HomeMy WebLinkAbout32-Parks and Recreation
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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From: Kevin Hawkins, Director
Subject: RESOLUTION OF THE MAYOR
AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO RATIFYING THE
SUBMITIAL OF A <nNI1NUATIONGRANI'
AWIlCATION WIlH 1IIE CORPORATION
FOR NATIONAL AND COMMUNITY
SERVICE, ACCEPTING THE AMOUNT
OF $300,600 TO CONTINUE 1IIE
ADMINISlRATION AND OPERATION OF 1IIE
SENIOR COMPANION PROGRAM FOR
THE PERIOD OF JULY 1, 2007 THROUGH
JUNE 30, 2008, AND RA1IFYING AlLAC110N
TAKEN BEIWEEN JULY 1, 2007 AND THE
DATE THAT THIS RESOLUTION IS
ADOPTED.
MlCC Meeting Date August 20, 2007
Dept: Parks, Recreation &
Community Services Dept.
Date: August 7
Synopsis of Previous Council Action:
June 05, 2006: Resolution 2006-163 - Ratifying the submittal of a continuation grant from the
Corporation for National and Community Service to provide Senior Companion services to
disabled and frail elderly persons.
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Recommended Motion: .
Adopt Resolution
Contact person:
Kevin Hawkins
Phone: 384-5030
Supporting data attached: St8ffrt:port reso & application
Ward: All ward~
FUNDING REQUIREMENTS: Amount: $41,300 (city-match) and $300,600 (grant)
Source: General Fund 001-386-5193/ $41,300 (match)
I 23-509-XXXX / $300,600
Finance:
Council Notes:
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Agenda Item No.
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CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
Staff Report
Subject:
Resolution of the Mayor and Common Council of the City of San Bernardino ratifying the
submittal of a continuation grant application with the Corporation for National and Community
Service, accepting the amount of $300,600 to continue the administration and operation of the
Senior Companion Program for the period of July 1,2007 through June 30, 2008, and ratifying
all action taken between July 1,2007 and the date that this Resolution is adopted.
Background:
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. These clients have .
difficulties with daily living tasks and Senior Companions help them retain their dignity and
independence. Senior Companions serve an average of twenty hours a week and receive hourly
stipends of $2.65 per hour. They must be 60 or older and meet established income eligibility
guidelines. In addition to the stipend, they receive 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. This enables them
to serve as volunteers, thereby keeping them active and productive in their communities as well
as assisting their clients to remain independent as long as possible.
Currently, the Senior Companion Program averages 66 Companions, who provide over 286
clients with 68,640 hours of personal service each year. Services include companionship, meal
preparation, grocery shopping, and transportation to medical appointments and pharmacies.
The FY07/08 grant was submitted to the Corporation for National and Community Service
Program Specialist in April of 2007, and approved in June of 2007. This contract is for the
period of July 1,2007 through June 30, 2008; therefore, any action taken between July 1,2007
and the date that this Resolution is a40pted is hereby ratified.
Financial Impact:
The grant award amount is $300,600. There is a $41,300 match requirement, which was included
in the FY 2007/08 budget. There is also additional in-kind and Community Foundation Grant
Funding that provide an additional $29,176 (total match $70,476). Additionally, outside agencies
provide $5,200 in meals for volunteers in the program, as noted in the "Excess Amount" column
oCthe grant budget.
Recommendation:
Adopt Resolution.
:~.;t
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RESOLUTION NO.
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION
GRANT APPLICATION WITH THE CORPORATION FOR NATIONAL AND
COMMUNITY SERVICE, ACCEPTING THE AMOUNT OF $300,600 TO CONTINUE
THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION
PROGRAM FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, AND
RATIFYING ALL ACTION TAKEN BETWEEN JULY 1, 2007 AND THE DATE THAT
THIS RESOLUTION IS ADOPTED.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. That the Mayor and Common Council of the City of San Bernardino hereby
ratify the submittal of a continuation grant application to the Corporation of National and
Community Service, a copy of which is attached hereto, marked Exhibit "A", to receive
funding in the amount of $300,600 for the Senior Companion Program, and
SECTION 2. That the implementation date is July 1, 2007; therefore, any action taken
15 between July 1,2007, and the adoption of this Resolution is hereby ratified.
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25 Approved as to form:
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A CONTINUATION
GRANT APPLICATION WITH THE CORPORATION FOR NATIONAL AND
COMMUNITY SERVICE, ACCEPTING THE AMOUNT OF $300,600 TO CONTINUE
THE ADMINISTRATION AND OPERATION OF THE SENIOR COMPANION
PROGRAM FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, AND
RATIFYING ALL ACTION TAKEN BETWEEN JULY 1, 2007 AND THE DATE THAT
THIS RESOLUTION IS ADOPTED.
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor
and Common Council of the City of San Bernardino at a
meeting thereof, held
on the
day of
,2007, by the following vote, to wit:
Council Members:
AYES
NAYS
ABSTAIN
ABSENT
ESTRADA
BAXTER
BRINKER
DERRY
KELLEY
JOHNSON
MC CAMMACK
Rachel G. Clark, City Clerk
The foregoing resolution is hereby approved this
day of
,2007.
Patrick J. Morris, Mayor
City of San Bernardino
26 ~ ?f~
27 t!jnes F. Penman, City Attorney
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Exhibit "A"
PART I - FACE SHEET
APPLICATION FOR FEDERAL ASSIST ANCE
1. TYPE OF SUBMSSION:
Non.CunstruClion
28. DATE SUBMTlED TO CORPORATION
FOR NATIONAL AND COfllMJNITY
SERVlCE (CNCSI'
ll-f::!OU7
20. APPLICATION 10:
3. DATE RECEIVED BY STATE:
STATE APPLICATION IDENTIFIER:
{l7SC07M3K
O-I::!O.'07
GRANT NUM:lER:
06SCPCAUO..1
4. DATE RECEIVED:
5. APPLICATION INFORMt\TlON
NME AND CONTACT INFORMATION FOR PROJECT DIRECTOR OR OTHER
PERSON TO BE CONTACTED ON Ml'\T1ERS INVOlVING THISAPPLICAnON (give
area codes):
NME: T ~re~a L Duhhs
lEGAl NAf.IE: Cit)' of S~ Hemardioo
DUNS NU~BER 143695398
ADDRESS (give street addtess. city, state and zip code):
3UtlNl1nhIJSlreel
S;!n IknlMuino (",\ 'J:!-HK -OOtll
TELEPHONE NUfJtlER: (909)JK4.S413
FAXNUM3ER: (t)tNj lIK9.tJlIOI
INTERNET E-MAIL ADDRESS: duhhs_le(~;stx:ily.org
6. EWLOYER IDENTIFICATION NUfd3ER (EIN):
7. TYPE OF APPLICANT:
Q:.(,OlMI77:!
7a. loc;:JI Go"emmt:fll . ~Iunicirul
7b. lucal Gllwrnmenl. Municipal
8, lYPE OF APPLICATION:
NEW
X CONTINUATlON
REVISION
If Revision. enter appropriate letter(s) in box(es):
A. Increase Award
B. Decrease Award
C. Increase Duration
D. Decrease Duration
9. NA~ OF FEDERAL AGENCY:
Corporation for National and Community Service
lOa. CATALOG OF FEDERAl DOMESTIC ASSISTANCE NUM3ER: 94.016
10b. TIlLE: Senior Companion Program
11. DESCRIPTlVE TIlLE OF APPLlCANrs PROJECT:
SCP 01 San Bernardino
12. AREAS AFFECTED BY PROJECT (Ust Cities. Counfies, States, etc);
(jr...,ll~.r San lkmardiull. \'klor Vall..;.' and Momngcl Basin
13. PROPOSED PROJECT: START DATE: U7 {H,Ofl
END DATE: OfJ,jtl.W
14. PERFQRMJ\NCE PERIOD: START DATE: 07,01:0(1
END DATE; 06130/09
s {I.UO
16. IS APPLlCAllON SUBJECT TO REVIEW BY STATE ~CUTlVE
ORDER 12372 PROCESS?
X YES. lHIS PREAPPLICA110N/APPLICAllON WAS t-MDE AVAILABLE
TO lHE STATE ~CUllVE ORDER 12372 PROCESS FOR
REVIEW ON:
DATE: tll-JUN.(}('
15. ESIlM\IED FUNDING:
a FEDERAl
300.1,00.00
b. APPLICANT
c. STA 1E
S 75,076.00
d. LOCAL
S 70.-176,00
e OlHER
5.20000
f. PROGRAM jNCO~E
g. lOTAl
s 0.00
17. IS lHE APPLICANT DELINQUENT ON ANY FEDERAL DEBl?
YES if "Yes'- attach an explanation. X NO
S r't>.'::"'(,.(lO
18. 10 lilt:. BEST O~ MY KNOWLEDGE AND BELIEF. ALL DATA IN THIS APPlICATION,'PREAPPUCAllON ARE lRUE AND CORRECT. n~E DOCUwENT HAS BEEN
DULY AUTltOR1ZED BY HtE GOVERNING BODY OF THE APPLICANT AND 11iE APPLICANT WILL COt-PLY Wlnt lHE ATTACHED ASSURANCES IF lHE ASSISTANCE
IS AWARDED.
a lYPED NME OF AU1HOR1ZED REPRESENTAIlVE:
o TITLE:
c. lELEPHONE NUf.!BER:
CuM), ~ IJr..,\\ll
K..:..: SUr..:ril1l":l1J~nt
t'l\l'J1 J~~-~-lJ\I
d. DAlE:
O-l~007
Narratives
Strengthening Communities
Volunteer stations and senior service opportunities that address specific cOmmunity needs are
developed after completion of area visitations and reviewing of information being provided through an
intense effort to collaborate with the community and area agencies on aging. Programming for
impact statements will be used to establish timelines for review and determine continued needs for
volunteer placement. The Senior Companion Program (SCP) Manager and/or Coordinator of
Volunteers will visit stations quarterly. Site supervisors will be required to complete and provide a
written annual evaluation to the SCP staff. Volunteers will be encouraged to evaluate the program
and give input to the SCP staff at all times. Volunteers arc also required to participate in surveys or
evaluations directly related to their volunteer service; thus ensuring that the highest quality experience
is provided for the senior volunteer, as well as establishing opportunities for the volunteer to reflect on
their service and the changes and benefits directly related to it.
SCP enhances the capacity of other organizations and institutions within the community and
integrates senior service into the activities of other service programs in the following ways:
1. Referrals for Companion service are accepted from the Visiting Nurses Association, thus allowing
their staff to serve more clients in their homes.
2. In-Home Supportive Service (HISS) referrals not only increase the amount of socialization and
support for clients, but allows the IHSS workers to perform their domestic duties while Companions
grocery-shop, fix a light meal, read or write for the clients,
3. Working closely with the Alzheimers Association and Inland Caregiver Resource Center enhances
the clients' social interaction with their peers and gives the family caregivers some well-deserved
respite, while allowing these agencies to handle the severe dementia cases.
4, Hospital Home Care programs, whose services gh'e short-term assistance to discharged patients
receh'e on-going follow-up reports from SCPo Also, the patients receive long term care from their
Companions as needed.
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Narratives
5. The Adult Protective Service agency utilizes Senior Companions to give support, love, and trust to
abused clients, thus assuring them of their worth and right to security.
These and other agencies also learn about and take advantage of SCP services by serving on the
advisory council, assisting with pre and in-service training for the Companions and becoming
involved in the evaluation process. Other cooperating entities include Senior Legal Service, San
Bernardino County Adult School, Adult day care centers, mental health programs, multi-purpose
centers and area agencies on aging.
Recruitment and Development
Program information and applications will be distributed to local senior information and assistance
agencies, community service and volunteer organizations and senior centers for promotion of the
program and to increase public awareness of the need for senior volunteer participants. Local
newspapers will be utilized to run feature articles and recruitment advertisements. Press releases
featuring volunteers on assignment or providing unique and special circumstance services will also be
distributed. Recognition of volunteers will be requested of the agencies served. Volunteers will be
invited to attend the program's annual recognition event.
Relevant and specific information will be provided to the senior volunteers in the form of a mandatory
40 hour pre-service training that will be conducted annually for all new volunteers. Monthly in-
service training will be held for all volunteers and staff. Training and technical assistance and support
will be requested of and shared with all partners to promote and create a strong network in the
community and within the program.
Program Management
As of this year, there are 200,000 senior citizens in San Bernardino County. By 2020. Department of
Aging & Adult Serivces predict that number will reach 404,655. Senior housing complexes and
nursing (healthcare) facilities are numerous and varied in our area. The SCI' Manager and
Coordinator of\'olunteers continue to manage the stations in accordance with specified guidelines,
Page 3
Narratives
making regular site visits, as required and frequently making routine check-in calls to ensure station
and volunteer satisfaction. In many instances potential volunteer stations. are also a venue for
volunteer recruitment. Program presentations depict opportunities for diverse senior volunteering, as
well as promote the services available. Applications are provided to prospective volunteers at the 5th
Street Senior Services Center and also mailed to anyone requesting one directly from our office.
I nterviews are conducted prior to the annual 40 hour intensive training provided to those who meet
the eligibility requirements. Participation in the training gives us a chance to further evaluate the
appropriateness of each potential volunteer.
Monthly in-services are provided utilizing a variety of resources including Advisory Council input and
Community and Senior Resources such as Social Security and the Visiting Nurses Association.
Recognition of the volunteers is held annually. Site supervisors, sponsors, Advisory Council members
and local dignitaries join together and sing the praises of the continued accom plishments of pl'Ogram
staff and volunteers. 111is annual celebration includes a luncheon and gifts for the participants.
The Advisory Council members continue to provide assistance with annual program assessment of
stations, clients and/or volunteers.
Both the Manager and Coordinator of Volunteers make numerous presentations each year. They are
made at service club meetings such as Kiwanis and to other civic groups such as the Chamber of
Commerce. Senior information and health fairs are held at malls throughout the Count)', as well as
other locations, and )'ou will always find SCP staff in attendance. Appearances on local television and
radio spots are ways the program is increasing public awareness about how senior volunteers are
addressing priority community needs.
This SCP is fortunate to be under the same sponsorship as the Retired and Senior Volunteer Program
(RSVP). The RSVP staff continues to assist and work with us on a daily basis in a true tcam effort to
ensurc the success and progrcss of both programs. Refcrrals are made bctween othcr RS\'I"s and
SCP's in the LaVerne and Claremont programs. :\etworking and information sharing is condueted
Page 4
Narratives
between the Corporation for National and Community Service (CNCS) programs in the Riverside
area.
A committee consisting of knowledgeable members of the advisory council has been formed to address
expanded funding opportunities both through local businesses and by increased philanthropic
knowledge acquired on the Internet. These funding opportunities will be approached individually as
they become known and are deemed appropriate. Other avenues for funding will also be vigorously
pursued.
Program performance and quality will be assured by the review ofreporls and recommendations by
the advisory council. Evaluation of progress, goals, and objectives are outlined in the program grant
applieation" Programming for impact statements to support the community needs will be completed
as required. Identification of community needs will be determined by information provided by the
County Department of Aging and Adult Services (DAAS) and statistics requested from station
supervisors.
Organizational Capacity
The applicant and program's shared mission is twofold:
1. To provide opportunities to low-income seniors to remain active in their communities by providing
valuable personal service to their peers, thus giving them a sense of worthiness and enhancing their
self-esteem.
2. To ser\"e seniors and at-risk adults to maintain or improve choice, independence, and quality of
living.
In a survey of personal care participants conducted by the Department of Aging and Adult Services, 57
percent were 75+,13 percent were minority and 72 percent were functionally impaired. Forty-five of
the minorities ser\"ed were low-income. These are the populations SCP targets.
Our sponsor continues to provide the support as required by the grant and encourages ou;" endca'"ors
to improve and increase our capacity to provide service at all levels. The City of San Bernardi110
Page 5
Narratives
Parks, Recreation and Community Service Department fully sponsors the SCP, which allows the
program the additional benefit of technical support for financial records and management, computers,
public service announcements, interviews with staff and volunteers, volunteer recruitment and in-
kind contributions for special events and recognitions. Every year local businesses continue to
contribute gifts and money toward the Volunteers' Recognition event. With the continued support of
the Corporation for National Service, our low-income volunteers benefit from the financial
reimbursement and enjoy the emotional and physical rewards from having a reason to get out of bed
each day, having someone necd them, and most of all, that wonderful feeling of sharing and love they
establish by bcing a part of the Senior Companion Program. Seeing a need for supporl staff, the City
Council, several years ago fully funded a Coordinator of Volunteers to assist the SCP Manager with
volunteer supervision and clerical duties. This has greatly enhanced the program's efficiency and
allows more time for the Manager to participate in the aging network activities, as well as pursuing
additional funds.
The responsibility for staffing and supervision of this program lies on the Cily of San llernardino
Parks, Recreation, and Community Services Department. The entire program, both slaff and
volunteers, focuses on "we" and "our program" and everyone is like family, with lots of warmth and
hugs.
Other
None
PNS Amendment (if applicable)
Not applicable
Page 6
Work Plan/Performance Measures
Total Number of Unduplicated Volunteers: 66
Part 1: Need
Community Need
The Community Adult Day Care Center (CADCC) of San Bernardino has identified a 75% increase
risk of isolation, depression and decline in functional abilities in the frail elderly and disabled adults in
the community. The nursing staff documented these conditions in 75% ofthe clients initially
enrolled in the CADCC.
Part 2: Action Plan
Service Activities
Friendly visiting, reminiscing, encourgcment to particiapate in activities, reading, writing &
assistance with getting to the activity room. Companion will also have lunch with clients.
Anticipated Input
Thirty Senior COT!) pan ions will provide 600 hours of service weekly to clients attending the CADCC
and 9 convalescent health centers. These services will include involvement in specific activities such
as, arts and crafts, assisting at mealtime, taking walks, promoting self-esteem and assisting with
academ ic work activities.
Anticipated Accomplishments/Outputs
Period of 7/1/07-6/30/08
Accomplishment:
Performance
Measure:
Summary
Clients will receive friendly visiting, encouragement to interact and assistance with activities.
INDICATORS: Number of clients served per week.
TARG ETS: 120 clients served.
HOW l\lEASURED: Site Supervisor's observation checklist.
Period of 7/1/07-6'30.08
Accomplishment:
Performance
Measure:
Anticipated Intermediate Impact/Outcome
Summary
Clients will demonstrate improvement in social skills and increased self-esteem. Clients will spend
more time interacting with peers, Companions and staff.
INDICATORS: Percent of clients sel'\'ed who demonstrate an ncrease in the amount of time they
Page 7
Work Plan/Performance Measures
interact and socialize with pcers, Companions and staff.
TARG ET: 90% of clients will demonstrate an increase in the amount of lime the)' interact and
socialize with peers, Companions and staff.
HOW MEASURED: Site Supervisor's pre-post evaluations.
Period of 7/1107-6/30/08
Accomplishment:
Performance
Measure:
Anticipated End Impact/Outcome
Summary
Clients experience an increase in self-esteem and social skills.
INDICATOR: Percent of clients demonstrating an increase in self-esteem and social skills.
TARG ET: 90% of clients demonstrating an increase in self-esteem and social skills.
HOW MEASURED: Site Supervisor's pre-post evaluation.
Part 1 : Need
Community Need
Seven local agencies providing services to frail, isolated or homebound seniors in our service area
report that many seniors arc at risk of premature institutionalization if they do not receive personal
in-home support. In a survey of personal care participants conducted by the Dept. of Aging & Adult
services, 57% were 75+,13% were minority & 72% were functionally impaired. Of the minorities
served, 45% were low-income. These are the populations SCP will target.
Part 2: Action Plan
Service Activities
Companions will offer their clients companionship, activities of daily living, medical reminders, and
will observe and report physical or mental changes to the caregivers and/or supervisors, as
appropriate. They will give referral information to caregivers secking additional scrvices.
Anticipated Input
Twenty-eight Senior Companions will spend 20 hours per week with 4 to 5 clients each, visiting
them once or twice a week based on their nceds. All Companions receh'e 40 hours of pre-service
Page 8
Work Plan/Performance Measures
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-scrvice training.
Thcsc 28 Senior Companions will scrve approximatcly 112 clicnts per week, assisting 7 volunteer
stations in thc care of thcir clients, for a total of 29,232 hours annually.
Period of 7/1/07-6/30/08
Accomplishme nt:
Performance
Measure:
Anticipated Accomplishments/Outputs
Sum mary
Frail seniors will have received weekly visits from Senior Companions.
Indicator: # clicnts visited pcr wcek by Senior Companions
Target: 112
How Measurcd: SC timeshcets
Anticipated Intermediate Impact/Outcome
Period of 7/1/07-6/30/08
Accomplishment:
Performance
Measure:
Summary
Clients will demonstratc an increasc in sclf-esteem, will rcccivc proper nutrition and medication and
will feel happier a!ld more independent in their own homes
Indicator: % of clients per year who report improved sclf cstecm, bctter nutrition and a greater
ability to remain independent in their homc as a result of SCP scr\"ices.
Target: 90%
!lo\\" :\Ieasured: Annual survey of clicnts and caregi,'crs.
7 107-6/30108
Page 9
Work Plan/Performance Measures
Anticipated End Impact/Outcome
Period of
Accomplishme nl:
Performance
Measure:
Summary
Clients receiving in-home assistance from Senior Companions will be able to remain in their homes.
Indicator: % of clients receiving in-home assistance from Senior Companions who remain in their
homes for at least one year
Target: 90%
How Measured: Annual client care plan review
Part 1: Need
Community Need
Several local health & social service agencies have identified respite services for caregivers as one of
the most pressing community needs, Requests to agencies for caregiver respite services are rapidly
increasing, causing waiting lists for these services. Demographic projections indicate that demand
will continue to increase in the future. SCP will expand respite services available by placing Senior
Companions to serve frail adults, who also have a caregiver needing respite service.
Part 2: Action Plan
Service Activities
Senior Companions will provide direct services to individuals served by caregivers, allowing
caregh'ers weekly respite. Companions will offer their clients companionship, activities of daily
living, medical reminders, and will observe and report physical or mental changes to the caregivers
and/or supervisors as appropriate. They will gh'e information to earegh'ers seeking additional
sen'ices.
Page 10
Work Plan/Performance Measures
Anticipated Input
Eight Companions will be placed with three volunteer stations. Each will serve 20 hours per week
with 4 clients each.
Anticipated Accomplishments/Outputs
Summary
Caregivers will receive respite services.
Period of 7/1/07-6/30/08
Accomplishment:
Performance X
Measure:
Indicator:
Number of clients and caregivers served per year
Target: 32 #
How Measured: Timesheet
Description:
Companion timesheets
Anticipated Intermediate Impact/Outcome
Summary
Caregivers experience an increase in free time.
Period of 7/1/07-6/30/08
Accomplishment:
Performance ,J(
Measure: .
Indicator:
Number caregivers who report an increase of free time of at least 4 hours per ....eek
Target: 32 #
How Measured: Surv ey
Description:
Caregiver pre-post surv ey .
Anticipated End Impact/Outcome
Period of 7/1/07-6/30/08
Accomplishme nt:
Performance 'x
Measure:
Summary
Caregivers experience an increase in life satisfaction.
Indicator:
Number of caregivers per year who report an increase in life satisfaction
Target: 32 #
How Measured: Survey
Description:
Caregiver pre-post surv ey and adv isory council evaluation,
Page 11
Required Documents
Document Name
Aggregate Dollar Amounts of funding
Articles of Incorporation
Board of Directors
CPA Certification
Community Advisory Group names and addresses
List or the names of any Funding Organizations/Sources
Negotiated Indirect Cost Agreement
Organizational Chart
Project Director's Job Description
Roster or Volunteer Stations
Statement or date oflast AI33 audit
Statement or whether applicant is subject to A 133 audit
Status
Not Applicable
. Not Applicable
Not Applicable
Not Applicable
Already on File at CNCS
Not Applicable
Not Applicable
A tready on File at CNCS
Already on File at CNCS
Sent
Sent
Sent
Page 12
RPT_BGT_424
Way 24, 2007 12:52 PM
SCP of San Bernardino
City of San Bernardino
Application 10: 07SC076938 Budget Dates: 07/01/2006 - 06/30/2009
Total Amt CNCS Share Grantee Share Excess Amount
Section 1. Volunteer Support Expenses
A. Project Personnel Expenses 92,151 55,358 ,36,793 0
8. Personnel Fringe Benefits
FICA 4,406 2,645 1,761 0
t-Jealth Insurance 12,216 7,330 4,886 0
Retirement 4,600 2,760 1,840 0
Life nsurance 0 0 0 0
Total 521,222 512.735 58,487 50
C. Project Staff Travel
Local Travel 1,800 1,800 0 0
Long Distance Travel 3,000 3,000 0 0
Total $4,800 54,800 50 50
D. Equipment
E. Supplies 3,000 500 2,500 0
F. Contractual and Consultant Services 300 300 0 0
I. Other Vohmteer Support Costs 8.400 800 7,600 0
J. ndirect Costs
Section I. Subtotal $129,873 $74,493 $55,380 $0
Section II. Volunteer Expenses
A Stipends
Corporation Funded 182,622 182,622 0 0
Non-Corporation Funded 0 0 0 0
Non-Slipended 0 0 0 0
Total 5182,622 5182,622 50 50
B. Other Volunteer Costs
Meals 22,500 17,300 0 5,200
Uniforms 1,000 1,000 0 0
Insurance 1,000 0 1,000 0
Recognition 6,600 2,000 4,600 0
Volunteer Travel 31,181 23,185 7,996 0
Alys;cal Examnations 1,500 0 1,500 0
Total $63,781 543,485 515,096 55,200
Section II. Subtotal $246,403 $226,107 $15,096 $5,200
Budget Totals $376,276 $300,600 $70,476 $5,200
Funding Percentages 81% 19%
Required Match n/a
# of years Receiving CNCS Funds n/a
~.'odified SF.424A (4/88 and 12197)
Form 424A
Page 1
~lIoget NarratIVe lor V,,,'-V/U7JO
Budget Narrative: SCP of San Bernardino for City of San Bernardino
Section I. Volunteer Support Expenses
A. Project Personnel Expenses
PasitionlTitle -Qty -Annual Salary -% Time CNCS Share Grantee Total Amount Excess
Share Amount
SCP Manager: - 1 person{s) at 35808 each x 100 % usage 30,808 5,000 35,808 0
Coordinator of Volunteers: -1 person{s) at 19150 each x 100 % 19,150 0 19,150 0
usage
Account Cieri< III: - 1 person(s) at 37104 each x 20 % usage 0 7.421 I 7.421 11 0 I
Community Services Program Specialist: - 1 person(s) at 29772 5.400 24,372 GD
each x 100 % usage
CATEGORY Totals I 55,358 ~ 36,793 ~ 92,151 II 0 I
B. Personnel Fringe Benefits
Item -Description CNCS Share Grantee Total Amount Excess
Share Amount
FICA: I 2,6451 1,761 I 4.4061 0
-
Health Insurance: 7,330 4,886 12,216 0
Retirement" 2,760 I 1,840 I 4,600 0
IUfe Insurance II o II o I 0 0
1 CATEGORY Totals II 12,73511 8,487\ 21,222 0
C. Project Staff Travel
Local Travel
Purpose -Calculation CNCS Share Grantee Total Amount Excess
Share Amount
Site visits and meetings: 1,800 I o ! 1,600 1 0
Other: 1 x 0 0 0 0 0
CATEGORY Totals 1,800 0 1.800 0
Long Distance Travel
Purpose _Destination -Meals/lodging -Trans. Amount -Other CNCS Share Grantee Total Amount Excess
Travel Share Amount
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Training: NSSC Conference- Meals 0 LodginglTrans 0 Other 3,000 0 3,000 0
3,000
CATEGORY T olals 3.000 0 3,000 0
D. Equipment
Item/Purpose ~Qty ~Unit Cost CNCS Share Grantee Total Amount Excess
Share Amount
CATEGORY Totals 0 0 0 0
E.Supplies
Item! Purpose -Calculation CNCS Share Grantee Total Amount Excess
Share Amount
General office such as paper, pens, clips,etc.: 500 I 2,500 II 3,000 0
I CATEGORY Tolals II 500 II 2,500 ~ 3,000 II o I
F. Contractual and Consultant Services
Purpose ~Calculation CNCS Share Grantee Total Amount Excess
Share Amount
software contract: annual fee 300 I : I ::: ~ o I
CATEGORY Totals 300 I o I
I. Other Volunteer Support Costs
Item CNCS Share Grantee Total Amount Excess
Share Amount
postage l 300 I 1,000 I 1.300 II o I
I telephone: o ~ 1,200 11 1,200 I 0
printing and photocopying: 500 0 500 0
space 8% af 536,500 custodial service and 531,000 utilities: 0 5,400 5.400 0
CATEGORY Tolals 800 7,600 8.400 0
J. Indirect Costs
Calculation -Claimed -Rate Type ~Cast Basis -Rate CNCS Share Grantee Total Amount Excess
Share . Amount
CATEGORY T olals 0 0 0 0
I II II II II . "II
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iJudget NUtTauvt: lUl U I J'"-'V I VJ,JU
SECTION Totals ~
PERCENTAGE
74,493 ~
57%
55,380 II
129,873 ~
o I
43%
Section II. Volunteer Expenses
A. Stipends
Item - # -Annual Stipend CNCS Share Grantee Total Amount Excess
Share Amount
1 Corporation Funded: .66 x 2767 II 182,622 ~ o II 182,62211 o I
I Non-Corporation Funded: - 0 x 0 II 011 o ~ o I 0
I Non-Slipended: - 0 x 0 I 0 0 0 0
CATEGORY Totals 182,622 0 182.622 0
B. Other Volunteer Costs
Item -Description CNCS Share Grantee Total Amount Excess
Share Amount
Meals: 17,300 0 I 22.500 I 5,200
Uniforms: - 1,000 0 I 1,000 I 0
Insurance: 0 1,000 1,000 0
Recognition: 66 x $100 2,000 4,600 6,600 0
Volunteer Travel: 23.185 7,996 31,161 I o I
Physical Examinations: 0 1,500 1,500 0
CATEGORY Totals 43,485 15,096 63.761 5,200
SECTIO ,-- ... 226,107 15,096 246.403 5,200
PERCENTAGE I 92% II 6% I I
II
II
BUDGET Totals ~
PERCENTAGE 1
300,600 II
80% II
70.47611
19% II
376,276
5,200
Source of Funds
Section Description
Section I. Volunteer Support Expenses
Section II. Volunteer Expens.e.s Excess funds in Vol Travel are Title III funds.
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