HomeMy WebLinkAbout20- Parks, recreation 7 Community Services CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From: ANNIE F. RAMOS, DIRECTOR Subject: AUTHORIZATION FOR THE DIRECTOR OF PARKS, RECREATION
& COMMUNITY SERVICES
Dept: PARKS, RECREATION & COMMUNITY DEPARTMENT TO APPLY FOR AND
SERVICES ACCEPT A GRANT IN THE AMOUNT
OF 1230,526.60 FROM USDA FOR
O
R/
Date: APRIL 25, 1996 THE ADMINISTRATION OF THE
SUMMER FOOD SERVICE PROGRAM
+� FOR CHILDREN.
Synopsis of Previous Council Action:
The Council has authorized the Parks, Recreation & Community Services Department to submit an application
to the United States Department of Agriculture for the Summer Lunch Program since 1977.
my _
Recommended Motion:
That the Parks, Recreation and Community Services Department Director be authorized to apply for and
accept a grant in the amount of $230,526.60 from USDA for the administration of the Summer Food Service
Program for children.
Signature
Contact person: Oscar Perrier Phone: 5231
Supporting data attached: Staff Report & Application Ward: City Wide
FUNDING REQUIREMENTS: Amount: NIA
Source: (Acct. No.)
Acct. Description)
Finance:
Council Notes:
Agenda Item No.
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
STAFF REPORT
AUTHORIZATION FOR THE DIRECTOR OF
PARKS, RECREATION & COMMUNITY SERVICES
DEPARTMENT TO APPLY FOR AND ACCEPT A
GRANT IN THE AMOUNT OF $230,526.60 FROM
USDA FOR THE ADMINISTRATION OF THE
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN.
This federally funded program for youth ages 18 and younger has been successfully operating
since 1977. During the summer of 1995, thirty-five feeding sites were established at locations
in and around the City of San Bernardino. An average of 1,900 meals a day were served.
This program provides nutritional help to children who would otherwise be deprived of food
assistance received at other times of the year under the National School Lunch Program. Meal
preparation and delivery are contracted with the San Bernardino City Unified School District.
This program is fully funded from the USDA grant and no general funds are required.
Additionally, approximately $7,200 in administrative costs are reimbursed to the city. This
grant proposal application will cover program operations until September 1, 1996.
grantSumFoodProg-u
4/25/96
CALIFORNIA DEPARTMENT OF EDUCATION
CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION O nM PLEASE PRINT OR TYPE ALL IWORMATION
APPLICATION FOR PARTICIPATION
CONTINUING SPONSOR
SUMMER FOOD SERVICE PROGRAM Retumto:
California Department of Education
CNFDO 8040-C(1198) Child Nutrition and Food Distribution Division
35-8360-0 P.O. Box 944272
Sacramento, CA 942442720
SAN BERNARDINO, CITY OF
PARKS REC & COMMNTY SVC - SFSP Attention:SAC Food Programs Unit
547 NORTH SIERRA WAY
SAN BERNARDINO CA 92410-4816
SECTION I . NAME/ADDRESS CHANGE (ONLY COMPLETE THIS SECTION TO INDICATE CHANGES TO THE ABOVE INFORMATION)
THIS IS AN: ❑ AGENCY NAME CHANGE AGENCY ADDRESS CHANGE
(NONPROFITS MUST ATTACH IRS NOTIFICATION) (NONPROFITS MUST ATTACH IRS NOTIFICATION)
AGENCY NAME
LEGAL ADDRESS CITY ZIP*4
SECTION II. AGENCY REPRESENTATIVES'INFORMATION AND DESIGNATION OF AUTHORITY
A. CONTACT PERSON
NAME OF CONTACT PERSON TITLE TELEPHONE NUMBER FAX NUMBER
Lynn Knutson Rec . Prog . Coord ( 909384-5070 909 )384-5160
E-MAIL ADDRESS:
B. AUTHORIZED REPRESENTATIVE
POSITION DESIGNATED AS AUTHORIZED REPRESENTATIVE NAME OF INCUMBENT TELEPHONE NUMBER
Senior Recreation Supervisor Oscar Perrier 009) 384-5231
FAX NUMBER E-MAIL ADDRESS:
909 ) 384-5160
C. AGENCY BOARD OR EXECUTIVE OFFICER DESIGNATION OF AUTHORITY --
I, AS AN OFFICIAL OF THIS AGENCY, HEREBY ASCRIBE TO THE ABOVE DESIGNATED STAFF POSITION AUTHORITY TO ENTER INTO WRITTEN
AGREEMENTS ON BEHALF OF THE AGENCY WITH THE CALIFORNIA DEPARTMENT OF EDUCATION FOR THE OPERATION OF THE SUMMER FOOD
SERVICE PROGRAM,TO PRESENT CLAIMS FOR REIMBURSEMENT,AND TO SIGN FOR THE AGENCY ANY OTHER DOCUMENTS OR REPORTS RELATING
THERETO.
SIGNATURE OF BOARD OR EXECUTIVE OFFICER PRINTED NAME TELEPHONE NUMBER
Annie F. Ramos ( 909) 384-5030
TITLE Director, Parks, Recrea- DATE
tion & Community Servs Dept
..
C tFORNIEA D ? 4RT(St E .:OF ED CATIC3N tiSE f3NLY. .....
APPROVAL OF CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION
RONNA JAKOBITZ,MANAGER
APPROVED BY: SUMMER AND ADULT CARE FOOD PROGRAMS DATE
CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION
S TELEPHONE (916)327-6465 ❑ FAX (916)327-3427
CALIFORNIA DEPARTMENT OF EDUCATION
CNFDD 8040-C,PAGE 2P
PUBLIC AGENCY-DATA BANK INFORMATION-FY 96 AGENCY NAME: San Bernardino, City of
1. OTHER CHILD NUTRITION PROGRAMS IN WHICH YOU PARTICIPATE 2. WAS AGENCY EVER TERMINATED OR DETERMINED SERIOUSLY DEFICIENT IN
CCFP SP MILK RCCI COMMODITIES THE OPERATION OF ANY CHILD NUTRITION PROGRAM
3.ESTIMATED NUMBER OF SITES BY TYPE ❑ YES,PLEASE EXPLAIN BELOW ® NO
DURING 1995-96 FY
URBAN RURAL
SELF PREP SELF PREP
VENDED 45 VENDED
4. HOW WILL MEALS BE PROVIDED TO SITES,IF NOT PREPARED ON SITE?
CENTRAL KITCHEN (NAME AND ADDRESS OF AGREEMENT WITH A SCHOOL FOOD CONTRACT WITH COMMERCIAL FOOD
FACILITYL AUTHORITY OR SFSP SPONSOR? SERVICE VENDOR?
San Bernardino City Unified
Nutrition Services ® YES-ATTACH COPY OF EACH ❑ YES-ATTACH COPY OF BID PACKET AND
1257 Northpark Blvd. AGREEMENT CYCLE MENU TO BE USED
San Bernardino, CA 92407 ❑ NO NO
5. PROVIDE AN ESTIMATE OF THE RACIAL/ETHNIC MAKEUP OF THE POPULATION IN THE GEOGRAPHIC AREA TO BE SERVED.
AMERICAN 1 IAN- ASIAN-PACIFIC ISLANDER BLACK,NOT OF HISPANIC
NATIVE DESCENT
6. DESCRIBE EFFORTS TO(1)ASSURE THAT MINORITY POPULATIONS HAVE EQUAL OPPORTUNITY TO PARTICIPATE AND(2)CONTACT MINORITY
AND GRASSROOTS ORGANIZATIONS ABOUT THE OPPORTUNITY TO PARTICIPATE.
This program serves areas exclusively low-income and minority. All major priority and
grassroot organizations have been contacted by the City of San Bernardino and informed of
this program through.media releases and direct contacts.
7.TRAINING PLAN-LIST SCHEDULED DATES OF TRAINING FOR SPONSOR AND SITE STAFF
DATE SPONSOR OR SITE STAFF WHO WILL ATTEND CONDUCTED BY: TOPICS
5 Summer Lunch Monitors & Oscar Perrier
6/13/96 1 Summer Lunch Clerk & Lynn Knutson Monitor Training Handbook
Oscar Perrier & Site Personnel Training
6/20/96 All Non-City Site Personnel Lynn Knutson (Handbook)
Oscar Perrier & Site Personnel Training
6/18/96 All City Site Personnel Lynn Knutson (Handbook)
'IF YOU ARE USING THE TRAINING OUTLINE IN THE 1996 ADMINISTRATIVE GUIDANCE FOR SPONSORS,JUST WRITE'HANDBOOK"IN THE SPACE
8. WILL YOU CHANGE THE CORRECTIVE ACTION PROCEDURES SUBMITTED LAST YEAR FOR SITE NONCOMPLIANCES?
❑ YES,ATTACH A DESCRIPTION OF THE CHANGES
® No
9. WILL YOU CHANGE THE PROCEDURES SUBMITTED LAST YEAR FOR DAILY RECORDS COLLECTION(MEAL COUNTS,LABOR HOURS,ETC.)?
❑ YES, ATTACH A DESCRIPTION OF THE CHANGES
L No
CALJFORNIA DEPARTMENT OF EDUCATION
CNFDD 8040-C,PAGE 3
CONTINUING SPONSOR-ADMINISTRATIVE/FISCAL INFORMATION-FY 96 AGENCY NAME: San Bernardino, City o
O. COMMODITY FOODS 11. DO YOU WANT AN ADVANCE FOR OPERATIONAL 12. DO YOU WANT AN ADMINISTRATIVE COST
DO YOU WISH TO RECEIVE COMMODITY FOODS COSTS? ❑ YES ® NO ADVANCE? ❑YES ® NO
YES NO NOT APPLICABLE 13.WILL YOU USE FUNDING FROM ANOTHER SOURCE TO HELP SUPPORT THE SFSP?❑YES ®NO
IF YES,LIST SOURCE(S):
13. BUDGET INFORMATION:
ESTIMATED START ESTIMATED NUMBER OF ESTIMATED AVERAGE DAILY
DATE 6/24/96 OPERATING DAYS(ALL SITES) 48 PARTICIPATION FOR ALL SITES 1,900
FORMULA FOR BUDGET PROJECTIONS: #OF OPERATING DAYS X AVERAGE DAILY PARTICIPATION X MEAL RATE (00 X ADP X MR)
GENERAL OPERATING REIMBURSEMENT GENERAL OPERATING COSTS
00 ADP MR
X X = REIMBURSEMENT FOOD USDA 187 737.60
BRKFT FOOD LABOR USDA 22 000.00
LUNCH 48 1,900 2,1675 197,676.00 FACIUTIES/UTILITIES n n - en ,
57 652.00
SNACK 48 560 .5700 15 321.60 FOOD TRANSPORTATION TO SITES
DINNER NONFOOD SUPPLIES 2-175-9.40
SPONSOR FUNDS AVAILABLE SHOULD COSTS OTHER(SPECIFY)
EXCEED REIMBURSEMENT Publicity Banners - USDA 500.00
TOTAL FUNDING PROJECTED $ TOTAL OPERATIONAL COST $
212,997.60 212,997.00
ADMINISTRATIVE REIMBURSEMENT ADMINISTRATIVE COSTS
OD ADP MR
X X = REIMBURSEMENT SALARIESIWAGES USDA 11 ,889.70
BRKFT OFFICE SUPPLIES USDA 1,500.00
LUNCH 48 2,000 , .1700 16 FACILITIES/UTILITIES 4,970.00
SNACK 48 560 .0450 - 1,209.60 "X Yt n to l - USDA 2,150.00
DINNER I I ECT COSTS
SPONSOR FUNDS AVAILABLE SHOULD COSTS THER(SPECCIFY) U DA
EXCEED REIMBURSEMENT �dverti s i n Pri n inq,Copier 1,539.90
TOTAL FUNDING PROJECTED $ 17,529.60 TOTAL ADMINISTRATIVE COST $ 17,529.60
14. WILL MEALS BE SOLD TO ADULTS WHO DO NOT WORK WITH THE 15. IF'14'IS YES,LIST PRICE TO BE CHARGED FOR EACH MEAL.
SFSP? ® NO ❑YES BREAKFAST LUNCH
SNACK DINNER
16. IF CLAIMING INDIRECT COST,INDICATE RATE: ATTACH DOCUMENTATION OF RATE APPROVAL
FOR STATE USE ONLY APPROVED BUDGETS AGREEMENT NO.
OPERATIONAL. ADMINISTRATIVE: DATE BY
REVISED DATE REVISED DATE REVISED DATE
REVISED DATE REVISED DATE REVISED DATE
CALIFORNIA DEPARTMENT OF EDUCATION
CNFDD 8040-C,PAGE 4
CONTINUING SPONSOR- MANAGEMENT PLAN - FY 96 AGENCY NAME: San Bernardino, City of
THIS MANAGEMENT PLAN OUTLINES THE SPONSORS STAFFING PATTERN AND ADMINISTRATIVE PROCEDURES
1. STAFFING -LIST ALL SFSP OPERATIONAL PERSONNEL
TITLE OF POSITION NAME OF STAFF SFSP HOURS TOTAL WAGE PRIMARY SFSP DUTIES
PER DAY FROM SFSP FUNDS
Sr. Rec. Leader #36 2 22,000.00 Supervise, do paperwork, monitor youth
serve and cleanup.
(names to be
determined
LIST ALL SFSP ADMINISTRATIVE PERSONNEL
TITLE OF POSITION NAME OF STAFF SFSP HOURS TOTAL WAGE FROM PRIMARY SFSP DUTIES
PER DAY SFSP FUNDS
Millie Assist with application process &
Sr. Rec. Leader office duties assoc w4proq.oper,
To be Monitor 8 sites each on a daily basis
5-Summer Lunch determined 5 7,562-50 apapral monitor duties,
Monitor
YES No
2. HAVE YOU,OR WALL YOU,CONDUCT A PREOPERATIONAL VISIT AT EACH SITE,AS REQUIRED,TO DETERMINE THE ADEQUACY AND SUITABILITY OF THE
SITE FOR FOOD SERVICE TO CHILDREN. ALL PREOPERATIONAL VISITS MUST BE DOCUMENTED AND DOCUMENTATION KEPT ON FILE FOR CDE'S REVIEW. X
3. WILL YOU VISIT REACH SITE AT LEAST ONCE DURING THE FIRST WEEK OF THE SITE'S FOOD SERVICE OPERATION. DOCUMENTATION MUST BE KEPT ON
FILE FOR COE'S REVIEW. X
4. WILL YOU REVIEW EACH SITE DURING THE FIRST FOUR WEEKS OF THE SITE'S FOOD SERVICE OPERATION. DOCUMENTATION MUST BE KEPT ON FILE
FOR CDE'S REVIEW. X
5. WALL YOU CONDUCT ADDITIONAL MONITORING VISITS TO SITE'S AS NECESSARY TO ASSURE COMPLIANCE WITH PROGRAM REQUIREMENTS. v
DOCUMENTATION MUST BE KEPT ON FILE FOR COE'S REVIEW. A
6. DO YOU AGREE TO COMPLY WITH THE CIVIL RIGHTS REQUIREMENTS AS OUTLINED IN THE REGULATIONS? X
7. WILL A NONDISCRIMINATION POSTER WALL 13E DISPLAYED IN THE ADMINISTRATIVE OFFICES AND AT EACH SITE? X
8. WILL ALL SFSP LITERATURE,INCLUDING LETTERS TO PARENTS AND GUARDIANS CONTAIN THE NONDISCRIMINATION/COMPLAINT STATEMENT. X
9. DO YOU AGREE TO COMPLY WITH THE REHABILITATION ACT OF 1973 AS OUTLINED IN THE REGULATIONS AND THE AMERICANS WITH DISABILITIES ACT
OF 1994,AND NOT DISCRIMINATE AGAINST PERSONS WITH DISABILITIES BY EXCLUSION FROM PARTICIPATION OR DENYING SFSP BENEFITS? X
10. HAVE YOU NOTIFIED ALL YOUR SITES THAT THEY ARE REQUIRED TO COMPLY WITH SECTION 504 OF THE REHABILITATION ACT OF 1973? V
x
11. DO YOU AGREE TO ACCEPT FINAL ADMINISTRATIVE AND FINANCIAL RESPONSIBILITIES FOR OPERATIONS OF THE SFSP AT EACH SITE? X
12. DO YOU AGREE TO RETAIN SFSP RECORDS FOR THREE(3)YEARS AFTER THE END OF THE FISCAL YEAR TO WHICH THEY PERTAINHOW ARE YOUR
RECORDS STORED AND SECURED TO PREVENT DAMAGE OR LOSS? ALL RECORDS ARE STORED IN OUR MAIN OFFICE. X
13. WILL YOU SUBMIT A LETTER TO YOUR LOCAL ENVIRONMENTAL HEALTH AGENCY ADVISING THEM OF YOUR SITES'NAMES AND LOCATIONS FOR THIS
FISCAL YEAR? ATTACH A COPY OF YOUR PROPOSED LETTER. X
14. IF YOU WILL OPERATE AN ENROLLED SITE,DAY CAMP OR RESIDENTIAL CAMP,DO YOU AGREE TO COLLECT AND MAINTAIN THE INCOME ELIGIBILITY
DOCUMENTATION AS OF PARTICIPANTS AS REQUIRED BY THE REGULATIONS? ATTACH A COPY OF THE ENROLLMENT PACKET YOU WILL USE. �(
CALIFORNIA DEPARTMENT OF EDUCATION
CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION PLEASE PRINT OR TYPE ALL INFORMATION
APPLICATION FOR PARTICIPATION
CONTINUING SPONSOR
SUMMER FOOD SERVICE PROGRAM Retumto:
Ca/ifomia Department of Education
CNFDO 8040-C(V98) Child Nutrition and Food Distribution Division
36-8360-0 P.O. Box 944272
Sacramento, CA 94244-2720
SAN BERNARDINO' CITY OF
PARKS REC & COMMNTY SVC - SFSP Attention:SAC Food Programs Unit
547 NORTH SIERRA WAY
SAN BERNARDINO CA 92410-4816
SECTION I . NAMEJADDRESS CHANGE (ONLY COMPLETE THIS SECTION TO INDICATE CHANGES TO THE ABOVE INFORMATION)
THIS IS AN: ❑ AGENCY NAME CHANGE AGENCY ADDRESS CHANGE
(NONPROFITS MUST ATTACH IRS NOTIFICATION) (NONPROFITS MUST ATTACH IRS NOTIFICATION)
AGENCY NAME _T
LEGAL ADDRESS CITY ZIP+4
SECTION II. AGENCY REPRESENTATIVES'INFORMATION AND DESIGNATION OF AUTHORITY
A. CONTACT PERSON
NAME OF CONTACT PERSON TITLE TELEPHONE NUMBER FAX NUMBER
Lynn Knutson Rec . Prog . Coord (909384-5070 1909 )384-5160
E-MAIL ADDRESS:
B. AUTHORIZED REPRESENTATIVE
POSITION DESIGNATED AS AUTHORIZED REPRESENTATIVE NAME OF INCUMBENT TELEPHONE NUMBER
Senior Recreation Supervisor Oscar Perrier 009) 384-5231
FAX NUMBER E-MAIL ADDRESS:
909 ) 384-5160
C. AGENCY BOARD OR EXECUTIVE OFFICER DESIGNATION OF AUTHORITY —
I, AS AN OFFICIAL OF THIS AGENCY, HEREBY ASCRIBE TO THE ABOVE DESIGNATED STAFF POSITION AUTHORITY TO ENTER INTO WRITTEN
AGREEMENTS ON BEHALF OF THE AGENCY WITH THE CALIFORNIA DEPARTMENT OF EDUCATION FOR THE OPERATION OF THE SUMMER FOOD
SERVICE PROGRAM,TO PRESENT CLAIMS FOR REIMBURSEMENT,AND TO SIGN FOR THE AGENCY ANY OTHER DOCUMENTS OR REPORTS RELATING
THERETO.
SIGNATURE OF BOARD OR EXECUTIVE OFFICER PRINTED NAME TELEPHONE NUMBER
Annie F. Ramos ( 909) 384-5030
TITLE Director, Parks, Recrea- DATE
► tion & Community Servs Dept
CALIFORN 1A D PhRTIVI :J l€JGAT t lt! .L>SI {3NLY
APPROVAL OF CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION
RONNA JAKOBITZ,MANAGER
APPROVED BY: SUMMER AND ADULT CARE FOOD PROGRAMS DATE
CHILD NUTRITION AND FOOD DISTRIBUTION DIVISION
s TELEPHONE (916)327-6465 ❑ FAX (916)327-3427
CALIFORNIA DEPARTMENT OF EDUCATION
CNFDD 8040-C,PAGE 2P
PUBLIC AGENCY-DATA BANK INFORMATION-FY 96 AGENCY NAME: San Bernardino, City of
1. OTHER CHILD NUTRITION PROGRAMS IN WHICH YOU PARTICIPATE 2. WAS AGENCY EVER TERMINATED OR DETERMINED SERIOUSLY DEFICIENT IN
MF]CCFP SP MILK RCCI COMMODITIES THE OPERATION OF ANY CHILD NUTRITION PROGRAM
3.ESTIMATED NUMBER OF SITES BY TYPE ❑ YES,PLEASE EXPLAIN BELOW ® NO
DURING 1995-96 FY
URBAN RURAL
SELF PREP SELF PREP
VENDED 45 VENDED
4. HOW WILL MEALS BE PROVIDED TO SITES,IF NOT PREPARED ON SITE?
CENTRAL KITCHEN (NAME AND ADDRESS OF AGREEMENT WITH A SCHOOL FOOD CONTRACT WITH COMMERCIAL FOOD
FACILITY AUTHORITY OR SFSP SPONSOR? SERVICE VENDOR?
San Bernardino City Unified
Nutrition Services ® YES-ATTACH COPY OF EACH ❑ YES-ATTACH COPY OF BID PACKET AND
1257 Northpark Blvd. AGREEMENT CYCLE MENU TO BE USED
San Bernardino, CA 92407 ❑ NO NO
5. PROVIDE AN ESTIMATE OF THE RACIAL/ETHNIC MAKEUP OF THE POPULATION IN THE GEOGRAPHIC AREA TO BE SERVED.
AMERICAN IAN- ASIAN-PACIFIC ISLANDER tiLACK,NOT OF HISPANIC
NATIVE DESCENT
6. DESCRIBE EFFORTS TO(1)ASSURE THAT MINORITY POPULATIONS HAVE EQUAL OPPORTUNITY TO PARTICIPATE AND(2)CONTACT MINORITY
AND GRASSROOTS ORGANIZATIONS ABOUT THE OPPORTUNITY TO PARTICIPATE.
This program serves areas exclusively low-income and minority. All major priority and
grassroot organizations have been contacted by the City of San Bernardino and informed of
this program through media releases and direct contacts.
7.TRAINING PLAN-LIST SCHEDULED DATES OF TRAINING FOR SPONSOR AND SITE STAFF
DATE SPONSOR OR SITE STAFF WHO WILL ATTEND CONDUCTED BY: TOPICS
5 Summer Lunch Monitors & Oscar Perrier
6/13/96 1 Summer Lunch Clerk & Lynn Knutson Monitor Training Handbook
Oscar Perrier & Site Personnel Training
6/20/96 All Non-City Site Personnel Lynn Knutson (Handbook)
Oscar Perrier & Site Personnel Training
6/18/96 All City Site Personnel Lynn Knutson (Handbook)
`IF YOU ARE USING THE TRAINING OUTLINE IN THE 1996 ADMINISTRATIVE GUIDANCE FOR SPONSORS,JUST WRITE`HANDBOOK"IN THE SPACE
8. WILL YOU CHANGE THE CORRECTIVE ACTION PROCEDURES SUBMITTED LAST YEAR FOR SITE NONCOMPLIANCES?
❑ YES,ATTACH A DESCRIPTION OF THE CHANGES
® NO
9. WILL YOU CHANGE THE PROCEDURES SUBMITTED LAST YEAR FOR DAILY RECORDS COLLECTION(MEAL COUNTS,LABOR HOURS,ETC.)?
❑ YES, ATTACH A DESCRIPTION OF THE CHANGES
Ll No
CALIFORNIA DEPARTMENT OF EDUCATION
CNFDO 8040-C,PAGE 3
CONTINUING SPONSOR-ADMINISTRATIVE/FISCAL INFORMATION-FY 96 AGENCY NAME: San Bernardino, C)
O. COMMODITY FOODS 11. DO YOU WANT AN ADVANCE FOR OPERATIONAL 12. DO YOU WANT AN ADMINISTRATIVE COST
DO YOU WISH TO RECEIVE COMMODITY FOODS COSTS? ❑ YES ® NO ADVANCE? ❑YES ® NO
YES NO NOT APPLICABLE 13.WILL YOU USE FUNDING FROM ANOTHER SOURCE TO HELP SUPPORT THE SFSP?❑YES ®NO
IF YES,LIST SOURCE(S):
13. BUDGET INFORMATION:
ESTIMATED START ESTIMATED NUMBER OF ESTIMATED AVERAGE DAILY
DATE 6/24/96 OPERATING DAYS(ALL SITES) 48 PARTICIPATION FOR ALL SITES 1 900
FORMULA FOR BUDGET PROJECTIONS: #OF OPERATING DAYS X AVERAGE DAILY PARTICIPATION X MEAL RATE (OD X ADP X MR)
GENERAL OPERATING REIMBURSEMENT GENERAL OPERATING COSTS
OD ADP MR
X X = REIMBURSEMENT F000 USDA 187 737.60
BRKFT FOOD LABOR USDA 22 000.00
LUNCH 48 1,900 2.1675 197,676.00 FACILITIES/UTILITIES n 1 n - en ,
57 652.00
SNACK 48 560 .5700 15 321.60 FOOD TRANSPORTATION TO SITES
DINNER NONFOOD SUPPLIES 2,759.40
SPONSOR FUNDS AVAILABLE SHOULD COSTS OTHER(SPECIFY)
EXCEED REIMBURSEMENT Publicity Banners - USDA 500.00
TOTAL FUNDING PROJECTED $ TOTAL OPERATIONAL COST $
212,997.60 212,997.00
i
ADMINISTRATIVE REIMBURSEMENT ADMINISTRATIVE COSTS
OD X ADP X MR - REIMBURSEMENT SALARIES/WAGES USDA 11,889.70
BRKFT OFFICE SUPPLIES USDA 1,500.00
LUNCH 48 2,000 , .1700 16 FACILITIESIUTILITIES 4,970.00
SNACK 48 560 .0450 1,209.60 TMi sP ` tMhtal - USDA 2,150.00
DINNER ltYDII EdCT COSTS
SPONSOR FUNDS AVAILABLE SHOULD COSTS QTHER(SPECCIFY) U$lA
EXCEED REIMBURSEMENT Adverts s i n Pri nLl n CO i ed 1 ,539.90
TOTAL FUNDING PROJECTED $ 17,529.60 TOTAL ADMINISTRATIVE COST $ 17,529.60
14. WILL MEALS BE SOLD TO ADULTS WHO DO NOT WORK WITH THE 15. IF'14'IS YES,LIST PRICE TO BE CHARGED FOR EACH MEAL.
SFSP? ® NO El YES BREAKFAST LUNCH
SNACK DINNER
16. IF CLAIMING INDIRECT COST,INDICATE RATE: ATTACH DOCUMENTATION OF RATE APPROVAL
FOR STATE USE ONLY APPROVED BUDGETS AGREEMENT NO.
OPERATIONAL. ADMINISTRATIVE: DATE BY
REVISED DATE REVISED DATE REVISED DATE
REVISEQ DATE REVISED DATE REVISED DATE
CALIFORNIA DEPARTMENT OF EDUCATION
CNFDD 8040-C,PAGE 4
CONTINUING SPONSOR- MANAGEMENT PLAN - FY 96 AGENCY NAME: San Bernardino, City of
THIS MANAGEMENT PLAN OUTLINES THE SPONSOR'S STAFFING PATTERN AND ADMINISTRATIVE PROCEDURES
1. STAFFING -LIST ALL SFSP OPERATIONAL PERSONNEL
TITLE OF POSITION NAME OF STAFF SFSP HOURS TOTAL WAGE PRIMARY SFSP DUTIES
PER DAY FROM SFSP FUNDS
Sr. Rec. Leader #36 2 22,000.00 Supervise, do paperwork, monitor youth
serve and cleanup.
(names to b
determined
LIST ALL SFSP ADMINISTRATIVE PERSONNEL
TITLE OF POSITION NAME OF STAFF SFSP HOURS TOTAL WAGE FROM PRIMARY SFSP DUTIES
PER DAY SFSP FUNDS
Millie Assist with application process &
Sr. Rec. Leader office duties assoc w4Lro .oerr
o be Monitor 8 sites each on a daily basis
5-Summer Lunch determined 5 7,562.50
Monitor
YES No
2. HAVE YOU,OR WILL YOU,CONDUCT A PREOPERATIONAL VISIT AT EACH SITE,AS REQUIRED,TO DETERMINE THE ADEQUACY AND SUITABILITY OF THE
SITE FOR FOOD SERVICE TO CHILDREN. ALL PREOPERATIONAL VISITS MUST BE DOCUMENTED AND DOCUMENTATION KEPT ON FILE FOR COE'S REVIEW. X
3. WALL YOU VISIT REACH SITE AT LEAST ONCE DURING THE FIRST WEEK OF THE SITES FOOD SERVICE OPERATION. DOCUMENTATION MUST BE KEPT ON
FILE FOR COE'S REVIEW. X
4. WALL YOU REVIEW EACH SITE DURING THE FIRST FOUR WEEKS OF THE SITE'S FOOD SERVICE OPERATION. DOCUMENTATION MUST BE KEPT ON FILE
FOR CDE'S REVIEW. X
S. WALL YOU CONDUCT ADDITIONAL MONITORING VISITS TO SITES AS NECESSARY TO ASSURE COMPLIANCE WITH PROGRAM REQUIREMENTS. X
DOCUMENTATION MUST BE KEPT ON FILE FOR CDE'S REVIEW.
6. DO YOU AGREE TO COMPLY WITH THE CIVIL RIGHTS REQUIREMENTS AS OUTLINED IN THE REGULATIONS? X
7. WILL A NONDISCRIMINATION POSTER WILL BE DISPLAYED IN THE ADMINISTRATIVE OFFICES AND AT EACH SITE? X
8. WALL ALL SFSP LITERATURE,INCLUDING LETTERS TO PARENTS AND GUARDIANS CONTAIN THE NONDISCRIMINATION/COMPLAINT STATEMENT. V
9. DO YOU AGREE TO COMPLY WITH THE REHABILITATION ACT OF 1973 AS OUTLINED IN THE REGULATIONS AND THE AMERICANS WITH DISABILITIES ACT /�
OF 1994,AND NOT DISCRIMINATE AGAINST PERSONS WITH DISABILITIES BY EXCLUSION FROM PARTICIPATION OR DENYING SFSP BENEFITS? X
10. HAVE YOU NOTIFIED ALL YOUR SITES THAT THEY ARE REQUIRED TO COMPLY WITH SECTION 504 OF THE REHABILITATION ACT OF 1973? X
11. DO YOU AGREE TO ACCEPT FINAL ADMINISTRATIVE AND FINANCIAL RESPONSIBILITIES FOR OPERATIONS OF THE SFSP AT EACH SITE?
X
12. DO YOU AGREE TO RETAIN SFSP RECORDS FOR THREE(3)YEARS AFTER THE END OF THE FISCAL YEAR TO WHICH THEY PERTAIN.How ARE YOUR
RECORDS STORED AND SECURED TO PREVENT DAMAGE OR LOSS? ALL RECORDS ARE STORED IN OUR MAIN OFFICE. X
13. WALL YOU SUBMIT A LETTER TO YOUR LOCAL ENVIRONMENTAL HEALTH AGENCY ADVISING THEM OF YOUR SITES NAMES AND LOCATIONS FOR THIS
FISCAL YEAR? ATTACH A COPY OF YOUR PROPOSED LETTER. X
14. IF YOU WILL OPERATE AN ENROLLED SITE,DAY CAMP OR RESIDENTIAL CAMP,DO YOU AGREE TO COLLECT AND MAINTAIN THE INCOME ELIGIBILITY
DOCUMENTATION AS OF PARTICIPANTS AS REQUIRED BY THE REGULATIONS? ATTACH A COPY OF THE ENROLLMENT PACKET YOU WILL USE. X