AMD RE CHILD CARE HEALTH CONSULTANTS WITH FTF.PDF

C-86-18-087-3-01
Early Childhood Health and
GRANT AMENDMENT
Development Board
(First Things First)
Amendment #1 Page 4000 North Central Avenue,
1 Suite 800
Government Agreement/Contract Award # Phoenix, AZ 85012
of
GRA-STATE-19-0970-01 (602) 771-5100
1
Quality First Childcare Health Consultation
Maricopa County by and through its,
Grantee:
Maricopa County Department of Public Health
4041 N. Central Avenue, Suite 1400
Phoenix, AZ 85012
PURPOSE OF AMENDMENT:
Pursuant to First Things First Uniform Terms and Conditions, “Amendments”, of the above referenced Government
Agreement/Contract Award, the State of Arizona hereby exercises its sole option to amend the contract as follows:
1. Description of Services – This amendment is to provide additional funding that will be used to provide Child Care Health
Consultation (CCHC) services to an additional 52 centers participating in Quality First through the Preschool Development
Grant with ADE (Arizona Department of Education).
The total FY19 service units for ADE funded centers are 52 centers.
 East Maricopa: 1
 Northwest Maricopa: 8
 Phoenix North: 21
 Phoenix South: 13
 Southeast Maricopa: 5
 Southwest Maricopa: 4
2. Manner of Financing – This amendment adds $118,720 to the current award to fund the additional 52 centers through the
Preschool Development Grant with ADE for the remainder of the state fiscal year concluding on June 30, 2019. The
amendment also adds $6,000 from regional funding that was to be applied to this award effective July 1, 2018. ($118,720
Preschool Development funds and $6,000 FTF Regional Funding) The total award is increased by $124,720.
3. The total FY 19 grant award is increased from $1,111,760 to 1,236,480.
4. For auditing purposes, we are required to supply the following information relating to the ADE PDG funding:
Federal Award ID Number – S419A150009 – ISA
CFDA # - 84.419A
Total Federal Amount Awarded - $118,720.
5. All other terms and conditions remain unchanged.
Grantee hereby acknowledges receipt and understanding of The above referenced amendment is hereby executed
the amendment: effective September 1, 2018 once signed and dated
below:
Signature_________________________________________
_______________________________________________
Steve Chucri Josh Allen
Name____________________________________________
CFO/COO
Chairman, Maricopa County Board of Supervisor
Title_____________________________________________
_______________________________________________
Date
Date_____________________________________________
ATTEST: APPROVED AS TO FORM:
__________________________________________ ________________________________________
Clerk of the Board Date Attorney for Maricopa County Date

FY19 Line-Item Budget — Child Care Health Consultation
Budget period: July 1, 2018 —June 30, 2019
Budget Category Line Item Description j Requested Funds Total Cost
PERSONNEL SERVICES Personnel Services Sub Total $763,885
Salaries 7.5 FTE Nurse 548,434
0.5 Contract Nurse 38,000
1.0 FTE Lead Nurse 86,652
0.8 FTE Supervisor 71,343
0.6 FTE Admin Assistant 19,456
EMPLOYEE RELATED EXPENSES Employee Related Expenses Sub Total $264,487
Fringe Benefits or Other ERE Variable at 19.45% 141,145
Fixed at $11,856 x 9.90 FTEs 123,302
PROFESSIONAL AND OUTSIDE SERVICES Professional & Outside Services Sub Total
Contracted Services
TRAVEL Travel Sub Total $9,000
In-State Travel Mileage 9,000
Out-of-State Travel
AID TO ORGANIZATIONS OR INDIVIDUALS Aid to Organizations or Individuals Sub Total
Subgrants or Subcontracts to
organizations/agencles/entities
OTHER OPERATING EXPENSES Other Operating Expenses Sub Total $86,701
• Telephones/Communications Services 10,000
• Internet Access
• General Office Supplies 16,663
• Food
• Rent/Occupancy 8,297
• Evaluation (non-contracted & non-
personnel expenses)
• Utilities
• Furniture 500
• Postage
7,000
• Software (including IT supplies)
3,000
• Dues/Subscriptions
• Advertising
• Printing/Copying
• Equipment Maintenance
• Professional Development (Staff 11241
Training, Conferences, Workshops,
Training Fees for Staff)
• Insurance
• Program Materials 16,000
• Program Supplies 14,000
• Scholarships
• Program Incentives
CAPITAL EQUIPMENT Capital Equipment Sub Total
Equipment $5,000 or greater in value
NON-CAPITAL EQUIPMENT Non-Capital Sub Total
Equipment $4,999 or less in value
Subtotal Direct Program Costs: $1,124,073
ADMINISTRATIVE/INDIRECT COSTS Total Admin/Indirect $112,407
Indirect/Admin Costs $ $
Total $ $ ,236,480
GRA-STATE-19-0970-01 Page 1 of 3

/obi-
Authorized Signature Date
FY19 Budget Narrative — Child Care Health Consultation
The budget narrative should provide a clear and concise description of how amounts were determined, including
calculations, for each proposed line item in the Line-Item Budget. If a budget category does not apply, either leave
blank or delete the category.
Personnel Services: $763,885
Salaries for 7.50 FTF CCHCs, 0.5 Nurse, 1.0 CCHC Lead Nurse, 0.60 Program Administrative Assistant, and 0.80
CCHC Supervisor.
Maricopa County Department of Public Health uses a Placement in Range System for determining nursing salaries
using an average rounded salary and salaries are determined based on the number of years on nursing experience.
Most of the nurses are very experienced and earn a salary in the top range, although some of the newer hires
earn less. The 7.50 FTEs are budgeted using an average rounded hourly rate. Please note, average rounded rates
are being utilized to reflect an anticipated average salary increase for Maricopa County employees during FY 2018-
19. We are budgeting $38,000 to hire a part time contract nurse position which will not involve any of the fringe
benefits or retirement benefits at an average pay of $30 for 20-25 hours in a week. This position will work on
curriculum updates, will review charting, review reports and develop ideas for promoting and improving the CCHC
program. The Program Administrative Assistant's salary is shared with another grant for technical assistance and
therefore 0.60 FTE in this grant and 0.40 FTE in the TA grant. The Supervisor's salary is shared with the TA grant
as well and there is 0.80 FTE for this grant and 0.20 FTE in the TA grant. Both the Program Assistant and the
Supervisor respectively spend approximately 60% and 80% of time on this grant. The Lead Nurse is a 1.0 FTE on
this grant and is responsible for the day to day supervision of the 7.50 FTEs (time cards, calendars, one-on-ones,
technical assistance to CCHCs) and works on online training modules. The Supervisor is responsible for staff
assignments within the tiered services delivery model, collecting and reporting all data as required to FTF
regarding program activities, providing recommendations for the CCHC system development and fostering
collaboration between the CCHCs and other early child hood coaches and consultants. The Supervisor also creates
protocols and policy/procedure and manages issues that are related to policy and protocols.
Employee Related Expenses: $264,487
Fringe benefits are calculated at 19.45% of salary ($725,885 x 19.45%) for a cost of $141,185 for Medicare, Social
Security, Worker's Compensation, long term disability, life insurance and AZ State Retirement System. Medical,
dental, vision, and prescription drug coverage benefits are calculated @ $11,856 for 9.90 FTEs for $123,302. These
benefits have been calculated using the Maricopa County projected rates for the contract period of July 1, 2018
—June 30, 2019.
Professional and Outside Services: If professional consultants/services costs are proposed in the budget, define
how the costs for these services were determined and the justification for the services related to the program.
Explain how all contracts will be procured.
Travel: $9,000
Mileage for in-state travel of all staff is budgeted for a total of $9,000. All CCHC staff travel to various locations
in Maricopa County on a regular daily basis to service child care centers and homes. Staff submit mileage sheets
regularly in accordance to the State of Arizona Travel Policy. The CCHCs do not travel out of state.
Aid to Organizations or Individuals: In the event that this application represents collaboration and you will be
utilizing subcontractors (including subgrantees) to perform various components of the program, include a list of
subcontractors, programmatic work each subcontractor will perform, and how costs for each subcontractor are
determined.
GRA-STATE-19-0970-01 Page 2 of 3

Other Operating Expenses: $75,460
Cell phone and communication services is budgeted for $10,000 for 10 CCHCs (including Lead Nurse and
Supervisor). VPN service for teleworking and hotspots so that the staff can gain access to the internet out in the
field are also included in this amount. General office supplies which include copy paper, colored paper, ink for
printers and copy machines, lamination supplies, calendars, planners, etc. will be budgeted at $16,663. Rent and
occupancy is budgeted for $8,297. Furniture budgeted at $500. Software budgeted at $7,000. Dues and
subscriptions budgeted at $3,000.
Professional development budgeted at $11,241. Staff will attend various conferences/trainings though out the
year to expand their knowledge base related to their job tasks and occupations. Some examples of such
professional development might be the "Zero to Three Conference", The Annual Child Abuse Conference, The
Child Obesity Conference, ERS National Conference, and the FTF Summit. Other subject matter that would be
beneficial might be training or conferences on Physical Activity, Nutrition, Safe Sleep, Disaster Preparedness,
Infectious Disease, Immunizations, Adult Learning, etc.
Program materials such as items to promote health and safety in the child care centers and homes (Safe Sleep,
Tummy Time, Nutrition and Family Style Dining, Disaster Preparedness, Physical Activity, Hand Washing and
Sanitation etc.) budgeted at 16,000. Program Supplies budgeted at 14,000 (projectors, screens, physical activity
kits, flash drives, books, printing, etc.)
Capital Equipment: If allowable within the scope of the grant - For items that are tangible, non-expendable, and
movable having a useful life of more than one year and a value of $5,000 or greater, explain each item to be
purchased, how the costs were determined and justify the need for the items based on the scope of work and the
benefit to the program. All purchases should be made through competitive bid or using established competitive
purchasing procedures,
Non-Capital Equipment: For items with a unit cost less than $5,000 and an initial estimated useful life beyond a
single year, explain each item to be purchased, how the costs were determined and justify the need for the items.
All purchases should be made through competitive bid or using established purchasing procedures. For example,
items such as computers, printers, projectors, etc. each with a unit cost less than $5,000.
Administrative/Indirect Costs: $112,407
Maricopa County utilizes a cost allocation system which is comprised of two components. The county wide portion
includes those costs allocated entirely to administration; the departmental cost pool consists of costs that
benefitted all Public Health planning services, finance procurement, human resources, grants/contracts, and
agency liability insurance. The indirect rate is derived annually based on the expenditures of the previous year.
The indirect rate for MCDPH is budgeted at 10% which is 112,407.
Applicants must list either Option A or Option B and provide proper justification for expenses included:
lZ Option B - Federally Approved Indirect Costs: If your agency/organization has a federally approved
indirect cost rate agreement in place, applicants may include an allocation for indirect costs for up to 10%
of the direct costs. Applicants must provide a Copy of their federally approved indirect cost rate
agreement. (See Attachment B)
Authorized Signature Date ittgrhe.
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