GOVT AGRMT RE CHILD CARE HEALTH CONSLTN TECH ASSIT WITH FTF.PDF

Government Agreement Summary
GRA Number: GRA-STATE-19-0971-01 Region/Funding Source: Statewide
Applicant Information:
Maricopa County Department of Public Health
4041 N. Central Avenue, Ste. 1400
Phoenix, AZ 85012
Primary Strategy: Child Care Health Consultation Funding Available: $53,025.00
Target Service Units
Child Care Health Consultation:
 Conduct one CCHC training per fiscal year for newly hired CCHCs in the state and
coordinate the training with Pima County Health Department.
 Conduct two Health and Safety Specialist trainings for early care and education
providers per year.
Brief Description:
The purpose of this grant agreement is to provide technical assistance to the Child Care Health
Consultants (CCHC) providing services throughout Arizona in the following First Things First
Regions: Cochise, Coconino, Colorado River Indian Tribes, East Maricopa, Gila, Gila River Indian
Community, Graham/Greenlee, La Paz/Mohave, Navajo Nation, Navajo/Apache, Northwest
Maricopa, Pascua Yaqui Tribe, Phoenix North, Phoenix South, Pima North, Pima South, Pinal, San
Carlos Apache, Santa Cruz, Southeast Maricopa, Southwest Maricopa, Tohono O’odham Nation,
White Mountain Apache Tribe, Yavapai, and Yuma.
Required Data Template Training
The grantee is required to participate in data template training. Further instruction will be provided
closer to award.
Grant Term/Estimated Start Date: Contact Information:
The estimated grant term is July 1, 2018 Russell Spencer
through June 30, 2019, unless terminated, Fiscal Specialist
cancelled or extended. First Things First
Email: Rspencer@azftf.gov
Phone: (602) 771-5043
GRA-STATE-19-0971-01 Page 1 of 37

GOVERNMENT AGREEMENT
GRA-STATE-19-0971-01
Between The
Arizona Early Childhood Development and Health Board
(First Things First)
And
Maricopa County Department of Public Health
(Grantee)
I. Purpose
The purpose of this Agreement is to specify the responsibilities and procedures for the Grantee
role in administering Arizona Early Childhood Development and Health Board grant funds.
II. Term, Renewal
The term of this Agreement is July 1, 2018 through June 30, 2019. The parties may
renew this Agreement for up to three (3) additional twelve (12) month extensions
(including lesser parts thereof).
III. Description of Services
Early childhood professionals are entrusted to provide care for children, and they must
keep children safe from injuries and infectious diseases while providing care. Health and
safety related issues directly impact the quality of early care and education programs.
The health and safety standards are based on the Caring for Our Children (Third edition)
standards that are higher than state licensing standards. The Child Care Health
Consultation program is evidence-based and has been shown to promote healthy and
safe improvements in child care environments.
The Child Care Health Consultation Technical Assistance (TA) offers training and
technical assistance to new Child Care Health Consultants (CCHCs), training for Health
and Safety Specialist (HSS) in child care programs, and professional development
opportunities for CCHCs. Ongoing professional development is continuing education.
Topics for training and professional development are based on the professional
development needs of the team of Child Care Health Consultants, which may include
licensing, sanitation, hand washing, playground safety, medication management,
emergency preparedness, and health and illness management, and updated best
practice standards for child care health consultation.
The target population includes newly hired Child Care Health Consultants throughout
Arizona requiring training and certification prior to providing CCHC services. The TA
GRA-STATE-19-0971-01 Page 2 of 37

grant partner may also provide the CCHC training for health assistants or nurses in early
care and education programs. In addition, early care and education programs
throughout Arizona are the identified population for the Health and Safety Specialist
training.
The purpose of this grant agreement is to provide technical assistance to the Child Care
Health Consultants (CCHC) providing services throughout Arizona in the following First
Things First Regions: Cochise, Coconino, Colorado River Indian Tribes, East Maricopa,
Gila, Gila River Indian Community, Graham/Greenlee, La Paz/Mohave, Navajo Nation,
Navajo/Apache, Northwest Maricopa, Pascua Yaqui Tribe, Phoenix North, Phoenix
South, Pima North, Pima South, Pinal, San Carlos Apache, Santa Cruz, Southeast
Maricopa, Southwest Maricopa, Tohono O’odham Nation, White Mountain Apache
Tribe, Yavapai, and Yuma.
FTF requires grant partners to submit the following types of data for the {Insert strategy
name} strategy:
 Participant level demographic information:
 N/A  Yes, Required for SFY 2019  Yes, Capacity Building in SFY 2019
 Programmatic Outcome Data:
 N/A  Yes, Required for SFY 2019  Yes, Capacity Building in SFY 2019
IV. GRANTEE’S Responsibilities
The Grantee shall:
A. Prior to entering into this Agreement, have completed and submitted to First Things
First for review and approval the following forms and documents:
1. Agency/Organization Profile
2. Personnel - Program Personnel Table and Program Organization Chart
3. Required Narrative Responses
4. Implementation Plan
5. Line-Item Budget and Budget Narrative
6. Fiscal Information - Funding Sources and Financial Controls
7. Program Evaluation Information
The completed forms and documents comprise part of this Agreement.
B. In providing programming described in Section IV.A, the Grantee shall act in
accordance with its Program Questions and Narrative Responses; the approved
budget; and the following First Things First documents: the Scope of Work (Exhibit
A), Guidance Materials (Exhibit B), and the Data Security, Submission and
Suppression Guidelines and Requirements for Collaborators (Exhibit C).
C. Coordinate and collaborate with all First Things First grant recipients, as
collaboration is critical to developing a seamless service delivery system for children
and families.
D. Submit timely the reports described in Section VI.
GRA-STATE-19-0971-01 Page 3 of 37

V. Reimbursement/Payment
A. First Things First shall pay the Grantee on a cost-reimbursement basis for expenses
approved in the budget, up to $53,025.00, on the terms described in this Section.
B. Payment is conditioned upon receipt by First Things First of timely, accurate and
complete (i) reimbursement documents, (ii) Program Narrative Reports and (iii) Data
Submission Reports submitted via the First Things First Partner Grant Management
System (PGMS). Payments shall be made only for those services performed or goods
received.
C. The Grantee shall submit reimbursement requests at least quarterly, though not
more frequently than monthly. The Grantee shall submit a final reimbursement
request marked “final” no more than forty-five (45) days after the Agreement end
date. Expenses eligible for reimbursement must be paid, accrued or obligated by
the Grantee by the Agreement term end date. Final payment shall be contingent
upon receipt of all fiscal, programmatic, and data reports required of the Grantee
under this Agreement. Requests for reimbursement received later than forty-five
(45) days after the Agreement end date will not be paid.
D. Funds provided to the Grantee under this Agreement shall only be used to fulfill the
Grantee’s responsibilities under this Agreement. Any questions regarding the
appropriate use of the funds shall be resolved by mutual agreement between the
parties.
E. If the Grantee receives reimbursement for expenditures that are disallowed by an
audit exception by First Things First, the state or the federal government, the
Grantee shall promptly repay the funds to First Things First.
VI. Quarterly Program Narrative and Data Submission Reporting Requirements
A. At a minimum, the Grantee shall submit quarterly one Program Narrative Report and
one Data Submission Report by the 20th of the month following the quarter via
PGMS. Failure to submit timely reports will result in suspension of reimbursement.
The reports shall contain such information as deemed necessary by First Things First.
B. Program Narrative and Data Submission Reports are due:
1st Quarter (July 1 - September 30) Due: October 20
2nd Quarter (October 1 - December 31) Due: January 20
3rd Quarter (January 1 - March 31) Due: April 20
4th Quarter (April 1 - June 30) Due: July 20
GRA-STATE-19-0971-01 Page 4 of 37

C. If the Grantee provides services to more than one First Things First region (multi-
regional strategies), the Grantee shall collect, store and report the data for the Data
Submission Reports separately for each region served.
VII. General Terms
A. FTF Grants Uniform Terms and Conditions. First Things First’s Grants Uniform Terms
and Conditions (revision date December 2017) are hereby incorporated by reference
into this Agreement as if fully set forth herein. Copies of this document are available
by emailing the First Things First Procurement Specialist, grants@azftf.gov.
B. Working on Tribal Land. If the Grantee performs any work under this Agreement on
sovereign land of a tribe, the Grantee shall comply with any requirements set forth
by the tribal government in relation to essential functions of the grant operation,
including data collection. It is a material requirement of this Agreement that the
Grantee follow all First Things First tribal policies and procedures including the Tribal
Data Policy as applicable, obtain all appropriate parental consents and obtain
appropriate tribal approvals as designated by tribal authorities, which approval may
include a requirement to participate in cultural education and community
orientation classes.
C. Non-Discrimination. The provisions of State Executive Order 2009-09 are
incorporated herein by reference. These provisions mandate, in part, that
contractors will not discriminate against any employee or applicant for employment
because of race, age, color, religion, sex or national origin. The Grantee shall also
comply with all other applicable state and federal statutes, regulations and
executive orders concerning non-discrimination practices, including the Americans
with Disabilities Act and Federal Executive Order No. 13279 – Equal Protection of the
Laws for Faith-Based and Community Organizations.
D. Records. Pursuant to A.R.S. § 8-1174, the Grantee shall retain and shall
contractually require each subcontractor and subgrantee to retain all books,
accounts, reports, files and other records (“records”) relating to the Agreement for a
period of five years after the completion of the Agreement. All records shall be
subject to inspection and audit by the State (including First Things First) and by an
independent auditor at all reasonable times. Upon request, the Grantee shall
produce any or all such records at First Things First’s main office in Phoenix, Arizona.
Notwithstanding the foregoing paragraph, pursuant to 2 C.F.R. § 200.333, if the
grant includes federal pass-through funds, then the Grantee shall retain and shall
contractually require each subcontractor and subgrantee to retain all records
pertaining to the federal pass-through funds for a period of three years from the
date of submission of the final expenditure report and until any litigation, claims or
audit findings involving the records have been resolved and final action taken. All
such records shall be accessible and subject to audit in accordance with 2 C.F.R. §
GRA-STATE-19-0971-01 Page 5 of 37

200.336. This paragraph does not apply to a grantee, subgrantee or subcontractor
that is a federal agency.
E. Non-Availability of Funds. Every payment obligation of First Things First under this
Agreement is conditioned upon the availability of funds appropriated or allocated
for the payment of such obligation. If funds are not allocated and available for the
continuance of this Agreement, this Agreement may be terminated by First Things
First at the end of the period for which funds are available. No liability shall accrue
to First Things First in the event this provision is exercised, and First Things First shall
not be obligated or liable for any future payments or for any damages as a result of
termination under this paragraph.
F. Relationship of Parties. The Grantee under this Agreement is an independent
contractor. Neither party to this Agreement shall be deemed to be the employee or
agent of the other party.
VIII. Agreement Administration and Operations
A. Advertising, Publishing and Promotion of Agreement. The Grantee shall not use,
advertise or promote information for commercial benefit concerning this grant
without the prior written approval of First Things First.
B. Review of Printed Materials. First Things First must review and approve all Grantee
publications and/or media funded or partially funded through this Agreement for
compliance with this Agreement. The Grantee shall submit to First Things First via
PGMS all print and electronic materials related to the programs and services funded
under this Agreement before publicly distributing those materials so that First
Things First may first review and approve prior to release. If deemed necessary by
First Things First, the Grantee shall revise the materials as indicated by First Things
First before publicly distributing the materials. First Things First shall have full and
complete rights to reproduce, duplicate, disclose, perform, and otherwise use all
materials prepared under this Agreement.
C. Acknowledgment of FTF Funding. The Grantee shall recognize First Things First as a
funding source of programs and services funded in whole or part under this
Agreement in all publicly distributed print or electronic materials related to those
programs and services. The Grantee shall make this recognition in a manner
described in First Things First’s most current protocol and style guide. First Things
First will post any updates to the protocol and style guide under the Grantee
Resources section of PGMS. The Grantee shall also recognize First Things First as a
funding source of programs and services funded in whole or part under this
Agreement in all formal oral presentations and media interviews related to those
programs and services.
GRA-STATE-19-0971-01 Page 6 of 37

D. Public Awareness Efforts. The Grantee shall consult with First Things First in the
planning of public awareness/marketing strategies, such as websites, advertising or
media campaigns, related to the programs or services funded under this Agreement.
E. Ownership of Materials and Data. Any materials and data required to be collected,
delivered or created under this Agreement, including but not limited to reports,
computer programs and other deliverables are the sole property of the State (First
Things First). The Grantee shall not use or release these materials or data without
the prior written consent of First Things First. The Grantee is not entitled to a patent
or copyright on these materials and data and may not transfer the patent or
copyright to anyone else.
F. Ownership of Intellectual Property. Any and all intellectual property, including but
not limited to copyright, invention, trademark, trade name, service mark, and/or
trade secrets created or conceived pursuant to or as a result of this Agreement and
any related subcontract or subgrant (“Intellectual Property”), shall be work made for
hire and First Things First shall be considered the creator of such Intellectual
Property. First Things First shall own (for and on behalf of the State) the entire right,
title and interest to the Intellectual Property throughout the world. The Grantee
shall notify First Things First, within thirty (30) days, of the creation of any
Intellectual Property by it or its subcontractor(s) and subgrantee(s). The Grantee, on
behalf of itself and any subcontractor(s) and subgrantee(s), agrees to execute any
and all document(s) necessary to assure ownership of the Intellectual Property vests
in the State and shall take no affirmative actions that might have the effect of
vesting all or part of the Intellectual Property in any entity other than the State. The
Intellectual Property shall not be disclosed by Grantee or its subcontractor(s) and
subgrantee(s) to any entity not the State without the express written authorization
of First Things First.
G. Sectarian Purposes. Funds provided under this Agreement may not be expended for
any sectarian purpose or activity, including religious worship or instruction.
Additionally, the Grantee shall implement the programs or services funded under
this Agreement consistent with the First Amendment of the United States
Constitution. With respect to these programs or services, the Grantee also shall not
discriminate against any program or service beneficiary or applicant on the basis of
religion. First Things First reserves the right to verify or monitor compliance with
this paragraph. The Grantee shall repay any funds awarded under this Agreement
that the Grantee spends in violation of this paragraph.
IX. Indemnification
A. Not State Agency. This paragraph applies if the Grantee is not a department,
agency, board, commission or university of the State. Each party (as “Indemnitor”)
agrees to defend, indemnify, and hold harmless the other party (as “Indemnitee”)
from and against any and all claims, actions, liabilities, damages, losses, costs or
expenses (including reasonable attorneys’ fees) (hereinafter collectively referred to
GRA-STATE-19-0971-01 Page 7 of 37

as “Claims”) arising out of bodily injury of any person (including death) or property
damage, but only to the extent that such Claims which result in vicarious/derivative
liability to the Indemnitee are caused by the act, omission, negligence, misconduct,
or other fault of the Indemnitor including its officers, officials, agents, employees or
volunteers. The State of Arizona, Early Childhood Development and Health Board
(First Things First) is self-insured per A.R.S. § 41-621.
B. Patent and Copyright. The Grantee shall indemnify and hold harmless the State
against any liability, including costs and expenses, for infringement of any patent,
trademark or copyright arising out of grant performance or use by the State of
materials furnished or work performed under this Agreement. The State shall
reasonably notify the Grantee of any claim for which it may be liable under this
paragraph. This paragraph does not apply if the Grantee is insured pursuant to
A.R.S. § 41-621.
C. Subcontractors. The Grantee shall contractually require its subcontractors and
subgrantees, if any, to defend, indemnify and hold harmless the State of Arizona and
its departments, agencies, boards, commissions, universities, officers, officials,
agents and employees (“State”) from and against any and all Claims (including court
costs, attorneys’ fees, and costs of claim processing, investigation and litigation) for
bodily injury or personal injury (including death), or loss or damage to tangible or
intangible property caused, or alleged to be caused, in whole or in part, by the
negligent or willful acts or omissions of the subcontractor or subgrantee or any of its
owners, officers, directors, agents, employees, volunteers, or subcontractors. This
indemnity shall include any claim or amount arising out of or recovered under the
Workers’ Compensation Law or arising out of the failure of the subcontractor or
subgrantee to conform to any federal, state or local law, statute, ordinance, rule,
regulation, or court decree. It is the specific intention of the parties that the State
shall, in all instances, except for Claims arising solely from the negligent or willful
acts or omissions of the State, be indemnified by the subcontractor or subgrantee
from and against any and all Claims. It is agreed that the subcontractor or
subgrantee will be responsible for primary loss investigation, defense and judgment
costs where this indemnification is applicable. The subcontractor or subgrantee
shall agree to waive all rights of subrogation against the State for losses arising from
the work performed by the subcontractor or subgrantee for the State.
X. Insurance.
The Grantee shall provide a Certificate of Self-Insurance. The Certification shall be sent
directly to First Things First, Fiscal Specialist, 4000 N. Central, Suite 800, Phoenix,
Arizona 85012. If the Grantee is a department, agency, board, commission or university
of the State of Arizona, then the Certificate of Self-Insurance requirement does not
apply.
In addition, the Grantee shall contractually require its subcontractors to procure and
maintain until all of its obligations have been discharged or satisfied, including any
GRA-STATE-19-0971-01 Page 8 of 37

warranty periods under this Agreement, insurance against claims for injury to persons or
damage to property which may arise from or in connection with the performance of the
work by the subcontractor and its owners, officers, directors, agents, employees, or
volunteers. The insurance policies shall be in accordance with recommendations of the
Risk Management Division of the Arizona Department of Administration, including its
published Insurance Modules, and in consultation with First Things First.
XI. Termination Upon 30 Days Notice
In addition to the termination provisions incorporated by reference, either party may
terminate the Agreement for any or no reason by giving at least thirty (30) days written
notice of termination to the other party. If the Grantee requests termination under this
provision, the Grantee shall cooperate with reasonable requests from First Things First
to decrease services and costs related to the Agreement.
XII. Notices
The Grantee shall address all notices related to this Agreement to:
First Things First
Finance Division
4000 N. Central Avenue, Suite 800
Phoenix, AZ 85012
First Things First shall address all notices related to this Agreement to:
Maricopa County Department of Public Health
4041 N. Central Avenue, Ste. 1400
Phoenix, AZ 85012
GRA-STATE-19-0971-01 Page 9 of 37

XIII. Grantee Assurances
Grantee's Authorized Official to initial the following:
4EORAL
To adhere to the most current version of the PROGRAMMATIC
Standards of Practice documents (available at 1445 To use proven, effective and/or evidence based
htto://www.firstthingsfirst.org/grants/strategy- programs.
toolkit)
—119 To maintain the personnel qualifications outlined in
To adhere to the Data Security, Submission and the Standards of Practice with subsequent hires.
Suppression Guidelines and Requirements for -pp
To comply with any applicable federal, state, and
Collaborators, as applicable.
local health and safety requirements that apply to
To review and adhere to the First Things First the facilities used for a program.
Grants Uniform Terms and Conditions. Copies of '1419
To actively participate in the Quality Assurance
this document are available by emailing
process, including assessments.
grants@azftf.gov .
To coordinate, to the extent possible, with other
To accept funds and administer the programs in
programs in the same geographic area that serve
accordance with all applicable federal and state
similar target populations.
statutes and regulations and Grant Agreement
requirements. IP_ To coordinate with First Things First during the
length of the program period.
To maintain internal controls, including policies and
procedures, for assuring compliance with To acknowledge funding from FTF in publicly-
applicable cost principles and other Grant distributed materials in compliance with FTF's
Agreement requirements. brand guidelines and submit such materials in
advance for review.
-44e To follow established personnel policies related to
To consult with FTF in the planning of public
salary scales, fringe benefits, and travel
awareness/marketing strategies such as websites,
reimbursement.
advertising or media campaigns.
To use generally accepted accounting principles
EVALUATION
(GAAP).
"1/frid To provide regular and timely reporting and to
To perform required financial and compliance
participate in all pertinent First Things First
audits in accordance with federal law and
research and evaluation efforts.
guidelines, including the Single Audit Act and 2 CFR
Part 200. If an evaluation study has been conducted on the
proposed program, a copy of the evaluation
To maintain documentation for employees working
report (if available) will be submitted to First
across multiple funding sources to ensure the
Things First.
amount of time charged to each employee does
not exceed 100%. Oje If funds are being requested to conduct an
evaluation study, approval by First Things First
To have fiscal control and fund accounting
Research and Evaluation team will be obtained
procedures in place to ensure proper disbursement
prior to implementation.
of and accounting for any funds paid to
subcontractors. If the evaluation study will include a tribal
community, approval by First Things First Research
To maintain enrollment and participate in e-verify,
and Evaluation team and Tribal Affairs division will
if an employer.
be obtained prior to implementation.
1, To maintain a system of contract administration to
ensure conformance with the Grant Terms and
Conditions.
GRA-STATE-19-0971-01 Page 10 of 37

XIV. Authority to Execute this Agreement
Each individual executing this Agreement represents and warrants that he or she is duly
authorized to do so.
XV. In Witness Whereof
The parties hereto agree to carry out the provisions of this Agreement.
FOR AND ON BEHALF OF FOR AND BEHALF OF THE
MARICOPA COUNTY Arizona Early Childhood Development
And Health Board
Steve Chuchri Josh Allen
Chairman, Maricopa County CFO/COO
Board of Supervisors
Date Date
ATTEST:
_________________________________
Clerk of the Board
_________________________________
Date
APPROVE AS TO FORM:
_________________________________
Attorney for Maricopa County
_________________________________
Date
GRA-STATE-19-0971-01 Page 11 of 37

Government Agreement Attachments and Exhibits
Attachment A Agency/Organization Profile
Attachment B Personnel - Program Personnel Table and Program Organization Chart
Attachment C Required Narrative Responses
Attachment D Implementation Plan
Attachment E Line Item Budget and Budget Narrative
Attachment F Fiscal Information - Funding Sources and Financial Controls
Attachment G Program Evaluation Information
Exhibit A Overview of First Things First and Scope of Work
Exhibit B Guidance Materials
Exhibit C Data Security, Submission and Suppression Guidelines and Requirements
for Collaborators
GRA-STATE-19-0971-01 Page 12 of 37

Attachment A - Profile
Agency/Organization Profile
A. Grantee Information:
Agency/Organization Maricopa County Dept. of Public Health-Community Wellness and Health Promotion-Child
Care Consultation Program Contact Person Machrina Leach
Address 4041 N. Central Avenue Position Program Manager
Address Email MachrinaLeach@mail.maricopa.gov
City, State, Zip Phoenix, AZ 85012
Phone 602-506-6662 Ext County Maricopa
Employer Identification Number:86-6000472
Agency Classification: ____State Agency __X__County Government ____Local Government ____Schools
____Tribal ____Faith Based ____Non Profit ____Private Organization ____Other
Have you conducted business with First Things First using this EIN within the last year? __X__Yes ____No
If not or if there has been address or EIN changes, please go to https://gao.az.gov/sites/default/files/GAO-
W-9_072815-S%26S%26A.pdf, download the State of Arizona Substitute W-9 Form, and submit with your
application.
Congressional district (federal) in which agency provides most services: District # ____4_____
Legislative district (state) in which agency provides most services: District # ____15_____
Go to http://www.azredistricting.org and click on Final Maps to identify your
congressional and legislative district
Approximate federal funding (from a federal source) to be received in current fiscal year? $ 29,458,806
Agency’s fiscal year-end date: June 30, 2018
Agency’s accounting method: ____Cash __X__Accrual
Does your organization undergo an annual independent audit in accordance with 2 CFR Part 200, Subpart F?
(See Attachment A ) __X__Yes ____No
Contact information for firm conducting agency audit:
Audit firm: State of Arizona: Office of the Auditor General
Address: 2910 N. 44th Street, Suite 410, Phoenix, AZ 85018
Phone: 602-553-0333
GRA-STATE-19-0971-01 Page 13 of 37

B. Program Details:
Program Name: N/A
(The specific name of the program if different from the name of the strategy, organization, or model. If none, then enter N/A)
Program Model: N/A
(The specific name of the program model that has been proposed. If none, then enter N/A)
Geographic Area and/or Target Population: Child Care Health Consultants-Statewide and Child Care Staff in
Maricopa County
Brief Program Description (250 words or less):
The technical assistance grantee, working as a team with the other FTF Training contractor and the CCHC Program
Manager shall:
1.Offer to provide half the initial and on going training for CCHC’s funded under the FTF umbrella in the State of Arizona in
accordance with the former National Training Institute for Child Care guidelines, adhering to the FTF grant requirements
with services being provided in a culturally competent manner to qualified CCHC’s.
2. Offer to provide half of the training (up to 2 x per year) for child care providers interested in expanding their skills to
improve the Technical Assistant Grant Requirements with services being provided in a culturally competent manner to
qualified CCPs. Grantee shall assist in the development of distance learning opportunities for Health and Safety Specialist
Training.
3. In collaboration with the CCHC program manager and in conjunction with the Pima County Child Care Health
Consultants will periodically review and update of the Child Care Policy Manual.
4. Provide technical assistance for providers, to include CCHC’s and child care providers.
5. Collaborate with all FTF grant recipients in developing seamless service delivery of CCHC and Health and Safety
Specialist Training, policy and procedures development maintenance, and technical assistance to CCHC’s and child care
program providers.
Strategy and Proposed Service Units
Child Care Health Consultation:
 Conduct one CCHC training per fiscal year for newly hired CCHCs in the state and
coordinate the training with Pima County Health Department.
 Conduct two Health and Safety Specialist trainings for early care and education
providers per year.
GRA-STATE-19-0971-01 Page 14 of 37

C. Contact Information:
The First Things First Partner Grant Management System (PGMS) has four contact slots per contract. The same
person may be assigned to more than one slot.
Main Contact: is responsible for the overall program and will have access to all financial, programmatic, and
data reports in PGMS.
Finance Contact: is responsible for the submission of reimbursement requests through PGMS and will have
access to budget and reimbursement information in PGMS.
Program Contact: is responsible for program implementation and will have access to the program and data
reports in PGMS.
Evaluation Contact: is responsible for the program evaluation and data collection activities and will have
access to only the data reports in PGMS.
PGMS Contacts
Name: Karen Hoffman Email: karenhoffman@mail.maricopa.gov
Main Contact
Title/Position: Supervisor CCHC Program Phone: 602-506-1582
Physical Address (if different than the agency address):
Name: Doris Householder Email: dorishouseholder@mail.maricopa.gov
Finance Contact
Title/Position: Accountant Phone: 602-372-2691
Physical Address (if different than the agency address):
Name: Machrina Leach Email: machrinaleach@mail.maricopa.gov
Program Contact
Title/Position: Program Manager for Community Phone: 602-506-6662
Wellness and Health Promotion
Physical Address (if different than the agency address):
Name: Maricela Arizmendi Email: maricelaarizmendi@mail.maricopa.gov
Title/Position: Office Assistant Specialized Phone: 602-506-6372
Physical Address (if different than the agency address):
GRA-STATE-19-0971-01 Page 15 of 37

Attachment B - Personnel
Program Personnel Table
In the following table, provide a list of all personnel or positions employed by the applicant that will be
fully or partially funded through the program. Expand as needed. For Key Personnel, include the name
and position title; pertinent background/experience that specifically relates to the program, including
degrees, field of study, number of years in the field, and other qualifications that align with the
Standards of Practice requirements; and their roles and responsibilities. If the position is to be hired
(TBH), then describe the desired background/experience/degrees and field of study. For all personnel,
provide the Full Time Equivalent (FTE) for each position.
Key Personnel - those individuals directly responsible for program implementation/services and are fully or partially
funded through the proposed program.
Background/Experience* FTEs funded
Name/
(include qualifications that align with Key Roles and Responsibilities through the
Position Title
the Standards of Practice) program
Karen Hoffman CCHC from 2010 and moved to Supervise and Evaluate 1 CCHC 0.20 FTE
RN/CCHC Supervisor Supervisor position in 2011 for Team Lead, 8 Child Care Health
Community Wellness and Consultants, and one
Health Promotion CWHP Administrative Assistant.Plan and
(formally known as Community organize the CCHC Training and the
Health Nursing with MCDPH. HSS Trainings during the year
Twenty Nine (29) years’ Gather data from electronic
experience in nursing which charting system in the Extranet,
includes hospital, school health, submitting information to FTF.
public health and hospice. Organize meetings with staff 2
Bachelor of Arts Degree in times a month. Meet with
Education, Associate Degree in leadership staff to discuss budget,
Nursing. Has completed policy, programs,etc. Collaborate
NTI/CCHC Trainer Training, NTI with FTF leaders, coaching
CCHC Training. Resume on file supervisors, Child Care Licensing,
with FTF. Assessor Supervisors, as well as
other partners in public
health.Network with all CCHC’s to
create better ways of improving
quality in child care centers through
education and intervention
methods.
GRA-STATE-19-0971-01 Page 16 of 37

Claudia Experience with the CCHC program Provides administrative and clerical 0.4 FTE
Corral/CCHC as a hearing screening assistant support to the Child Care Nurse
Program Assistant for the Hearing Screening Program Consultant Program (CCNC),
2011-2014. During this time she supervisors and staff. Performs data
assisted the CCHC program as well entry assisting with the CCNC Database
with administrative duties which is and Online Continuing Education
her position at the present time. classes. Assists with administrative
Experience in the medical field as a tasks of setting up and running the
CNA and Lab Tech. Completed the CCHC Courses and Health and Safety
Train the Trainer for the Hearing Specialist Trainings. Provides support
Screening Program. Completed as trained child safety seat expert to
Medical Translation Course in CCNC program and otherwise assists
2015 and is bilingual in Spanish with a myriad of administrative tasks
and English. Resume on file with as needed.
FTF.
Additional Personnel - those individuals partially funded through the proposed program but who do not directly
implement or have direct oversight of the program.
Total Number of FTEs funded or partially funded through program: 0.6
* Resumes and/or job descriptions for key personnel may be requested at any time but unless otherwise
indicated, they do not need to be submitted.
If awarded and the program undergoes changes in staff, a Staff Change Notification form along with an
updated version of this Program Personnel Table will need to be submitted to First Things First within
14 days of the proposed change.
GRA-STATE-19-0971-01 Page 17 of 37

Section B - Personnel
Community Wellness & Health Promotion
GRA-STATE-19-0971-01 Page 18 of 37

Attachment C - Narrative Responses
Required Narrative Responses
Provide a narrative response that addresses the following items.
A. Provide a description of the Technical Assistance Child Care Health Consultation
program proposed, including a description of how you will implement and carry out
technical assistance for the CCHC program in Arizona. The MCDPH CCHC Technical
Assistance Grant:
1. Provides for training of National Training Institute (NTI) Qualified Child Care
Health Consultants on at least an annual basis and coordinates additional training
dates with Pima County TA counterpart as needed.
2. Collaborates with FTF CCHC program manager and other FTF CCHC Grantees to
develop CCHC Train the Trainer course in order to provide for qualified CCHC
Trainers, since the National Training Institute at the University of North Carolina no
longer provides CCHC Train the Trainer programs. Course was completed and is
now being implemented by the CCHC staff at MCDPH.
3. Continues to work with FTF CCHC Program Manager and sister Technical
Assistance Grantee to complete curriculum for and to deliver up to two (2) Health
and Safety Specialist (HSS) trainings per year as needed.
4. Continue to provide CCHC technical assistance to CCHC’s through-out all the FTF
RPC’s.
5. Update and Revise Arizona Health and Safety Policy Manual and CCHC Handbook
collaborating with the program specialist.
B. Provide a description of the following related to the target population to be served
by the proposed strategy:
 How the program will specifically serve Child Care Health Consultants,
both newly hired and current consultants.
i. Provide CCHC training once a year for newly hired consultants, provide
technical assistance as needed to current consultants out in the field
throughout all of AZ. Maintain training records and collaborate with
sister TA agency to maintain a master list of qualified CCHCs in the State
of AZ.
GRA-STATE-19-0971-01 Page 19 of 37

 How the program will meet the needs of the targeted population in terms
of being culturally responsive, linguistically appropriate, age appropriate
and gender responsive.
ii. Cultural Competency is part of the NTI curricula for the CCHC training
and in addition to the training hiring professionals who are aware of the
importance of fostering an atmosphere of inclusivity. Communication is
a subject that is also addressed in both the CCHC training and the HSS
training. We will be adding a section to the HSS training that also
addresses cultural competence.
 How the program will specifically outreach to early care and education
programs for the Health and Safety Specialist Training.
iii. Each CCHC will consult with directors at their site to let them know that
a Health and Safety Program is available to staff in their centers. The
CCHC will give the site applications to fill out if they are interested in the
training for HSS. Two trainings will be offered each year and two
collaboration meetings will be held a year. The supervisor will assign a
person to monitor and keep a master list of all participating HSSs.
C. Identify infrastructure or capacity building, which will be needed to provide the
proposed program, including agreements and partnerships with other departments
and agencies, additional resources, and training and technical assistance. Train the
trainer for CCHC Course.
1. Train the trainer for CCHC Course.
2. MCDPH CCHCs have the resources of the Department of Public Health. We
have expertise in communicable disease, health and nutrition, emergency
preparedness and growth and development. We are able to obtain the latest
information from these Offices.
D. Identify barriers to providing the proposed program and plans for addressing these
barriers.
Getting the child care workers to commit to the Health and Safety Specialist
Training and the additional time involved mentoring after the training as well as
attending the collaboration meetings could be a barrier. This said some of the
requirements have changed and so it should be more convenient to the child care
providers.
E. Describe how collaboration will be approached and the steps that will be taken to
promote collaboration with the Pima County Health Department CCHC program, and
describe how collaborations will align with the continuum in the Standards of
Practice and Scope of Work.
GRA-STATE-19-0971-01 Page 20 of 37

Maricopa CCHC program will be collaborating with the Pima County Health
Departments CCHC program in various ways. Together we will prepare, facilitate
and implement the CCHC training and professional development provided during
quarterly update meetings (3 per year) and 1 CCHC Symposium sharing the
responsibility. We usually meet in person throughout the year and also have
conference calls that include the program specialist. During these meetings we can
discuss, update, design curriculum to be used for the CCHC Trainings and the HSS
Trainings. We also can update and revise the Arizona Health and Safety Policy
Manual and the CCHC Handbook in coordination with the FTF Program Specialist.
We will each host a CCHC Training for newly hired CCHCs during the year and have
ongoing training and technical assistance as needed throughout the state. We will
each provide two Health and Safety Specialist Trainings. All technical assistance
activities will be reported to FTF through a quarterly report submitted through the
PGMS system.
GRA-STATE-19-0971-01 Page 21 of 37

Attachment D - Implementation Plan
The purpose of the Implementation Plan is to identify and define the activities, tasks, and timelines for implementation of the proposed program to ensure effective
implementation. The Implementation Plan demonstrates the day-to-day activities and operations of the proposed program that align to and fulfill the strategy
Standards of Practice and/or Scope of Work. If the proposed program will be implemented for the first time, the implementation plan should include the additional
activities required for start-up and the anticipated timelines for the onset of service delivery to the target population.
All applicable activities and timelines for the following components must be addressed in the plan. Note: the date the task will be completed should include a level
of specificity that demonstrates when and how often the activity will take place (e.g. weekly, bi-monthly, quarterly, etc.) Terms such as ongoing, continuous or until
met are not acceptable.
Implementation Plan
July 1, 2018 – June 30, 2019
I. Organizational Infrastructure - including but not limited to the following activities. Add additional rows as needed.
o Recruitment, hiring and training of all staff (supervisors, direct service and administrative support staff) including orientation, initial and ongoing professional
development, certifications, and training on curriculum, assessments and tools.
o The development/updating of policies and procedures for program implementation
o Determination of staff assignments
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
Recruitment of Child Care Health 1. Review current job descriptions; Karen Hoffman Annually Current org chart, Job Descriptions
Consultant (CCHC)staff(supervisors, update and revise when Human
direct service , and administrative Resources (HR) asks for revisions.
support staff)
2. Confer with HR and
Communications department to
post for vacancies
GRA-STATE-19-0971-01 Page 22 of 37

Orientation and training of CCHC staff 1. New staff will attend all new Karen Hoffman Annually Maricopa County Policy
employee orientation sessions
CCHC Standards of Practice 2019
required by the Maricopa
County upon hiring.
2. Attend onboarding session
though FTF QF Academy.
3. Complete tasks in CCHC
orientation manual.
4. Mentor to be assigned to new
staff.
5. New staff will make visits
with experienced staff
members.
Identify CCHC Training Candidates 1. Collaborate with FTF CCHC Karen Hoffman Annually CCHC Standards of Practice 2019
Program Specialist and Pima
County to identify candidates
for CCHC Training.
CCHC Training 1. Alternate CCHC training as Karen Hoffman Annually CCHC Standards of Practice 2019
needed with sister TA grantee
Pima County for newly hired
CCHCs each training at least 1
time in the year.
Program Record Keeping 1. Maintain training records to Karen Hoffman CCHC Standards of Practice 2019
include agendas, attendance
CCHC Administrative
logs, and process evaluations.
Assistant
2. Report submitted to FTF
following training.
3. Collaborate with Pima County
to maintain a list of individual
that meet qualifications as a
CCHC.
Arizona Health and Safety Policy Manual 1. Update and revise annually in Karen Hoffman Annually Scope of Work
and the CCHC Handbook collaboration with the FTF CCHC
Program Specialist and Pima
County CCHC Program.
GRA-STATE-19-0971-01 Page 23 of 37

Professional Development for CCHCs 1. Collaborate with Pima County Karen Hoffman Quarterly Scope of work
on the preparation and
Lead Nurse
facilitation and implementation
of all CCHC trainings and Administrative
professional development Assistant
provided during the CCHC
quarterly update meetings (3
per year) and annual CCHC
Symposium.
Determination of staff assignments 1. Staff is assigned to assist Karen Hoffman Annually CCHC program serves all of Maricopa
with CCHC Training as needed. County
2. All staff participate in the
HSS trainings on a rotating
basis.
3. Staff mentor HSS trainees
that have attended the training
presenting 6 modules and have
up to 18 months to complete
this.
GRA-STATE-19-0971-01 Page 24 of 37

II. Outreach and Marketing to the target population and geographic area (including but not limited to the following activities)
o The development and approval of collateral materials - brochures, flyers etc. (refer to FTF Branding Guide, http://www.firstthingsfirst.org/grants/grantee-
resources)
o Media and news releases (refer to FTF Branding Guide, same link)
o Plan and implementation of targeted outreach activities
o Coordination and alignment with partners of outreach to target population to be served
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
Create brochures and flyers to provide Utilizing the FTF branding for Karen Hoffman Annually FTF Branding Guide
outreach for CCHC trainings and Health documents used for to promote
and Safety Specialist (HSS)trainings. services offered by CCHC
program
Advertise CCHC Training Post documents used for Karen Hoffman Annually Scope of Practice
outreach on Base Camp to
advertise CCHC training. Share
information with TA partner and
FTF program specialist
Recruitment for HSS Training and CCHCs responsible for CCHC Staff in Maricopa Annually (2 trainings and Maricopa County CCHC Policy and
Collaborations recruitment of HSS from their and Northern Arizona 2 collaborations) Procedure
centers. Delivers application
signed by director to office
updating HSS log.
GRA-STATE-19-0971-01 Page 25 of 37

III. Service/Program Delivery (including but not limited to the following activities)
o When services/programming will occur (Frequency/duration)
o Implementation of intake, enrollment and referral processes, as applicable
o Implementation of ongoing program elements and activities required in the Standards of Practice and/or Scope of Work (how often and when they are to occur)
- e.g., core model elements, screenings, assessments, surveys, etc.
o Determination and processes for ending the service - e.g., completion or discontinuation of services as determined by type of strategy and target population
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
CCHC Training Train new CCHC hires with Karen Hoffman Annually Handbook/Scope of Practice-
independent study (6 weeks)
CCHC Staff
and 3 day in person curricula
based on NTI.
HSS Training Will provide Health and Safety Karen Hoffman Biannually Scope of Practice
Specialist Training for Early
CCHC Staff
Care and Education providers
X2. One in Maricopa County and
one in Northern Arizona (with
CCHCs from Northern AZ
present).
Mentoring of HSS CCHC will work with potential CCHC Staff Annually Scope of Practice
HSS in Tier 3 centers over the
course of 18 months presenting
6 educational modules. HSS
candidate will attend at least
one of the two collaborations
given in the year.
GRA-STATE-19-0971-01 Page 26 of 37

IV. Coordination and Collaboration (including but not limited to the following activities)
o Describe the process for and implementation of collaboration efforts:
 Within your organization, across unit/team coordination, as applicable
 With external partners including other organizations that are a part of the early childhood system (FTF grant partners, FTF Regional Partnership Councils, and
FTF regional grant partner meetings, non-profits, community or county-based alliances, coalitions, initiatives, state or tribal government entities, national
model organizations, professional entities, faith communities, etc.),
 With sub-grant partners, consultants, volunteers, etc.
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
CCHC Training Coordinate with CCHCs to Karen Hoffman Annually Scope of Practice
mentor trainees with site visits
Lead Nurse
during 3 day in person training
Health and Safety Specialist Training and Collaborate and coordinate with Karen Hoffman Biannually Scope of Practice
Collaborations CCHC staff to schedule and train
on specific dates
Update and revise Arizona Health and Collaboration with technical Karen Hoffman Annually Scope of Practice
Safety Policy Manual and CCHC assistant grantee in Pima
Handbook. Lead Nurse
County and with FTF CCHC
Program Specialist.
Quarterly Update Meetings /CCHC Collaborate and coordinate with Karen Hoffman Annually Scope of Practice
Symposium Pima County Health Department
Lead Nurse
on the preparation, facilitation,
and implementation of all CCHC
training and professional
development provided during
the CCHC quarterly update
meetings (3 per year) and
annual CCHC Symposium.
Northern Arizona HSS Training Coordinate and collaborate with Karen Hoffman Annually Scope of Practice
CCHCs in Northern AZ to provide
Lead Nurse
a HSS training for ECE providers
in their counties at one meeting
site.
GRA-STATE-19-0971-01 Page 27 of 37

V. Continuous Quality Improvement (CQI)
o Staff supervision including program directors/managers, supervisors, line staff, and administrative staff (e.g. individual supervision, team meetings, staffing, chart
reviews, observation and shadowing, etc.)
o Review of program implementation and current CQI methods (e.g., data collection, surveys, participant feedback, etc.) to inform ongoing work
o Ongoing review and updating of program policies and procedures
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
CCHC Team Meeting Conduct team meeting every Karen Hoffman The 2 n d and 4 t h Monday of Scope of Practice
other week to discuss and each month
Lead Nurse
convey information regarding
the CCHC Training and or HSS
Training.
Make assignments as needed for
staff to participate.
CCHC Team Meeting 1.Conduct team meeting every Karen Hoffman Two times a month Maricopa County CCHC Protocol
other week to discuss and
Lead Nurse
convey information regarding
the CCHC Training and/or HSS
Training
2.Supervisors will make
assignments as needed for staff
to participate.
GRA-STATE-19-0971-01 Page 28 of 37

VI. Data Collection, Reporting and Evaluation
o Ongoing data entry
o Reporting and submission of data and narrative reports to FTF, State and National Offices
o External evaluation, if applicable
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
Reports from Extranet are received with 1.Disseminate quarterly data Deanna Matthews Quarterly Scope of Practice
specific data reports to TA grant partners on
services provided by CCHCs.
Submission of Data through FTF 1. Complete FTF quarterly Karen Hoffman Quarterly on the 20 t h of Scope of Practice
narrative report. narrative report and submit to the month following the
FTF through PGMS on Extranet quarter.
Report from CCHC Staff 1.Staff complete a report All CCHC staff Monthly Policy and Procedure for CCHCs
monthly with data pertaining to Maricopa County
how many visits they did, how
many H&D checklists were
completed, how many mass
emails are sent. This report also
shows how many Health and
Safety Checklists were
completed and the number of
centers serviced by Tier Level
GRA-STATE-19-0971-01 Page 29 of 37

VII. Financial Oversight and Management
o Review of budget
o Reimbursements
o Modifications
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
Review of Budget Keeps track of and reviews Accountant-Doris Monthly Maricopa County Policy –
budget Householder Administrative Grants A2505
Reimbursement of funds Submits a CER to the budget Accountant-Doris Monthly Maricopa County Policy –
listed on the PGMS on the Householder Administrative Grants A2505
Extranet
Submit Budget Modifications Budget Modifications submitted Accountant/Doris Quarterly Maricopa County Policy –
as needed Householder Administrative Grants A2505 and FTF
requirements
Karen Hoffman
GRA-STATE-19-0971-01 Page 30 of 37

VIII. Other
Include any additional components and activities associated with the proposed program not listed above.
Timeframe Task(s) Will Be
Activity Task(s) Completed
Person(s)/Roles
a major unit of work for strategy set of specific steps or actions to A date, range of dates or Supporting Documentation
Responsible
implementation complete the activity frequency (daily, weekly,
monthly, quarterly, annually)
GRA-STATE-19-0971-01 Page 31 of 37

FY19 Line-Item Budget — Child Care Health Consultations, Technical Assistance
Budget period: July 1, 2018— June 30, 2019
Total Cost.
$30,807 .
Salaries
EMPLOYEE RELATED EXPENSES Employee Related Expenses Sub Total $43,4.06:-
Fringe Benefits or Other ERE Variable a119,45% 5,992
Fixed at $11,856 x 0.60 FTEs 7,114
PROFESSIONAL AND OUTSIDE SERVICES Professional & Outside Services Sub Total
Contracted Services
In-State Travel 640
Out-of-State Travel
AID TO ORGANIZATIONS OR INDIVIDUALS Aid to Organizations or Individuals Sub Total
Subgrants or Subcontracts to
organizations/agencies/entitles
OTHER OPERATING EXPENSES Other Operating Expenses Sub Total $3,652
• Rent/Occupancy 1,219
• Program Supplies 2,433
Capital Equipment Sub Total
Equipment $5,000 or greater in value
NON-CAPITAL EQUIPIVIENT Non-Capital Sub Total
Equipment $4,999 or less in value
-...subtotar • - DireepProgranr.Costs:,: $48,205
ADMINISTRATIVE/INDIRECT COSTS Total Admin/Indirect:
Indirect/Admin Costs $4,820
Total $53,025
Authorized Signature Date 4//0eF
GRA-STATE-19-0971-01 Page 32 of 37

FY19 Budget Narrative — Child Care Health Consulatation, Technical Assistance
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: $30,807
The Supervisor's salary is shared with the CCHC grant as well and there is 0.20 FTE for this grant and 0.80 FTE in
the CCHC grant. The Program Administrative Assistant's salary is shared with another grant for administrative
assistance and therefore 0.40 FTE in this grant and 0.60 FTE in the CCHC grant. Both the Program Assistant and
the Supervisor respectively spend approximately 20% and 40% of time on this grant.
CCHC Supervisor: Karen Hoffman
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. With an hourly rate of $42.71 x 2088 hours, 20% of which will be charged to this grant for
the 12-month grant cycle, $17,836
Program Admin Assistant: Claudia Corral
The Program Admin Assistant will provide support to the nursing staff and efficient technical assistance to this
grant. With an hourly rate of $15.53 x 2088 hours, 40% of which will be charged to this grant for the 12-month
grant cycle, $12,971
Employee Related Expenses: $13,106
Fringe benefits are calculated at 19.45% of salary ($30,807 x 19.45%) for a cost of $5,992 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 at $11,856 for 0.60 FTEs for $7,114. 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: $640
Used for in state mileage compensation to travel to events or child care centers related to the job description.
When applying for mileage compensation the State of Arizona Travel Policy to determine rates.
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.
Other Operating Expenses: $3,652
Rent/Occupancy is calculated on a percent of the square footage the staff occupies and that is .13%. The
amount comes to 101.58 x 12 months = $1,219. Program supplies is budgeted for $2,433.
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
GRA-STATE-19-0971-01 Page 33 of 37

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: $4,820
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 4,820.
Applicants must list either Option A or Option B and provide proper justification for expenses included:
El 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
GRA-STATE-19-0971-01 Page 34 of 37

Funding Sources and Financial Controls
A. Funding Sources. In the following table, identify other funding/resources (including federal, state, local
and private funding) that the agency/organization will leverage to achieve the objectives of the
proposed program. First Things First (FTF) funding can be used to enhance or expand the program
funded by these additional funds, but FTF funding cannot supplant or be used to replace any existing
state or federal funding for early childhood development and health programs.
Type of Funding (federal,
state, local, private) and Brief Description of How the Funding Helps Achieve the Amount
Agency/Organization Program Objectives
Received From
N/A 0.00
0.00
B. Financial Controls.
Grantees will be expected to follow generally accepted accounting principles and be consistent with
policies, regulations, and procedures that apply uniformly to all costs charged and expended by their
agency/organization - across all funding sources.
Describe the financial controls and accountability measures the agency/organization will employ for
the use of FTF funding for the proposed program.
Maricopa County Department of Public Health (MCDPH) will use a centralized accounting system to maintain its
fiscal integrity through several levels (Program/Division/Department/County) of financial controls and accountability
measures. MCDPH's Finance and Budget process starts at the program level, using the Maricopa County (MC) Chart
of Accounts. The program accounting specialist will conduct the program's financial processing throughout the grant
period, ensuring proper account classification and adequate documentation for all expenditures. At the Division level,
MCDPH will provide a Division Accountant to monitor all program financial activity and to facilitate Reimbursement
Request Report submissions. Then, at the Department level, the Accounts Payable/Receivable and Procurement units
will process, review, and monitor all financial requests provided by the program accounting specialist. The MCDPH
Finance Manager conducts monthly meetings with the Finance and Budget staff to review the program budget
expenditures and its projections. Finally, at the County level, the MC Finance Department will process issuance and
receipts of all payments. Throughout this entire accounting system, based on Generally Accepted Accounting
Principles (GAAP), there are several checks and balances. Before posting to MC's financial system, all procurement
and financial transactions undergo, at a minimum, 3 levels of reviews and approvals, to ensure fiscal compliance as
defined in provisions of the grant agreement, MC policies and guidelines and State and Federal laws and regulations.
Authorized Signature Date
GRA-STATE-19-0971-01 Page 35 of 37

Attachment G - Program Evaluation Information
Program Evaluation
An evaluation study is a project that is conducted in order to answer questions about the services you
provide. There are several types of evaluations that can be conducted, including the following that are
most relevant in relation to program implementation:
 Process/implementation evaluation: Determines whether program activities have been
implemented as intended. This type of evaluation examines if the program is implemented with
fidelity.
 Outcome/effectiveness evaluation: Measures program effects in the target population by
assessing the progress in the outcomes or outcome objectives, which the program is supposed to
achieve. This type of evaluation examines if the program is achieving these intended outcome(s).
Refer to the Types of Evaluation brochure created by the Centers for Disease Control and Prevention (CDC)
for additional information on program evaluations:
https://www.cdc.gov/std/Program/pupestd/Types%20of%20Evaluation.pdf
The following questions are about whether your organization has or is planning to conduct an evaluation
study (with or without funding from First Things First).
A. Has an evaluation study been conducted on your program? (e.g., process evaluation, outcome or
impact evaluation study)?  Yes X No
If Yes, include:
- One (1) copy of the evaluation report (if available) with your agreement.
- A brief synopsis of the study’s specific aims and results:
B. Are you planning on having an evaluation study conducted on the program proposed in this
agreement?  Yes X No
If YES, please go to C. If No, stop here.
C. Will FTF funds be utilized to conduct the evaluation study?
 Yes (Yes, funds are budgeted in the line-item budget and budget narrative for an evaluation study.)
X No (No, we will be using other sources of funding for an evaluation study)
If YES, provide detailed responses to each of the following items: *, ** If No, stop here.
1. Purpose, Intended Outcomes, and Research Questions
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2. Methodology and Design
3. Proposed Timeline and Party Responsible (e.g., external vendor/contractor or grant partner
program staff) to carry out the work
4. Intended Use of Findings and Dissemination Plan
* If FTF funds are being requested for an evaluation study, the study will need approval by FTF’s Research and
Evaluation team prior to implementation. Specifically, the applicant will be required to provide FTF with a detailed
summary of the work proposed (Refer to the Ownership of Intellectual Property section under the Grant Terms and
Conditions in this RFGA.) In those instances when the evaluation proposal is in its preliminary stages and therefore
lacks sufficient detail at the time of submission (e.g., Applicant is planning to get a vendor to determine the method
and design etc.), the grant partner will be required to submit a detailed study proposal when it becomes available.
This study proposal is subject to approval by FTF’s Research and Evaluation division.
** If the data collection requirements or proposed evaluation will include data from a tribal community (e.g., data
gathering in tribal lands), appropriate tribal approvals must be in place prior to commencing data collection. In
instances when tribal data approvals are necessary, FTF’s Research and Evaluation and Tribal Affairs divisions will
work with the grant partner to secure approvals from the tribe(s). (Refer to the Tribal Data Policy and the
Ownership of Intellectual Property sections under the Grant Terms and Conditions in this RFGA).
In instances when data gathering occurs in tribal lands, the applicant shall address how they will ensure a culturally
appropriate methodology (e.g., in- person interviews), and culturally responsive interaction with participants and
other stakeholders.
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