•�.� .<.i ::, rgt 'z Cn i .'i.e: :t -!i?, 'pzz.. S:.:nls•.'°i :rr�.!:: ES.: ��" to 3�#e�?#{s:•:1�:332�{'^.,; 4:..7!i''rS ssT ,, rt F (1' {i .0 qtr'.•a! ,; ez?.#oy. i l•-'x....[{,3 .....1#::.•-:>�,t3 ti3..::r:•• rrre t.. ..., nt:iia X13,,.z •.iY'C{�c ;. ...•a .: ss :m E.r Pn_ 3,.r t,...,r..z '}z...>•�� tlr.•a"•tt r,zrjL......,{ �� r x ..? �....�+ {�. � i• �..F i< � >f.. {,a.,I_ lu �tS• za-r z zu lf: # v-s t.t l�.- r tr::.•f., .3 " 'r•ii•.^ri l�-'_..".. tiE s :'i f ii,•tr al '-- v..t�,•1 � � {°:��!-°.z�I#r =•g E- � #••zl<.1 14::11E...�.{e.:tP::: •#.. >A�^ :, ,�^z^r, r%�!' o,..raFr•.: zif 8.{;;�I1 .M� �. ? pr -''�'�##,..g- � �� nSa'�' '' -.� s i°�?::il�!ai;t13!�r'E��etr1 ��� $ t �■ � s ��+ . �LG.` s. .•»' ;S�:��i�r; a. 5, :�.pl t 1�a7 €. �'::+l:Si,�L`:��s,�sitt,.P.6k��??t�3•.!_�ai�Ll{'.1:.317 f�n�,1•z.°.Z�:�F��li4�frtil�e`���Su......F r1!,IXr�s'�t �¢.... Lt'1 Summary Clients will demonstrate improvement in social skills and increased self-esteem. Clients will spend 4 T 0 a- more g time interacting with peers, Companions and staff. U Cn r _ 0 c� INDICATORS: Percent of clients served who demonstrate an increase in the amount of time they .Q a interact and socialize with peers, Companions and staff. Q N w C rrL^^ V W TARGETS: 90% 0 .c s K W HOW MEASURED Pre/Post test rt = n•zttr•E:rr,.::: :. :•a! :..—z: • t zr _� ».p: r•:g{;::, K3C':1 .. ir�i1x S._°3r'5list7�,�� .,^�.r�tX"fE,t,-.Q •.�ur5t i..- ..�y}i. Sr rS�r-}P , 'l#�- 1'{ s� FtY E Ilx'*t3if'>g£_�{{{<'1ti,�,,•t :; :q t:t7il;;' :e�[2ta,:'�e:. i .,i:'.•, `� iE P, �,, � >_ .` C S�i"�-._fJ:f �Silifx��,�����' {§°t:��r �,{ l f� �at�1�� ._ .r# e r 4— ::lv 311:. ,!},! �:€rzi3!E• wtl n: �-z2!1�-.�:x;e_•t s �t:� .y:F a P�y. .:i:a:.••. 7•cp. :::r:v ..s.., zap t.t: r �@" ' �='.t li l�.. �i c�•'•,:,�'f; ! .af _2S•s �;v r �t� z r ��.:F{. �#,aa i', ;•:� .. � !•�€:.._ t - Fd:. ,ti.,i...i�s;;.;,:,�1.!,r:: !:. 'r33+ :g�;�;..dfi; 11r; ,�ii¢ r;>:=� �'.� .;i{;;atk',.i_Er.,... , r, '!eta t-?4E�i?i?f�'-j,-" .::!may:;_ t ... :. •Irk': P`�a;?r.�:,1!fr.,•�P::�.. �I�x::.t: .t:.-:r: �•.-•#a. '3f1:� _ .i .,�i'#1. •.l:..�1,.{�?.,:F�+:ii#=:�I..il;;:}l:a=:r:3ar(i��:�' .. £ x:���':!I ti ...�,.� ... :i :.�... :� �.a':'!,#:!-i•ltei!i§ 1!:-:'I:`SaiFi*".:� . .. ;: _ :i - �Fl::et'3€.i{,�'s�::.tl:r3;ri?#z3�#x:r>::x_:'�:'F':: E: r 31tt� �ur��,;:=lt!{? <C c a,�e� n ��. c��'.4�. ' ��.l��1 ;11 lt�l t>ift.��.:.�•.lit��,:�3P��Aa�.o��l'i��� �f'�-f,.!�r�4 �� 1...._ 3 .3.., r�; `P�_ z x �z `7.�rn �r�#•'.3 $:.xR. s..._,. � s.:. Ei R ;:3v.?.c. .3`...th...a. f, .- a .i.,... 4........ ....�. �[' 1._. u._. .. .. :... .... r Summary Q Clients experience an increase in self-esteem and social skills. For Official use only Page 21 Packet Pg.322 Work Plan/Performance Measures INDICATORS: Percent of clients demonstrating an increase in self-esteem and social skills. TARGETS: go% Ln 4 HOW MEASURED: Pre/post test o N C C r •Q NOR ._.� i:}... tr S._.._i a...GSc,- �c£san.; 4d ati-dt .reS ..j.�l, .sry SZ �,ra 4r.,.x S;...■.,.�.ax's.. ..is-a:E:^ .:s:S .... E.. .;za�..;.;; rj::ii'.x., .11.....t...IE..r.., 31:ar=• .�......Y.t... ;..Lzr..n..._ ej:s..»:. .i....a ..ej:?.e.r..,=... t.:a1 iw„c!�nm:•.nt{=.;.,..a�_....i,.._.: ��,? = ltc.� ._w ...r r�� .a }, a Eryt•• .a-•rc:r.:. s•a"i! ;aj......ke .Z .1 I�LV�` RSs_. l _ f tr t is: iv X93 x-a xi .;_.a.._.._y:�_...?,.._._3L....r.•wi:e:„•�,iE!+?=•a,2.:II':?.;��.•i_.tx•:...:,(.33•-r::z.:..�:.E..::..-r.z:_._....;:eE},x.:f1:.6 Y,,..:...fi.e.'.f.v?...i.......•.-.-,aa}:rl e:S:.f«.:'y.ri c..ir..:r't:.z.:«w.x.•?•z..::..,,.x:a..•y::._.x•e.;.�::ur.�xs..0.r.�.t,.?....,.:E3.i.=f.i`:c;i..,.�....;...r.:;e:i,•f,r'!r.ty l 3,z.,t...?..,_..ir..Y..?....2�,;?^�«n.:J.,.:Y...:m...:!....v..:_°,._i.:t.'f1_i..S.�f:..:.4:...rf,...a 4r..:..j.,e r:.t;.'t,r.a)it.a.5.�..`..u.,!:x?:«::.::..::?..,.:.3 E..:l.:_::.:_.:5......t,.-.,5:..xt.'.:.:..,!oi:.r..i...a.•.:.:_..q.:.=...!.?�..a!.....a..-r.4....•x.t a t.E._...i s..C...l>3C:.s..•,.rC.._S.Etfl;...:i.....:...a.o.r...,?a.__......�_.a.i3.v?t.�..,.8r.E�f.a.a....f:�zc.•��;...:.�..f 3-?��..E:'_:..z.1_.•e?:....ET 4x.:_.,t.?e}a ^l.j S'.t...:.L.�srn....::na...t..,.:•3_tEt:•t_.3,...:.....:a..a.,-._:te.xr•.zj._!,.S_1....:1.?:..S.e.:.i:_l:j::a:...;.4.3"._E:°.=-a:_.:..h....(..�'.:..t�!:Si5�ce:i_�:,c�:a......'>i.te1f,.tap..-:I..s.=....K::.._::t{_f jreD x a.:...}.:..,fi:..d 3r::,..f.t=_x;E...it:__.`aEr.':atr,,t.��;?!.:?..a�°_cp,ip,.t:3:.s:.•u.:•!..,'•1:..�u.. .y'...... �-i u.. y d:- 6^r :. T :. _ .rrr n ..t.`»"..:..e.k...._....,......._—. -.a.t . V A recent study by the California Department of Aging estimated that 30% of woman and 17% of men a. U N over the age of 75 need some form of assistance with personal care. The study went on to show that iO 0 0 in the age group 65-79, 17%need some form of assistance. In the age group 75-84, 28% need some EO T form of assistance. In the age group 85 and older, 49% need some form of personal care assistance. o N The age group 85 and older is the fastest growing segment of the U.S.population. Several local v Cn agencies providing services to frail,isolated or homebound seniors in our service area report that o many seniors are at risk of premature institutionalization if they do not receive personal in-home CL c. support. In a survey of personal care participants conducted by the Dept. of Aging&Adult services, Q r c 57%were 75-x, 13%were minorities&72%were functionally impaired. Of the minorities served, w 45% were low-income. These are the populations SCP will target ...55 .c- z.:l33S a ::saai Buis •ra.a ,a� ...p t.etEE y, ft=..._..,IL r-ds�e H „I ...`3t �tJG1-V:♦-- �`� 1tz..;:^,r.:zj?�;;j c. e.�•E.•.:,L••�i r< '1 T !...ilz a r tS !7SeEldlt..._v j. . z;;.a.r.:...}:!:: ., rt..E•r= ::aE:: .........t.F:fa•"Ci;::j,jL {:'=,r::sit:.. .i,`.::?eRS a..1z.1 s. '::E53di3°°i 'sti3E' Ei�!'s° ygRrq:...w...t e.,: .. ....3-�... ..s?a S>a l.: !': E..ii .:}j:.. _Fj4u!s=L»- .e r.1f1.::u _. a.... }:�..... _[E.,33 tas ..:.x,:E 3 E.. _.? :,.,...... �.?�_..E..,...#::.t �;: .I .9 a•r:�.. .13 31 .......:.:•�::: ., s... i..::.t........:ae::a� X S;r- .x....e::r•,5,,.alb.. x_..:: ,: :..frxjt t#s: x....,s.'E:?:•t:dEt: :::'::::zla=t. ...,.I .r .9.:=a t e.f vL ....1 tt _,1 ...,i.... {1. .,.. _.. j...z'`;2 E.. E... .. .t,i.,..�'�.... 3_3:..,f ...r.t.. x:. :..:..,�i::�'ajE�Ei•=x.tj,:,#�,t :=t=�a :•:-. =e....x=;:a.t.x:f:::a:NEi�i'Ej:;�t:-:313:�7(.1?E:;:F;:a}'- .._. It[ � � .ti,L.,j .f],..•_ .«.. ..ia.::at, � Y .:t..(tent i.S .<):11�.t. :t:'tt::.�Gt::.t........i.t iT•u.y.:..i-...dr..it'F.:::?j: A4:'�::'':i W :l�,.:ia}E,j i,11 i ,..:` ,. rE .?,1;,. E:! . _. '# ,• 3,• SE:.L.a!,:xa s:::a.,:•a,; ..:1}ro,�.a.. r-(3. _ j.. ;:• :..l., .,..t.., _ !.. 3a!:r,;�.,a '$,?:,... 19a.x ' a::3!.....`i,ac rs.e....._.3FSii::: •-sY:r^u::9 r;= ::, s=ar.:`S..:u , -.• , _E..,€:::--'Ya:.... _.;:. •?::. it<tn •f...: . E::: ,.4...3€ ,...,,E.....1.....11::::.... j.:jx !j silE`:j; .: _ •? :.a.','ha. a...: x.., n.- ..rf t1e ...,.a xa.... ¢ I � 1•Y�t( ? ^jza t c , , � i:c •'F piL l,�j' EE?74::ezEL:2!ieiS;�is.'*-.tt.sY::it E...3C" ..j:• _..a .....:..e..^.�ejr. .i.i ;ct .a-ilt� _v.�E %Tf` _"ltill '2 � t 3_.i ;__.,?,_`(» ri-l._tM 6�ni.-,;;_ - - !_ Companions will offer their clients companionship, activities of daily living, medical reminders, and s will observe and report physical or mental changes to the caregivers and/or supervisors, as Q appropriate. They will provide transportation to get groceries and accompany clients to medical appointments They will give referral information to clients seeking additional services if :i ......1 °1...e'-:. elhaS(?e, xi£t.1 E .... ' t y t j4 '�aS� � ....a` z'S-ir t il3r.i S G•: E.» t• 4 >a=..3?tr,s , : zE..... .rx i,f I Cr rf! x •7S t.x l r..SIS..., ?...3t u'iz:3 is :4.. �.cigx ctt ?t•? s. :3 i .:. r:t ;t .•r r_r..._. ... Y.:!:adst::_L.e: t.ol. 4 r Ex i14 ....,{. l..::.. ;.'..3..., eez`vie'e:Eif#jj•.... J# ••i=:: 1•; 's!!t;.j3#,. ,... :- ,!.!. _,a ::!i•:• .. ::.:_.? _.,....t • E;as1. 1,....E,1:a::::"�_..,...:. -3 4 3E=.as::i •-;- ..Y :stf3.iia.. :: a.., .::: 'r;,._ ...i;`;:r; •,aelfj ';i:1E., yt e�:.i:E:a!::46'EF.j=. _¢n-si::i L<Sf s .`c:..,3.!.?E:::rs:::Q-;:qpa::£.#�... M .4� S; QL�r �. U.�:a3a3� i:.j j.�' !aln:r: t.. t. :�.aj�'I;,.":'fta'.:.E:.:n<....-... ew x.:il,.x.:._-...ex.. _. c,.7x...... 7......._.. .. - -,....S:S+i::�ESojiiv u:ri s S! x.e.. t , 9`?.... ..: t _... Twenty-nine Senior Companions will spend 20 hours per week with 5 clients each,visiting them For Official Use Only Page 22 Packet Pg. 323 5.P.b 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 and include the Companions in their regular staff in-service training. v These 29 Senior Companions will serve approximately 145 clients per week, assisting 3 volunteer c N C O_ stations in the care of their clients. # r ts:::.., ,....z:'iEi" i!•W^}..;tri°lskii:��ttrs;}.a-.jy 3� i: •% 3 ct� r 3 f 3��8• j r5: .r r•,pj!::}•J::rEEJ:^:tE- ..`}i;Wi?::ii rLli :ii•'r } .t'.re?i!E a es,e ::Si:r..a°(9s_:i'�tSi.•c•,e.....33., s ..i .�. {{,{' rp 'nlf7ua' it,i..! �}u7,,,lt: _ "Y -•`= ,: — ittil:.:3 33'e:a •:� r`�a�E' .a.... :_e a ss:•! .rc.s ei�•...... .s3e:4Eia3_. ✓f C!•1 s+% �. Q - ISW:,.I!.....c,., fill n•t[t;••:t'feti:.€k- s:Say 28;.....,f:..^.'es �;.t,..•,_ .a_s x Ji'..,r c �i'i f° ii�i':•if�;;; .y�'-!k:§��,,' _,�?r;�3 r:.-iit u�t?°:tr!.u;,l:m'.a:!r,»!!_.a,sEwc....°f°C�i' ��;.,a:i:.s:e �`�: 3q,�� �'`-�"r-aa(... s }:: 'i @:�}3�:�: a:. °� :E>:3! :.. .�}.3,���l:::tr E:::..,;,..:J: �:.3 ;.,�},� i •l�:�:::�jt`3.,. �.,._ i�. ..•�J t,�,• -��- •� .33, t�..,.s! af;#�si:,f, r.�•�aE..�t�. �-! �' i!�- roE r :!a a.Y .� .,r.., a t.... s J...,3:}E.:�K�}: :+'•e'i �rz li sir:-i.�l.u.:ss:.... .;..ust�i• � ret'i' ji Q. E}E.:i;.„�. , 5: •; 4J,t ':J a:.i{:i:!}.�;, ° Cl. -.;a4,rr,� ; };,r.-_.- {J ..,:E.. 4 `y' 1 4�@ ' Q, i .. � r: .x.�F:iii .;. .::•i;a: _ r�j�ll'C.£� .._..:3K.:. u If.-n.,._..I ';�i,:!'?L_�__ `1'1.-.s !?!S fai3 i I-�' f£!i i.i??••"SlG...r..t�s.;!S^3_,e_f•c3'zi„�aat-:i'-i. s''.u.-?I' ._ Q Y 6>.».....�k_-�Jn !dz'•;.?--_JY,........._.�._.3.Jid..::YU.rvi.. 3'$ I 1 e:__ Y Summary Frail seniors will have received weekly visits from Senior Companions. o. U N LO Indicator: # clients visited per week by Senior Companions o M LO T 4 r Target: 145 a U U) 0 How Measured: SC ,�y la_?i7 E.e?�:e:E i,��_•�,i-i,..x:r�='s-�Er a°=:s s uealitisl�!,:z i��.,,a>..ew'i'ir'..R..EaSr.[6..:.;.`:i!?:m...;.::�,cw}�i-5.:r 31.:.'�a.�,t:r�:'r�...a y;;_o;,�.a3t=}ii E Wm1.c'E.p.i.•c.-er�}s•.t,L,.s h(:: eee ts Gx:..��Je''SJ}i••:i?C•;o�-id asrt"i.-s':y..'}:ia:,.:i:;.i:'eft(r�:.:i_••�mi,:;s'_'•43La.�1 i:3 4::ix_:E':rr S4 i•�i.^e(i 7��I;'7 3l'.:1a3tTtrie;;,€r�3�'.,i.�Ea:iX.-�.is,i:.l'i7s.!?!i�.t E1.f,.r;�r t,z=!�'.:itSa,�!i a`.�..�.�i.,a__I�zf'ii y...s i:r:.]i:,a'S=°a f"ii•r::t a:•i dl...�'x s'11 .:�s=''t T!.i•.iJ.ii'r..t-.�c, Ja�s�^�cc a.s!'�a 3.�}L_:c.ii.s.P sEi.rl..i.V:,s:Efi:i W.l?t.�)�y��i r'!•3 I.�s Sj•,!�j�.Ja:t=S�e''.'rwm��'si.:�S'.e�.=s.'nE-�i.-3•i i:;.,f..te.l tGtiel1 s:_{:i.p i lxs!::3:.:a�•:a.:i i s}f�..3�a.'3iJ E E Y,=ei:::...•�ly=r�t'if.~,..�•i•t=,,i!!.,:�`<n�•-���l j"r�,_.:t,i.s�.�ca 9�&..j i.'.J: .2 � lS £ Z 5 L V P.1 01-1 �:; N ° Summary Clients will demonstrate an increase in self-esteem,will receive proper nutrition and medication and w will feel happier and more independent in their own homes Y 's X W Indicator: %of clients per year who report improved self esteem,better nutrition and a greater m ability to remain independent in their home as a result of SCP services. Y Y Q Target: 90% How Measured: Annual survey of clients and caregivers. For Official use Only Page 23 Packet Pg. 324 i Work Plan/Performance Measures r v a^r::azs:R•t s. r r .,e:..__. f:.?"' ...:!f: _._..,.:. •'t m sr s :..r...,..... c:f M.xt iSi:3iLA_. 'i itrsr•_,- s°•s•tmr! 41 i5�ti!ri',it"y!8?R+f:?![f:P.?iii�'r<"3i iS_. f'-:'ti?i N .. q 4f# v j r:r!.Sii S6 i«t E?€i3:.:•ra�ili -m t+Uk••:,,,,. S`iyt... (F!iE� l s.t3•Y, ��,,t�t tirx 1�i..-P.�jS Y!;I:. •l;g S: ;x 3 44ieiSs.._. ,..,Li', 'ni? itSl�it•��i :.p:i y �` {t•`"? 3 •r"•itit..i. ..la 7. i r i§ye,; y:i d.1�s€i•#r'z;E ei. l at��IJi.:re Yf €f ^< .€ . :1'V' s�i 3! :, y�Vfi EhnF..:•tfasii�:'s' .R*•... !f-uY4n.,.•Fri •,,,t s €o .,. t€ ?(; r, �f�jt 17 iii,#ri. �,(#is. .rr#� s1 : .r;.,. .�t�i�i k �4.P ,. Ir:} 1 sei°Jte:.:iii lit# i gG 43:i�#:5,.,s ..._. €, ;i:€•t, I�t,�r'„1'., 6 rds.����t� Uf�W,GiI. x x.I..Rd��z�SE:.!}�;.;;€€a;�.it�.�ii•u4I3?'z vFA��O [f�[.y�1r1 'f�� t�;I (# iii � i z.ID=Et 1?'#��'`��. -���p - •'•: S� z7 :r •:isri{iui:v..:-:y .a . s i,,n i4�y {!t ....sys - fF���4 @it4 4 iS!?:Si#nab ilium ra{ a?�#IiiB�9�atunRS:4 x32 �..Si n•'u f€ U?vv?335 iltti{ .i�av c_# FS J f8_-___ a 4ub{ i; f�:;• :rur_..0 Summary Clients receiving in-home assistance from Senior Companions will be able to remain in their homes. V_ T Indicator: %of clients receiving in-home assistance from Senior Companions who remain in their 0 N homes for at least one year o .2 0 U .Q Target: go% ,,Lnn V a v How Measured:Annual client care plan review N LO o M A T ...:.a:.rr-�:::s:.-,_...... .,y..:..:r... .... Z...:.:::":.ar:::::....::a::•: t;,.� RS¢i'i�e_;:;•£t::i'.a`4y.:.;}'.t.xuze!'Sii°i;2:'!i' =t....,..... ....r.....E ti:r.::.::-3•.;...;:..r fi._.,. ....,-y'la.af......i#,su::..a e...z..,n.dsf..e. ..._::. _r.....�. ..^zz...._: xa_x....+. .n..... .iyEt a. tl...:s:!• 8••eI.?7 .-.y-a.-fa z aI�I:.:x:e• 'SS3!,.....-. .:::r:_yae._...... ia�! :;.t.t:e:.anA;.;;a.q................. v{#:ca+:�::..._....-+... r,:,�i Q:::a•rai!�iur•:=•r1r?{?E!r.:mssr .•�..s.,.•n.....s-?3:rr€..... „.._.. i•4aa:Su. ..aSr.:aa:-e....:.!•ii3iFi� •l.Sns;s....., erF•rr.:--•s9..^.L.. :.r.:..-..d_::.:z::as::r.:.z.;i h......s 5.....,�si.k:...c:ez:ai:!kr. aR:! .vs�...a.;....`��.�:eae:ia�i°E:::re�a t�•,;..4_;.^.q... r...�s abt�c, :; a.i....i.an., s yz.a:- t!#�.. ..�vE♦..z ,?.,... S R .�" u ra s -s r:•• ..:cY ': t f.:...ti!!t "iin:r.°•: t°• -a ei.ti[tfi.-_ ji a,�:•rrt: lilt R.xct- i 73; ..� x»s.. it`s 5k'zr S r.s.3!!i•.r mi;f:.. S"_..a t::::a. tSiz...nH zt'r3,.;:e•u€s+�;.;.. :iriH ,u$.v..?a- ..sys.. N ay�3 I3 fi�.u.:u::i�5;�•i•.: L �.t z•n{ �i� _ y •c =t s.....r F =-�•u tif3e:i� u:».».,rn... ......:;:.-•v. •:r.-z c:^�s::Fi..; .r:Fn''•-:.-a ra :ilS'...�:aai' z:rm:rs+a'f1.amR ...a»�?:i3uc.@::°•c.ar,::• 'a.. :Slr. ,.Sa�L•.. "'C::•az 'rs:n°•sat..r.. _ .-aa:',rr si?:::c r....a.R: t. •vssv.ayes._-..._�a:x:m^•v oft ..�:. $ ._.�::. :J�.;..a,...i;:3::::::z: NY'::: •..,s.,...:.,r:::�• ... sS`"?aR::......0 ::yz:? tt to •• F...: ',:::-.ra°=' lr.=r_-,...r ;.._..... •#'r Iaf:-.:.. :rFH.>..u:Sl:6:_pto R..._ ..Cy:iix::iz.::z?:xd.-,....,..,,a$�..,eiir•..:. x'k4::xa_ ir:..�ft».:eRa..:l...;,ia:..::•... fin-r..s...R.:ni::r;.o:°ir.?Sii::::...... .._.... ��??++ ., ...r•r -- � 1 ..e•rtr-'..:a•x t• --.....,rlt.+.•.;zy,.yi .::5•pp i 3 f....{c.S:_a.i:.,.._....,,.i - d ::n-.-;^yt•:f?a•:?"sdc.... tt!•......;ai�y,�.•:::°;yzyjr^cR•a•: d :::rr}-ir::r:°•;:iG°S:F•.a., a a!: r.....:v 7_....v......?•- l!c: ?f.?ec••�f.aS'r'�3.. ........... ......f.......282i:•:.a .as, to .r,�ra,•. --vey .s...,:z... :r:...,;"P'..... +r!.Sc;,;..;?ri::±e:.:.,5::::......... i..... •rrecR3�r €sa:::r._.ti...., ,.,..:aws?v.�:?::--Ss,..:., n_ca.. ._m....?....arz::n>'ssFt?a-:;x....,,...:rUl; .. .a - ,_•:r Er3�� i,t::_.t?t'1.15t e^;•::;r.�: -ei•:,...;;sex a .,.!:a»:::.r...a....at......,..tiR.......,:at:° a:m•......,. _..?r::::.?.,r,rite:....nsr•°.`a:_o. ......R...•ars......,e..?•:a:•.,....... �,T1I� ,II:. e ,.l 3:.....:ii{,�''.�eireL{r;v:4#i>.1Lx �i i:_a:,:l!si�!S:F"tta.. •'t .....e.t a..:a.....+i_ .«, ay.a!'_ a Ra.:.:c ..._t±_.. .rs.v+ f _ ... ,.?„ __,,..._. _.v.......,,., It is estimated 50 million Americans are currently taking care of loved ones at home. This can be a , c 0 very difficult and stressful situation for the caregivers. In fact, many of these caregivers are part of the sandwich generation,people who have children, demanding jobs and aging parents. Many of C N these families do reach out for help in the form of respite care and longer term hourly and live-in ,,L^^ V care,which demonstrates why the non-medical home care is so important and needed. The Inland w Caregivers Resource Center, Pacific Hospice and the Visiting Nurses Association have identified t X respite services for caregivers as one of the most pressing community needs. Requests to agencies for w c Q caregiver respite services are rapidly increasing, causing waiting lists for these services. Demographic t U projections indicate that demand will continue to increase in the future. SCP will expand respite a services available by placing Senior Companions to serve frail adults,who also have a caregiver needing respite service. ?z n-vs;i$fS;S%'T:,r2. ,cSa°u..:. -.}..n r ivfu I ,_. is ... ...r..t.iir ry•I=iei .:.L:__z P::::?:a.s:v�n.a. ..iRe� I r. .i. � S #.a..... e i S+t$-: � ; }},,�� q .e.....-... S I t......�i n e..a t:::za•.d..:r r. ...r ......... -..,..^•.a._..t .._L7 ,a a�za.•--::.h.:..ss1i:.:;di's?�{i(:....ecf�°.?=i .it.3i �,7y, ':..r'k�i'N7 JCS-:Y':�. �y: :.. tra"r c ??s=as;tzyN al{r..(rye.......... L_.... ....tc........':...,s4' {..t......z i,i3:::r I..,.... ::a�':::. S f"i:.4� ....{rtx........1':i'.:::a^,t�.' f'- :_.nt.....t..:.:':;r•; �';c :F�:��,/1�l�tS•�r�`I.�a i�ta9.s<a7�� a_.::Ssa:�71iS_u,t..sP.�:4�o a_ �.rw:.ru:....i...a:ai� _..__....... � :i:r�v......c�z�. ...._.,.d HN.<�„t!i..,....,,....... ...........r..,.�.i......._e,......_:, _.u,... z ...,r For Official Use Only Page 24 Packet Pg.325 5.P.b Work Plan/Performance Measures .._x .5..,•...._7fi°s:.. d.._,_�•{. ,..t.._t p ,it .i K. angry i,Er., i"'J -,q-i.raz�u�rW,�7, •tWl _ F{7•;u 5:"i:.. �AS2;•=er:a aU.tt_.y Eisai Ivi2 5ay�ptY"'-E,°_.rttN2Piirtif f 7.ili.. ,x1° 2 f7e ..y.i8'ti a .I•,', fe.. } t ,i a z it.?€ ! H!3S:}x7x !fx 5r ;r4!•,•.y}§r -#91,.�f6 tt :,•31..:.�} arm'ua,�} ..Ixff?r' #!Lr t k'>"}dY-aK,€t i, tzt r tt > f <... '}} '� :tl;il.. EtE3 i :' t.,y€ ,x{tt•YI :tiik�s'�_fi i;Ir '3:,'9:=tlil,#::i,,ff#:�ait::I: j:::i FIt}„,ig:i iFiJ.siE:•, 3r :ror! �;., in°x In�,Ee !.... !I . I E6ii 2:•eF �!f3�,�ti, _;:x` . .... :P tEu 51, f'''..aiii€�a,...., Irt a' •lE`• is E} a.y' ,!I ix! �E!€}t. }ra e� ?£" i.,..!Yi•• lS i sFaii eE,Rrr ht,. a! x•,r:t¢!.,n :,:::,;t:auE!,Y•,::3'=_'i>Q2-'33_..EI SHE fE.6 �E€ t:.rlfrk••xi.�l:�'#3 111`E,1i13..... �,�3�. ..�4�� €a�:,:n6$?euH:,trf��� •a„I?t�.:.lna�t•..,i�;t.. ..,,.EEC::-.,r�i� �.as....a:z r...,..e.... 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 T to the caregivers and/or supervisors as appropriate. They will give information to caregivers seekin g `r o N _ additional services. 0 .,.. .,arr•.r..., .. .::.:»,f�;...tta:�:_::t;Nii:4f 1, `r -2,.E, L.j .. t, .is::`r:7,u:1x:c o::.tE....r_•s #.....: :&:..c +l.,,. E. ,,...,...c...x .n _g5:....-!ail3:r..(... _...,.._ .#_._.t:;..l.»:r.,,;r. at:: !3ar _l,s.iPl,...x3.a:.3€,.. ...m ,•nr }F'rl< 2.....af.,r...t ,.i.,,...f. 7E:!-El:a tJx..'.fir`• ..}€f•-.�,a:a.2., 1..1 s::`:Yryia:. s. `°i• , ,c�:x v. :e: r. f:.. Lr:.r rr.;;i:E te_..L Yt?�!'rL-a..... ani137^a-tt!. .!;ra i. •?;!zE'}::e a..saa!••'sE: :•$!Yic:•...,ai.: i ....Y7.1 9u3tsrc :ai3 i xr]; i.m. SI:c•'t!i"•jjjj ri S!;�• :::""v.p ..... x171 rr:,t E;:r t•?::j�c ... .-,r.;:.nt:c••:-r..i••..cE'S:'i_t:rr::.. •�?I},h x....P...3.'. ..:•}iz:+iti�I ..1.,:••Fas�eErtlr•5?.......r},yY .cEiF::{ 31 1 t .ft -I Y,_..1 tY...16I.. { ,.tf, !'• .. ,}.I,:::: t�ii5 :^ ^x F; ::1+•II ., tE�,..Y13:.H 9.::'i1%Yt:'ii":'1 ..•`Y .'Y 1 gg...L.Y!j.?:tl!ix!•:: E:...�_(!.. x I... a.:'.S.Y...:::"WgIr Y,..e111..I.lI.. •:'r•Etd: ;..:.a Rill.. t�•.:t!;°.: pl::::i .ad» l••- .i. e•,,::' , �. .F.laxY..ZI•::c:'Y;:art r',€Erl,l;.;.rzx t,..r+° :Sr:rr<i.:..,aES3;..},r:n ...,I.rni ,..:t r af:,Y u:1::::::tf'::a•:::::`c ..srl�'�c. �.�7:{.2•i:��._...i�....x, :•7>::?::: :.r.;.;. ..,.xos. ,.,,la::::'- {'lP•E tr ..f:a•:atez.n ::S•:72t::,t�::f:•::: ..h`r2!,,.-rg.•;: :orei 3?._•3!iE;,t .. :::s.rt3:S•xl:fstc:_i2.s::d::... .Q CL ytu;x:.,gi.. ,....::>:Y i ,.. r.:..•s'ui.:.Y. .r.:.e n `f,...!...... .r.•1 e:,x... i a.s .. .r..._.1.a;.;:,.E Ei.. a..ES,L.t .. ...r tz!,sirs ,._TS:I::t..,.:;a �t�ctd (�+°n ...o-1 h. L.::{•,t' ,,�� , l,.a-tF•t...r.. 1R�•.....:I;;..,i£:.....x..::.�:5.F'€Ir _.. E ,I_...t.. ...,.,_F }di.i,.t t-L.c..xr.....`35. "`-`-:!•::.t 1-.._.73 ::__ K•_.a,Z z3il:�:c:icilrts�:�;lt:i&Ei}iitd:-r_a..._-.ti. �6t �...i;r,.nr? t77iW�,� ;f.«rll�..i.'T°r...1tE.....('?-..-7...1 .j .......3 � i�r.;:a.. II.anr.,.-.3t.:.::xY. « .,7,._..... Q Fourteen Companions will be placed with two volunteer stations. Each will serve 15 hours per week with 3 clients each. -t , ...c:r r-',• t.:.'7„ -.° .._.. .. :3P_`,:.:x7,:•t a. .fT<... E.... �! ..2. ( ,. !._.::::T 9,:e:.ixs::::'a':rEh?.....t,qt ir Y•{.:i! Ei�ii:;i5'€!!�'{.....i2-Y.. r.a.yzx .�:lli=:Eiilii.,.n•a'!?iff::a:,€,.-, :::a:...ur€i.::„!..tx2-: :•,aeBe^.E s,.._^au:nk• "€. 2••xE:r., - .t( .�I y a ''� Y q:..' 3 � r,F:: L•I!sa i>;-a?...3r:x: - iI''-i ..e`ic;' ice.,EF••,'.;:: t ! 1 °ire.n .:a:S' b•i..jt,....' ::..E S`yLG! 2.p7}Y^:'•.:.i•::.. p�}::T!al::Y:Lri xti:7?::...1.s„� �ftt{{...:1 ;} [y 4 iw!>;.{:^2ix t+ a:.?r- ::::},,c:i ..e i• to s,ts. .;,r` t....., .mrs....s,,... E: .r.. a._7:{ IG I,iQI: '9i _<. tV- :..1 (1� a 2,. p7 a Ef .e;.. ,,r Ytl.:r•..NG. 'i'."r:z, •:9s•14.7� .:'. t S-- •::. E :;:,: ,y S..J a ,.:!' € L.^...., ..fttFi'°f5e i...1! x YiTx U) € 'rytF"'air.i, ':L:. / 17 rr•at.i E. Ia,:-:��ix .Y r .'? s}j. •n Sf.:�. 3_•S.s. i .E.L 3.• Y::s iil AC:4:3:: 1:^ 'Y'' °t€3:ur ,'?€�:•a.3..z:e`dc:. . L l!-: E aii!;::1 ! i;- i{ !.. :,E;:if;::,`s .E..;I� G' #!: :!' i3!- !} M� }a_a:sa:, (�n tA�t��fl,:_. o-rir &!.. }` �ij[r' €:i E!e-su $`�• ii + Qz 1 {Y—= 4 xt :I x.1.- 1•; ia.,'.y:.. } p �Pr's Ii~ �,r � "ff E � } ��tx rtt '.,aE1. t 'f t, ' xi1N .. YS ?� }:...i 9��r,fE L. �_{}}�€7T see.... .r.,» f} t Pill., `!'s's'..-EY r . ',`I-.,.?2F..iR'° i •:'!•k:�Ir',•11ts1:f ,as:,:.:::,.. ? r.n:;"a<, ,.i..ue..:;.,1:?atfR•?n. ±, 7- ....-E,....tx. >•...3..rla._t.,-:.l�..i:lm:y --ula,....;2 ,':3:} :..i t.. LO Summary `O Caregivers will receive respite services. u- T Indicator: 4 T Number of clients and caregivers served per year. N Target: 42# U N How Measured Times heet 0 2 c~s Description: Review of Companion timesheets and client care plans. a ,��._ ... 2a ,.:i�2l:"`1<;_- :Si .::€ E. :E::`s•1 ..0 7}E=`hi=�"�!-s:�::E'l3::':i2 3 tta=:! aE,` �;E.:..:.�3.;.�?I.}t,..:;..:.::r 3�,:�z.:_:�-afE�:•:•E.:�}-y E�,a`E•�=.a 3 EE.s I,�2._:::!•y:t•�i r:!-3s;:`t�tl,t.:,x:s.iR�et,:.:.:.�FcE:..::�;.,.,_�Iri.:Y•t}tfi;s!�t t t:.:Y. ,Lt��.•s.1�l.,::,.,.s.:,3j.1!��r.F-3�1.�t::::a,a,..�c,t l.:a-xrI:lx�:�::'RE!s,:;]f!.<.c s i r:z;.;+:=.r`•.p t.Jjr.}:.t;p ia:s:.rl!'�E°!E t_.}{?t a••••t ist i:}..:;1....;�d'��x''-"..}f:J�.,.��.i'.;a..;il.,_�a.�{t..:.:;,..3>.:•,'3,�1.::.:�.Et'�a,,..I : ..:I.E.l+}`l.r,.�l,, �w.t}x i-'iY�,.i.�:-i a ei.l s M<"�,=�Lg'" �, ... 'i rto+ f tI•' - �ed"r fp •Seidl: t��i .t�in�►-j,,'�{�ps�s{S!”�Fc^r E_.e'ss-�'a �i d/�.a.xf. ry �t xFU•i1.y�-��rct37{4Rir:i!�'ti:L[�::,�it�r:�'SE��SF3=i,uin ;!}7. �,` ..;ic ;. _ �n .��'._ �3::: x::Y.:`z�:::a.�•-° !� � •Y`(rrrit':::,�at: ,x:�z{}:r x��-x N�� j.��1'�$,1.1,��1a :�G1!xey.�:: rl is F a•s:2. ..I�Ia::.??or..:t.23r'}i- t.;u�:�l}«Li!Fi o uiE-!`��.�Q '�i�n,:?�93�•In''f3 � ai_"3r-.�Ht[��tr R-i.... sr•FE�_,.37. '3�?.�..Yrr..}ntBS?r..L3S�"-'iar•?'i�.tr rna,_L>.t. I,,_.r3.�..1. a t ?::�..,i. ._E.,.:., x_�,-..,..fit.;a .._.ta.>. .:__..-_.,. fLD Summary w Caregivers experience an increase in free time. ' Y Indicator: Percent of caregivers w ho experience an increase in free time. w Target: 90% a� How MeasuredSurvey E w Description: a Annual caregiver survey. ....,, ........:::::... :,-•::r,....::::r-, .:_. s ..:-t•�:*a::•;cif - t_zi.-f'r• iii u...... y:-,..YS,!u!•• - ,t....r;......a.af�I.:.,I.. ,;;..xY s............... ....::ei.aesn-•... ,r"..!. _ G..,.,......,a'l,•. E.a,.r..`- _.nsn.,, .:f__._......ca...r ,k^itF:,tx?apali::r_.:.::�c=....,r..,.... Y....c�tu. •-� t....3' &•.1.. .a..... "+5,.. ...E2_an.......:........ ...,;:;vi9:i,::isi�:::iix -`:'r'u'`:::r:rx::a•2f'::n::e-•-s:f:::.r�:z}:x... ..r. .t... :..ea...<.,- ,�.,.. -! ..••_..,x , '. y�,,, cpas:.,i -., s--..}EE.....:r..,.., r...::•xi :........... ..d..•.p,.. ._S.r.....x.. x..,•.•,a:;...-,r...ulr`.t,..(i... ,. aii�'•nppx� .nfr, ... ... - �'-9 In ... ...cJm .:...> F..� :.e:i _. k.� Ir..- ..Y,s.f}.c•::u.. ...r.. ..:_•.aa-...,;:'i;: .....::-: �i... -.ig: j7..-:"12.... ::i#:a`ai ...eaif:a s ::�:.. :. ....mr.I!c;..;_..�,.<.t.; .......-e::;r.:;x,....7:•�iie ':,.s:r},::,...x:::-�::r........:......:c...c:{...1.::m!r.•nL...::::..:5_..�s.... ­9 In ..... ..,,,.<........_c. .i 7 1 SE _ ... :. -. .. .. Psi I �"' =,.:"::v:..3is'iy�s:ac:�i'7tPf:gc, , ...,,•,. .. .I.:.L,........,-.....v - �rE ::�14t••}€}1..Ix,,.,,,f,ai"si. .:P Il .. !1Y ::�f... .... •t'Y--= ::"'••i::::iF:• ...,..5::x:::E`....... ,-,1..Y..p:AY! L��:IJ .• — _ .. r.. ..YYE.« :ii... ..... .. .EI ...{ 6...Y.I.. ,... 1-.i....rt.•:.... ..t.. .,t......... ..�,i'-:�i�::::::^.it 1��.i:::;::t:i .l�'t::: 7.. ,1:,,x:.,3 ,.,......._t: ,_a.,............. :.. Summary Caregivers experience an increase in life satisfaction. For Official Use Only Page 25 Packet Pg.326 5.P.b Work Plan/Performance Measures Indicator: Number of caregivers per year w ho report an increase in life satisfaction. Target: 42# How MeasuredSurvey Description: Annual caregiver survey and advisory council evaluation. 0 N C O w V CL CL Q C cC L a. U LO M 0 M LO V- 4 r O N a. U N c 0 U Q CL Q N r C /Ln V W k W W (D E U f0 rr Q For Official Use Only Page 26 Packet Pg.327 Required Documents Document Name Status Aggregate Dollar Amounts of funding Not Applicable Articles of Incorporation Not Applicable Board of Directors Not Applicable ui T CPA Certification Not Applicable T 0 N Community Advisory Group Names and Addresses Sent o List of the names of any Funding Organizations/Sources Not Applicable 0 a g Negotiated Indirect Cost Agreement Not Applicable Q c Organizational Chart Sent n. Project Director's Job Description Already on File at CNCS Cn LO Roster of Volunteer Stations Sent M Statement of date of last A133 audit Sent r 4 T Statement of whether applicant is subject to A133 audit Not Applicable c°•i o. U N C O R _U Q Q N r.r C R rrLnn V W .F+ k W i+ c�c G U V III III For Official Use Only Page 27 Packet Pg.328 , EXHIBIT "B" r,Or Official Use otdv (DU ty Of Grant.Awa r colrpotration:,or NatjooW and.Coanmunity Service 601 Walnut Street, Suite 876 E Philadephia,PA 191`06-3323 Senior Coat ZtPii011 P P 1 _..-. . Grantee --------.. City of San Bernardino EIN:956000772 _ 300 North n Street San Bcmardldo.CA 92418-0001; _.....:............ . iilV Cd In o $i.ot1 _.._._..:................——...... .. :. -- r Agreement:No_~ 129CPGA003 Project Perrod< 07'!Qi/2311Z 4!6!30!23115 N Amendment No: 2 B ingot Pe di U71i 1261.4.-06/36/207.5 c 0 CFDA No.; .. 94.016' . Gtarit Year :1 s Award Description....._....: _ .Q This aniendmem,awards FY 2014 SC1?funding. -__... _.__..•._.._......___. CL Q Purpose .........._ ....... __. ..._— .. !'fie 11t1rlxis-e of this award is to assist.the.grantee'in carrying out a utati6jtal service program.as authorized by the Domestic (L Volunteer Service Act of 1973,as am6gd&&(42.U.S.C:,Chapter.22): U Funding Information - —_. LO a) t'rsvtovsly This Award! Total Current o Year 3 Awarded Amandment year Cl) This.YeAr.. Total obligated-by.CINCS 338Z;78R X237,7$8 0 _............................... :......._.. .. .....—_..... ..._-_°---.._.-................ _.... N U'rattlt�'s Clno8ligated $0 so v, 13alsuicc(C airyover). . so Total.Available $d "t2$7,738: 82$7,7RR N Cttnaulat:lve Funding 46r Project Period Q Total Awarded in prm'ous Amendiveats $537567. C Total CNCS Funds Awarded to irate $875;355 U 0 m funding Source and.Amount o 2 014--OP81-1'77-UPO-22515-41111 �a�........:.:... _ _ $287,788.00 a U rn _.........._.__..............°__.._.._..-........ ...... _ ,,..:__..........._:.... :_..-.-................---.._.:.__....._..-,..,.....-_.._..:,.: ...........:.... , Ternis of Acceptance: By accepting funds under this grant,the grantee agrees to comply with all terms and conditions of tm the grant that are on the C:orporation's websfte at w hops://c:grants.r ns.gov/ternismi dcondifons/F GPSCPTwidC�Rev'-sed2Ol3l204.pdf,all assurances and certifications made#n the :c grant application,and all applicable federal statutes,regulationsand guidelines. Ttte.grantee agrees to admfrdster the funded w Program in accordance with the:approvedgarit..applicaifoil and.budget(s),supporting doc:aments,and other reprasentatlons. made in support:of'the approved grant:.appiicatidn.. Corporation.foc National and Community:Service: U M 0S/29/20 t4 a Sigttatu� die Merribeth Pentasuglia,215-964-6324 Grants Official --. Page 1 For 0f icial use only Packet Pg.329 5.P.c For Official Use Only : Notice obi' Grant Award 601 Walnut"Street, Suite 876 E Philadephia,PA 191.06-3323 Seinidr Grantee; _�_. .__-__._ .•.�... - . Gity.6f$an Benwdino.. tiEln �II`d 5t5 30(}North_D Street San:'liectt wing:C:A LO �r 0 Corporation for National a&t'&nmanity Servicer ..:_ .... .. c 0 Merribeth Pentamglta _.._. ___............._...._-.._..__..___.... tame(typed) _ _ Q 5eriior:GmtsptYicer Q Title spa L Giexory Edeksen,31 Q-235-7708 to LO LO 0 • N 1 v 1 c N L . .. .. - V0 d V 0 Z U Ui W :.. .. V I Y Q Page 2 ,For()Fficlal Llsc Uul:e Packet Pg. 330 March 27,2014 1:15 PM RPT_BGT 5,P,d SCP of San Bernardino City of San Bernardino ration ID: 14SC159975 Budget Dates:07/01/2012-06/30/2015 Total Amt CNCS Share Grantee Share Excess Amount Section I.Volunteer Support Expenses A. Project Personnel Expenses 67,407 42,329 23,022 2,056 B.Personnel Fringe Benefits 14,700 4,859 9,357 484 FICA 0 0 0 0 Health Insurance 14,616 6,577 7,674 365 Retirement 0 0 0 0 Life Insurance 0 0 0 0 Total $29,316 $11,436 $17,031 $849 C.Project Staff Travel Local Travel 345 345 0 0 Long Distance Travel 1,681 1,681 0 0 - - - Total $2,026 $2,026 $0 $0 r D.Equipment 4 T_ E.Supplies 1,267 1,267 0 0 N F.Contractual and Consultant Services C O I.Other Volunteer Support Costs 4,068 468 3,600 0 c'0 U Criminal Background Check 470 0 470 0 CL Total $4,538 $468 $4,070 -$0 Q J. Indirect Costs Section I.Subtotal $104,554 $57,526 $44,123 $2,905 - --- - - - Section II.Volunteer Expenses (? A.Stipends a U Corporation Funded P 171,554 171,554 0 0 :)n-Corporation Funded 0 0 0 0 Jon-Stipended o - - CO) Total $171,554 $171,554 $0 $0 B.Other Volunteer Costs LO rn CD Meals 21,120 21,120 0 0 Uniforms 0 0 0 0 Insurance 552 552 0 0 E Recognition 2,060 2,060 0 0 E Volunteer Travel 34,976 34,976 0 0 to Physical Examinations 0 0 0 0 Total $58,708 $58,708 $0 $0 Section II.Subtotal $230,262 $230,262 $0 $0 m - -- - Budget Totals $334,816 $287,788 $44,123 $2,905 Funding Percentages -86.7% - -13.3% E Required Match n/a v tC #of years Receiving CNCS Funds n/a Q Form 424A Modified SF-424A(4/88 and 12/97) Page 1 Packet Pg. 331