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HomeMy WebLinkAboutBOARD STANDING COMMITTEES - 06252018 - FHS Cte Agenda Pkt            FAMILY & HUMAN SERVICES COMMITTEE June 25, 2018 10:30 A.M. 651 Pine Street, Room 101, Martinez Supervisor Candace Andersen, Chair Supervisor John Gioia, Vice Chair Agenda Items: Items may be taken out of order based on the business of the day and preference of the Committee              1.Introductions   2.Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be limited to three minutes).   3. RECEIVE and APPROVE the draft Record of Action for the May 30, 2018 Family & Human Services Committee meeting. (Julie DiMaggio Enea, County Administrator's Office)   4. CONSIDER recommending to the Board of Supervisors the appointment of Mujdah Rahim to the At Large 2 seat on the Family and Children's Trust Committee to complete the current term ending on September 30, 2018 and to a new term that will expire on September 30, 2020, as recommended by the Employment and Human Services Director. (Juliana Mondragon, Employment and Human Services Department)   5. CONSIDER recommending to the Board of Supervisors the appointment of Blanca Crovetto-Avancena to the Member At-Large 8 seat on the Managed Care Commission, as recommended by the Commission. (Julie DiMaggio Enea, County Administrator's Office)   6. RECEIVE report on the Contra Costa County Individualized Child Care Subsidy Pilot Plan and CONSIDER recommending approval of the Plan to the Board of Supervisors for submission to the California Department of Education. (Susan Jeong, Contra Costa Office of Education)   7. ACCEPT the attached report on the Employment and Human Services Department’s Innovative Community Partnerships. (Devorah Levine, Employment and Human Services Department)   8. CONSIDER endorsing and supporting the East Bay Stand Down to be held September 13 - 16, 2018 at the Alameda County Fairgrounds in Pleasanton. (Nathan Johnson, Veterans Services Officer)   1 9.The next meeting is currently scheduled for July 23, 2018.   10.Adjourn   The Family & Human Services Committee will provide reasonable accommodations for persons with disabilities planning to attend Family & Human Services Committee meetings. Contact the staff person listed below at least 72 hours before the meeting. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to a majority of members of the Family & Human Services Committee less than 96 hours prior to that meeting are available for public inspection at 651 Pine Street, 10th floor, during normal business hours. Public comment may be submitted via electronic mail on agenda items at least one full work day prior to the published meeting time. For Additional Information Contact: Julie DiMaggio Enea, Interim Committee Staff Phone (925) 335-1039, Fax (925) 646-1353 julie.enea@cao.cccounty.us 2 FAMILY AND HUMAN SERVICES COMMITTEE 3. Meeting Date:06/25/2018   Subject:RECORD OF ACTION FOR THE MAY 30, 2018 F&HS MEETING Submitted For: David Twa, County Administrator  Department:County Administrator Referral No.: N/A   Referral Name: N/A  Presenter: Julie DiMaggio Enea Contact: Julie DiMaggio Enea (925) 335-1077 Referral History: County Ordinance requires that each County body keep a record of its meetings. Though the record need not be verbatim, it must accurately reflect the agenda and the decisions made in the meeting. Referral Update: Attached is the draft Record of Action for the May 30, 2018 Family & Human Services Committee meeting. Recommendation(s)/Next Step(s): RECEIVE and APPROVE the draft Record of Action for the May 30, 2018 Family & Human Services Committee meeting. Fiscal Impact (if any): None. Attachments DRAFT F&HS Record of Action 5-30-18 3 FAMILY AND HUMAN SERVICES COMMITTEE RECORD OF ACTION FOR May 30, 2018   Supervisor Candace Andersen, Chair Supervisor John Gioia, Vice Chair   Present: Candace Andersen, Chair      John Gioia, Vice Chair    Staff Present:Julie DiMaggio Enea, Staff, County Administrator's Office  Attendees: Gabriel Lemus, DCD  Kristen Lackey, DCD  Daniel Davis, DCD  Jaclyn Isip, DCD  Kristin Sherk, DCD  Delia Pedroza, Echo Housing  Wendy Porras, Echo Housing  Hadi Attaran, Lamorinda Spirit Van  Ann Wrixon, CASA  Tiffany Harris, Girls, Inc.  Robyn Kuslits, Rainbow Community Center  Neil Zarchin, Food Bank  Barbara Hunt, St. Vincent de Paul of Contra Costa  Eliza Duggan, CC Senior Legal Services  Stephanie Medley, RYSE  Eric Whitney, CCC Health, Housing, Homeless Svcs                   1.Introductions    Chair Andersen convened the meeting at 9:32 a.m. and self introductions were made around the room.   2.Public comment on any item under the jurisdiction of the Committee and not on this agenda (speakers may be limited to three minutes).    None of the attendees requested to speak during the public comment period.   3.RECEIVE and APPROVE the draft Record of Action for the April 23, 2018 Family & Human Services Committee meeting.       The Committee approved the record of action for the April 23rd meeting as DRAFT 4  The Committee approved the record of action for the April 23rd meeting as presented.    AYE: Chair Candace Andersen, Vice Chair John Gioia  Passed  4.CONSIDER recommending to the Board of Supervisors the appointment of Steve Van Wart to the Member At-Large 2 seat and Barbara Hockett to the Member At-Large 4 seat on the Managed Care Commission, as recommended by the Commission.       The Committee approved the nominations of Steve Van Wart to the Member at Large #2 seat and Barbara Hockett to the Member at Large #4 seat on the Management Care Commission and directed staff to forward the Committee's recommendation to the Board of Supervisors.    AYE: Chair Candace Andersen, Vice Chair John Gioia  Passed  5.CONSIDER approving the staff recommendations for FY 2018-19 Community Development Block Grant Public Service and Emergency Solutions projects, and directing the Department of Conservation and Development to prepare a staff report, inclusive of the other CDBG categories, for Board of Supervisors consideration.       Gabriel Lemus of the Conservation and Development Department presented the staff report and clarified that the FY 2018/19 recommendations relate to Year 2 of the three-year CDBG funding cycle. None of the meeting attendees requested to speak on the recommendations. The Committee approved the staff recommendations and directed DCD to prepare a report for Board consideration on June 26, 2018 that combines these Family & Human Services Committee recommendations with any Finance Committee recommendations on the Economic Development & Infrastructure/Public Facilities categories.    AYE: Chair Candace Andersen, Vice Chair John Gioia  Passed  6.The next meeting is currently scheduled for June 25, 2018.   7.Adjourn    Chair Andersen adjourned the meeting at 9:44 a.m.     For Additional Information Contact: Enid Mendoza, Committee Staff Phone (925) 335-1039, Fax (925) 646-1353 enid.mendoza@cao.cccounty.us DRAFT 5 FAMILY AND HUMAN SERVICES COMMITTEE 4. Meeting Date:06/25/2018   Subject:RECOMMENDATIONS FOR APPOINTMENT TO THE FAMILY AND CHILDREN'S TRUST COMMITTEE Submitted For: Kathy Gallagher, Employment & Human Services Director  Department:Employment & Human Services Referral No.: N/A   Referral Name: APPOINTMENTS TO ADVISORY BODIES  Presenter: Juliana Mondragon, EHSD Contact: Juliana Mondragon 925-608-4941 Referral History: On December 13, 2011, the Board of Supervisors adopted Resolution No. 2011/497 adopting policy governing appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in this resolution was a requirement that applications for at large/countywide seats be reviewed by a Board of Supervisors committee. The purpose of the Family and Children's Trust (FACT) Committee is to establish priorities and make funding recommendations to the Board of Supervisors on the allocation of specific funds for the prevention/amelioration of child abuse and neglect, and the promotion of positive family functioning. These funds include: Child Abuse Prevention, Intervention, and Treatment funds funds (AB 1733), Birth Certificate revenue to the County Children’s Trust (AB 2994), the Ann Adler Children’s Trust funds, Community-Based Child Abuse Prevention funds, and other funds as may be subsequently directed by the Board of Supervisors. The FACT Committee also provides information and data to the Employment and Human Services Department on the effectiveness of current and proposed programs for families and children and on recent or pending legislation that would potentially impact family and children’s services programs, clients, or funding mechanisms. FACT Committee is composed by:  Five At-Large seats One representative from each of the five Supervisorial Districts Five discipline/sector specific seats Referral Update: There are currently 13 seats filled and there are two vacancies on FACT. The Committee has 6 There are currently 13 seats filled and there are two vacancies on FACT. The Committee has vacancies in the Seat 3, Local Planning Council, and one At-Large Seat. Seat 3, Local Planning Council was declared vacant due to committee member resignation on October 18, 2016. The FACT Committee is actively recruiting to fill Seat 3. Current FACT Committee seat members live or work in the following areas of the county:  East (2): One At-Large, District III Central/South (10): Four discipline specific, Three At-Large, Districts II, IV and V West (1): District I Candidates for appointment to the FACT Committee will serve a two-year term. The current term for the At Large 2 seat is set to expire on September 30, 2018. Attached is a memo from the Employment and Human Services Director transmitting her nomination of Ms. Mujdah Rahim for appointment to the At Large 2 seat on the FACT Committee. Recommendation(s)/Next Step(s): RECOMMEND to the Board of Supervisors the appointment of Mujdah Rahim to the At Large 2 seat on the Family and Children's Trust Committee to complete the current term ending on September 30, 2018 and to a new term that will expire on September 30, 2020. Fiscal Impact (if any): There is no fiscal impact. Attachments EHSD Nomination Memo _ Mujdah Rahim_FACT At Large 2 Candidate Application_Mujdah Rahim_FACT Committee 7 1 40 Douglas Drive, Martinez, CA 94553 • (925) 608-5000 • Fax (925) 313-9748 • www.ehsd.org To: Family and Human Services Committee Supervisor Candace Andersen, District II, Chair Supervisor John Gioia, District I, Vice-Chair Date: June 25, 2018 CC: From: Kathy Gallagher, EHSD Director Juliana Mondragon, FACT Staff Subject: Family and Children’s Trust (FACT) Committee Seat Membership Recommendation The Employment and Human Services Department Director, Kathy Gallagher, respectfully requests that the Family and Human Services Committee accepts this recommendation to appoint the following new applicant to the At -Large seat 2 on the Family and Children’s Trust (FACT) Committee. Name Seat Area Mujdah Rahim At -Large Seat 2 Central County At -Large Seat 2 was declared vacant due to committee member resignation on January 9, 2018. PURPOSE OF COMMITTEE _________________________________________ The purpose of this Committee is to establish priorities and make funding recommendations to the Board of Supervisors on the allocation of specific funds for the prevention/amelioration of child abuse and neglect, and the promotion of positive family functioning. These funds include: Child Abuse Prevention, Intervention, and Treatment funds (CAPIT) funds, (AB 1733), Birth Certificate revenue to the County Children’s Trust (AB2994), the Ann Adler Children’s Trust funds, Community-Based Child Abuse Prevention funds (CBCAP) and other funds as may be subsequently directed by the Board of Supervisors. The FACT Committee also provides information and data to the Employment and Human Services Department on the effectiveness of current and proposed programs for families and children and on recent or pending legislation that would potentially impact family and children’s services programs, clients, or funding mechanisms. SUMMARY OF RECRUITMENT EFFORTS/NOMINIEES FOR MEMBERSHIP The FACT Committee, in conjunction with the County Administrator’s Office, continues to make every effort to fill its vacant seats. These efforts include contacting each district Supervisor’s office M E M O R A N D U M Kathy Gallagher, Director 8 2 and releasing a public notice, inviting interested parties to consider membership and soliciting the support of current members to outreach to potential candidates for consideration for membership. FACT Committee membership consists of the following:  Five At-Large seats  One representative from each of the five Supervisorial Districts  Five discipline/sector specific seats There are currently 13 seats filled and there are two vacancies on FACT. The Committee has vacancies in the Seat 3, Local Planning Council, and one At-Large Seat. Seat 3, Local Planning Council was declared vacant due to committee member resignation on October 18, 2016. The FACT Committee is actively recruiting to fill Seat 3. Current FACT Committee seat members live or work in the following areas of the county:  East (2): One At-Large, District III  Central/South (10): Four discipline specific, Three At-Large, Districts II, IV and V  West (1): District I Candidates for appointment to the FACT Committee will serve a two-year term. At -Large Seat 2 is set to expire on September 30, 2018. Ms. Rahim has expressed a sincere interest in serving on the Committee and is dedicated to fulfilling the mission and goals as outlined in the Committees’ policies and procedures. Based on the above information, the Director of EHSD on behalf of the FACT Committee respectfully recommends that the FHS Committee appoint Ms. Rahim to membership on the FACT Committee. Enc. Board, Committees, and Commission Application for Mujdah Rahim 9 Submit Date: May 15, 2018 Seat Name (if applicable) First Name Middle Initial Last Name Email Address Home Address Suite or Apt City State Postal Code Primary Phone Employer Job Title Occupation Contra Costa County Boards & Commissions Application Form Profile Which Boards would you like to apply for? Family & Children's Trust Committee: Submitted Describe why you are interested in serving on this advisory board/commission (please limit your response to one paragraph). Working in a non-profit has provided me insight into how funds and grants operate and how it impacts non-profits, in particular non-profits that assist families. As a family law attorney, I have first-hand insight as to what families are facing and what families need. In particular, I have assisted women who have fled with their children's from domestic violence. My background would enable me to contribute by being on the Family & Children's Trust Committee. This application is used for all boards and commissions Mujdah Rahim CA Law Office of Mujdah Rahim Owner/Principal Attorney Family Law Attorney Mujdah Rahim Page 1 of 6 10 If "Other" was Selected Give Highest Grade or Educational Level Achieved Name of College Attended Course of Study / Major Units Completed Degree Type Date Degree Awarded Do you, or a business in which you have a financial interest, have a contract with Contra Costa Co.? Yes No Is a member of your family (or step-family) employed by Contra Costa Co.? Yes No Education History Select the highest level of education you have received: Other College/ University A Type of Units Completed Quarter Degree Awarded? Yes No Juris Doctor UC Davis International Relations 182 B.A. 06/17/2004 Mujdah Rahim Page 2 of 6 11 Name of College Attended Course of Study / Major Units Completed Degree Type Date Degree Awarded Name of College Attended Course of Study / Major Units Completed College/ University B Type of Units Completed Semester Degree Awarded? Yes No College/ University C Type of Units Completed None Selected Degree Awarded? Yes No Widener University School of Law Juris Doctor 88 Juris Doctor 05/15/2010 Mujdah Rahim Page 3 of 6 12 Degree Type Date Degree Awarded Course Studied Hours Completed Dates (Month, Day, Year) From - To Hours per Week Worked? Position Title Other schools / training completed: Certificate Awarded? Yes No Work History Please provide information on your last three positions, including your current one if you are working. 1st (Most Recent) Volunteer Work? Yes No Employer's Name and Address Law Office of Mujdah Rahim 961 Ygnacio Valley Road Walnut Creek, CA 94596 04/15/2015-Present 70 Owner/Principal Attorney Mujdah Rahim Page 4 of 6 13 Dates (Month, Day, Year) From - To Hours per Week Worked? Position Title Dates (Month, Day, Year) From - To Hours per Week Worked? Duties Performed Exclusively practice family law matters; such as dissolution, child custody/visitation, child and spousal support, jurisdiction issues as it pertains to UCCJEA, move-away, motion to set aside judgment, and domestic violence restraining orders, and complex litigation as it pertains to valuation of a business. 2nd Volunteer Work? Yes No Employer's Name and Address Family Violence Law Center 470 27th Street Oakland, CA 94612 Duties Performed Provided representation to survivors of domestic violence and/or sexual assault in domestic violence restraining order hearings, civil harassment restraining order hearings and family law matters. 3rd Volunteer Work? Yes No 12/01/2015-02/28/2016 45 Temporary Staff Attorney 07/01/2014-08/01/2015 Contract Attorney Mujdah Rahim Page 5 of 6 14 Position Title Upload a Resume If "Other" was selected please explain Employer's Name and Address All for the Family Legal Clinic, Inc. 3137 Castro Valley Bld. Suite 210 Castro Valley, CA 94546 Duties Performed Family law matters; including but not limited to dissolution, child custody/visitation, chil and spousal support, and discovery. Final Questions How did you learn about this vacancy? Other . Do you have a Familial or Financial Relationship with a member of the Board of Supervisors? Yes No If Yes, please identify the nature of the relationship: Do you have any financial relationships with the County such as grants, contracts, or other economic relations? Yes No If Yes, please identify the nature of the relationship: Attorney Internet Mujdah Rahim Page 6 of 6 15 MUJDAH RAHIM, ESQ EDUCATION Widener University School of Law, Wilmington, DE May 2010 Doctor of Jurisprudence Activities: Muslim Law Students Association (Treasury 2009-2010); Student Animal Legal Defense Fund (Secretary 2008-2009); Women’s Law Caucus; Public Interest Law Alliance. University of California, Davis, Davis, CA June 2004 Bachelor of Arts in International Relations Bar Admission California, June 2011, Bar Number 276260 LEGAL EXPERIENCE Law Office of Mujdah Rahim, Walnut Creek, CA April 2015-Present Principal Attorney/Founder • Family Law: dissolution, parentage action, child custody and visitation, child and spousal support; • Move Away Trial; • Successfully arguing jurisdiction for child custody under the UCCJEA involving three states; and • Motion to Set Aside Default Judgment. All for the Family Legal Clinic, Inc., Castro Valley, CA July 2014-August 2015 Of Counsel • Dissolution and Parentage Actions, discovery; • Marital Settlement Agreements; • Child custody and visitation (establish and modification); child and spousal support; • Order to Show Cause hearings of the following: defer sale of home, move-away, child support retroactive to date of filing, job related expense deduction, hardship deductions of a child from another relationship, and false allegations of sexual abuse. Family Violence Law Center, Oakland, CA July 2011-June 2014 Volunteer Attorney/Contract Attorney • Provide limited and full scope representation to survivors of domestic violence and sexual assault in domestic violence restraining order hearings, civil harassment restraining order hearings and family law matters; • Ran legal clinic; • Supervise and train legal interns; • Conducted outreach with Alameda and San Leandro Police Department, and Bay Area Legal Aid.. Solano County Public Defender’s Office, Fairfield, CA August 2010-December 2010 Legal Intern • Wrote Motion to Suppress (1538.5(i)), Motion to Dismiss (995); and Motion to Modify Probation. Schrom and Shaffer, P.C., Media, PA November 2009-May 2010 Legal Intern • Drafted complaints and answers in Workers’ Compensation cases. 16 Chester County District Attorney’s Office, West Chester, PA May 2008-May 2009 Certified Legal Intern • Represented the Government at Preliminary Hearings; and • Signed off on waivers, agreements, and Drug Court applications. Honorable William J. Mazzola, Philadelphia, PA August 2007-April 2008 Legal Intern • Wrote bench-memoranda and assisted in drafting opinions; • Researched relevant case law relating to sufficiency of evidence and credibility of witness; • Assessed sentencing guidelines; and • Familiarity with Pennsylvania Justice Network, a portal that provides an online environment for users to access public safety and criminal justice information. Philadelphia District Attorney’s Office, Philadelphia, PA May 2007-August 2007 Legal Intern • Reviewed and analyzed discovery documents to anticipate defenses and identify issues; • Conducted legal research for Motion to Suppress, corpus delicti, and Consolidation; and • Assisted with trial director presentation. Assegaf, Hamzah & Partners, Jakarta, Indonesia January 2005-March 2005 Legal Intern • Researched and wrote memoranda about the advantages and disadvantages of franchise and subsidiary companies; • Drafted internal memorandum for a water company regarding monopoly practices in Indonesia; and • Trademark, copyright, patent and design searches. SKILLS • Westlaw and LexisNexus; • Microsoft Office: Word, Excel, and PowerPoint; • Essential Forms; • DissoMaster; • Youthservices; • Department of Child Support Services Calculator; • CFLR Executioner and Proertizer; and • Clio and some familiarity with MyCase. LANGUAGES • Spoken fluency in Dari. PROFESSIONAL ASSOCIATIONS AND MEMBERSHIPS • State Bar of California, Family Law Section, Member; • Contra Costa County Bar Association (Family Law Section Member); • Alameda County Bar Association (Family Law Section Member); and • Alameda County Judicial Appointments Evaluation Committee Member (2017-Present) 17 FAMILY AND HUMAN SERVICES COMMITTEE 5. Meeting Date:06/25/2018   Subject:RECOMMENDATIONS FOR APPOINTMENT TO THE MANAGED CARE COMMISSION Submitted For: Anna Roth, Health Services Director  Department:Health Services Referral No.:   Referral Name: APPOINTMENTS TO ADVISORY BODIES  Presenter: Julie DiMaggio Enea Contact: Julie DiMaggio Enea (925) 335-1077 Referral History: On December 13, 2011 the Board of Supervisors adopted Resolution No. 2011/497 adopting policy governing appointments to boards, committees, and commissions that are advisory to the Board of Supervisors. Included in this resolution was a requirement that applications for at large/countywide seats be reviewed by the Board of Supervisors sub-committee. The Managed Care Commission (MCC) was established in May 1995 and replaced the Contra Costa Health Plan Advisory Board and the Medi-Cal Advisory Planning Commission. The purpose of the Commission is to make recommendations to the Board of Supervisors, Health Services Director and Chief Executive Officer of the Contra Costa Health Plan (CCHP) on operational objectives, policies and procedures as well as revised service, product development, marketing, and data-gathering priorities. Additionally, the MCC assures effectiveness, quality, efficiency, access, acceptability of CCHP services by ongoing as well as periodic formal reviews of Management Information System data. The MCC consists of 15 seats: 9 At-Large, 4 subscriber, and 2 provider seats. Each seat has a fixed three-year term. As recommended by the Phase III of Triennial Advisory Body Review and approved by the Board of Supervisors at their December 5, 2017 meeting, the MCC is in the process of revising its bylaws to add one additional seat for a Medicare subscriber for a senior or person with disabilities as this is required by the National Committee for Quality Assurance. In addition, the MCC is also broadening the title of “medical provider” to include Nurse Practitioners, Physician’s Assistants and Optometr ists. Referral Update: There are currently 10 seats filled in the MCC, 1 pending appointments, and 4 vacant seats without pending candidates. These vacant seats include: Commercial Subscriber, Representative for Medically Indigent Health Care Needs, At-Large 3, At-Large 8, and Physician. The current membership is as follows:  18 Seat Title Term Expiration Date Current Incumbent Incumbent Supervisor District No. of Meetings Attended Since Appointment Date Total No. of Meetings Held Since Appointment Total No. of Absences Allowable in Bylaws Medi-Cal Subscriber 8/31/2018 Tamara Mello IV 10 15 3* Medicare Subscriber 8/31/2018 Ella Jones I 9 11 3* Commercial Subscriber VACANT 3* Representative for Medically Indigent Health Care Needs VACANT 3* Physician, non-contracting VACANT 3* Other Provider, non-contracting 8/31/2018 Joan Lautenberger II 13 15 3* At-Large 1 8/31/2019 Frances Trant V 2 3 3* At-Large 2 8/31/2018 Steve Van Wart II ****3* At-Large 3 VACANT 3* At-Large 4 8/31/2019 Barbara Hockett II ****3* At-Large 5 8/31/2018 Jeffrey Kalin IV 12 15 3* At-Large 6 8/31/2018 Henry Tyson IV 14 15 3* At-Large 7 8/31/2018 Debra Shorter-Jones I 4 9 3* At-Large 8 VACANT 3* At-Large 9 8/31/2018 Andi Li II 13 15 3* * In a rolling 12-month period ** Appointed on 6/5/18 Recommendation(s)/Next Step(s): RECOMMEND to the Board of Supervisors the appointment of Blanca Crovetto-Avancena to the Member At-Large 8 seat on the Managed Care Commission, as recommended by the Commission. Fiscal Impact (if any): There is no fiscal impact. Attachments Commission Memo  Candidate Application_Blanca Crovetto Avancena_Managed Care Comm 19 ADMINISTRATION PATRJcrA TA N QUARY , MPH, PhD 595 Center A venue, Su~e 100Chiejbecillive Officer Martinez, California 94553 JOSE YA SUL, MD MaN'l Number: 925·313-6000 Actiflg M ed icol Director Memt>el Cal Center: 877·66 1-6230 CON T RA COS T A Provider Call Ce-IIef: 877 ·800·7423 HEALTH PlAN A Dlvilian af Calltri Co<ta Huitt> S.",lc.. 5e H.lbla Espanol A Culture of Caring Date: May 18, 20 18 To: Family and Human Services Committee, Contra Costa Board of Supervisors Susan Smith, County Administrator's Office From : Deboran Eve rist. Staff contact for Managed Care Commission RE: MANAGED CARE COMMISSION -RE~ApPOINTMENT The Managed Care Commission (MCC), in its continued efforts to recommend commissioners that are able to articulate concerns of health care recip ients as well as represent the diverse population within our community, hereby makes Ihe following recommendation for re-appointment 10 the MeC. NOMINEE TERM EXPIRATION Blanca Crovetto-Avancena Walnut Creek, CA 94597 Member-at-Large 8 Three years Expiration 8 /31 /2016 Blanca resides in Walnut Creek . Our olher commissioners reside: Member-at-Large 1 Pittsburg Member-ai-Large 8 Walnut Creek (this request) Member-ai-Large 3 San Ramon Member-at-Large 9 San Ramon Member-aI-Large 5 Pleasant Hill Medicare Subscriber San Pablo Member-ai-Large 6 Walnut Creek Other Provider Lafayette Member-ai-Large 7 Richmond Medi-Cal Subscirber Pleasant Hill Blanca's application is attached . The MCC By -Laws, Article III. MEMBERSHIP states that (E.) The term of office is for three years. The Managed Care Commission supports this recommendation wi th a unanimous vote and hopes to annouce this appointment at their July 18, 2018 meeting. My contact information is : Phone: 925-313 -6035 Email: Deboran .Everist@hsd .cccounty .us Thank you in advance for your kind consideration in this maUer. 20 21 22 23 24 FAMILY AND HUMAN SERVICES COMMITTEE 6. Meeting Date:06/25/2018   Subject:Countywide Child Care Pilot Plan Submitted For: Kathy Gallagher, Employment & Human Services Director  Department:Employment & Human Services Referral No.: #92   Referral Name: Countywide Child Care Pilot Plan  Presenter: Susan Jeong Contact: Susan Jeong (925) 942-3413 Referral History: California Education Code (EC) Section 8231 requires that Local Planning Councils prepare a comprehensive countywide child care plan designed to mobilize public and private resources to address identified needs. Projects and activities of the Contra Costa LPC align with legislative intent for Local Planning Councils to serve as a forum to address the child care needs of all families and all child care programs, both subsidized and non-subsidized in Contra Costa County (Ed code Sections 8499.3 and 8499.5).  On October 17, 2006, the Board of Supervisors referred updates on the Countywide Child Care Plan to the Family and Human Services Committee and the Local Planning and Advisory Council for Early Care and Education has provided annual reports.  Referral Update: Attached is the proposed Local Child Care Policy and Evaluation Plan submitted for the Committee's and Board's consideration. The plan was produced by the Contra Costa County Local Planning and Advisory Council for Early Care and Education, in partnership with the Contra Costa County Office of Education, First 5 Contra Costa and the Contra Costa County AB 435 Planning Committee. Recommendation(s)/Next Step(s): RECEIVE report on the Contra Costa County Individualized Child Care Subsidy Pilot Plan and CONSIDER recommending approval of the Plan to the Board of Supervisors for submission to the California Department of Education. Fiscal Impact (if any): No net County cost. The Pilot Plan attempts to access CDE future child care subsidy funds that, due to policies in past years, would have been unearned. 25 Attachments Memo_Child Care Subsidy Pilot Plan AB 435 CCC County Plan AB 35 Chaptered 26 M E M O R A N D U M DATE: June 15, 2018 TO: Family and Human Services Committee Supervisor Candace Andersen, District II, Chair Supervisor John Gioia, District I, Vice Chair Contra Costa County Office of Education Karen Sakata, Contra Costa County Superintendent of Schools Lynn Mackey, Deputy Superintendent of Schools FROM: Susan K. Jeong, LPC Coordinator/Manager, Educational Services SUBJECT: Review and Approve the Contra Costa County Individualized Child Care Subsidy Pilot Contra Costa County Local Planning and Advisory Council for Early Care and Education (LPC) RECOMMENDATION(S): APPROVE the Contra Costa County Individualized Child Care Subsidy Pilot Plan RECOMMEND approval of the Plan to the full County Board of Supervisors, for submission to the California Department of Education REASON/S FOR RECOMMENDATION: On March 28, 2017, the Contra Costa County Board of Supervisors adopted a SUPPORT position for AB 435. In October 2017, Governor Brown approved AB 435, authorizing an individualized child care subsidy plan for the County of Contra Costa. Authored by Assemblymember Tony Thurmond, the legislation allows Contra Costa County to develop and implement a plan through January 1, 2023. Modeled on similar bills, especially AB 833 for Alameda County, the legislation removes some of the regulatory constraints in providing subsidized child care through Title 5 contracts with the California Department of Education (CDE). Under AB 435, the individualized child care plan is designed to “ensure that child care subsidies received by the County of Contra Costa are used to address local needs, conditions, and priorities of working families in the community.” AB 435 provides the county only limited flexibility in designing its subsidy rules. There are four fundamental limitations on the pilot:  No family who would have been eligible under state rules can either become ineligible or be asked to pay higher family fees;  Provider participation is entirely voluntary;  The number of child days of enrollment across participating providers must increase overall from the base year; and  There are no additional resources for the pilot – only unearned and unallocated funds from existing contracts and funding streams. 27 This plan lays out the County’s goals for its subsidized child care system. It contains three main parts: Chapter 2 reviews local economic and child care market conditions in Contra Costa County and the challenges to be addressed by the pilot. Chapter 3 summarizes the County’s goals for the pilot and describes the components of the local plan to be implemented to meet these goals within the constraints of AB435. Chapter 4 offers a list of outcome measures to evaluate the success of the plan. Additionally, there is no net county cost associated with the recommended action. The Board’s approval of this Pilot Subsidy Plan will allow the LPC to access CDE childcare subsidy funds that would have been unearned in years past. 28 CONTRA COSTA COUNTY INDIVIDUALIZED CHILD CARE SUBSIDY PILOT Local Child Care Policy and Evaluation Plan June 2018 Developed by Contra Costa County Local Planning and Advisory Council for Early Care and Education, in partnership with the Contra Costa County Office of Education , First 5 Contra Costa and the Contra Costa County AB 435 Planning Committee Reviewed by: 235 Montgomery Street, Ste. 1049 San Francisco, CA 94104 29 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 1 SUMMARY Assembly Bill (AB) 435 (Thurmond) authorizes an individualized child care subsidy plan for the County of Contra Costa to ensure that funding for child care subsidies in the county address local needs and priorities. The Pilot Plan tackles four main concerns: 1. Children in Contra Costa County are less likely than children in other California counties to qualify for subsidized child care, because of family incomes above the statewide income threshold. 2. Housing costs are substantially higher in the county than the statewide average: the “housing wage” to afford fair market rents in Contra Costa County is 49% greater than the income cutoff for subsidies. 3. Families in Contra Costa County face higher child care prices for unsubsidized care than in California overall. 4. Reimbursement rates for direct service providers are well below market rates in the county, even though regulations for subsidized care make it substantially more expensive to provide. This local child care subsidy plan, therefore, has two main goals: 1. The pilot will better meet the early education and child care needs of families in Contra Costa County through policies that support low-income families and promote stable care. 2. The pilot will expand subsidized care by implementing policies that improve reimbursement rates for contractors, promote contractor retention, and reduce unearned contract funds. 30 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 2 Summary of Contra Costa County Pilot Components Alignment of Pilot Components Alameda Santa Clara San Francisc o San Mateo 1. Increase income threshold for eligibility for subsidized care for Title 5 contractors to 85% of the state median income as provided by the California DOF X X X X 2. Authorize 24-month eligibility for families entering subsidized care and eligible on the basis of need other than job search Variant X X X 3. Authorize an exception to the requirement that 50% of the children enrolled at a CSPP program site be four-year-old children. 4. Establish a family fee schedule for families with income above the state eligibility cutoff to set fees at approximately 10% of family income X X X X 5. Restore the age eligibility for CSPP contracts to 2.9 years old as of September 1st of the fiscal year and allow children to enroll immediately on or after their third birthday if born after December 1st Variant Variant Variant Variant 6. Authorize families for 6.5 hours of services if their only need is seeking housing or seeking employment X X X X 7. Incorporate additional changes to meet the needs of low-income families in Contra Costa County, such as authorizing 6.5 hours of services to families seeking employment or housing X X X X 31 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 3 INTRODUCTION In October 2017, Governor Brown approved AB 435, authorizing an individualized child care subsidy plan for the County of Contra Costa. Authored by Assemblymember Tony Thurmond, the legislation allows Contra Costa County to develop and implement a plan through January 1, 2023. Modeled on similar bills, especially AB 833 for Alameda County, the legislation removes some of the regulatory constraints in providing subsidized child care through Title 5 contracts with the California Department of Education (CDE). Under AB 435, the individualized child care plan is designed to “ensure that child care subsidies received by the County of Contra Costa are used to address local needs, conditions, and priorities of working families in the community.” AB 435 provides the county only limited flexibility in designing its subsidy rules. There are four fundamental limitations on the pilot:  No family who would have been eligible under state rules can either become ineligible or be asked to pay higher family fees;  Provider participation is entirely voluntary;  The number of child days of enrollment across participating providers must increase overall from the base year; and  There are no additional resources for the pilot – only unearned and unallocated funds from existing contracts and funding streams. This plan lays out the County’s goals for its subsidized child care system. It contains three main parts: Chapter 2 reviews local economic and child care market conditions in Contra Costa County and the challenges to be addressed by the pilot. Chapter 3 summarizes the County’s goals for the pilot and describes the components of the local plan to be implemented to meet these goals within the constraints of AB435. Chapter 4 offers a list of outcome measures to evaluate the success of the plan. As called for by the legislation, this plan will go through the following approval process: Review Body Approval Date Local Early Education Planning Council (LPC) of Contra County June 14, 2018 Board of Supervisors of the County of Contra Costa July 10, 2018 Early Education and Support Division (EESD), CDE Within 30 days of submission 32 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 4 LOCAL ECONOMIC AND CHILD CARE MARKET CONDITIONS In developing this plan Contra Costa County stakeholders assessed the local child care market, economic conditions for working families, and the needs for and costs of child care. This review included consideration of: — Level of need for various types of subsidized child care services — General demographics — Income eligibility levels for subsidized child care and family fees — Trends in the County’s unemployment and housing affordability index — County’s self-sufficiency income level — Cost of providing child care — Standard reimbursement rates and regional market rates — Current supply of available subsidized child care Contra Costa County is home to over 250,000 children, with about 67% with living with employed parents. In 2016, an estimated 250,524 children lived in Contra Costa County, including 75,809 children under age 6 and approximately 174,715 children aged 6 to 17. (See Table 1.) Children under 6 in Contra Costa County are more likely than average to have all parents working, 65% compared to 61% statewide. For children 6 to 17 years of age, the percent increases to 67% in Contra Costa County and 66% statewide.1 Table 1: Contra Costa Children with All Parents Working, 2016 Estimates Age Category Number of Children in Contra Costa County Number with All Resident Parents in Workforce Share with All Parents Working2 Under 6 years 75,809 49,570 65% 6 to 17 years 174, 715 117,147 67% Total 250,524 166,717 67% Source: 2016 American Community Survey 1-Year Estimates (Table C23008) 1 2016 American Community Survey 1-Year Estimates 2 Includes children of working single parents and children in two-parent families where both parents work 33 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 5 The racial/ethnic profile of children in Contra Costa County (Figure 1) is overall congruent to California. Hispanic/Latino children represent the largest share of children in the county, and White children represent nearly as large a share. Asian American children account for just under 15% of children in the county, while African American/Black population make up nearly 9% of children in the county. The county has a relatively small population of American Indian/Alaska Native children, but a slightly higher share of children identified as Native Hawaiian/Pacific Islander. Contra Costa County has a considerably higher percentage of multi-racial children at over 7.5%, compared to 4.7% statewide. Figure 1: Race/Ethnicity of Contra Costa County Children, 2016 Source: Kidsdata.org from California Dept. of Finance, Race/Ethnic Population with Age and Sex Detail, 1990-1999, 2000-2010, 2010-2060; U.S. Census Bureau, Current Population Estimates, Vintage 2015 (Jun. 2016) Nearly 34% of children in Contra Costa County speak a language apart from just English at home (Figure 2). About 18% of public school students in Contra Costa County are English Learners3. 3 http://www.kidsdata.org/region/171/contra-costa-county/results#cat=6 9.2% 0.2% 14.5% 35.4% 0.6% 32.6% 7.6%5.3% 0.4% 11.0% 51.4% 0.4% 26.9% 4.7% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% Contra Costa California 34 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 6 Figure 2: Language Spoken at Home of Contra Costa County Children, 2016 Source: 2016 American Community Survey Data (Table B16007) Fewer Contra Costa County children live in households that qualify for subsidized child care, yet families face significant financial pressures from high costs of housing. Children in Contra Costa County are less likely than other California children to live in families that qualify for child care subsidies. The monthly income threshold to enter subsidized child care in California stands at $4,877 for a family of four, or about $60,000 per year4. Census Bureau data show only about 28% of Contra Costa County families with children under 18 have incomes below $60,000 compared to 43% statewide (Table 2). The smaller share of families below $60,000 income in Contra Costa does not mean that families find it easier to afford child care. The higher average incomes reflect in large part higher housing costs. Housing costs are commonly measured using fair market rent (FMR), the Department of Housing and Urban Development’s measure of 4 https://www.cde.ca.gov/sp/cd/ci/mb1708.asp 66% 22% 5%6% 1% 56% 35% 3%6% 1% 0% 10% 20% 30% 40% 50% 60% 70% English Only Spanish Other Indo- European Asian and Pacific Islander Languages Other Languages Contra Costa California 35 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 7 current costs for available rental housing. The FMR for a two-bedroom in Contra Costa County in 2017 was 35% higher than the state ($2,173 in Contra Costa County compared to $1,608 statewide).5 The difference in housing costs in Contra Costa relative to the state has increased significantly in the last four years. Table 2: Income Distribution of Contra Costa County Families with Children Under 18, 2016 Income Category Contra Costa County California Up to $20,000 7% 12% $20,000 to $40,000 10% 17% $40,000 to $60,000 11% 14% $60,000 to $100,000 20% 20% $100,000 to $150,000 16% 16% $150,000 or more 36% 21% Total 100% 100% Source: 2016 American Community Survey 1-Year Estimates (Table B19131) Figure 3: Fair Market Rents (FMR) for Two Bedroom Housing, 2007-2017 Source: Fair Market Rents (FMRs), huduser.gov 5 The Department of Housing and Urban Development (HUD) defines the FMR as the rent level where 40% of recent movers pay less than the FMR and 60% pay more than the FMR. $0 $500 $1,000 $1,500 $2,000 $2,500 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Contra Costa California 36 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 8 Statewide the income cutoff for subsidized child care is just below the income level where average California rents would be considered affordable. The National Low Income Housing Coalition uses the FMR to calculate a “housing wage,” defined as the wage income required pay no more than 30% of income to afford rent at the FMR.6 The average housing wage for California was $5,359 per month in 2017. In Contra Costa County, the equivalent housing wage was $7,243, or 49% higher than the income cutoff. Only two metropolitan areas in California have higher housing wages: the San Francisco-San Mateo-Marin area and the Santa Clara area. Figure 4: FMR, “Housing Wage” Income, and the Statewide Child Care Subsidy Eligibility Cutoff for High Cost Counties, 2017 Source: 2017 Fair Market Rents (FMRs), https://www.huduser.gov/portal/datasets/fmr.html. Methodology from California Budget Center http://calbudgetcenter.org/wp-content/uploads/Making-Ends-Meet-12072017.pdf. 2017 housing wages, http://nlihc.org/sites/default/files/oor/OOR_2017.pdf. Market prices for child care are higher in Contra Costa County than in California overall. In both family care homes and child care centers, Contra Costa County residents can expect to pay more annually for child care than other California residents (Figure 5). The average 6 http://nlihc.org/oor/california 37 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 9 price for center-based preschool care was about 12% higher than the state average. For center-based infant care, families may pay nearly 8% more than the statewide average. In fact, with income just over the subsidy threshold – say $5,000 per month – a family in Contra Costa County would typically have to pay 21% of their income to have one child in center- based preschool care at $ 12,589 annually or $1,049 per month. Add an infant at a child care center and child care would require 50% of a family’s income. Figure 5: Average Annual Rate for Child Care, by Age Group, 2017 Source: California Child Care Resource & Referral Network, California Child Care Portfolio , 2017; Cost data are from the 2016 Child Care Regional Market Rate Survey. https://www.rrnetwork.org/child_care_data. $10,880 $12,589 $11,394 $17,690 $9,984 $11,202 $10,609 $16,452 $0 $5,000 $10,000 $15,000 $20,000 Preschooler at Family Child Care Home Preschooler at Child Care Center Infant at Family Child Care Home Infant at Child Care Center California Contra Costa 38 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 10 Table 3: Subsidy Cutoff Relative to Self-Sufficiency Standards Monthly Income for “Basic Needs” for a Family of Four with One Infant and One Preschooler Contra Costa County California Initial Income Cutoff for Child Care Subsidy (2017)7 $4,877 $4,877 NLIHC Housing Wage (2017)8 $7,243 $5,359 CBP Monthly Family Budget (December 2017)9 Without Child Care $6,161 $5,029 With Child Care $7,617 $6,329 California Self-Sufficiency Standards (2014)10 Without Child Care $4,722 N/A With Child Care $7,104 N/A Reimbursement rates for direct service providers are well below market rates in Contra Costa County, even though Title 5 regulations make care more expensive to provide. Direct service providers who contract with CDE to provide subsidized child care typically receive the Standard Reimbursement Rate (SRR) of $45.73 per day for full-time preschool care, regardless of where they are located (Table 4). In contrast, child care vouchers allow providers to receive up to the 75th percentile of the local child care market based on 2016 data from the Regional Market Rate (RMR) survey11. The maximum RMR payment rate for preschool is 26% higher than the SRR. Adjustment factors applied to the SRR increase the reimbursement for contractors serving infants 0 7 https://www.cde.ca.gov/sp/cd/ci/mb1708.asp 8 2017 Fair Market Rents (FMRs), https://www.huduser.gov/portal/datasets/fmr.html. Methodology from California Budget Center, http://calbudgetcenter.org/wp-content/uploads/Making-Ends-Meet-12072017.pdf 9 Estimated family budget (for a 4-person family, both parents working) from the California Budget Project (CBP), Making Ends Meet: How Much Does It Cost to Raise a Family in California (December 2017). http://calbudgetcenter.org/MakingEndsMeet/ 10 Insight Center for Community Economic Development: Self-Sufficiency Standard Tool for California for a 4-person family with one infant and one preschooler. http://www.insightcced.org/tools-metrics/self-sufficiency-standard-tool-for-california/ 11 https://www.cde.ca.gov/sp/cd/ci/mb1717.asp 39 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 11 to 18 months and toddlers 18 to 36 months. The infant adjustment is 1.7 and the toddler adjustment is 1.4, providing effective SRRs of $77.25 and $63.62 respectively. However, these still fall short of market prices, which go up to $111.93 for center-based infant care. Table 4: Estimated Costs and Reimbursement Rates for Child Care Centers in Contra Costa County, 2018 Age Category Daily RMR ceiling Standard Reimbursement Rate (SRR) % Maximum RMR Exceeds SRR Full-time Infant (Birth up to 18 months) $ 111.93 $ 77.25 45% Full-time Toddlers (18 months up to 36 months) $ 80.39 $ 63.62 26% Full-time Preschooler (Age 3 years) $ 80.39 $ 45.73 76% Full-time School Age (Age 7 years) $ 61.08 $45.44 34% Source: Regional Market Rate Reimbursement Ceilings for Subsidized Child Care 2018, http://www3.cde.ca.gov/rcscc/; CDE Management Bulletin 17-17; Standard Reimbursement Rate, https://www.cde.ca.gov/sp/cd/op/factsheet17.asp. Families who qualify for child care vouchers – largely current and former CalWORKs participants – can use the voucher for care at a licensed child care center or family child care home or with a relative. For preschool care, the SRR is lower than the Contra Costa County RMR in all three settings. Yet the Title 5 contractors must meet more stringent regulations than state licensing requires under Title 22. There are higher education qualifications for Title 5 and stricter child staff ratios. For example, Title 22 requires one adult per 12 preschool children in child care centers; Title 5 requires one adult per 8 preschool children12. There are similar differences for younger children. Minimum wage boosts increase labor costs for child care providers in Contra Costa County. It will be increasingly difficult to provide child care at the SRR as labor costs rise in Contra Costa County. Labor costs are the largest budget item for child care centers; 12 http://rise.lbcc.edu/family_child_care_provider/assets/resources/CA_Licensing_Regulations%20Compare.pdf 40 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 12 one recent study estimates labor to account for 64% of operating costs13. In quarter 1 of 2017, child care workers in Contra Costa County had an average wage of $14.35 per hour, with one in four making less than $11.52 per hour. Wages were slightly higher for preschool teachers, who made an average of $18.05 per hour, with one in four below $15.60.14 As of January 2017, the California minimum wage was $10.50 per hour15. State and local minimum wage increases will push child care wages up further. Statewide, the minimum wage will rise to $15.00 in 2022 (2023 for small employers)14. Contra Costa cities have, on average, higher minimum wages than in the state overall. In January 2018, El Cerrito will see a minimum wage of $13.60, while Richmond will hit $13.0016. El Cerrito will raise the minimum wage to $15.00 in 201917. Wage increases will not only increase costs for child care providers, but also put minimum wage earners in families with two working parents close to the income eligibility threshold for subsidized care. Minimum wage increases generally increase wages not just for th ose workers previously earning less than the new minimum, but also for workers earning just above it, as employers seek to maintain wage differentials for experience and education . This is particularly important in early childhood education where education al requirements rise with increased classroom responsibilities. CDE and the Child Care Law Center warn of the increased turnover from wage compression and competition from other sectors as minimum wages increase.18 Labor markets are tight in Contra Costa County. In 2017, the county’s unemployment rate was about 3.8%, slightly lower than the average annual rate (4.8%) for California. 13 Welsh-Loveman, J. (2015). The Impact of Minimum Wage Regulations on the Early Care and Education Industry in California. Oakland, CA: Alameda County Early Care and Education Planning Council. https://www.acgov.org/ece/documents/Welsh-Loveman_APA_5202015.pdf 14 http://www.labormarketinfo.edd.ca.gov/data/oes-employment-and-wages.html 15 https://www.govdocs.com/california-15-statewide-minimum-wage/ 16 https://www.minimum-wage.org/california 17 https://www.el-cerrito.org/940/Minimum-Wage-Ordinance 18 California Department of Education. (2017). Bringing Child Care Policy in Line with the New Minimum Wage. Sacramento, CA. 41 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 13 Figure 6: Average Annual Unemployment Rate, 2006-2017 Source: California Employment Development Department, Labor Market Information Division, Unemployment Rates (Labor force) Statewide and by County, 2006-2017 annual averages, http://www.labormarketinfo.edd.ca.gov/cgi/dataanalysis/areaselection.asp?tablename=labforce Families above the income threshold, low reimbursement rates, and other regulations together led to underearned state contracts. In each of the last two years, Contra Costa County providers with CSPP and General Child Care (CCTR) contracts returned more than $3.4 million allocated to child care in the county. With funding for approximately 8,000 children, just over 7,000 children received subsidized care.19 CSPP accounted for the largest share of unearned funds, with more than 18% of contract dollars unearned. Many CSPP contractors cited low reimbursement rates as a barrier to serving more children. As one indicated: We struggle each year to serve the families in our central county location, [and] we do not have enough funds to serve most who need care. By adjusting for needs and eligibility regulations with terms that meet our local [community], we can support continued care for families [without families having to worry] about “topping out” or not finding employment soon enough [which result] in loss of access to care. This is especially true for families with young children under 3 years old. The pilot terms allow us to serve more families and to keep the monies within our County as intended by the State in the first place. 19 Calculated from expected child days of enrollment for an average of 236 days in operation per year at the SRR for preschool care. 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Contra Costa Unemploymen t Rate California Unemploymen t Rate 42 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 14 LOCAL CHILD CARE SUBSIDY PLAN GOALS AND COMPONENTS Subsidies for quality early education and child care services are important supports for low-income families, helping parents gain and maintain stable employment. At the same time, high quality programs promote healthy development and school readiness for children, including cognitive development and social and emotional skills. Moreover, research shows that stable child care is important for children’s development and may be particularly important for children at risk of poor developmental outcomes. The lack of reliable child care also affects mothers’ ability to remain employed, while many parents who receive subsidized child care work in sectors such as retail and service areas that are associated with employment volatility.20 Indeed, one goal of the reauthorization of the federal Child Care and Development Block Grant Act in 2014 was to incorporate more family friendly eligibility policies to promote greater child care stability for parents and children. In its local child care subsidy plan, Contra Costa County seeks to address two major breakdowns in the child care subsidy system as currently exists. First, families barely earning enough to meet the high costs of housing in the county are too high income to qualify for child care subsidies under existing regulations and those that do qualify can easily lose subsidies with small increases in their income. Second, difficulties in finding, certifying and recertifying children as eligible for subsidies combined with very low reimbursement rates make it difficult for providers to utilize their full allocation of state and federal child care and child development funds. Thus, fewer children are subsidized through these providers, and funding goes unused in the county. Recognizing these challenges, the local child care subsidy plan has two main goals: Better meet the early education and child care needs of families in Contra Costa County through policies that  Support low-income families, and  Promote stable child care. Expand subsidized care by implementing policies for child care contractors that  Increase earned child days of enrollment,  Improve reimbursement rates for contractors, 20 For an overview of the role of child care stability, see Adams, G., & Rohacek, M. (2010). Child Care Instability: Definitions, Context and Policy Implications. Washington, DC: Urban Institute. 43 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 15  Reduce contractor administrative burden,  Reduce unearned funds, and  Promote contractor retention. These policies are incorporated in six components where the local approach will differ from statewide regulations. For each component, we provide a conceptual overview, link it to the goals above, note whether the component is consistent with pilots in other counties, and provide additional notes for background or clarification. Contra Costa County plans to apply for a plan modification in year two (FY19/20) to request increased pilot rates and an associated redistribution of unearned funds once the impact of the state and pilot policy changes can be accurately assessed. At that time, Contra Costa County’s Local Planning Council will provide Early Education and Support Division (EESD) at the California Department of Education with recommended contract terms for participating pilot contractors, including maximum reimbursable amounts, child days of enrollment, and the pilot reimbursement rate. 44 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 16 Component 1: Increase income threshold for eligibility for subsidized care for Title 5 contractors to 85% of the state median income as provided by the California DOF. Concept Families will be eligible for subsidized care if their income does not exceed 85% of the state median income (SMI) as provided by the California DOF. The same pilot income threshold will apply for both entry (initial enrollment) and exit eligibility. Contract Type(s) Affected CCTR, CSPP, CalWORKs Stages 2 and 3, AP Goal(s)  Support low-income families  Reduce unearned funds  Increase earned child days of enrollment Matched to Other Pilots San Mateo, San Francisco, Alameda, Santa Clara Notes As needed, the County will seek modification of this threshold to ensure that the pilot income eligibility is the maximum allowable under federal guidelines. The entry income threshold for the pilot deviates from the entry income threshold established in the California Education Code 8263.1 (a), which states that a family’s adjusted monthly income must be at or below 70% of the SMI. 45 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 17 Component 2: Authorize 24-month eligibility for families entering subsidized care and eligible on the basis of need other than job search. Concept Consistent with federal goals to provide stable child care financial assistance to families, the Contra Costa pilot will establish 24-month redetermination periods for families who meet the income threshold for subsidized care and, as required by the contract type, meet the need criteria for eligibility. (See below for eligibility based on job search.) The 24-month eligibility would apply to all ages of children in CCTR and to children in CSPP who meet the state age requirements. Goal(s)  Support low-income families  Promote stable child care  Reduce contractor administrative burden  Promote contractor retention Contract Type(s) Affected CCTR, CSPP, CalWORKs Stages 2 and 3, AP Matched to Other Pilots Alameda and San Francisco/San Mateo have variants of the 24-month eligibility. Contra Costa’s version of this component is consistent with San Francisco, San Mateo and Santa Clara. Notes Eligibility redetermination guidelines would be consistent with those now embedded in contractor handbooks developed for Alameda and San Francisco Counties and the EESD Management Bulletin 17-14 (September 2017). Specific features of this component include:  Family fees and subsidized hours of care would be stable over 24- month eligibility period.  Earlier redetermination could be triggered by the family by their choice to lower the family fee or expand hours of care.  At initial eligibility and redetermination, eligibility may be based on either the previous month’s income (or in the case of unpredictable income, the average from at least three consecutive months) and no more than 12 months preceding initial certification, consistent with Title V 18096.  Families must submit documentation of total income to the contractor who will verify the information. An income calculation worksheet will be used to help determine income eligibility. Income is calculated pursuant to Title V 18078(q).  Families will be instructed that they must notify the agency if their monthly income will disqualify them for subsidies. This includes income exceeding 85% of the SMI as determined by the CA DOF. 46 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 18 Component 3: Authorize an exception to the requirement that 50% of the children enrolled at a CSPP program site be four-year-old children. Concept This new component will allow Contra Costa County CSPP contractors to enroll more children in the 2.9 to 3.9 age range. Goal(s)  Reduce unearned funds  Increase earned child days of enrollment Contract Type(s) Affected CSPP Matched to Other Pilots New following AB 108. Notes This component will allow CSPP contractors to fill more vacancies in child care programs. Now, if programs cannot find enough four-year-olds to meet the 50% requirement, they cannot move forward with enrolling children in the 2.9 to 3.9 range. Programs are required to grant first priority to four-year-old children. This component has been authorized through AB 108. 47 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 19 Component 4: Establish a family fee schedule for families with income above the state eligibility cutoff to set fees at approximately 10% of family income. Concept To promote transition from subsidized care, family fees will rise with income in the “pilot income range” between the state income threshold and the pilot threshold. The family fee scale will match those in the other pilots. Goal(s)  Support low-income families  Reduce unearned funds  Increase earned child days of enrollment Contract Type(s) Affected CCTR, CSPP, CalWORKs Stages 2 and 3, AP Matched to Other Pilots San Mateo, San Francisco, Alameda, Santa Clara Notes The pilot family fee scale will be updated following any changes in the state fess schedule and when the income threshold is updated annually. As of June 2018, the fee scale will not differ from the state, given the state exit income eligibility. 48 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 20 Component 5: Restore the age eligibility for CSPP contracts to 2.9 years old as of September 1st of the fiscal year and allow children to enroll immediately on or after their third birthday if born after December 1st. Concept Serving children aged 2.9 to age 5 in CSPP will allow children to receive two years of state preschool before moving into TK. It will also allow contractors to fill CSPP classrooms at the beginning and in the middle of the school year. Goal(s)  Promote stable child care  Reduce unearned funds  Increase earned child days of enrollment Contract Type(s) Affected CSPP Matched to Other Pilots San Mateo, San Francisco, Alameda, and Santa Clara only include eligibility for CSPP contracts to 2.9 years old as of September 1st. Contra Costa has a variant of age eligiblity which includes children to enroll immediately on or after their third birthday if born after December 1st. Notes This would adjust the definition of “three-year-old children” in EC Section 8208 to include children who will have their third birthday on or before December 1 in the fiscal year in which they are enrolled in a CSPP program. Component 6: Authorize families for 6.5 hours of services if their only need is seeking housing or seeking employment. Concept This components will assist in meeting the needs of families in the county and help contractors by better matching authorized hours to full time care schedules Goal(s)  Support low-income families  Promote stable child care Contract Type(s) Affected CCTR, CSPP, CalWORKs Stages 2 and 3, AP Matched to Other Pilots Alameda, San Mateo, San Francisco and Santa Clara Notes Services of families seeking employment are outlined in EC Section 8263. The plan would include 6.5 hours of services for families seeking housing or employment. This will allow families more time to seek housing or seek employment and maximize child days of enrollment. 49 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 21 The following is the list of contractors who have formally agreed to participate in the pilot. 1. CoCoKids 2. Community Services Bureau – Contra Costa County Employment Human Services Department 3. Concord Child Care 4. ICRI-El Nuevo Mundo Children's Center 5. Kidango, Inc. 6. Martinez Early Childhood Center, Inc. 7. The Child Day School 8. The Unity Council 9. YMCA of the East Bay 50 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 22 MEASURING OUTCOMES Each year as required in legislation, the County of Contra Costa will prepare reports on the pilot project for submission to EESD following years one, three and five of the pilot. Each report will be submitted the November after the end of the fiscal year and will reflect results since the previous report. The first evaluation report will be submitted by November 30st 2019 and will cover fiscal year 2018/2019. These reports will track outcomes on selected measures described below. In addition, each report will profile the children and families served under the pilot, including the demographic characteristics of the children. The reports will also describe any major issues that arose in implementation or special challenges affecting specific contractors. Finally, they will identify any requested modifications in the pilot plan based on the previous year’s experiences. The annual report will draw on the following data sources: 1) 801A Data: Each month, contractors are required to submit to EESD a list of all families that received subsidized services. For each child in subsidized care, the 801A lists the date services began, family income, family size, child’s date of birth, CalWORKs receipt, and other demographic and care information. Pilot contractors will provide an extract of their May submission for April 801A data for inclusion in the annual report. A subset of providers will provide more frequent reports as needed to track specific outcomes. 2) Attendance and Fiscal Reports: Contractors will provide the LPC with a copy of each quarter’s Quarter Attendance and Fiscal Reports (8501 and 9500 Forms). This would only apply to CCTR and CSPP programs. This will provide information on earned child days of enrollment and family fees. This information will be used to determine an increase in the aggregate child days of enrollment from the aggregate child days of enrollment in the last quarter of the 2016-2017 fiscal year pursuant to the California Education Code Section 8332.4(c). 3) Provider Satisfaction Surveys: Each provider will complete an annual online survey regarding their experiences with the pilot project. The survey will be developed in collaboration with Contra Costa County and will examine contractors’ experiences both positive and negative, and their perception of the impact of the pilot on families. 4) Additional Data from EESD: We will also use data provided by EESD on the number of contractors and the unearned contract funds. 51 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 23 The measures tracked are structured around the two major goals of the pilot: better meeting the needs of families and expanding the supply of subsidized care. Understanding how the pilot meets the needs of families The first two measures will examine the effect of the higher income threshold and the longer recertification periods. Measure 1: The number and share of children in subsidized care with family income above the state income threshold. We will track the number and share of children from families with income in the “pilot range” (income above the state income threshold but below the pilot threshold). Over time, we expect to see a larger share of children with income in this range. These are children who, without the pilot, would not be eligible for subsidized child care. However, with 24-month recertification, we may not observe families as they move into this category. Data Source: April 801A data provided by contractors Measure 2: The time in services and year-to-year retention for children in subsidized care by contract type. For children in subsidized care, we will measure the time in services, measured as the days since the date the child started receiving services. We will also measure the share of children observed in each year that were also included in the prior year’s data. We expect children to remain in care longer, recognizing that children will “age out” of care especially in CSPP. Data Source: April 801A data provided by contractors Understanding how the pilot expands subsidized care Additional measure will track the effect of the pilot on the supply of care and the stability of providers. Measure 3: The number of active direct services child care and development services contractors in Contra Costa County. We expect that higher reimbursement rates and lower administrative burden will promote the retention of contractors offering subsidized care through CSPP and CCTR contracts. We will measure the number of direct service contractors providing contracted child care 52 Contra Costa County Individualized Child Care Subsidy Pilot Plan – June 2018 24 and development services on June 30th of each year. For comparison, we will also plan to obtain data from EESD on retention of direct service contractors in nearby counties over the same period. Data Source: EESD Measure 4: The aggregate adjusted child days of enrollment among pilot contractors. The legislation requires that the pilot achieve an increase in child days of enrollment compared to the baseline. For Contra Costa County, the baseline would be 2017/2018. Each year the evaluator will re-calculate the baseline days of enrollment based on data provided by EESD to adjust for fluctuations in contract funds. Thus, the baseline is a formula rather than a static number. For example, if contract funds were reduced in a year of the pilot to 85% of the baseline contract funds, the baseline goal for that year would be calculated at 85% of the baseline child days of enrollment. This strategy is in use in San Mateo and San Francisco Counties and was proposed by EESD staf f to offset increases or decreases in funding provided to contractors. Data Source: 4th Quarter Attendance and Fiscal Forms. Measure 5: The value and share of unearned direct service contract funds returned to the California Department of Education. This measure is defined as the total contract allocations during a fiscal year that are unearned (not spent). The amount of unearned contract dollars is defined as the difference between the total contract allocations and the total dollars earned by participating contractors. Data Source: 4th Quarter Attendance and Fiscal Forms 53 Assembly Bill No. 435 CHAPTER 703 An act to amend Section 8340.2 of, and to add and repeal Article 15.1.1 (commencing with Section 8333) of Chapter 2 of Part 6 of Division 1 of Title 1 of, the Education Code, relating to child care. [Approved by Governor October 12, 2017. Filed with Secretary of State October 12, 2017.] legislative counsel’s digest AB 435, Thurmond. Child care subsidy plans: Counties of Alameda, Contra Costa, Marin, and Sonoma. (1)  The Child Care and Development Services Act has a purpose of providing a comprehensive, coordinated, and cost-effective system of child care and development services for children from infancy to 13 years of age and their parents, including a full range of supervision, health, and support services through full- and part-time programs. Existing law requires the Superintendent of Public Instruction to develop standards for the implementation of quality child care programs. Existing law authorizes the County of Alameda and the County of Santa Clara, as a pilot project, to develop an individualized county child care subsidy plan, as provided. This bill would authorize, until January 1, 2023, the Counties of Contra Costa, Marin, and Sonoma to develop individualized county child care subsidy plans, as specified. The bill would require the plans to be submitted by the counties to their local planning council and their respective county board of supervisors for approval, as specified. The bill would require the Early Education and Support Division of the State Department of Education to review and approve or disapprove the plans and any subsequent modifications to the plans and, in specified situations, would require the State Department of Social Services to review the plans. The bill would require the counties to annually prepare and submit to the Legislature, the State Department of Social Services, and the State Department of Education a report that contains specified information relating to the success of the counties’ plans. This bill would make legislative findings and declarations as to the necessity of a special statute for the Counties of Contra Costa, Marin, and Sonoma. (2)  Existing law authorizes the County of Alameda, as a pilot project, to develop an individualized county child care subsidy plan, as provided. Existing law requires the plan to include specified elements, including the development of a local policy, as provided. Existing law requires the local policy to, among other things, authorize an agency that provides child care and development services in the county through a contract with the State 92 54 Department of Education and either provides direct services or contracts with licensed providers or centers to apply to the department to amend existing contracts in order to benefit from the local policy. This bill would instead require the local policy, among other things, to authorize an agency that provides child care and development services in the county through a contract with the department to apply to the department to amend existing contracts in order to benefit from the local policy. Existing law authorizes the local policy to supersede state law concerning child care subsidy programs with regard to certain factors, including eligibility criteria relating to CalWORKs participation, with exceptions. This bill would also authorize the local policy to supersede California state preschool eligibility periods, as specified, and would delete the above provisions relating to superseding eligibility criteria relating to CalWORKs participation and the exceptions. Existing law requires the plan to include a recognition that all funding sources utilized by direct service contractors that provide child care and development services in the County of Alameda and contractors that contract with licensed providers and centers are eligible to be included in the county’s plan. This bill would instead require the plan to include a recognition that all funding sources utilized by contractors that provide child care and development services in the County of Alameda are eligible to be included in the county’s plan. The people of the State of California do enact as follows: SECTION 1. It is the intent of the Legislature to build a stable, comprehensive, and adequately funded high-quality early learning and educational support system for children from birth to five years of age, inclusive, with alignment and integration into the K–12 education system by strategically using state and federal funds, and engaging all early care and education stakeholders, including K–12 education stakeholders, in an effort to provide access to affordable, high-quality services supported by adequate rates, integrated data systems, and a strong infrastructure that supports children and the educators who serve them. SEC. 2. Article 15.1.1 (commencing with Section 8333) is added to Chapter 2 of Part 6 of Division 1 of Title 1 of the Education Code, to read: Article 15.1.1. Individualized Child Care Subsidy Plans for the Counties of Contra Costa, Marin, and Sonoma 8333. The Counties of Contra Costa, Marin, and Sonoma may individually, as pilot projects, develop and implement individualized county child care subsidy plans. The plans shall ensure that child care subsidies received by these counties are used to address local needs, conditions, and priorities of working families in the respective communities. 92 — 2 —Ch. 703 55 8333.1. For purposes of this article, “county” means the Counties of Contra Costa, Marin, and Sonoma. 8333.2. (a)  For purposes of this article, “plan” means an individualized county child care subsidy plan developed and approved under the pilot project described in Section 8333, which includes all of the following: (1)  An assessment to identify the county’s goals for its subsidized child care system. The assessment shall examine whether the current structure of subsidized child care funding adequately supports working families in the county and whether the county’s child care goals coincide with the state’s requirements for funding, eligibility, priority, and reimbursement. The assessment shall also identify barriers in the state’s child care subsidy system that inhibit the county from meeting its child care goals. In conducting the assessment, the county shall consider all of the following: (A)  The general demographics of families who are in need of child care, including employment, income, language, ethnic, and family composition. (B)  The current supply of available subsidized child care. (C)  The level of need for various types of subsidized child care services, including, but not limited to, infant care, after-hours care, and care for children with exceptional needs. (D)  The county’s self-sufficiency income level. (E)  Income eligibility levels for subsidized child care. (F)  Family fees. (G)  The cost of providing child care. (H)  The regional market rates, as established by the department, for different types of child care. (I)  The standard reimbursement rate or state per diem for centers operating under contracts with the department. (J)  Trends in the county’s unemployment rate and housing affordability index. (2)  (A)  Development of a local policy to eliminate state-imposed regulatory barriers to the county’s achievement of its desired outcomes for subsidized child care. (B)  The local policy shall do all of the following: (i)  Prioritize lowest income families first. (ii)  Follow the family fee schedule established pursuant to Section 8273 for those families who are income eligible, as defined by Section 8263.1, and provide the exemptions for family fees specified in Section 8273.1. (iii)  Meet local goals that are consistent with the state’s child care goals. (iv)  Identify existing policies that would be affected by the county’s plan. (v)  (I)  Authorize an agency that provides child care and development services in the county through a contract with the department to apply to the department to amend existing contracts in order to benefit from the local policy. (II)  The department shall approve an application to amend an existing contract if the plan is modified pursuant to Section 8333.3. (III)  The contract of a department contractor that does not elect to request an amendment to its contract remains operative and enforceable. 92 Ch. 703— 3 — 56 (vi)  Provide a family that qualifies for the second or third stage of child care services pursuant to Article 15.5 (commencing with Section 8350), for purposes of eligibility, fees, and reimbursements, the same or higher level of benefit as a family that qualifies for subsidized child care on another basis pursuant to the local policy, except as otherwise provided in Article 15.5 (commencing with Section 8350). Nothing in this section shall be interpreted to impact or reduce any element in the second or third stage of child care services pursuant to Article 15.5 (commencing with Section 8350) that provides a greater benefit to participating families than is provided for in the local policy. (C)  The local policy may supersede state law concerning child care subsidy programs with regard only to the following factors: (i)  Eligibility criteria, including, but not limited to, age, family size, time limits, income level, and special needs considerations. (ii)  Fees, including, but not limited to, family fees, sliding scale fees, and copayments for those families who are not income eligible, as defined by Section 8263.1. (iii)  Reimbursement rates. (iv)  Methods of maximizing the efficient use of subsidy funds, including, but not limited to, multiyear contracting with the department for center-based child care, and interagency agreements that allow for flexible and temporary transfer of funds among agencies. (v)  Families with children enrolled in part-day California state preschool programs services, pursuant to Article 7 (commencing with Section 8235), may be eligible for up to two 180-day periods within a 24-month period without the family being certified as a new enrollment each year. (3)  Recognition that all funding sources utilized by contractors that provide child care and development services in the county are eligible to be included in the county’s plan. (4)  Establishment of measurable outcomes to evaluate the success of the plan to achieve the county’s child care goals, and to overcome any barriers identified in the state’s child care subsidy system. (b)  A plan may also include stage one child care services and all voucher-based child care programs. (c)  Nothing in this section shall be construed to permit the county to change the regional market rate survey results for the county. 8333.3. (a)  The plan shall be submitted to the local planning council, as defined in subdivision (g) of Section 8499, for approval. Upon approval of the plan by the local planning council, the board of supervisors of the county shall hold at least one public hearing on the plan. Following the hearing, if the board votes in favor of the plan, the plan shall be submitted to the Early Education and Support Division of the department for review. If the plan includes stage one child care services, the plan shall also be submitted to the State Department of Social Services for review only. (b)  Within 30 days of receiving the plan, the Early Education and Support Division shall review and either approve or disapprove the plan. 92 — 4 —Ch. 703 57 (c)  Within 30 days of receiving a modification to the plan, the Early Education and Support Division shall review and either approve or disapprove that modification to the plan. (d)  The Early Education and Support Division may disapprove only those portions of modifications to the plan that are not in conformance with this article or that are in conflict with federal law. 8333.4. The county shall, by the end of the first fiscal year of operation under the approved child care subsidy plan, demonstrate, in the report required pursuant to Section 8333.5, an increase in the aggregate days a child is enrolled in child care in the county as compared to the enrollment in the final quarter of the 2016–17 fiscal year. 8333.5. (a)  The county shall annually prepare and submit to the Legislature, the State Department of Social Services, and the department a report that summarizes the success of the county’s plan, and the county’s ability to maximize the use of funds and to improve and stabilize child care in the county. (b)  The department shall review the report submitted pursuant to subdivision (a), along with any applicable programmatic and fiscal compliance records submitted by the contracting agencies participating in the plan, and determine whether to allow the county to continue with the plan without change, or whether to require modifications to be made to the plan. (c)  The county shall, by the end of the first fiscal year of operation under the approved plan, demonstrate, in the report required pursuant to this section, that there was no reduction in the number of children served as compared to the number of children served before the implementation of the plan. (d)  A report to be submitted to the Legislature pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. 8333.6. A participating contractor shall receive any increase or decrease in funding that the contractor would have received if the contractor had not participated in the plan. 8333.7. This article shall remain in effect only until January 1, 2023, and as of that date is repealed, unless a later enacted statute that is enacted before January 1, 2023, deletes or extends that date. SEC. 3. Section 8340.2 of the Education Code is amended to read: 8340.2. (a)  For purposes of this article, “plan” means an individualized county child care subsidy plan developed and approved under the pilot project described in Section 8340, which includes all of the following: (1)  An assessment to identify the county’s goals for its subsidized child care system. The assessment shall examine whether the current structure of subsidized child care funding adequately supports working families in the county and whether the county’s child care goals coincide with the state’s requirements for funding, eligibility, priority, and reimbursement. The assessment shall also identify barriers in the state’s child care subsidy system 92 Ch. 703— 5 — 58 that inhibit the county from meeting its child care goals. In conducting the assessment, the county shall consider all of the following: (A)  The general demographics of families who are in need of child care, including employment, income, language, ethnic, and family composition. (B)  The current supply of available subsidized child care. (C)  The level of need for various types of subsidized child care services, including, but not limited to, infant care, after-hours care, and care for children with exceptional needs. (D)  The county’s self-sufficiency income level. (E)  Income eligibility levels for subsidized child care. (F)  Family fees. (G)  The cost of providing child care. (H)  The regional market rates, as established by the department, for different types of child care. (I)  The standard reimbursement rate or state per diem for centers operating under contracts with the department. (J)  Trends in the county’s unemployment rate and housing affordability index. (2)  (A)  Development of a local policy to eliminate state-imposed regulatory barriers to the county’s achievement of its desired outcomes for subsidized child care. (B)  The local policy shall do all of the following: (i)  Prioritize lowest income families first. (ii)  Follow the family fee schedule established pursuant to Section 8273 for those families that are income eligible, as defined by Section 8263.1, and provide the exemptions for family fees specified in Section 8273.1. (iii)  Meet local goals that are consistent with the state’s child care goals. (iv)  Identify existing policies that would be affected by the county’s plan. (v)  (I)  Authorize an agency that provides child care and development services in the county through a contract with the department to apply to the department to amend existing contracts in order to benefit from the local policy. (II)  The department shall approve an application to amend an existing contract if the plan is modified pursuant to Section 8340.3. (III)  The contract of a department contractor that does not elect to request an amendment to its contract remains operative and enforceable. (vi)  Provide a family that qualifies for the second or third stage of child care services pursuant to Article 15.5 (commencing with Section 8350), for purposes of eligibility, fees, and reimbursements, the same or higher level of benefit as a family that qualifies for subsidized child care on another basis pursuant to the local policy, except as otherwise provided in Article 15.5 (commencing with Section 8350). Nothing in this section shall be interpreted to impact or reduce any element in the second or third stage of child care services pursuant to Article 15.5 (commencing with Section 8350) that provides a greater benefit to participating families than is provided for in the local policy. 92 — 6 —Ch. 703 59 (C)  The local policy may supersede state law concerning child care subsidy programs with regard only to the following factors: (i)  Eligibility criteria, including, but not limited to, age, family size, time limits, income level, and special needs considerations. (ii)  Fees, including, but not limited to, family fees, sliding scale fees, and copayments for those families that are not income eligible, as defined by Section 8263.1. (iii)  Reimbursement rates. (iv)  Methods of maximizing the efficient use of subsidy funds, including, but not limited to, multiyear contracting with the department for center-based child care, and interagency agreements that allow for flexible and temporary transfer of funds among agencies. (v)  Families with children enrolled in part-day California state preschool program services, pursuant to Article 7 (commencing with Section 8235), may be eligible for up to two 180-day periods within a 24-month period without the family being certified as a new enrollment each year. (3)  Recognition that all funding sources utilized by contractors that provide child care and development services in the county are eligible to be included in the county’s plan. (4)  Establishment of measurable outcomes to evaluate the success of the plan to achieve the county’s child care goals, and to overcome any barriers identified in the state’s child care subsidy system. (b)  Nothing in this section shall be construed to permit the county to change the regional market rate survey results for the county. SEC. 4. The Legislature finds and declares that a special statute is necessary and that a general statute cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances in the Counties of Contra Costa, Marin, and Sonoma. Existing law does not reflect the fiscal reality of living in these high-cost counties where the cost of living is well beyond the state median level, resulting in reduced access to quality child care. In recognition of the unintended consequences of living in a high-cost county, this act is necessary to provide children and families in the Counties of Contra Costa, Marin, and Sonoma proper access to child care through individualized county child care subsidy plans. O 92 Ch. 703— 7 — 60 FAMILY AND HUMAN SERVICES COMMITTEE 7. Meeting Date:06/25/2018   Subject:Innovative Community Partnerships Submitted For: Kathy Gallagher, Employment & Human Services Director  Department:Employment & Human Services Referral No.: #110   Referral Name: Innovative Community Partnerships  Presenter: Devorah Levine Contact: Devorah Levine (925) 608-4890 Referral History: On January 6, 2015 the Board of Supervisors referred oversight and receipt of updates on the Employment and Human Services Department's (EHSD) Innovative Community Partnerships to the Family and Human Services Committee (F&HS). On June 7, 2016, the Board approved expanding F&HS Referral No. 110 "Innovative Community Partnerships" to include the subject of Whole Family Services. This change was necessary to incorporate a major EHSD initiative, which refocuses client-facing benefit eligibility to assess the status and needs of the “whole family” while they are also determining benefit eligibility. Key to the new initiative is working with community partners to form a network of family resource centers in current place-based centers such as SIT (Service Integration Team) and SparkPoint sites, Family Justice Centers, First 5 centers, et al. On June 26, 2017, the Family and Human Services Committee and Board of Supervisors received the most recent annual report on Innovative Community Partnerships. Referral Update: Attached is a status report on EHSD's Innovative Community Partnerships program. Recommendation(s)/Next Step(s): ACCEPT the attached report on the Employment and Human Services Department’s Innovative Community Partnerships. Fiscal Impact (if any): There is no fiscal impact; the report is informational only. Attachments 61 EHS Innovative Community Partnerships Report June 2018 62 40 Douglas Drive, Martinez, CA 94553 • (925) 608 4800 • Fax (925) 313-9748 • www.ehsd.org M E M O R A N D U M               Kathy Gallagher, Director  To:  Family and Human Services Committee    Date:  June 25, 2018      Supervisor John Gioia, Chairperson  Supervisor Candace Andersen, Member        From:    Kathy Gallagher, Director  Subject: FHS Referral #110 Innovative Community Partnerships      RECOMMENDATION:  ACCEPT the attached report on the Employment and Human Services Department’s (EHSD) Innovative  Community Partnerships.    Overview:  EHSD's mission is to partner with the community to deliver qual ity services to ensure access to resources  that support, protect, and empower individuals and families. Despite economic growth throughout the  Bay Area, one in ten Contra Cost a County residents live in poverty, including 13% of children1. Each year,  approximately one in four county residents receive help from EHSD2 to put food on the table, find jobs,  enroll their children in high quality child care, obtain and maintain health coverage, address and avoid  family violence, and in many other life sustaining ways central to the county’s safety net. Through robust  partnerships  with  community  based  agencies,  county  departments, law enforcement, funders,  businesses and policy makers, our services help make Contra Costa County a safer, healthier, and more  equitable place to live for all residents.    Furthering  innovative  partnerships  has  become  more  essential  than ever. Research on the social  determinants of health and well‐being3 has shed new light on the significant connections between  poverty, employment, food security, social and community cohesion and health, creating a new urgency  for integrating social services into traditional health and community settings.  Potential structural  changes being considered at the Federal level, including enforcing and expanding work requirements  associated with public programs and reducing funding for prevention, also add urgency to identifying  key partnerships.    Investments  in  social  services  and  innovative  partnerships  have  been  modest  in  scale  and  often  temporary. Successful partnerships in neighboring counties have often been made possible by targeted  1 Source: U.S. Census Bureau, 2012‐2016 American Community Survey 5‐Year Estimates  2 EHSD enrollment data  3 Social determinants have been defined as factors that contribute to a person's current state of health. These  factors may be biological, socioeconomic, psychosocial, behavioral, or social in nature Source: U.S. Department  of Health and Human Services, Healthy People 2020 Draft. 2009, U.S. Government Printing Office.  63 2 investments of general funds and foundation grants.4  EHSD’s ability to fund and support innovative  partnerships has been greatly reduced as county general funds have not kept pace with the cost of doing  business.  Despite these constraints, EHSD is prioritizing participation in, and supporting development  of key partnerships.  With the support of the Policy and Planning Division, the department is working to  strengthen partnerships through strategic planning, research and evaluation, public policy tracking and  analysis,  resource  development, and  incubating  innovative  pilot  programs.  The  following  report  highlights partnerships that are central to our efforts.     Elder Abuse Prevention Project  Under the leadership of EHSD's Adult Protective Services (APS), the Elder Abuse Prevention Project  (EAPP) is an innovative partnership addressing elder abuse through a coordinated system of care. Elder  abuse is an underreported and often invisible issue. Elderly are the fastest growing segment of the  county's population: From 2000 to 2010, the population of seniors 65 and older increased 22%, to  130,432 individuals. Based on population projections from the Census, the percentage of seniors in  Contra Costa County will continue to grow.    With the support of a $957,742, two‐year grant awarded from the Office of Emergency Services (Cal  OES),  EHSD  established  a  robust  partnership  between  APS,  other county  agencies,  and  several  community  partners.    These  partners  include  Family  Justice  Center,  Senior  Peer  Counselors,  Senior  Legal  Services,  Meals  on  Wheels, and Ombudsman Services,  STAND!,  SEEDS,  the  District  Attorney,  and  Behavioral  Health.   This project leverages the existing  capacity  of  multiple  agencies  to  coordinate  services  through  the  Family Justice Centers for victims of  domestic  violence,  child  abuse,  elder abuse, and human trafficking.    In operation since June 2017, EAPP has served 226 clients, 72% of whom were disabled. The most  commonly provided services are advocacy (81% of clients), crisis intervention (66% of clients), and legal  assistance (15% of clients). EAPP provides a platform to raise awareness in the community, helping all  providers to better identify and respond to cases of elder abuse. Cal OES has extended this funding  opportunity for the EAPP through December 31, 2019 with an additional award of $620,884.    EAPP has established the following best practices for service delivery:      A common data collection tool and database to ensure cases are handled in a more coordinated  fashion.    An elder abuse prevention website, CoCoElderJustice.org.     A multi‐disciplinary team (MDT) meeting to improve the quality of services and care for clients.    A multi‐disciplinary Financial Abuse Strike Team to investigate and solve complex cases of  financial abuse.    A quarterly Elder Death Review Team meeting.  4 Some examples of partnerships in neighboring counties include Sonoma’s “Upstream Investments”, Alameda  County’s “Nutrition Partnership”, and San Francisco’s “Civic Bridge.”   64 3       As a result of these efforts, several benchmarks were reached:     Restraining orders for victims of elder abuse have more than doubled.   Enhanced outreach efforts increased APS reports by 9% (around 300 referrals per month) in FY  2016‐2017. We anticipate an increase of 24% in APS reports for FY 2017‐18.       Increased identification of service delivery gaps and problem solving to diminish those gaps.    Improved  coordination  of  services,  as  evidenced  by  a  decline  in  the  number  of  repeated  referrals of EAPP clients by partner agencies.     Safety and Healing: Family Justice Centers  Developed with the support of the Contra Costa Alliance to End Abuse (formerly Zero Tolerance for  Domestic Violence Initiative), the Family Justice Centers embody  an  innovative  public‐private  partnership.  Each  Family  Justice  Center  (FJC)  (Central County and West County) has more than 16 on‐site partners (40  partners  in  total)  providing  services  under  one  roof,  including law  enforcement  agencies,  community‐based  organizations,  and  county  departments.  Significantly, EHSD has increased the strength of its presence  and partnership at the FJC in the last year.  Workforce Services Bureau staff  rotate  on  –site  at  the  FJC,  providing  immediate  access  to  benefits  and  support for clients. Both centers are community hubs for education and  integrated services for victims of interpersonal violence.  Pla ns are underway  to open a FJC in East County in 2018.    In 2017, the Family Justice Centers served 2,442 families (with 2,010 children), a 30% increase from  2016.  81% of clients had a prior history with domestic violence, applied for a restraining order, had  contact with children and family services, adult protective services, or law enforcement.  65% of clients  served by the FJC earn less than $2,000 per month.  42% are worried about their safety. The most  common needs identified by clients are advocacy (“comprehensive services” (21%), family law/court  assistance (15%), restraining orders (11%), mental health counseling (6%).    The Family Justice partnership has created efficiencies among public and private partners and helped  identify service gaps and solutions. This partnership  naturally gave rise to a domestic violence  multidisciplinary team (MDT) and a human trafficking  MDT, which meet monthly to discuss complex cases.  New programs were launched this year, including a  “Housing First” project teaming up domestic violence  case  management  experts and  housing  assistance  specialists to help victims find and retain housing, as  well as a Restorative Justice project, testing alternative responses to domestic violence.        65 4   Whole Person Care: Community Connect  EHSD is collaborating as a key partner with Contra Costa Health  Services (HSD) and a range of community  agencies in a $200 million, 5‐year Whole Person Care pilot funded through California's Section 1115  Medicaid waiver (Medi‐Cal 2020). Contra Costa County is one of 18 pilot locations in the state, with  California being the only state in the country implementing a pilot of this nature.    Under HSD's leadership and oversight, multi‐disciplinary teams apply a “whole person" approach to  caring for high‐risk members of our community who are also frequent users of emergency and other  medical services. Participants are provided with medical, behavioral health, social services, housing  support, public benefits, eligibility and enrollment services, and integrated care coordination. This  initiative provides an opportunity for EHSD to contribute its expertise to the emerging care model that  recognizes the importance of “social determinants of health" on a person's overall wellbeing.    “4” Our Families  In 2017, EHSD developed an integrated cross‐bureau pilot program, including identifying service sites  for  the  pilot  and  creating  a  robust  evaluation plan. The initiative is designed  to  provide  holistic  services  to  EHSD  clients,  increasing  access  to  targeted  services  and  supports  they  need.    The  pilot program uses four “navigators” to  engage clients with multiple unmet needs  and  connect  them  to  both  EHSD  and  community  resources.    Services  will  be  provided in the Sand Creek EHSD office,  the Delta Fair office in Antioch, the Bay  Point  SIT/Spark  Point  site,  and  FJC  Richmond.     We plan to ultimately provide a new level of support with “wrap around services” for individuals and  families. Leveraging the 211 database and other technology, centralized data sharing and co‐located  staff will provide increased access, a better and faster service  delivery  experience,  and  improve  utilization rates of our comprehensive suite of services.                   66 FAMILY AND HUMAN SERVICES COMMITTEE 8. Meeting Date:06/25/2018   Subject:East Bay Stand Down for Homeless Veterans Submitted For: David Twa, County Administrator  Department:County Administrator Referral No.: #56   Referral Name: East Bay Stand Down for Homeless Veterans  Presenter: Nathan Johnson Contact: Nathan Johnson (925) 313-1481 Referral History: The East Bay Stand Down (EBSD) is an extraordinary event providing 450 homeless Veterans and their families from the San Francisco Bay Area an opportunity to receive invaluable and diverse services and care in a safe, secure environment. The goal is to assist homeless veterans to end the cycle of homelessness by bringing into one location transitional housing opportunities, medical/dental care, legal services, benefits counseling, food, clothing, entertainment and many other services. Of most importance, our participants receive this care in a respectful manner and we let them know they are not forgotten. This event is supported by over 1,000 dedicated community and military volunteers. Referral Update: As a volunteer and member of the Executive Board for EBSD, Veterans Services Officer Nathan Johnson is pleased to present the opportunity to discuss an event that has a strong positive effect on our community, and thanks the Committee for its support of this worthy endeavor. Maj. General, USA (Ret.) Ron Lowe, Board Chairman, will join him today and would like to address the Committee. Recommendation(s)/Next Step(s): ENDORSE and SUPPORT the East Bay Stand Down to be held September 13 - 16, 2018 at the Alameda County Fairgrounds in Pleasanton. Fiscal Impact (if any): No net County cost. Attachments 67 East Bay Stand Down Brochure 68 Alameda County Fairgrounds Sept. 13-16, 2018 HELPING DISPLACED, HOMELESS AND NEEDY VETERANS AND THEIR FAMILIES. EAST BAY STAND DOWN Director: Jerry Yahiro (925) 743-8850 Donations: Please write a check payable to: DIABLO VALLEY VETERANS FOUNDATION - EBSD And mail it to: DVVF-EBSD PO BOX 2133 DANVILLE, CA 94526 The Diablo Valley Veterans Foundation is a 501(c)(3) non-profit corporation, IRS identification number 26-3198472 It is the Soldier, not the minister Who has given us freedom of religion. It is the Soldier, not the reporter Who has given us freedom of the press. It is the Soldier, not the poet Who has given us freedom of speech. It is the Soldier, not the campus organizer Who has given us freedom to protest. It is the Soldier, not the lawyer Who has given us the right to a fair trial. It is the Soldier, not the politician Who has given us the right to vote. It is the Soldier who salutes the flag, Who serves beneath the flag, And whose coffin is draped by the flag, Who allows the protester to burn the flag. Copyright 1970, 2005 Charles M. Province 69 A community is often judged by how well it takes care of its own. Serving those who have served our Nation is the primary goal of the East Bay Stand Down (EBSD). On any given night, across this nation, there may be as many as 40,000 homeless Veterans. Additionally, there may be as many as 1.4 million at-risk Veterans. Many of these Veterans suffer from physical injuries and mental health issues, frequently from both. After separation from the Armed Services, in an attempt to get treatment, many Veterans have gotten lost in a bureaucratic and frustrating maze. They have yet to receive a proper diagnosis, treatment, and/or the care they need, deserve, and have earned. This often leads to loss of their self- esteem, substance abuse, break up of family relationships, and hardships for the children of these Veterans. Suicide, or worse, are all too common in many instances. The East Bay Stand Down, is a four (4) Day event, held every 2 years, at the Alameda County Fairgrounds, in Pleasanton, CA. It brings together 350 of the Bay Area’s homeless and at risk military veterans, connecting them with the services they need, to break this vicious cycle of homelessness and despair. Hosted by a consortium of community organizations, the EBSD provides a broad spectrum of services to these Veterans. Psychological, medical, dental, and other care are available at the EBSD, along with counseling services for substance abuse, legal issues, spiritual needs, and employment opportunities. In addition, follow up, rehabilitation and housing options are available for participants, after the close of EBSD. Since the first East Bay Stand Down, held in 1999, our goal has been to provide a respite for the homeless and at risk Veterans’ from their daily environment. Approximately 5,000 Veterans, and their families, have benefitted from this event. These Stand Downs, and others like it across the Country, have proven to be effective in breaking the cycle of homelessness and despair. The fiduciary agent for the EBSD is the Diablo Valley Veterans Foundation (DVVF), a 501(c)(3) non-profit corporation, IRS tax identification 26-3198472. If a financial gift is granted, please make the check payable to the Diablo Valley Veterans Foundation -EBSD, and mail to P.O. Box 2133, Danville, CA 94526. There are no paid positions associated with the DVVF and the EBSD. All monies raised for the EBSD are used to support Veterans and administrative costs associated with the event. Donations may be tax deductible. THANK YOU FOR YOUR SUPPORT! 70