RFGA CONTRACT RE ORAL HEALTH MC WIDE WITH FTF.PDF

FIRST THINGS FIRST
4000 North Central Avenue, Suite 800, Phoenix, Arizona 85012
602.771.5100 i 877.803.7234 I azftf.gov
Chair June 12, 2018 TRANSMITTED BY EMAIL
Nadine Mathis Basha
Vice Chair
Gerald Szostak Jan Kalina
Maricopa County Department of Public Health
Members 4041 N. Central Ave, Suite 1400
Gayle Burns JanKalina@mail.maricooa.Rov
Amelia Flores
Rev. Dr. Darren Hawkins RE: Request for Grant Applications (RFGA) FTF-M ULTI-19-0671-00
Dr. Sherry Markel Contract number: FrF-MULT1-19-0671-01
Heidi Quinlan
Ruth Solomon Dear Ms. Kalina:
Helena Whitney
Your Oral Health application for the East Maricopa, Northwest Maricopa, Phoenix
Ex-Officio Members North, Phoenix South, Southeast Maricopa and Southwest Maricopa Regional
Hon. Diane Douglas Partnership Councils of the Arizona Early Childhood Development and Health
Superintendent, ADE Board (First Things First) has been accepted. A countersigned copy of the Offer
and Acceptance form is attached. The initial grant period shall be from July 1,
Michael Trailor 2018 through June 30, 2019 and the amount of the grant award is $ 1,925,000.
Director, DES
Additionally, pursuant to the Insurance Requirements contained in the Uniform
Dr. Cara Christ Terms and Conditions in the RFGA, it is your responsibility to ensure that all
Director, OHS required coverage, In the types and amounts stated, shall be maintained in full
force and effect during the term of this contract and shall not serve to limit any
Chief Executive Officer liabilities or any other Contractor obligations. The applicable Certificate of
Marilee Dal Pra Insurance must be submitted to this office, to my attention no later than July 15,
2018. Please included the contract number in the description section of the
certificate.
Per the RFGA and as part of the enhanced data requirements, our Evaluation Unit
will be in contact to schedule a required data training tailored to your specific
strategy requirements.
As a reminder, pursuant to the Acknowledgement of FTF Funding section of the
Request for Grant Application, First Things First reserves the right to review and
approve all publications funded or partially funded through this contract. First
Things First has decided to exercise this right. Please contact our Communications
Division at communication@azftf.eov for approval of publications and/or media.
Congratulations on your contract award. First Things First looks forward to
working with you. If you have any questions, please contact me at 602-771-5114
or via e-mail at jrnartin@azftf.gov .
Sincerely,
Peel.KKE 911414at
Jeanne Martin
Procurement Specialist
READY FOR SCHOOL. SET FOR LIFE.

C-86-18 ATTACHED TO AND A PART OF
Arizona Early Childhood Development and Health Board
First Things First (FTF)
Request for Grant Application (RFGA)
FTF-MULTI-19-0671-00
Contract Number: FTF-MULTI-19-0671-01
Oral Health
East Maricopa, Northwest Maricopa, Phoenix North, Phoenix
South, Southeast Maricopa Region
IN WITNESS WHEREOF, the parties agree to enter into this RFGA and its
Amendments:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date

Grant Terms and Conditions
1. Grant Agreement. The Request for Grant Applicants (RFGA), the Offer and Acceptance and Statement
of Assurances (Offer and Acceptance), and the grantee’s grant application, together with all exhibits,
incorporated documents and amendments, constitute the Grant Agreement.
2. Term. The term of this Grant Agreement is July 1, 2018 through June 30, 2019, unless terminated,
cancelled or renewed as otherwise provided herein. This Grant Agreement shall be effective only if a
First Things First authorized designee has signed the Offer and Acceptance or another official grant
form indicating acceptance of the Offer.
3. Renewal. The parties may renew the Grant Agreement as indicated in the Available Funding section of
the RFGA.
4. Services. The grantee shall complete the program and implementation plan described in its grant
application and approved by First Things First. In providing these services, the grantee shall follow the
Scope of Work, the Standards of Practice and the Data Security, Submission and Suppression Guidelines
and Requirements for Collaborators found in and/or referenced in the RFGA.
5. Reimbursement/Payment.
5.1. The grantee shall be paid on a cost-reimbursement basis for expenses approved in the budget.
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).
5.2. 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 Grant Agreement end date. Expenses
eligible for reimbursement must be paid, accrued or obligated by the grantee by the Grant
Agreement term end date. Final payment shall be contingent upon receipt of all fiscal,
programmatic, and data reports required of the grantee under this Grant Agreement. Requests
for reimbursement received later than forty-five (45) days after the Grant Agreement end date
will not be paid.
5.3. If awarded a grant, the grantee must have sufficient funds to meet obligations for at least
sixty (60) days while awaiting reimbursements. If an exception is requested to this
requirement, it should be provided in writing in the grant application describing the
justification and need for alternative considerations, which will be separately considered during
the application review and may not be approved. Requests for exceptions to reimbursement-
based payments submitted after awards are also made are subject to separate review and may
not be approved.
5.4. Funds awarded to the grantee under this Grant Agreement shall only be used to fulfill the
grantee’s responsibilities under this Grant Agreement. Therefore, if the full amount of the
grant award is not expended for any reason, including due to completion of the work at a lower
cost than budgeted or ending of the work before completion, the grantee will only receive the
amount of the grant award spent in accordance with the Grant Agreement and will not receive
the full original award. If the grantee is under budget, the parties may amend the Grant
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Agreement to increase the contracted service units so as to use the full amount of the original
grant award.
5.5. 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.
6. Quarterly Program Narrative and Data Submission Reports.
6.1. 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.
6.2. 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
6.3. 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.
7. 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 Grant Agreement as if
fully set forth herein. Copies of this document are available by emailing grants@azftf.gov or by calling
the First Things First Procurement Specialist at 602-771-5114.
8. Working on Tribal Land. If the grantee performs any work under this Grant 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 Grant 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.
9. 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.
10. Nonprofit Corporation Audit Reports. As required by A.R.S. § 35-181.03, if the grantee is a nonprofit
corporation that receives in excess of two hundred fifty thousand dollars ($250,000) in state assistance
in any fiscal year, the grantee shall file with First Things First for each such fiscal year at the grantee’s
expense either audited financial statements prepared in accordance with federal single audit
FTF-MULTI-19-0671-00 T&C Page 2 of 9

regulations or financial statements prepared in accordance with generally accepted accounting
principles and audited by an independent certified public accountant.
11. Records. Pursuant to A.R.S. §§ 8-1174 and 35-214, 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 Grant Agreement for a period of five years after the completion of
the Grant 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. § 200.336. This paragraph does not apply to
a grantee, subgrantee or subcontractor that is a federal agency.
12. Non-Availability of Funds. Every payment obligation of First Things First under this Grant 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 Grant Agreement, this Grant
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.
13. Grant Administration and Operation.
13.1. Advertising, Publishing and Promotion of Grant. The grantee shall not use, advertise or
promote information for commercial benefit concerning this Grant Agreement without the
prior written approval of First Things First.
13.2. Review of Printed Materials. First Things First must review and approve all grantee publications
and/or media funded or partially funded through this Grant Agreement for compliance with
this Grant 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 Grant 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 Grant Agreement.
13.3. 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 Grant 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 Grant
FTF-MULTI-19-0671-00 T&C Page 3 of 9

Agreement in all formal oral presentations and media interviews related to those programs and
services.
13.4. 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 Grant Agreement.
13.5. Ownership of Materials and Data. Any materials and data required to be collected, delivered or
created under this Grant 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.
13.6. 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 Grant 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 action 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 the grantee
or its subcontractor(s) and subgrantee(s) to any entity not the State without the express
written authorization of First Things First.
13.7. Fund Management. The grantee must maintain any funds received under this Grant
Agreement on other than a cost reimbursement basis in separate ledger accounts and cannot
mix these funds with other sources. The grantee must manage all funds according to applicable
regulations for administrative requirements, cost principles and audits. The grantee shall
maintain proper audit trails for all reports related to this Grant Agreement.
13.8. Sectarian Purposes. Funds provided under this Grant 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 Grant 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
Grant Agreement that the grantee spends in violation of this paragraph.
14. Relationship of Parties. The grantee under this Grant Agreement is an independent contractor. Neither
party to this Grant Agreement shall be deemed to be the employee or agent of the other party.
15. Indemnification.
15.1. Not Government Agency. This paragraph applies if the grantee is not a governmental entity.
To the extent allowed by law, the grantee shall defend, indemnify and hold harmless the State
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of Arizona and its departments, agencies, boards, commissions, universities, officers, officials,
agents and employees (“State”) from and against any and all claims, actions, liabilities,
damages, losses, costs or expenses (including court costs, attorneys’ fees and costs of claim
processing, investigation and litigation) (“Claims”) 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 grantee or any of its
owners, officers, directors, agents, employees, volunteers, subcontractors or subgrantees. This
indemnity includes any Claim or amount arising out of, or recovered under, the Workers’
Compensation Law or arising out of the failure of the grantee 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 grantee from and
against any and all Claims. It is agreed that the grantee will be responsible for primary loss
investigation, defense and judgment costs where this indemnification is applicable. In
consideration of the award of this grant, the grantee agrees to waive all rights of subrogation
against the State for losses arising from the work performed by the grantee for the State.
15.2. Government Agency. This paragraph applies if the grantee is a governmental entity and is not a
department, agency, board, commission or university of the State of Arizona. Each party (as
“Indemnitor”) agrees to indemnify, defend and hold harmless the other party (as “Indemnitee”)
from and against any and all 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 or any of its officers, officials, agents, employees or volunteers.
15.3. 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 Grant 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.
15.4. Subcontractors. The grantee shall contractually require its subcontractors and subgrantees, if
any, to defend, indemnify and hold harmless the State as described in this Section unless the
subcontractor or subgrantee is a state agency.
16. Insurance.
16.1. In the event the grantee is a governmental entity, then the insurance requirements in this
Section do not apply, except that such governmental entity grantee shall provide a Certificate
of Self-Insurance. If the governmental entity grantee is a department, agency, board,
commission or university of the State of Arizona, then the Certificate of Self-Insurance
requirement does not apply either.
16.2. The grantee shall procure and maintain until all of its obligations have been discharged or
satisfied, including any warranty periods under this Grant Agreement, insurance in the amounts
stated below against claims for injury to persons or damage to property which may arise from
or in connection with the performance of the work hereunder by the grantee , including its
agents, representatives, employees, volunteers or subcontractors. The grantee shall require
and ensure that all of its subcontractors comply with this Section as well.
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16.3. The insurance requirements herein are minimum requirements for this Grant Agreement and in
no way limit the indemnity covenants. First Things First in no way warrants that these
minimum requirements are sufficient to protect the grantee from liabilities that might arise out
of the performance of the work under this Grant Agreement by the grantee, including its
agents, representatives, employees, volunteers or subcontractors, and the grantee is free to
purchase additional insurance. The minimum insurance requirements are as follows:
Commercial General Liability (CGL) – Occurrence Form
Policy shall include bodily injury, property damage, personal and advertising injury and broad
form contractual liability coverage.
• General Aggregate $2,000,000
• Products – Completed Operations Aggregate $1,000,000
• Personal and Advertising Injury $1,000,000
• Damage to Rented Premises $50,000
• Each Occurrence $1,000,000
The policy shall include coverage for sexual abuse and molestation (SAM). This coverage may
be sub-limited to no less than $500,000. The limits may be included with the General Liability
limit, provided by separate endorsement with its own limits or provided as separate coverage
included with the professional liability.
The grantee must provide the following statement on its Certificate(s) of Insurance: “Sexual
Abuse and Molestation coverage is included” or “Sexual Abuse and Molestation coverage is not
excluded.”
The policy shall be endorsed to include the State of Arizona and its departments, agencies,
boards, commissions, universities, officers, officials, agents and employees as additional
insureds with respect to liability arising out of the activities performed by or on behalf of the
grantee.
The policy shall contain a waiver of subrogation endorsement in favor of the State of Arizona
and its departments, agencies, boards, commissions, universities, officers, officials, agents and
employees for losses arising from work performed by or on behalf of the grantee.
Business Automobile Liability
Bodily Injury and Property Damage for any owned, hired, and/or non-owned vehicles used in
the performance of this Grant Agreement.
• Combined Single Limit (CSL) $1,000,000
The policy shall be endorsed to include the State of Arizona and its departments, agencies,
boards, commissions, universities, officers, officials, agents and employees as additional
insureds with respect to liability arising out of the activities performed by or on behalf of the
grantee involving automobiles owned, hired and/or non-owned by the grantee.”
The policy shall contain a waiver of subrogation endorsement in favor of the State of Arizona
and its departments, agencies, boards, commissions, universities, officers, officials, agents and
employees for losses arising from work performed by or on behalf of the grantee.
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Workers’ Compensation and Employers’ Liability
• Workers’ Compensation Statutory
• Employers’ Liability
Each Accident $1,000,000
Disease – Each Employee $1,000,000
Disease – Policy Limit $1,000,000
The policy shall contain a waiver of subrogation in favor of the State of Arizona and its
departments, agencies, boards, commissions, universities, officers, officials, agents and
employees for losses arising from work performed by or on behalf of the grantee.
This requirement shall not apply to each grantee or subcontractor exempt under A.R.S. Chapter
23, Title 6 (§ 23-901 et seq.) when such grantee or subcontractor executes the appropriate
waiver (Sole Proprietor/Independent Contractor) form.
Professional Liability (Errors and Omissions Liability)
• Each Claim $2,000,000
• Annual Aggregate $2,000,000
If sexual abuse and molestation (SAM) coverage is being provided under this policy then the
grantee must provide the following statement on its certificate(s) of insurance: “Sexual Abuse
and Molestation coverage is included” or “Sexual Abuse and Molestation coverage is not
excluded.” This coverage may be sub-limited to no less than $500,000.
In the event that the professional liability insurance required by this Grant Agreement is written
on a claims-made basis, the grantee warrants that any retroactive date under the policy shall
precede the effective date of this Grant Agreement and that either continuous coverage will be
maintained or an extended discovery period will be exercised for a period of two (2) years
beginning at the time work under this Grant Agreement is completed.
The policy shall cover professional misconduct or wrongful acts for the positions of
professionals/Key Personnel identified in this Grant Agreement.
16.4. Additional Insurance Requirements. The policies shall include, or be endorsed to include, the
following provisions:
The grantee’s policies shall stipulate that the insurance afforded the grantee shall be primary
and that any insurance carried by First Things First, its agents, officials, employees or the State
of Arizona shall be excess and not contributory insurance, as provided by A.R.S. § 41-621(E).
Insurance provided by the grantee shall not limit the grantee’s liability assumed under the
indemnification provisions of this Grant Agreement.
16.5. Notice of Cancellation. Applicable to all insurance policies required within the Insurance
Requirements of this Grant Agreement, the grantee’s insurance shall not be permitted to
expire, be suspended, be canceled, or be materially changed for any reason without thirty (30)
days prior written notice to the State of Arizona. Within two (2) business days of receipt, the
grantee must provide notice to the State of Arizona if it receives notice of a policy that has
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been or will be suspended, canceled, materially changed for any reason, has expired, or will be
expiring. Such notice shall be sent directly to First Things First, Fiscal Specialist via hand-
delivery or certified mail, return receipt requested, to 4000 N. Central, Suite 800, Phoenix, AZ
85012, or via email to grants@azftf.gov.
16.6. Acceptability of Insurers. The grantee’s insurance shall be placed with companies licensed in
the State of Arizona or on hold approved non-admitted status on the Arizona Department of
Insurance List of Qualified Unauthorized Insurers. Insurers shall have an “A.M. Best” rating of
not less than A- VII. The State of Arizona in no way warrants that the above-required minimum
insurer rating is sufficient to protect the grantee from potential insurer insolvency.
16.7. Verification of Coverage. The grantee shall furnish the State of Arizona with certificates of
insurance (valid ACORD form or equivalent approved by the State of Arizona) as required by
this Grant Agreement. An authorized representative of the insurer shall sign the certificates.
All certificates and endorsements are to be received and approved by the State of Arizona
before work commences. The State of Arizona’s receipt of any certificates of insurance or
policy endorsements that do not comply with this Grant Agreement shall not waive or
otherwise affect the requirements of this Grant Agreement. Each insurance policy required by
this Grant Agreement must be in effect at or prior to commencement of work under this Grant
Agreement. Failure to maintain the insurance policies as required by this Grant Agreement or
to provide evidence of renewal is a material breach of the Grant Agreement.
All certificates required by this Grant Agreement shall be sent directly to First Things First, Fiscal
Specialist, 4000 N. Central, Suite 800, Phoenix, AZ 85012. The State of Arizona program/grant
number and program description shall be noted on the certificate of insurance. The State of
Arizona reserves the right to require complete copies of all insurance policies required by this
Grant Agreement at any time. DO NOT SEND CERTIFICATES OF INSURANCE TO THE STATE OF
ARIZONA'S RISK MANAGEMENT SECTION.
16.8. Subcontractors. The grantee’s certificate(s) shall include all subcontractors as insureds under
its policies or grantee shall be responsible for ensuring and/or verifying that all subcontractors
have valid and collectable insurance as evidenced by the certificates of insurance and
endorsements for each subcontractor. All coverages for subcontractors shall be subject to the
minimum requirements identified above. First Things First reserves the right to require, at any
time throughout the life of the Grant Agreement, proof from the grantee that its
subcontractors have the required coverage.
16.9. This Section assumes the grant award is for more than $50,000, that the grantee will be using
vehicles beyond commuting in order to provide the services under the Grant Agreement, that
the grantee will be working with children in order to provide the services under the Grant
Agreement, and that the grantee will be providing professional services in order to provide the
services under the Grant Agreement. If any of these assumptions do not apply to this Grant
Agreement, then upon agreement of First Things First, the insurance requirements will be
reduced or removed in part from the Grant Agreement as appropriate.
16.10. If the Grant Agreement requires the grantee to handle money on behalf of the State, the
grantee shall also procure and maintain a fidelity insurance policy, consistent with the State of
Arizona Risk Management Insurance Modules, that includes third party fidelity coverage.
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16.11. If the Grant Agreement requires the grantee to provide information technology (IT) services,
the grantee shall also procure and maintain errors and omissions coverages, consistent with the
State of Arizona Risk Management Insurance Modules, including technology errors and
omissions, network security/privacy and media liability.
16.12. The grantee understands and agrees that First Things First, in consultation with the Department
of Administration, Risk Management Section or in accordance with its published Insurance
Modules, reserves the right to review or make modifications to the insurance limits, required
coverages, or endorsements throughout the life of this Grant Agreement, as deemed
necessary. Such action will not require a formal grant amendment, but may be made by
administrative action.
17. Notices. Notices to the grantee required by this Grant Agreement shall be made by First Things First to
the person indicated on the Offer and Acceptance form submitted by the grantee unless otherwise
stated in the Grant Agreement. Notices to First Things First required by the Grant Agreement shall be
made by the grantee to an authorized First Things First representative, unless otherwise stated. An
authorized First Things First representative and an authorized grantee representative may change their
respective person to whom notice shall be given by written notice to the other and an amendment to
the Grant Agreement shall not be necessary.
FTF-MULTI-19-0671-00 T&C Page 9 of 9

Application Cover Sheet
From: MARICOPA COUNTY
RFGA Number: FTF-MULTI-19-0671-00
Strategy: ORAL HEALTH –
MARICOPA COUNTYWIDE
Requested Amount: $1,925,000
ORIGINAL
FTF-MULTI-19-0671-00 Page 1 of 159

FIRST THINGS FIRST
OFFER and ACCEPTANCE
and
STATEMENT of ASSURANCES
TO THE STATE OF ARIZONA, ARIZONA EARLY CHILDHOOD DEVELOPMENT AND HEALTH BOARD:
APPLICANT OFFER
By signing and initialing below, the applicant hereby offers and agrees to complete the program and
implementation plan described in its grant application and approved by the Arizona Early Childhood
Development and Health Board and to be bound by and comply with the Grant Terms and Conditions
contained in the RFGA and with all other documents constituting the Grant Agreggient, including the
following Assurances.
Maricopa County by and through its
Department of Public Health
- ; - -
Applicant Name (Agency/Organization) Signature of Authorized Official
4041 N. Central Avenue, Ste 1400 Max Porter
Address Printed Name
Phoenix, AZ 85012 Acting Department Director
City State Zip Title
Arizona Transaction Privilege (Sales) Tax Point of Contact Concerning this Application:
License No:
Name: Jan Kalina
Federal Employer Identification No: Phone: (602) 506-6282
86-6000472 E-Mail: JanKalina@mail.maricopa.gov
APPLICANT ASSURANCES
Authorized Official to initiai the following:
GENERAL
•740 To adhere to the most current version of the Conditions. Copies of this document are available by
Standards of Practice documents (available at emailing grants@azftf.Rov. .
htto://www.firstthingsfirst.oragrants/strategv-
toolkit) lff To accept funds and administer the programs in
accordance with all applicable federal and state
To adhere to the Data Security, Submission and statutes and regulations and Grant Agreement
Suppression Guidelines and Requirements for requirements.
Collaborators, as applicable. it To maintain internal controls, including policies and
To review and adhere to the most recent version of procedures, for assuring compliance with applicable
the First Things First Grants Uniform Terms and cost principles and other Grant Agreement
requirements.
FTF-MULTI-19-0671-00 Page 2 of 159

• • ▪
•
To maintain documentation for employees working
To follow established personnel policies related
across multiple funding sources to ensure the amount
to salary scales, fringe benefits, and travel
of time charged to each employee does not exceed
reimbursement.
100%.
--TIP To use generally accepted accounting principles
To have fiscal control and fund accounting procedures
(GAAP).
in place to ensure proper disbursement of and
To perform required financial and compliance accounting for any funds paid to subcontractors.
audits in accordance with federal law and lit To maintain enrollment and participate in e-verify, if
guidelines, including the Single Audit Act and 2
an employer.
CFR Part 200.
To maintain a system of contract administration to
ensure conformance with the Grant Terms and
Conditions.
PROGRAMMATIC
--yr To consult with FTF in the planning of public
To use proven, effective and/or evidence based
awareness/marketing strategies such as websites,
programs.
advertising or media campaigns.
To maintain the personnel qualifications outlined EVALUATION
in the Standards of Practice with subsequent
hires. To provide regular and timely reporting and to
le participate in all pertinent First Things First research
To comply with any applicable federal, state, and
and evaluation efforts.
local health and safety requirements that apply
to the facilities used for a program. -14t If an evaluation study has been conducted on the
le proposed program, a copy of the evaluation report (if
To actively participate in the Quality Assurance
available) will be submitted to First Things First.
process, including assessments.
/01P If funds are being requested to conduct an evaluation
To coordinate, to the extent possible, with other
study, approval by First Things First Research and
programs in the same geographic area that serve
Evaluation team will be obtained prior to
similar target populations.
implementation.
To coordinate with First Things First during the 44/9
If the evaluation study will include a tribal
length of the program period.
community, approval by First Things First Research
4 To acknowledge funding from FTF in publicly- and Evaluation team and Tribal Affairs division will be
distributed materials in compliance with FTF's obtained prior to implementation.
brand guidelines and submit such materials in
advance for review.
ACCEPTANCE OF APPLICATION AND OFFER
The grant application is hereby accepted. The applicant is now bound to perform the program and
implementation plan described in the grant application and approved by the Arizona Early Childhood
Development and Health Board and to comply with the Grant Terms and Conditions contained in the RFGA
and with all other documents constituting the Grant Agreement, including the Assurances above.
No.FTF—filitiL-Ti; -otow-oi
This grant shall henceforth be referred to as Grant
Arizona Early Chililh9od Developrpent ffid Health Bod,vd
Awarded this j6rdayfj, 1/Li , 20 _a
FTF-MULTI-19-0671-00 Page 3 of 159

FTF-MULTI-19-0671-00
ORAL HEALTH
TABLE OF CONTENTS
TITLE Page No.s
Application Cover Sheet……………………………………………………………………………………………………. 1
Offer and Acceptance and Statement of Assurances…………………………………………………………. 2-3
Applicant Assurances……………………………………………………………………………………………………….. 3
Table of Contents…………………………………………………………………............................................. 4
SECTION A – Executive Summary………………………………………………………………………………………. 5
SECTION B – Capacity for Addressing Needs and Implementing the Strategy…………………….. 6-9
SECTION C – Program Description……………………………………………........................................... 9-25
SECTION D – Personnel - Program Personnel Table and…………………………………………………….. 26-30
Program Organizational Chart………………………………………………………………………. 31
SECTION E – Implementation Plan……………………………………………………………………………………. 32-45
SECTION F – Line-Item Budget and …………………………………………………………………………………… 46-47
Budget Narrative………………………………………………………………………………………….. 48-52
SECTION G – Fiscal Information - Funding Sources and Controls………………………………………… 53-54
SECTION H – Program Evaluation Information – Program Evaluation and…………………………. 55-56
Profile - Agency/Organization Profile……………………………………………………………. 57-60
APPENDIX A: Oral Health Risk Assessment Tool …........................................................ 61-66
APPENDIX B: Quality Assurance ………………………………………………………………………………… 65-69
APPENDIX C: Satisfaction Survey ………………………………………………………………………………. 70-72
APPENDIX D1 – D6: Service Locations ………………………………………………………………………. 73-79
APPENDIX E: Peoria Unified School District, Intergovernmental Agreement ………………. 80-85
APPENDIX F: Child Crisis Arizona Early Head Start ………………………………………………………. 86-90
APPENDIX G and G1: Oral Health FTF Data Reporting Requirment SFY19 and
Supplement to Data Reporting Document…………………………………………………………………… 91-110
APPENDIX H – Public Health Grants Indirect Cost Plan FY17-18 (For Original Copy Only) 111-117
APPENDIX I – Single Audit Rep, Maricopa County, Year Ended June 30, 2017
(For Original Copy Only)……………………………………………………………………………………………… 118-158
FTF-MULTI-19-0671-00 Page 4 of 159

Section A - Executive Summary
In response to the Request for Grant Applications, Maricopa County Department of Public
Health’s First Teeth First program will continue its partnership with Dignity Health’s Early
Childhood Oral Health Program, which forms one program to provide a coordinated approach to
oral health prevention services in Maricopa County. Additionally, a partnership with Arizona
Department of Health Services, Office of Oral Health will continue to allow billing for fluoride
varnish services through the Arizona Health Care Cost Containment system (AHCCCS). First Teeth
First will provide preventive oral health education, screening, and fluoride varnish to children ages
zero to five in an effort to decrease the number of children with early childhood tooth decay and the
associated risks for pain, as well as infections that can lead to lifelong complications to health and
wellbeing. The program will provide services at Women, Infant and Children (WIC) Clinics,
Immunization clinics and partner with preschools and other community based organizations to
provide oral health screening/fluoride varnish treatments to children and oral health education to
children and their families, expectant mothers, and caregivers. First Teeth First and Dignity Health
will continue offering services seamlessly as our capacity and infrastructure are already in place and
assembled for success. Oral health promotional items will be provided to all those who receive
services and referral information as appropriate to ensure patients have a dental home.
A medical model of fluoride varnish application and education will be utilized, providing
cost effective, high quality and compassionate care to the uninsured and underserved who may not
have access to dental providers. Professional development is provided to medical/dental clinics and
early care and education professionals to enlist their support in early child health. A bilingual social
worker has been added to the program to assist families who have received dental referrals for oral
health services. This will secure dental services, identify resources and advocate on the patient’s
behalf while working as a liaison between dental providers, dental clinics and patients. The program
is designed to utilize the expertise of dental, medical, and case management professionals to provide
a comprehensive approach to oral health prevention services while ensuring children are
establishing dental homes.
Currently, the First Teeth First program and Dignity Health are providing services
throughout Maricopa County at 15 WIC locations, 7 Immunization clinics, over 160 childcare
centers, 93 preschools, and 38 Head Starts, complemented with approximately 115 community
events. The program will continue to utilize registered dental hygienists, registered nurses, bilingual
site assistants, promotoras, health educators and a social worker for services within the program.
Success will be measured by meeting or exceeding proposed service numbers, increased
understanding of the importance of early childhood oral health, and increased access to dental
homes. Parent understanding will be assessed by administering satisfaction surveys after services
are rendered. Monthly quality assurance assessments are utilized to increase consistency of patient
care and process of care. A referral model has been developed with AHCCCS coordinators to
provide access to care and comprehensive services including efforts to establish dental homes.
These feedback loops and measurement tools demonstrate the program’s ability to achieve proposed
Target Service Units, overall program satisfaction, provider quality assurance and quality patient
care. With the upcoming grant cycle, we look forward to also measuring successful establishment of
dental homes for the children and expectant mothers we screen.
First Teeth First anticipates continued measurable success in provision of services and
referral to dental homes due to our now established presence and distribution of services in
Maricopa County.
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Section B - Capacity for Addressing the Needs and Implementing the Strategy
I. A. Maricopa County Department of Public Health (MCDPH) is the public health agency of
Maricopa County and is the third largest health jurisdiction in the United States. MCDPH is
organized into offices that are housed in seven Divisions: (1) Community Health Action, (2)
Community Transformation, (3) Disease Control, (4) Clinical Services, (5) Program Operations, (6)
Performance Improvement, and (7) Administration.
MCDPH’s mission is to protect and promote the health and well-being of Maricopa County
residents and visitors. Maricopa County’s vision is “We make healthy lives possible”.
As the third largest health jurisdiction in the United States, MCDPH has more than 597
employees and a FY18 budget of $65 million. The expansive network of programs and
departmental support strengthens our position to impact a high volume of people. MCDPH provides
an extensive array of grant funded clinical and community health services. Major programs include
maternal and child health, home visiting and community education, parenting education, childhood
immunizations, HIV/AIDS counseling and education, STD prevention and treatment. Also included
are Oral Health, tobacco use prevention, health promotion and education, Women, Infants and
Children (WIC) and other nutrition and education services. Many of these programs share the First
Teeth First Program target population. Collaboration and coordination of services among programs
allow us to be more responsive to the needs of the families we serve.
Maricopa County First Teeth First program has become the largest fluoride varnish program
in the state and recognition of the program’s services has become well known within the community
by providers and patients alike. Since inception of the program in 2011, First Teeth First has
provided over 132,000 oral health screenings to children zero through five years old and 5,300
expectant mothers. The number of screenings provided each grant year continues to rise as the
program expands its presence in the community and its collaborative partnerships.
II. A. MCDPH and the Office of Oral Health have a proven track record of engaging community
stakeholders and successfully serving Maricopa County’s most vulnerable populations, specifically
underserved, uninsured/underinsured children ages zero to five. With the current grant, MCDPH
First Teeth First and Dignity Health programs collaborated and MCDPH Office of Oral Health
became the administrative home. The success of the administrative home implementation through
effective collaboration is evident in the program growth and continuing increase in the number of
people served. First Teeth First was able to adapt to the rapid growth through a programmatic
reorganization and still maintain a level of success.
First Teeth First has been funded by First Things First to provide varnish services and aid in
the oral health strategy mission since 2011. First Teeth First currently provides direct preventive
services in all Maricopa County First Things First Regions: Southwest Maricopa, Phoenix South,
Northwest Maricopa, Phoenix North, East Maricopa, and Southeast Maricopa.
The current grant period allowed for creation of partnerships with private practice dentists
for referral of uninsured children with urgent treatment needs. A professional development
component was also added which strengthens our effort to enlist other early childhood health and
education professionals in support of our goal of reducing early childhood decay and helping
FTF-MULTI-19-0671-00 Page 6 of 159

families establish dental homes. A Social Worker position was established to allow case
management and significantly improve our opportunity to guide children and expectant mothers to
dental care and establishment of dental homes. A new partnership will be formed in the upcoming
grant year with the Arizona Early Childhood Education Association (AECEA). AECEA will
develop a training based on the ADHS Empower Standard 7: Oral Health to be provided to early
childhood education professionals for staff education and to promote inclusion of oral health into
daily activities.
1. a) Since the inception of First Teeth First, the program has provided services in all First Things
First regions indicated in the Oral Health Strategy. The program has experienced consistent growth,
especially related to the Target Service Unit deliverables and professional development. Total
children zero to five years of age screened rose from 21,945 in FY14-15 to 33,599 in FY 16-17.
Total expectant mothers screened rose from 766 to 2,701 in the same time period.
First Teeth First continues to offer and expand services throughout Maricopa County to
serve all First Things First regions. Collaborating with partners, particularly WIC centers, allows us
to service the geographic regions that are most underserved.
b) MCDPH and the Office of Oral Health have proven track record of engaging community
stakeholders and successfully serving Maricopa County’s most vulnerable populations, specifically
underserved, uninsured/underinsured children ages zero to five. The Health Improvement
Partnership of Maricopa County (HIPMC) is a countywide multi-sector coalition and is the focal
point for collaboration and partnerships at MCDPH. The HIPMC has developed broad-based
strategies focusing on health improvement of the more than 4.2 million county residents. It is
guided by Collective Impact Process philosophies of a common agenda, shared measurement
strategies, mutually reinforcing activities and continuous communication. More than sixty partner
agencies and collaborative groups have come together quarterly to share ideas and resources,
identify gaps and barriers to existing services, and engage in thoughtful planning to achieve a
shared vision of community-based work ongoing in three sectors – (1) Worksite, (2) Education, (3)
Community and Healthcare.
The current grant cycle has shown a successful transition from providing multi-regional
services to a thriving provision of services countywide.
With this new grant, First Things First can expect First Teeth First to continue providing
optimal oral health services and successful outcomes related to target service units. First Teeth First
will also focus on the importance of children, families and expectant mothers establishing a dental
home and provide increased referral and navigation services to families. Follow up to dental care
will be provided by the First Teeth First staff (primarily First Teeth First Social Worker) to
circumvent barriers to receiving care and establishing dental homes. Tracking systems will be put
into place to determine successful link of a patient to treatment and ultimately establishment of a
dental home.
c) The First Teeth First program is extremely fortunate to be able to partner with several
groups and organizations within the Maricopa County Department of Public Health. Our main
partner is the Women, Infant and Children (WIC) office that serves multiple locations throughout
Maricopa County. WIC and the Office of Oral Health reside in the Community Health Action
FTF-MULTI-19-0671-00 Page 7 of 159

division of MCDPH and are supported by the same administrator. Collaborating with the WIC
program provides the ideal environment and ability to provide preventative services such as oral
health screenings and education, and referrals to expectant mothers and children as well as, fluoride
varnish applications to children. This is a vulnerable target population that oftentimes does not
receive oral health services. First Things First has a defined vision that focuses on early childhood
development. The oral health program is an extension of this vision and the strategy is inclusive of
all children regardless of their insurance status. First Teeth First’s ongoing partnership with WIC
has provided for consistent opportunity to reach our target population and see children on a repeat
basis from infancy to age five. WIC and First Teeth First have ongoing communication regarding
program assessment and evaluation. Both programs are subject to changes in staffing, scheduling,
and physical location where services are provided and this can present challenges to program
implementation. Open and ongoing discussion has nurtured our relationship and provides an avenue
to prepare for change or conflict. This communication allows us the ability to reinforce our
education and messages to children and expectant mothers as well as allowing WIC and First Teeth
First to reinforce each other’s messages.
MCDPH has built a solid foundation that provides its internal programs and community
partners technical assistance support with data and policy analysis, evidence-based approaches,
strategic planning, marketing and communications, evaluation, and support for large-scale
community initiatives. In addition, as a neutral convener, especially for organizations that often
compete for resources, the HIPMC promotes a safe environment for non-traditional partnerships to
blossom.
One such partnership is the MCDPH First Teeth First Program and Dignity Health. Dignity
Health, Chandler Regional Medical Center has demonstrated a growing investment in community
outreach and educational programs, advocacy efforts and collaborative community partnerships.
Dignity’s Community Integration team has created partnerships with schools, community centers,
churches, medical personnel, community leaders, state and local government, and Native American
communities to establish health and wellness programs throughout the Phoenix East Valley. First
Teeth First has collaborated with Dignity Health’s MOMobile to provide services and education to
greater numbers of expectant mothers. With the goal of maintaining a coordinated system of oral
health prevention activities throughout Maricopa County, Dignity Health and First Teeth First will
continue to provide oral health screening, fluoride varnish application, education and referral in
accordance with the First Things First Scope of Work and Standards of Practice.
A new partnership with Arizona Early Childhood Education Association will provide
training to early care and education professionals to include oral health education, implementation
of a tooth-brushing program and parent engagement strategies.
A partnership with the Arizona Department of Health Services Office of Oral Health
(ADHS-OOH) allows the First Teeth First program to submit claims to the Arizona Health Care
Cost Containment System (AHCCCS) for varnish services. ADHS will continue to be a sub-grantee
to the MCDPH First Teeth First Program. The utilization of this expanded function in delivery of
care will help create sustainability of the First Teeth First program and allow for creative
approaches to enhancing our current provision of services.
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III. First Teeth First’s partnerships with existing departments/programs within MCDPH
promotes a synergistic approach to provision of services. Our primary focus has been providing
services at WIC clinics which service children zero to five and expectant mothers. This mutually
beneficial partnership allows clients to integrate various services into one visit to a site which is
always appealing to busy families with young children. Education and health promotion are
enhanced when both programs are reinforcing each other’s messages.
Partnerships have been developed with several agencies outside MCDPH also dedicated to
reaching our target population. Examples of these partnerships include other First Things First
grantees (Readiness Basket, Peoria Unified School District, etc.). Additional First Teeth First
partners include Teen Outreach Pregnancy Services (TOPS), the Mexican Consulate, Head Start,
Nurse Family Partnership (train the trainer model), and Avondale Care 1st Resource Center. We are
also collaborating with other early childhood health professionals, such as Arizona Academy of
Pediatrics, to educate physicians on the oral health screening process and fluoride varnish
applications and to consider modes of integrating medical and dental health. With this wide variety
of partnerships, we have the valuable opportunity to extend our reach to populations that may
otherwise be difficult to access, thus enabling us to fulfill all pieces of the grant.
Section C - Program Description
I. A. First Teeth First continues to serve children who are birth to age five (not enrolled in
kindergarten) and expectant mothers throughout Maricopa County at permanent and non-permanent
locations.
Permanent locations are locations where services are provided on a regular basis (daily,
weekly or monthly). An example of these locations would be a WIC or Immunization clinic and
resource centers. First Teeth First will continue to provide services every six months regardless of
the insurance status of the child. Case management will be initiated to ensure care is received and a
dental home is established.
All other services are provided at non-permanent locations, which are locations where we
provide services every six months to one year. Examples of these locations would be childcare
centers, preschools, and community events. Outreach is provided to childcare centers, preschools
and community events by Health Educators to reach children in a different setting and provide
services every six months.
Services will include:
1. Basic oral health screenings provided by registered dental hygienists utilizing the Basic
Screening Survey established by the Association of State and Territorial Dental Directors
2. Fluoride varnish application for children
3. Oral systemic health education of children, caregivers and expectant mothers
4. Care coordination through First Teeth First Social Worker, including assistance in scheduling
dental care, navigating insurance and language/cultural barriers
5. Referral to dental home
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All Registered Dental Hygienists will have current licenses to practice dental hygiene issued
by the Arizona State Board of Dental Examiners and will comply with all rules and practice
guidelines set by the Arizona State Board of Dental Examiners.
Per First Things First Standards of Practice SFY 2018, First Teeth First will establish a
system to identify and offer services to medically compromised children and expectant mothers in
private homes by First Teeth First team members.
First Teeth First will schedule and deliver services to not duplicate or supplant existing oral
health care available by collaborating with centers and Head Starts prior to scheduling. In addition
to ensuring non-duplication of services at childcare centers and preschools, First Teeth First will
also ensure services are not duplicated when serving in permanent locations. First Teeth First will
continue to utilize a database to track children and expectant mothers receiving services and have
this information available to confirm eligibility for services prior to screenings. Computer
accessibility will be provided at all permanent location.
Documentation of services provided will be made within 72 hours of date of service. This
requirement will be clearly documented in First Teeth First’s Training Manual and included in
service agreements with any sub grantees.
Informed consent from the parent/guardian or expectant mother will be obtained prior to
each screening. A First Things First approved consent form will be utilized. This form will include:
 Child or expectant mother’s demographic information
 Parent/guardian or expectant mother’s name and contact information to include phone
number(s) and address
 Insurance status and plan
 Allergies and medications
 Dental history to include:
When the expectant mother last saw a dentist, how often she visits the dentist
When the child last saw a dentist, how often she/he goes, and the date of last fluoride varnish by
dentist or any other provider (e.g. pediatrician)
 Name and contact information of the dental home
 Information on what the parent/guardian or expectant mother is consenting to
 Bidirectional consent to communicate back and forth with the dentist, if one is identified
Oral health risk assessments will be conducted utilizing the Oral Health Risk Assessment
Tool developed by the American Academy of Pediatrics (AAP). This assessment will be completed
via interview with the parent/caregiver when screenings are conducted with parent/caregiver
present. In instances where parent/caregiver is not expected to be present, such as childcare centers
and preschools, a risk assessment questionnaire will be provided to the parent for completion prior
to screening.
Understanding the benefit of providing caregiver education and referral at the time of
services, efforts will be made to provide screenings when parent/guardian is present whenever
possible.
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When serving expectant mothers, a Risk Assessment will be conducted and a risk level
assigned accordingly. Screening will identify oral conditions including, but not limited to,
inflammation, infection, periodontal disease, possible decay, tooth loss, and pregnancy gingivitis or
tumors. Identifying risk factors and protective factors will allow improved educational opportunity
regarding expectant mother’s oral health and that of her child once born.
Motivational interviewing and anticipatory guidance will be utilized to counsel
parent/caregiver on the expected development and oral health recommendations appropriate for the
child’s age. Utilizing this information, First Teeth First providers will discuss and set attainable
goals for the child and caregiver.
First Teeth First will provide dental referrals for children and expectant mothers who do not
have a dental home. Assistance navigating the referral process will be provided by First Teeth First
team members, including Registered Dental Hygienists, Health Educators and the First Teeth First
Social Worker. First Teeth First will link the participant to a dental provider that accepts the
participant’s dental insurance or AHCCCS plan, if applicable, and partner with them to secure an
appointment. If the participant is uninsured, First Teeth First team members will determine if, or
what barriers to care exist and collaborate to secure an appointment with a provider that meets their
needs.
Parents/caregivers who are not present when their child is screened will be contacted by
First Teeth First team members within one week from the child’s screening date. Referral and
navigation services referenced above will be utilized.
Children or expectant mothers that display urgent dental needs (pain, infection, or swelling)
will be referred for treatment within 48 hours. First Teeth First has developed a partnership with
pediatric dentists in Maricopa County who will treat our children with urgent dental needs at no cost
to the family. The generous support of these partnering dentists has allowed us to secure care for
children whose needs would otherwise go untreated.
Expectant mothers with urgent needs are now connected to MIHS dental clinics for dental
care. With the addition of a First Teeth First Social Worker to the First Teeth First team, we will
expand our dental partnerships to include general dentists willing to provide care to our expectant
mothers with urgent needs.
Assigning a cell phone to each permanent location will enable on-site staff to contact
caregivers of children and expectant mothers screened the previous day. This follow up will assure
all First Teeth First messages were clear to avoid misunderstandings, any questions by individual or
caregiver were answered and that participant will seek dental care and a dental home.
Continued case management will include, but not be limited to:
 A minimum of two attempts by an First Teeth First team member to confirm with the dental
home that the child/expectant mother did, in fact, attend their dental appointment and secure
treatment
 Social Worker consultation with parent/caregiver/expectant mother if appointment was not
maintained to determine barriers for attendance
 Efforts to overcome any barriers and link the participant with a dental home
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A database will be utilized to track:
 Child/expectant mother and associated demographics
 Dental provider participant was referred to
 Contact made with parent/caregiver/individual and associated notes
 Contact made with dental provider and associated notes
 Completion of treatment for urgent dental needs, if applicable
 Establishment of a dental home
Educational modules will be developed for medical and dental professionals utilizing the Smiles for
Life curriculum. Topics include:
 Relationship of Oral & Systemic Health
 Child Oral Health
 Pregnancy & Woman’s Oral Health
 Caries Risk Assessment Fluoride Varnish and Counseling
Because pediatric medical offices see children early and often, they are an important liaison
between the families of our target population and dental homes. Encouragement by a trusted
medical provider will aid families in seeking dental homes by age one. Pediatric medical
professionals (physicians, nurse practitioners and physician assistants) may provide fluoride varnish
to their patients from six months to two years old and seek reimbursement from AHCCCS. This
provides another avenue for young children to be exposed to fluoride varnish and subsequent
reduction in Early Childhood Caries (ECC). Trainings will be provided by First Teeth First Internal
Dental Hygienist.
First Teeth First will collaborate with the Arizona chapter of the American Academy of
Pediatrics to expand our outreach in the pediatric medical community. Opportunities for integrating
medical and dental services will be researched. One example of this would be incorporating a
registered dental hygienist into a pediatric medical office for fluoride varnish applications and
education during or immediately after the child’s medical appointment.
General dental offices are often uncomfortable or unwilling to treat children at the
recommended age of one year. Reaching out to general dental offices to stress the importance of
early care and to offer recommendations to reduce their discomfort in treating young children
provides greater resources for families trying to access dental care. Training will be provided by
First Teeth First Internal Dental Hygienist.
OB/GYN offices will be educated on the oral health manifestations of pregnancy and the
impact an expectant mother’s oral health has on her overall health and on her baby’s health, both
prior to and after delivery. Guiding an expectant mother to a dental home can be reinforced by the
expectant mothers OB/GYN. Training will be provided by First Teeth First Internal Dental
Hygienist.
Early Care and Education programs (ECE), WIC centers and other professionals involved in
early childhood health and well-being will be provided training based on the Empower materials
from the Arizona Department of Health Services and the “Tooth Brushing in Child Care Settings”
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training and/or the Smiles for Life curriculum, as appropriate. Trainings will be provided to these
target audiences by First Teeth First Internal Dental Hygienist, First Teeth First Health Educators,
and the Arizona Early Childhood Education Association. Outreach to professionals in the early
childhood health and education community expands our ability to share the message of early
childhood oral health and the impact it has on a child’s ability to be healthy and ready to succeed in
kindergarten.
A partnership with the Arizona Department of Health Services Office of Oral Health
(ADHS-OOH) allows the First Teeth First program to submit claims for Arizona Health Care Cost
Containment System (AHCCCS) eligible children. ADHS is a sub grantee to the MDPCH First
Teeth First Program. The utilization of this expanded function in delivery of care will help create
sustainability of the First Teeth First program.
All funds minus the cost of the billing service from ADHS will be submitted to the First
Teeth First program for reinvestment into oral health services within the program. First Teeth First
hopes to elevate the program to more innovative potentials and visionary practices with the funding
that is generated through reimbursement.
1. The First Teeth First program model is based on evidence from the American Dental
Association, Maternal Child Health Bureau, Centers for Disease Control and Prevention and others.
Oral health education, screening, and fluoride varnish are made available in community locations in
an effort to provide repeat fluoride varnish application every three to six months.
Studies have shown that fluoride varnish application along with dental health information
for caregivers is effective in reducing the incidence of childhood caries. Maternal and Child
Health Bureau conducted an expert panel in 2007 to develop a decision support matrix on topical
fluoride use for high-risk children. The experts concluded, “An ideal prevention model targeting
high-risk children would include population-based fluoride interventions combined with individual
risk assessments conducted during dental and medical appointments”. The matrix was developed
primarily for a non-dental audience including paraprofessionals and professionals without formal
dental education working in public health settings (childcare centers, Head Start, WIC) because the
panel recognized the important role of these individuals in primary and secondary prevention
among higher-risk populations because of their ability to reach these children at younger ages.
The First Teeth First program along with Dignity Health supports the need for early
intervention to prevent tooth decay. Early childhood caries have become increasingly and
alarmingly clear in recent years. The American Academy of Pediatric Dentistry cites the following
statistics.
 40% - 50% of children will be affected by tooth decay before age 5
 More than half of the children born each year will have cavities by the time they reach
second grade
 While 9 million children in this nation do not have medical insurance, more than twice that
number (23 million) does not have dental insurance
 According to the May 2000 Surgeon General’s report, Oral Health in America, more than 51
million school hours are lost each year to dental-related conditions
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The problem is especially prevalent in Arizona. The Arizona Department of Health Services
conducted an open mouth survey of preschool aged children in 2009 and identified the following
key findings: (Office of Oral Health, Arizona Department of Health Services, 2011)
 52% of 4 year olds have treated and/or untreated tooth decay
 37% of children ages two through four have tooth decay experience and 30% have untreated
tooth decay. This is far beyond the national recommendations.
 40% of four year olds have early or urgent dental treatment needs
 Parents do not take their children to the dentist because they think the child does not need a
visit (46%), the dentist will not see the child (34%), and they can’t afford it (12%)
 54% of children age three have never visited a dentist
Research shows that oral health is progressive and cumulative and becomes more complex
over time. If left untreated, tooth decay can lead to needless pain and suffering; difficulty speaking,
chewing, and swallowing; missed school days; increased cost of care, loss of self-esteem, and the
risk of other systemic health problems due to poor nutrition, infection, and abscess. Tragically,
several young children have died as a result of infections caused by tooth decay or the effects of
sedation used during treatment.
Fluoride varnish application has been shown to be an effective method of preventing dental
caries, preventing decalcification, and slowing the progression of existing caries. Fluoride varnish
is simple to apply with very low risk of adverse effects and does not require a dental cleaning prior
to use, making it the ideal choice for community-based oral health prevention programs. The
Association of State and Territorial Dental Directors recommends initiating fluoride varnish
applications as soon as the first tooth erupts, stating “age two is too late for children at highest risk”.
The American Dental Association recommends that children under age six in a high-risk
category receive fluoride varnish application at three-month intervals. Maternal Child Health
Bureau experts state that low socioeconomic status, specifically income, is the best indicator of
dental decay risk making immunization clinics, WIC offices, and family resource centers ideal
locations for providing oral health prevention activities. Children at moderate risk for dental caries
are recommended to receive fluoride varnish application every six months.
While oral screening and fluoride varnish are important tools to prevent tooth decay, simple
behavior changes can also have a lasting effect on a child’s oral health. Interaction with parents in
the community reveals that many parents are unaware of the harmful effects of common behaviors
including putting baby to bed with a bottle, the use of sippy cups, frequent snacking, and inadequate
tooth brushing. Educating parents and caregivers must be a significant component of any oral health
prevention program.
The First Teeth First and Dignity Health programs provide an evidence-based screening
process that is a nationally recognized system of screening preschool and school age children. The
Basic Screening Survey (BSS) was created by The Association of State & Territorial Dental
Directors (ASTDD) and is a tool for obtaining data for an oral health surveillance system. The data
collected from the BSS consists of Plaque/Gingivitis, Non-Cavitated White Spots, Early Childhood
Caries (ECC), Untreated Decay (with the number of teeth) and Treated Decay (with the number of
teeth).
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First Teeth First will continue to provide services at Women, Infant and Children (WIC)
Clinics, Immunization clinics, and Federally Qualified Health Centers. Screening, education and
fluoride varnish application takes approximately seven minutes. Expectant mother screening and
education also takes approximately seven minutes. We look forward to increasing our educational
and referral component to focus on helping participants establish a dental home. We, therefore,
anticipate the length of service provision will increase. We offer screenings and fluoride varnish on
a six month interval at our permanent locations. First Teeth First partners with preschools, childcare
providers, school districts, and other community based organizations to offer services on a six
month basis.
2. Maricopa County Department of Public Health has successfully achieved National Public
Health Accreditation.
3. Instruments and tools to be utilized in program implementation include:
 Child Oral Health Risk Assessment Tool (American Academy of Pediatrics)
(See Appendix A)
o Will be delivered at onset of appointment
o Will be utilized to assign a risk level and educate accordingly
 Maternal Oral Health Risk Assessment
o Will be delivered at onset of appointment
o Will be utilized to assign a risk level and educate accordingly
 Quality Assurance form (See Appendix B)
o Will be utilized at quarterly provider Quality Assurance evaluations
o Utilized for continuous program and provider monitoring to improve program
practices and provision of services
 Participant Satisfaction Survey (See Appendix C)
o Will be utilized at completion of participant screening
o Will allow for anonymous completion by participant (locked box for forms or online
survey)
o Utilized for continuous program and provider monitoring to improve program
practices and provision of services
4. First Teeth First is not proposing adaptations to the program model.
C.1. Recruitment and outreach efforts are provided through venues where services are provided
to our target population and in the community at large. (See Appendices D1-D6). The First Teeth
First and Dignity Health programs have two specific recruitment models which focus on permanent
and off-site locations. The permanent models are primarily WIC clinics and Immunization clinics
where the population visits regularly, which increases the chances of retaining the same clients for
their six month, follow up oral health screening and repeated fluoride varnish application until the
child turns six or enters kindergarten. WIC centers offer a unique opportunity to screen and educate
expectant mothers and then offer screenings to the child after delivery. Via a First Teeth First
database, each permanent location has the ability to review a child’s past treatment records to
survey each encounter with the program. Hygienists review the previous treatment record in the
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system before applying fluoride. If there were any comments indicating untreated decay or a need
for follow up with the dental provider or clinic, this is addressed at this time.
First Teeth First Health Educators have been very effective reaching out to childcare centers
and preschools offering and scheduling services for pre-kindergarten children. The dates of service
are tracked so these centers can receive repeat services at six month intervals for continuous cavity
prevention. Parents of children at preschools and childcare centers are provided with take-home
packets that include information about the benefits of oral screening and fluoride varnish and
screening results. Health Educators also seek and identify community events that will draw our
target population. Provision of services at community events allows First Teeth First to reach
children not enrolled in preschool or childcare and often promotes education for the whole family.
2. Services can be difficult to access in some populations or locations for a variety of reasons –
remote areas, number of providers in area, transportation, etc. To help circumvent the barriers for
these populations, First Teeth First provides services in a variety of settings.
 Non Maricopa County WICs
 Head Starts
 Mexican Consulate
 Health Resource Fairs
 Refugee Organizations
 Immunization Clinics
 Rural areas such as Wickenburg, Gila Bend, and Fort McDowell Yavapai reservation
First Teeth First has many partnerships that allow increased access to care in remote areas.
The program is positioned to accommodate remote areas through a cost sharing approach to
services.
3. The First Teeth First program utilizes bilingual (Spanish speaking) site assistants at all
locations that services are provided. Maricopa County has a large Spanish speaking population
requiring a definite need for linguistically appropriate educational information for increased
understanding and retention. Program brochures, program forms (including consent and take home
finding form) and educational materials (e.g. brochures and referral materials) are all provided in
both English and Spanish format. Quality Assurance site visits are conducted monthly at each site
location to ensure appropriate use of translation and oral health education is being provided.
Coaching is provided should bilingual site assistants or registered dental hygienist need guidance on
translation.
Should a family speak a language other than English or Spanish, site staff may utilize a
contracted company, United Language Group, which provides translation services for over 200
languages so that services and educational materials can be provided to the parent in the most
culturally competent and linguistically appropriate way.
Formal training on culturally responsive service delivery is held annually. Informal ongoing
training and review ensures staff is competent to provide culturally competent, linguistically, age,
and gender appropriate care. All Dignity Health staff participates in annual hospital-mandated
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continuing education including cultural competency, Patient and Family-Centered Care and HIPAA
Compliance. Program specific education has included the learning styles of adults and children.
Staff at all levels receive initial (within 6 months of hire) and annual professional
development on culturally responsive service delivery. This training will include topics relevant to
the target population served such as race, ethnicity, class, gender, local community, religion, and
family structures, as well as support to understand and reflect on staff’s own culture and potential
bias.
First Teeth First will develop and adhere to written policy describing how:
 First Teeth First and First Teeth First services are congruent with the needs of diverse
children and adults
 First Teeth First and First Teeth First services are responsive to various regional and cultural
factors and how these factors impact and enhance our relationship with participants
First Teeth First will develop and adhere to written policy describing how:
 First Teeth First will create an environment conducive to and inclusive of the unique needs
of all children and adults
 First Teeth First will adjust their services to support meeting the needs of children and adults
with all degrees of ability
 First Teeth First will adhere to the federal American with Disabilities Act
4. The oral health program will provide oral health education, screening and fluoride varnish
and dental home referral to children birth through five. Oral health education and screening and
dental home referral will be offered to expectant mothers. Oral health education will also be
presented to parents and family members, caregivers, medical and dental professionals, and Early
Care and Education professionals. Data collection will be done regionally in order to provide
regional councils will region specific numbers for reporting purposes.
Targeted units of service include:
 A minimum of 16,500 children receiving oral health screenings
 A minimum of 2,300 expectant mothers receiving oral health screenings.
 A minimum of 115 medical clinics, dental clinics, and early care and education programs
receiving oral health education
First Teeth First anticipates provision of services to a significantly higher number of
participants than the TSUs indicate. Though we may offer oral health screenings to the same child
multiple times during the grant year, the number of children indicated by the TSUs will represent
the number of “unique” children receiving screenings during the grant year (i.e. unduplicated
screenings), per the Contracted Service Unit Guidance SFY2019.
D.1. MCDPH Office of Oral Health and Dignity Health have successfully transitioned from two
distinct agencies independently providing services to two partners working collaboratively to
provide seamless, coordinated and comprehensive oral health services throughout Maricopa
County. Both organizations will complete oral health screenings to children and expectant mothers
in a manner consistent with the scope of practice. Only children ages zero through five and pre-
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kindergarten are eligible for fluoride varnish applications. Proper informed consent from a parent or
guardian will be documented and patient confidentiality will be maintained. During the oral health
screening, children and expectant mothers will also receive a complete dental caries risk assessment
using the Basic Screening Survey (BSS).
Both First Teeth First and Dignity Health will provide professional development to medical
clinics, dental clinics and early care and education professionals. Dignity Health will provide
professional development in the First Things First East and Southeast regions while First Teeth First
will provide outreach to Northwest Maricopa, Southwest Maricopa, Phoenix South and Phoenix
North regions.
A new partnership will be formed in the upcoming grant year with the Arizona Early
Childhood Education Association (AECEA). AECEA will develop a training based on the ADHS
Empower Standard 7: Oral Health. This training will include general oral health education,
implementation of a tooth-brushing program, age appropriate activities for teachers to use in the
classroom, and parent engagement strategies stressing the importance of establishing a dental home.
A partnership with the Arizona Department of Health Services Office of Oral Health
(ADHS-OOH) allows the First Teeth First program to submit claims for Arizona Health Care Cost
Containment System (AHCCCS) eligible children. The costs for billing are now covered by
reimbursed funds. All funds minus the cost of the billing service from ADHS will be submitted to
the First Teeth First program for reinvestment into oral health services within the program. First
Teeth First would hope to elevate the program to more innovative potentials and visionary practices
with the funding that is generated through reimbursement.
2. Dignity Health First Teeth First operates under the guidance of Community Oral Health
Manager, Michelle Gross-Panico and Melva Molina-Lucas, Program Coordinator. Registered
Dental Hygienists, Registered Nurses, and Promotoras provide services at permanent locations,
childcare centers, preschools and community events. Dignity Health benefits from years of
experience regarding the First Things First Oral Health Strategy. Their organization is well
equipped and ready to serve the East and Southeast Maricopa populations. They are deeply
embedded within those regions so operation continues to be seamless and valued within the
community.
3. Dignity Health and First Teeth First will continue to provide oral health screening, fluoride
varnish application and education in accordance with the First Things First Scope of Work and
Standards of Practice with the goal of maintaining a coordinated system of oral health prevention
activities throughout Maricopa County.
First Teeth First will continue to utilize a centralized database to collect, track and record
patient information and services. This database is now accessed at all First Teeth First permanent
locations (e.g. WIC and Immunization clinics) and provides a delivery of care system that decreases
the possibility of duplicative services. Dignity Health records all data regarding patients and
services rendered which is then collected by First Teeth First on a weekly basis and entered into the
database so all information is maintained in a single database. Locations outside of the permanent
locations are also entered into the database weekly.
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Summary reports reflecting the deliverables and monitoring of oral health indicators can be
produced through the Maricopa County First Teeth First program. The database can be used to
evaluate performance measures as it relates to providers and the program. Data collection will be
done regionally in order to provide First Things First councils with region specific numbers for
reporting purposes. Reporting is submitted quarterly to First Things First including one narrative
report and three Data Submission Reports (one per month).
4. Dignity Health has been providing oral health prevention services in Phoenix’s East Valley
since 2005. Oral screening and fluoride varnish services provided at immunization clinics
highlighted the need for preventive dental services and in 2008, the Children’s Dental Clinic began
providing full preventive services to low-income children at a school-based clinic. In 2010, Dignity
Health launched the Early Childhood Oral Health Program (ECOHP), funded by First Things First,
to meet the needs of very young children and their families. The ECOHP provided oral health
education, screening, and fluoride varnish application to children at WIC offices, Head Start and
preschool classrooms, childcare centers, immunization clinics, and Family Resource Centers.
Recurring visits provide the opportunity to reinforce good brushing and nutrition habits through
child-friendly education sessions, which include the use of puppets, books, pictures, and hands-on
activities. These established locations and partnerships allow for a continued effective and
flourishing delivery system of care.
5. MCDPH First Teeth First administrative team and the Dignity Health First Teeth First
administrative team conduct monthly phone meetings to assure both teams are calibrated in
provision of services and aligned with the First Things First Standard of Practice. Quarterly “in-
person” collaboration meetings are held with administrators from both teams to identify areas of
opportunity regarding service delivery, data collection and professional development. Steps are
being taken toward creating a single quality assurance and evaluation system.
Quarterly All-Team meetings and annual RDH Calibration meetings are held for combined
staffs for trainings and to align and calibrate provision of services. Annual trainings are provided
on:
 OSHA updates/Blood Borne Pathogens
 Cultural Competency and Responsiveness
 HIPAA Regulations and Compliance
 Basic Screening Survey
 Caries Risk Assessment, Fluoride Varnish Application and Counseling
E. The First Teeth First program is extremely fortunate to have established partnerships with
several groups and organizations within the Maricopa County Department of Public Health. Our
main partner is the Women, Infant and Children (WIC) office and we serve multiple locations
throughout Maricopa County. We currently provide services at 10 County WIC locations and
expect to begin services at two additional County WIC sites soon. Collaborating with the WIC
program provides the ideal environment and ability to provide preventative services such as oral
health screenings, education and dental home referrals to expectant mothers and children and
fluoride varnish applications to children. This is a vulnerable target population that oftentimes does
not receive oral health services. First Things First has a defined vision that focuses on early
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childhood development. The oral health program is an extension of this vision and the strategy is
inclusive of all children regardless of their insurance status.
First Teeth First collaborates with First Things First to locate preschools and childcare
centers that are Quality First Centers. First Teeth First Health Educators reach out to the Quality
First Childcare Centers to service those children. First Teeth First staff then looks to find additional
childcare centers in the regions to provide services as they are available. Additionally, we have an
IGA in place with Peoria Unified School District (PUSD) to provide continued services to children
in that school district (See Appendix E). This relationship has been highly successful in reaching
large numbers of children that would otherwise not receive care. A Community Partnership
Agreement between First Teeth First and Child Crisis Arizona Early Head Start is in place to better
serve the children and families in the Phoenix South Region (See Appendix F). First Teeth First
also provides services at schools within the Scottsdale Unified School District, Laveen Elementary
School District, and Pendergast Elementary School District.
Regarding more comprehensive services, First Teeth First partners with local dental clinics
such as Mountain Park, Parsons Center for Pediatric Dentistry and Maricopa Integrated Health
Services (MIHS) to refer children with urgent needs for immediate treatment. First Teeth First has
successfully integrated a referral base with private dental practitioners for immediate treatment of
uninsured children with urgent dental needs. These relationships will be expanded and strengthened
with the addition of a First Teeth First Social Worker. Our Social Worker will provide follow up
case management to assure children and expectant mothers are getting necessary care and
establishing a dental home. Our Social Worker will also coach families and expectant mothers on
“dental appointment etiquette” to assure maintenance of appointments, thus reducing the failed
appointments the partners might otherwise experience.
A formal subcontract with Dignity Health will be established to allow continued delivery of
services in the East Valley. A Notice of Intent has been completed between Dignity Health and
Maricopa County to provide the following services: oral health screening and fluoride varnish
application to children ages zero to five, oral health screenings to expectant mothers and preventive
oral health education, outreach and training to medical and dental professionals and early care and
education professionals. Services and outreach will be provided in diverse location settings. Dignity
Health has developed partnerships with numerous agencies throughout the East Maricopa and
Southeast Maricopa Regional Partnership areas. These partners were chosen because they have
existing relationships with families of children ages zero to five. This trusting relationship with
WIC offices, family resource centers, childcare centers, and preschools supports access to services.
Collaborating with First Things First grantees emphasizes the connection between early childhood
development and health.
First Teeth First looks forward to collaborating with the Arizona chapter of the American
Academy of Pediatrics on oral health medical and dental integration. Pediatric medical
professionals can currently apply fluoride varnish on children six months to two years old and
submit for reimbursement for services to AHCCCS, however, this practice is not commonly done.
First Teeth First professional outreach to pediatricians now promotes fluoride varnish application in
pediatric medical offices and enlists the support of these professionals in guiding children to a
dental home by age one. Potentially, dental hygienists could be incorporated into pediatric medical
offices to fully integrate early childhood oral health and education into medical appointments.
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A new partnership with Arizona Early Childhood Education Association will expand our
outreach to the Early Care and Education system (ECE). Provision of training to the ECE
professionals will enhance the education and participation of professionals and the caregivers of
children zero through five.
Continuing to strengthen existing relationships with partners and introducing new
collaborations will increase our presence in the community, increase our opportunity to affect a
reduction in early childhood decay, and enhance our ability to help families establish dental homes.
F. Anticipated barriers to program implementation include:
 Internet access at some permanent locations
o First Teeth First will utilize technology (specifically Net-Motion) that allows for
internet access in locations where a firewall is preventing access or there is no Wi-Fi
available
 Inability to follow up with services and/or assure family accesses care
o An Oral Health Social Worker has been on boarded for case management purposes
 Permanent location closures (i.e. County WIC site closures)
o Efforts will be made to find alternate sites for provision of services when a current
permanent site is closed
 Field Staff turnover
o Continued efforts will be made to employ staff members that are passionate about
their positions with First Teeth First
G. First Teeth First shall submit quarterly one Program Narrative Report and three Data
Submission Reports (one per month) by the 20th of the month following the quarter via the First
Things First Partner Grant Management System (PGMS). The reports shall contain summary
information as deemed necessary by First Things First that includes documentation of program
evaluation and quality assurance.
First Teeth First implements quality assurance protocols consisting of:
 Monthly site inspections
o To ensure programmatic standards are being met
 Quarterly provider Quality Assurance evaluations and coaching, if indicated
o To ensure programmatic standards are being met
o To ensure provision of services is calibrated
 Quarterly trainings held with all First Teeth First and Dignity Health field registered dental
hygienists and site assistants
o These meetings are used to review protocols, policies and procedures for reliable
program services
 Annual calibration training of registered dental hygienists
o To assure consistent implementation of services and review of the Basic Screening
Survey
 Participation in Maricopa County Quality Improvement trainings
o Applying training to First Teeth First implementation of services
 Bi-weekly internal staff meetings
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o To assure compliance with protocols and calibration in provision of services
 Monthly phone meetings including MCDPH FTF and Dignity Health administrators
o To review services, outcomes and calibration of teams in program operation
 Quarterly in-person meetings including MCDPH FTF and Dignity Health administrators
o To collaborate and calibrate program services, challenges and opportunity for
improved program implementation
o To share challenges and successes and to, together, find solutions to any challenges
H. FTF Data Reporting Requirements document plus supplemental attachment (See Appendix
G)
II. A. Program Org Chart (See Section D – Personnel)
B.1. The Office of Oral Health is within the Department of Public Health Community Health
Action Division, and is administered by Toby Urvater. With twenty-five years of public health
experience, Ms. Urvater is a seasoned, highly respected program administrator with proven
organizational development/management skills and extraordinary success in community
collaboration.
Currently the Office of Oral Health Director position is vacant. Duties of the Director are
currently distributed between Community Health Action Division Administrator, Toby Urvater, and
First Teeth First Internal Registered Dental Hygienist, Jan Kalina. Jan earned her Bachelor of
Science degree in Dental Hygiene from the University of Washington and has practiced Dental
Hygiene for 40 years. Jan worked as a dental hygienist in field for First Teeth First before joining
the internal team.
The First Teeth First internal team has benefitted from great staff retention and exceptional
teamwork and cohesiveness.
Program Coordinator, Berenise Bauer, has a Bachelor of Science degree in Health Sciences
with an emphasis in Community Health. Berenise was a Health Educator with First Teeth First prior
to becoming Program Coordinator. Berenise has over 10 years of experience developing community
relations and program implementation and her exceptional management skills have provided great
leadership for the program.
Program Assistant, Clara Guevara, worked as a Bilingual Site Assistant with First Teeth
First before successfully taking on the role of Program Assistant. Clara’s 10 plus years of
administrative experience has made her an indispensable asset to the internal team.
Tirsia Lopez transitioned from her role as Health Educator to a relatively new position as
Field Staff Supervisor. Tirsia has a Bachelor of Science degree in Human Development from
Oregon State University. Tirsia’s nearly five years as a First Teeth First team member and her
passion for the program is evident in her successful field staff management.
Health Educator, Maryola Blancas, has been with First Teeth First for over five years.
Maryola’s knowledge of the program has contributed significantly to the program’s growth and
success. Maryola earned her Master in Public Health degree from Loma Linda University.
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Health Educator, Victor Corral, has a Bachelor of Science degree in both Health Promotion
and Healthy Lifestyles Coaching. Victor has an extensive background as a health educator and
outreach specialist and provides leadership and mentoring to internal and field staff.
Health Educator, Esther Valerio, earned her Bachelor of Science degree in Health Sciences
from Arizona State University. Esther is certified on the Standards of Quality for Family
Strengthening & Support and brings great enthusiasm to the team.
Jahaziel Linare has joined First Teeth First as our new Bilingual Oral Health Social Worker.
Jahaziel has a Master in Social Work from Arizona State University. In addition to his extensive
background in social work and case management, Jahaziel is an instructor in Diversity and Human
Behavior for ASU’s School of Social Work. We look forward to utilizing Jahaziel’s knowledge,
experience and enthusiasm as we develop our case management component.
Dignity Health program staff includes:
Community Integration Director: Kathleen Dowler, RN, BSHA has 34 years of nursing
experience including oncology, maternal, and child health. She provides oversight and
responsibility for multiple community outreach programs, Community Grants, and Community
Health Needs Assessment.
Manager of Community Oral Health: Michelle Gross-Panico has a doctoral degree in Health
Sciences with emphasis in Global Health. Michelle is responsible for program management,
including oversight of program staff, fiscal management, reporting, and partnership development.
Program Coordinator: Melva Molina-Lucas participates in program development, evaluation
and performance improvement. She is responsible for scheduling clinics, data management and
promotion of the program in communities. She identifies partners drawing large numbers of
families, children zero through five, and expectant mothers.
Registered Dental Hygienists: Provide one on one education, standardized oral screenings,
and fluoride varnish applications at various locations throughout Maricopa County, including WIC
and Immunization Clinics, childcare centers and preschool.
Community Oral Health Promotoras: Provide Spanish translation for Dental Hygienists,
assist the Dental Hygienist on-site with patient flow, forms, and data entry, and provide oral health
education to children and parents.
Registered Nurses: Provide one on one education, standardized oral screenings, and fluoride
varnish applications at various locations throughout Maricopa County, including WIC and
Immunization Clinics, childcare centers and preschool.
At the program level, First Teeth First is fully staffed and prepared to enhance provision of
services in a highly functioning partnership with Dignity Health. Both organizations have
demonstrated excellent internal staff retention throughout the life of the program. This staff
continuity provides a stable platform from which to improve and expand the program. Recruitment
for additional staff will be conducted in order to provide services at additional locations. Specific
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MCDPH First Teeth First staffing information is required and provided in the RFGA budget
justification and personnel table (See RFGA Section D-Program Personnel Table and Section F-
Budget Narrative).
2. First Teeth First Supervisors, including Program Coordinator and Field Staff Supervisor,
attend a series of Internal Supervisor Trainings as required by Maricopa County. These trainings
include Situational Leadership, Crucial Conversations, ELI Civil Treatment for Employees.
All MCDPH FTF employees complete required training on HIPAA Regulations, Workplace
Safety, and Blood Borne Pathogens. Dignity Health team members complete these trainings
through Dignity Health Chandler Regional Medical Center.
All MCDPH and Dignity Health First Teeth First staff members also complete trainings on:
 Introduction to the Arizona Infant and Toddler Developmental Guidelines
 Introduction to the Arizona Early Learning Standards
 Cultural Sensitivity/Culturally Responsive Service Delivery
 Basic Screening Survey Calibration
MCDPH First Teeth First staff members also benefit from a wide variety of optional
trainings offered by Maricopa County to enhance personal and professional communication and
growth, time management, interpersonal and professional relationships.
Maricopa County Department of Public Health conducts annual Performance Evaluations
for all employees of First Teeth First. First Teeth First Field Staff Supervisor and Internal
Registered Dental Hygienist conduct monthly Site Visits and quarterly Quality Assurance
evaluations for all providers. Together, these evaluations allow for ongoing coaching and
calibration of services provided.
C. Personnel Table (See Section D – Personnel Table)
D. Maricopa County has a human resource structure to recruit and retain qualified personnel.
The entire range of MCDPH human resource functions of selection, recruitment, compensation,
training and performance management are aligned and consistent with state-of-the-art, professional
human resource management. Fundamental values of efficiency, economy, fairness and high
performance are paramount to the program’s success. Evaluation of applicant training, experience,
and education is used in the recruitment and selection process.
Upon hiring, program introduction and training is provided by First Teeth First Field Staff
Supervisor to Bilingual Site Assistants and by Internal Dental Hygienist to Registered Dental
Hygienists. New staff members register for the Arizona Early Childhood Workforce at this time.
Training includes review of First Teeth First Training Manual and program policies and procedures.
The new staff member will shadow an experienced staff member for approximately one week
before providing services with a teammate.
E. Upon hiring, First Teeth First and Dignity Health team members are trained via Arizona
Department of Education webinars on:
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 Introduction to the Arizona Infant and Toddler Developmental Guidelines
 Introduction to the Arizona Early Learning Standards
The webinars are facilitated by First Teeth First Internal Registered Dental Hygienist within six
months of hire.
Annual trainings for internal and field staff at team meetings include, but are not limited to:
 Cultural Sensitivity/Culturally Responsive Service Delivery
 Basic Screening Survey Calibration
 Motivational Interviewing/Anticipatory Guidance
 OSHA Updates/Blood Borne Pathogens
 Workplace Safety
Additionally, a variety of Continuing Education classes are provided at quarterly team
meetings. Examples of these are Workplace Fitness, Tobacco Education – Ask, Advise and Refer,
and It Takes a Village to Prevent Tooth Decay.
Trainings align with First Things First Standards of Practice and provide an opportunity for
our staff to enhance their ability to serve our target population safely, sensitively, and
professionally.
F. First Teeth First has recently added an Oral Health Social Worker to the team. Until now,
our ability to navigate referrals to dental treatment and dental homes has been limited. Our new
Social Worker will monitor child and/or expectant mother’s appointment attendance. He will train
families/expectant mothers on “appointment etiquette” and the importance of maintaining scheduled
appointments. If an appointment is not scheduled or maintained, our Social Worker will work with
the participant in a socially/culturally sensitive manner to determine and circumvent barriers. We
will now be able to track children and expectant mothers receiving the dental care they need and
establishing a dental home.
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Section D - Personnel
Program Personnel Table
In the following table, provide a list of all personnel or positions that will be fully or partially funded
through the program (listed under Personnel Services/Salaries in the budget). 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 Key Roles and Responsibilities through the
Position Title
with the Standards of Practice) program
Berenise Bauer *B.S. in Health Sciences with Responsible for management of all 1.0
/First Teeth First an Emphasis in Community aspects of the First Teeth First
Program Health from NAU program. Oversees Human
Coordinator *10 years of community resources, procurement, budget,
relations experience and health reporting, community relations and
education any other aspects of the program
*Bilingual implementation
Mari Smith/First *A.A. from A.W. Beattie Career Responsible for tracking the budget, 1.0
Teeth First Center submitting reimbursement requests,
Accounting *Certificate of Completion – reconciling the budget and other
Specialist D&B Financial Analysis financial related activities to comply
*Certificate of Completion – with Maricopa County and First
NACM Advanced Credit / Things First policies
Collection Analysis
Tirsia Lopez/ *B.S. in Human Development Quality assurance and direct 1.0
Field Staff and Family Services from supervision of field staff, oversee
Supervisor Oregon State University accuracy of data entry, manage and
*5 years of program support create staff schedule
experience
*Bilingual
Jan Kalina/First *B.S. in Dental Hygiene from Develop partnerships with learning 1.0
Teeth First University of Washington institutions to incorporate oral
Dental Hygienist *40 years of Registered Dental health education in their
Hygiene Experience curriculums. Outreach to Pediatric
*Use of Intraoral Camera Dentists, Medical providers and
*Local Anesthetic community organizations for
*SoftDent Practice professional development purposes
Management Software and to engage practitioners to see
children zero through five for oral
health needs. This position also
provides clinical oversight for the
dental hygienists in the field
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Jahaziel *MSW from ASU Provides support to families who 1.0
Linare/First Teeth *B.S. in Justice Studies from have received dental referrals for
First Bilingual ASU oral health services. Secures dental
Oral Health *6 years of experience as a services, identifies resources and
Social Worker Mental Health Specialist advocates on the patient’s behalf
* Diversity/Human Behavior while working as a liaison between
Instructor for ASU’s School of dental providers, dental clinics and
Social Work patients
Clara Guevara/ *10 plus years of administrative Assists the Program Coordinator 1.0
First Teeth First experience and staff with all administrative
Program *3 years of program support functions. acts as alternate
Assistant experience attendee for meetings,
*Bilingual disseminates information to
community partners, orders
program educational and office
materials
Maryola *MPH from Loma Linda 1.0
Blancas/First University
Teeth First *B.S. in Biology from UCLA
Health Educator- *5 years of program support
Outreach experience
Specialist *APHA member and presenter
*Bilingual Provide education and outreach to
Victor Corral *B.S. in Health Promotion from childcares centers, community 1.0
/First Teeth First ASU organizations and other
Health Educator- *B.S. in Healthy Lifestyles stakeholders to identify service
Outreach Coaching from ASU partners, and assist in
Specialist *5 years experience in health implementation of oral health
education and program strategies in order to increase oral
coordination health services to the community
*Bilingual
Esther *B.S. in Health Sciences from 1.0
Valerio/First ASU
Teeth First *3 Years of Outreach specialist
Health Educator- and Health education
Outreach *Certified in Standards of
Specialist Quality for Family strengthening
& Support
*Bilingual
Danielle *A.A. in Dental Hygiene from Temporary personnel to provide .175
Fontana/First Rio Salado College one on one education, standardized
Teeth First *Honors Program at Rio Salado oral screenings, and fluoride
Registered *Anesthesia and laser certified varnish applications at various
Dental Hygienists *Skilled in Dentrix and Improvis locations without Maricopa County
Deborah Holiday *20 years of experience in including WIC and Immunization .175
/First Teeth First dental hygiene Clinics, childcare centers and
Registered preschools
Dental Hygienists
Judy Jones /First *B.S. in Education from NAU .175
Teeth First *A.A. in Dental Hygiene from
Registered Phoenix College
Dental Hygienists *43 years of experience in
dental hygiene
*Anesthesia certified
*Dentrix computer training
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Marissa *B.S. in Dental Hygiene from .175
Velasquez /First NAU *Certified Dental Assistant
Teeth First * 6 years of experience in
Registered dental hygiene
Dental Hygienists *Proficient in Prophylaxis and
periodontal Treatment
Nancy * A.A. in Science and Dental .7
LeBlanc/First Hygiene from Middlesex
Teeth First Community College
Registered *43 years of experience in
Dental Hygienists dental hygiene
*Intra-oral camera
*Anesthesia Certified
*Skilled in Dentrix Software
Natalie Graves *B.S. in Dental Hygiene from .35
/First Teeth First NAU
Registered *7 years of experience in dental
Dental Hygienists hygiene
*Highly skilled in oral
prophylaxis, root planning, and
soft tissue management
*Local anesthesia certified
Patty LaBella *B.S. in Dental Hygiene from .5
/First Teeth First NAU
Registered * 7 years of experience in
Dental Hygienists dental hygiene
*Dexis Intraoral Camera
*Anesthesia and laser certified
Robin Berry /First *B.S. in Dental Hygiene from .35
Teeth First NAU
Registered *years of experience in dental
Dental Hygienists hygiene
*Dexis Intraoral Camera
*Member of American Dental
Hygienist Association and
Central Arizona Dental
Hygienists Society
*Anesthesia and laser certified
Tracey *B.S. in Nutrition from Clayton .175
Thompson /First College
Teeth First *A.A. in Dental Hygiene from
Registered Phoenix College
Dental Hygienists *20 years of Dental Hygiene
experience
*Anesthesia Certification
Venus *A.A. in both Dental Assisting .7
Schwertley /First and Dental Hygiene from
Teeth First Phoenix College
Registered * 17 years of Dental Hygiene
Dental Hygienists experience
Micki Banks **A.A. in Dental Hygiene from .35
/First Teeth First Youngstown State University
Registered *43 years in the dental field
Dental Hygienists *35 years of Dental Hygienist
Experience
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Dawn Best *10 years of dental hygiene .5
/First Teeth First *A.A. in Dental Hygiene
Registered
Dental Hygienists
Darlynn King *46 experience in dentistry .7
/First Teeth First *A.A. in Dental Hygiene from
Registered Phoenix College
Dental Hygienists *5 years of dental assisting
experience
Kellie Logan *6 years in dental hygiene .5
/First Teeth First *A.A. in Dental Hygiene
Registered *Nitrous Oxide Certification
Dental Hygienists *Anesthesia Certification
*Laser Certification
Danielle Luth *B. S. in Dental Hygiene from .35
/First Teeth First Eastern Washington University
Registered *5 years of Registered Dental
Dental Hygienists Hygienist Experience
Amber Malone *A.A. in Dental Hygiene .5
/First Teeth First Southern University of
Registered Shreveport, Louisiana
Dental Hygienists *13 years of dental hygiene
experience
Callista Olivares *A.A. in Dental Hygiene from .5
/First Teeth First Rio Salado
Registered *B.A. in Communication from
Dental Hygienists ASU
*3 years of dental hygiene
experience
Mina Youssef *A.A. in Dental Hygiene from .5
/First Teeth First Pima Community College
Registered *7 years of experience
Dental Hygienists *Local Anesthesia Certificate
Roland Hinton IV/ *A.A. in Dental Hygiene from
First Teeth First Phoenix College
Registered *1 year dental hygiene
Dental Hygienists experience
Anna Rodriguez *Phoenix Job Corps: Office Temporary Personnel to provide .7
/First Teeth First Assistant Program translation for Dental Hygienists
Bilingual Site *5 years of program assistance and to assist the Dental Hygienist
Assistants on-site with patient flow, forms, and
Ana Claudia *Certified Spanish Medical data entry. .7
Wilson/First Interpreter
Teeth First *6 years of experience
Bilingual Site translating and data entry
Assistants *Trilingual: English, Spanish
and French
Magdalena *Certified Spanish Medical .7
Antillon Interpreter
/First Teeth First *20 years of experience
Bilingual Site translating and data entry
Assistants
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Karla Casas *education .7
/First Teeth First *4 years of experience
Bilingual Site translating and data entry
Assistants
Maria Gonzalez *B.S. in Early Childhood .35
/First Teeth First Education and Child
Bilingual Site Development
Assistants *20 years of experience in Early
childhood Education
*Certified Spanish Medical
Silvia Ibarra De * Certified Dental Assistant .7
Gonzalez *7 years of experience in
/First Teeth First translation
Bilingual Site
Assistants
Gladys Romero *4 years of experience .7
/First Teeth First translating and data entry
Bilingual Site
Assistants
Rosana Salas *A.A. in Tourism Business .7
/First Teeth First Administration
Bilingual Site *Certified Spanish Instructor
Assistants
Jessica Valdez *B.S. in Kinesiology from ASU .5
/First Teeth First *4 years of experience medical
Bilingual Site transcription
Assistants
Aurora Zamudio *4 years of experience .7
/First Teeth First translating and data entry
Bilingual Site
Assistants
Additional Personnel - those individuals partially funded through the proposed program but who do not
directly implement or have direct oversight of the program.
* 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.
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Section D - Personnel
Program Organization Chart
First Teeth First Organization Chart
Program Coordinator
Berenise Bauer
Social Worker Program Assistant
Jahaziel Linare Clara Guevara
Field Staff Supervisor RDH Accounting Specialist
Health Educators
Tirsia Lopez Jan Kalina Mari Smith
Maryola Blancas
Esther Valerio
Victor Corral
Bilingual Site
Assistants
Registered Dental
Hygienists
Dignity Health ADHS OOH
Arizona Early Childhood (billing subcontract
(subcontract
Education Association
4 FTE, 10 part time) 2FTE)
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Section E - 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
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Ongoing personnel Directly works with Human Field Staff Supervisor Monthly review of field Field staff roster (FTE=Full Time
recruitment for hygienists Resources for hiring process & Human Resources staff roster Equivalency)
and bilingual site assistants
Orientation for new hire of Training with internal staff on Field Staff Supervisor Full-Day training with Program overview presentation, Site
personnel: hygienists and programmatic overview and internal staff and one Manual, pre-test and post-test to
bilingual site assistants detail review of policies and week training with determine readiness for program
procedures experienced hygienist delivery or if employee needs more
and bilingual site time with experienced staff
assistant
Calibration Meeting for Dental professionals review Hygienists Annually Site Manual
hygienists training on program protocol
and standardized screening
(Basic Screening Survey)
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Evaluate program’s -Present program updates in Hygienist and Bilingual Quarterly Meeting Minutes
procedures and policy procedures and policy changes Site Assistants
changes
-Provide training
opportunities for professional
development
Professional development for -Attend community-based Program Coordinator, Quarterly Certificate of Completion, Annual
internal staff meetings related to Early Internal Hygienist, Performance Plans
Childhood and/or Oral Health Field Staff Supervisor,
Health Educators,
-Attend Maricopa County
Program Social
trainings geared to
Worker, Program
employee’s professional
Accounting Specialist
development
& Program Assistant
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II. Outreach and Marketing
Timeframe Task(s) Will Be
Person(s)/Roles
Activity Task(s) Completed Supporting Documentation
Responsible
Produce program video clips -Staff training tools for Program Coordinator Annually Maricopa County website and New
for website and program hygienists and bilingual site & Health Educators Employee Orientation presentation
training assistants to promote
universal message on healthy
oral health behaviors to
parents/caregivers
-Second function is to use for
marketing the program’s
services on the Maricopa
County website
Update Expectant Mother Marketing strategies to help Program Coordinator Annually Flyers used in WIC clinics and
Flyers reach expectant mothers in & Health Educators Immunization clinics
WICs and Immunization Clinics
Update Outreach Parent -Provides program overview Health Educators Monthly Outreach Parent Letter in English
Letter instructions on how to and Spanish
complete consent form and
introduces the program for
outreach efforts in Quality
First centers, child care
centers, and preschools
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Update program brochures - Program brochures include Program Coordinator, Daily Program brochures
Early Childhood Cavity Hygienists, Bilingual
prevention facts with revised Site Assistants &
photos and information Health Educators
highlighting Oral Health
Strategy GR YR 18/19
-This brochure includes FTF
permanent locations, phone
numbers, and schedules days
of services
Identify marketing -Maricopa County’s Hard to Bilingual Site Annually Media clips on Telemundo channel
opportunity to provide Reach Populations Assistants, Hygienists
services to hard-to- reach Coordinator promotes First & Health Educators
populations with Telemundo Teeth First services to Spanish
coverage and Binational broadcast channel Telemundo
Health Week highlighting program’s efforts
to reach a diverse population
-Health Educators collaborate
with Consulate of Mexico
during Binational Health week
to promote preventive health
services
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Attend community based -FTF promotes unique Bilingual Site Bi-weekly Event Calendar on Shiftboard
organization events strategies to meet the needs Assistants, Hygienists
of a diverse population in & Health Educators
Maricopa County by
collaborating with other
community base organizations
like Benevilla Family Resource
Center, Peoria United School
District, Health Start
programs, Avondale Care1st
Family Resource Center,
Mexican Consulate, Adelante
Healthcare, & Dignity
Maternity Outreach Mobile
Unit (MOMobile).
-Including hard to reach
populations such as Gila Bend,
Wickenburg, Apache Junction
and others
Recruitment of Private Dental -Continue to enhance the Program Social Monthly Tracking Log
Practices existing Dental partnerships Worker and Internal
Dental Hygienist
-Recruiting new Dental
partnerships to fit the needs
of the program
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III. Service/Program Delivery
Timeframe Task(s) Will Be
Activity Task(s) Person(s)/Roles Completed
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)
Provide basic oral health -Provide services to clients Hygienists, Dignity Daily Consent forms, treatment records,
screenings, fluoride varnish that are eligible for services Oral Health-Nurses and electronic database
services and education to trained in Oral Health
-Hygienist will provide one-on-
children ages 0-5 and Practices, Dignity Oral
one anticipatory guidance and
expectant mothers at WICs, Health-promotoras
motivational interviewing to
Immunization clinics, child Bilingual Site-
guardians/caregivers while
care centers, preschools and Assistants & Health
child receives services
community base organization Educators
events
Track the number of Quality -Keep detailed records of Dignity Oral Health- Weekly Electronic database and region-
First centers, child care primary contact, locations, Coordinator & Health specific outreach logs
centers, preschools, and enrollment numbers of Educators
community based children, date of visit, and
organizations events outcome services
Identify and refer children to -Provide a list of Reduced -Social Worker Daily Reduced fee Community Dental
dental homes Low-Cost Community Dental recruits Dental Clinic and Dental Providers list is
Clinics and Dental Provider Providers revised quarterly
Practices whom accept
- Hygienist provides
AHCCCS health plans
list to families during
services
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Ongoing Program Case -Program manages caseloads, Program Social Daily Referral Urgent Log Database
Management prepares progress report and Worker, Health
provides follow-ups Educators,
Information
-Create and maintain the
Management Analyst
Referral Urgent Log Database
& Program
Coordinator
Referring children and -Coordinate care Program Social Monthly Tracking log
expectant mothers with Worker, Health
-Managing caseloads
urgent needs to Dental Educators & Internal
homes -Follow up on outcome Hygienist
Presenting Oral Health -Oral Health Education for Health Educators Annually Program’s Oral Health Curriculum
Education Curriculum to preschool classroom. Develop Handout
children a curriculum using the
“Empower Program” and
“Smiles for Life” standards to
create a fun and enjoyable
presentation
-For the future, the program
purchased several tablets to
incorporate more visual aids,
recorded music, and videos to
help developed imaginative
ways to promote Oral Health
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IV. Coordination and Collaboration
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Continue to work with -FTF utilizes host-guest model Hygienists and Daily FTF Shiftboard
MCDPH WICs and where WICs provides service Bilingual Site
Immunizations space Assistants
Collaborating with Dignity -Determine which areas are Program Coordinator Bi-monthly Monthly Calendar submitted by sub-
Health to provide East Valley higher need and cost-benefit and sub-grantee grantee of clinic days/outreach
services for program implementation (Dignity Health) services
Work in partnership with -Continued collaboration and Dignity Health and Quarterly First Things First dental website
statewide Oral Health participation within the COP First Teeth First
Community of Practice (COP) and with community Program Coordinator
organizations & Internal Hygienist
Collaborate with American -Use medical professionals to Program Coordinator Beginning July 1st Develop a presentation or handout.
Academy of Pediatrics for a help promote the importance & Internal Hygienist Develop system for tracking
“Train the Trainer” program of oral health and establishing education provided.
a dental home
Continue to represent First -Program staff attends MOLAR Internal Staff Bi-monthly Coalition schedule
Teeth First in the Maricopa Coalition meetings to improve
Oral Health Leaders existing partnerships and
Advocates and Resources develop relationships with the
(MOLAR) Coalition dental community
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Continue to attend Regional -Attend Regional Council Program Coordinator Monthly Regional Council Meeting Schedule
Council Meetings Meetings to answer any & Health Educators
programmatic questions and
collaborate on community
events
Strategy alignment with -Work together to align Internal dental Weekly/Monthly Outreach tracking log
private dental practices mutual children oral health Hygienist and Program
strategies Social worker
Initiate a professional - Train early childhood Arizona Early Two Hour training Module to be developed utilizing
development/training of education professionals on Childhood Education ADHS Empower Standard 7: Oral
early care and education early childhood oral health Association Health
professionals and provide opportunities/
recommendations to promote
inclusion of oral health into
daily activities
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V. Continuous Quality Improvement (CQI)
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Ensure access to “real time” -90% of permanent locations Hygienists, Bilingual Daily Consent form, treatment record,
database for data collection have access to oral health Site Assistants, and electronic database
database to review the last Promotoras, and
First Teeth First fluoride Health Educators, IT
varnish treatment, established software creator
dental home, and any urgent
dental needs associated with
client
-Two sites does not have this
application, but the program
is resolving this issue
Complete Quality Assurance -Ensure provision of service is Internal Hygienist and Quarterly Personnel profile
reviews for hygienists and consistent with all staff and Field Staff Supervisor
site assistants locations
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Continuous Quality -Site observations conducted Maternal Child Health Meetings Bi-weekly, Weekly Tracker for WIC site
Improvement of existing to evaluate relationships Policy analyst & project completed by managers & Daily Site Report,
partnership with WIC between program staff and Internal Staff end of FY18
WIC partner staff
-Quality Improvement team
established
-Daily Site Report
communication tool
developed to facilitate
improved leverage of WIC
partners
-Roll out of the tool has
begun, and a project
evaluation will be completed
within six months
Revise Parent Satisfaction -Assess current parent Hygienists and Beginning July 1st
Survey satisfaction survey to improve Bilingual Site Assistant
participation feedback
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VI. Data Collection, Reporting and Evaluation
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Program Reporting Aggregate report to Information Monthly Aggregate report
demonstrate data analysis in Management Analyst
target service units used in & Program
quarterly narrative reports Coordinator
Sub-grantee ADHS Fluoride Data provided by ADHS OOH Sub-grantee (ADHS Quarterly Narrative with amounts billed and
Reimbursement Program monthly billed amount OOH) received
Program Reporting— Data Analysis and narrative Program Coordinator Quarterly Database and narratives from sub
Narrative reporting & Health Educators grantee (Dignity Health) and internal
staff
Program Evaluation -Data analysis and Program Coordinator, Quarterly Database reports
interpretation Field Staff Supervisor,
Dignity Health & ADHS
-Review region-specific needs
OOH
to meet Target Service Units
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VII. Financial Oversight and Management
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Sub-grantee ADHS Fluoride Contractual agreement with OOH Supervisor, Bi-Monthly Intergovernmental agreement
Reimbursement Program ADHS to submit AHCCCS Program Coordinator
claims for fluoride & sub grantee (ADHS
reimbursement for program OOH)
sustainability
Review Monthly Program Ensure the program is fiscally CHA Accountant, Monthly Budget Spreadsheet
Budget responsible in purchases of Program Accounting
supplies for delivery of Specialist, Program
services, marketing tools, and Coordinator
oral health education tools
Evaluate budget modification Program will modify budget to CHA Accountant, Monthly Modification Spreadsheet
fit fiscal spending projections Program Accounting
Specialist, Program
Coordinator
Review budget Program will review budget CHA Accountant, Monthly Reimbursement Spreadsheet
reimbursement reimbursement to meet fiscal Program Accounting
spending projections Specialist, Program
Coordinator
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VIII. Other
Timeframe Task(s) Will Be
Activity Person(s)/Roles
Task(s) Completed Supporting Documentation
Responsible
Paperless Consent Form and -Compare paper/traditional Program Coordinator Beginning July 1st Tablet, database, consent form
Treatment Record consent form with paperless & Health Educators electronic signature
to observe if it is cost effective
for the program’s needs
-Purchase 2 or 3 tablets to
pilot effectiveness
Telecommunication between -Provide Mobile work phones Hygienists, Bilingual Beginning July 1st FTF Database
Hygienist and at every WIC and Site Assistants and
parents/caregivers to Immunization locations Program Social
improve quality of service Worker
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FY19 Line-Item Budget — Maricopa Countywide Oral Health
Budget Period: July 1, 2018 —June 30, 2019
Budget Category Line Item Description Requested Funds Total Cost
PERSONNEL SERVICES Personnel Services Sub Total $906,554
Salaries
Permanent Personnel Subtotal: 402,015
1 FTE Health Education Supervisor
1 FTE Program Assistant
1 FTE Registered Dental Hygienist
1 FTE Outreach Educator
1 FTE Outreach Educator
1 FTE Outreach Educator
1 FTE Bilingual Social Worker
1 FTE Field Staff Supervisor
1 FTE Accounting Specialist
Temporary Personnel Subtotal: 324,097
Registered Hygienists
11 MC WIC Clinics 9,668 hours @
$25.02
2 Immunization Sites 2,171 hours @
$25.02
3 Community Based Sites 456,5 hours
@ $25.02
1 Adelante WIC Clinic 658 hours @
$25.02
Site Assistants Subtotal: 180,442
11 MC WIC Clinics 9,668 hours @
$13.93
1 2 immunization Sites 2,171 hours @
$13.93
3 Community Based Sites 456.5 hours
@ $13.93
1 Adelante WIC Clinic 658 hours @
$13.93
EMPLOYEE RELATED EXPENSES Employee Related Expenses Sub Total $283,029
Fringe Benefits or Other ERE Permanent Personnel 184,896
Variable 19.45%, Fixed $11,856/FTE
Temporary Personnel 98,133
Variable 19.45%
PROFESSIONAL AND OUTSIDE Professional & Outside Services Sub Total $15,500
SERVICES
Contracted Services Dr. Tony d/b/a Cyrus Professionals 7,500
Peoria School District 8,000
TRAVEL Travel Sub Total $15,234
I n-State Travel Mileage 11,214
Out-of-State Travel NOHC — Hotel, Per Diem, Air/Ground 4,020
Transportation
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AID TO ORGANIZATIONS OR INDIVIDUALS Aid to Organizations or Individuals Sub Total $434,250 .
Subgrants or Subcontracts to Dignity Health 407,700
organizations/agencies/entities AZ Early Childhood Education Assn 26,550
OTHER OPERATING EXPENSES Other Operating Expenses Sub Total $134,911
• Telephones/Communications I-phones for staff 6,000
• General Office Supplies Wist Office Supplies 2,400
• Food Food for Lunch N Learns 1,600
• Rent/Occupancy WIC Clinic Rent 15,500
• Printing/Copying Printing/copying of brocures 15,000
• Professional Development (Staff WRDC for 3 FTE's @ 5135/each, NOHC 4,980
Training, Conferences, Workshops, for 3 FTE;s @ $735/each,Staff Training
Training Fees for Staff) for 8 FTE's @ $300/each
• Program Materials Clinic/program supplies and materials 19,981
• Program Supplies for 16,500 children 69,450
NON-CAPITAL EQUIPMENT Non-Capital Sub Total $
Equipment $4,999 or less in value
Subtotal Direct Program Costs: $1,355,228
ADMINISTRATIVE/INDIRECT COSTS , Total Admin/Indirect $135,522 I
Indirect/Admin Costs
Total $1,925,000 $1,925,000
Authorized Signature Date
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FY19 BUDGET NARRATIVE — Maricona Countywide Oral Health
Personnel Services
Permanent Personnel
The Health Education Supervisor, Berenise Bauer, will be responsible for management of all
aspects of the First Teeth First program. This position oversees human resources, procurement,
budget, reporting, community relations and any other aspects of the program implementation. At
$23.36 per hour x 2,080 annual hours, the 12-month salary for this 1 FTE position is $48,594.
The Program Assistant, Clara Guevara, schedules personnel at the sites, and assists the Program
Coordinator and staff with all administrative functions. At $17.83 per hour x 2,080 annual hours,
the 12-month salary for this 1 FTE position is $37,081.
The Registered Dental Hygienist, Jan Kalina, in collaboration with the Dignity Health team, will
develop partnerships with learning institutions to incorporate oral health education in their
curriculums. This position will provide outreach to pediatric dentists, medical providers and
community organizations for professional development purposes and to engage practitioners to see
children zero through five for oral health needs. This position will also provide clinical oversight
for the dental hygienists in the field. At $30.41 per hour x 2,080 annual hours, the 12-month
salary for this 1 FIE position is $63,253.
The Outreach Educators, Maryola Blancas ($19.84/hr), Victor Corral ($18.92/hr) and Esther
Valerio ($18.50/hr) will promote the program in communities and identify partners drawing large
numbers of families, children five years of age and under and pregnant women where preventive
oral health services will be offered. Outreach Educators coordinate all services with the child care
centers. They are the daily contact for the Dental Hygienists and Site Assistants in the field. At
the above hourly rates x 2,080 annual hours, the 12-month salary for these 3 FTE positions is
$119,094.
The Accounting Specialist, Mari Smith, is responsible for tracking the budget, submitting
reimbursement requests, reconciling the budget and other financial related activities to be in
compliance with Maricopa County and First Things First policies. At $21.46 per hour x 2,080
annual hours, the 12-month salary for this 1 FTE position is $44,637.
The Field Staff Supervisor, Tirsia Lopez is responsible for quality assurance and direct
supervision of field staff by reviewing for accuracy of data entry, managing and creating staff
schedules, maintaining inventory and ordering supplies. At $18.28 per hour x 2,080 annual hours,
the 12-month salary for this 1 FTE position is $38,022.
The Bilingual Social Worker, Jahaziel Linare, is responsible for providing support to families
who have received dental referrals for Oral Health services. Secures dental services, identifies
resources and advocates on the patient's behalf while working as a liaison between providers,
dental clinics and patients. At $24.68 per hour x 2,080 annual hours, the 12-month salary for this
1 FTE position is $51,334.
Total Salaries for 9 Permanent Personnel is $402,015
FTF-MULTI-19-0671-00 Page 48 of 159

Temporary Personnel
Registered Dental Hygienists (RDHs)
Registered Dental Hygienists are hired by Maricopa County as temporary personnel to provide
one on one education, standardized oral screenings, and fluoride varnish applications. RDHs are
estimated to spend approximately 221 hours a week for 50 weeks at 12 WIC Clinics, 45.5 hours a
week for 50 weeks at 2 Immunization Sites, 9.5 hours a week for 50 weeks at 3 Community Based
Sites for a total 12,954 annual hours at an average rate of $25.02 per hour for a total expense of
$324,097 for the 12-month period.
Site Assistants
Site Assistants are hired by Maricopa County as Temporary Personnel to provide translation for
Registered Dental Hygienists who are not bilingual, and to assist the RDHs on-site with patient
flow, forms and data entry. They are scheduled at the same time as the RDHs for the same number
of hours/days/locations described above with the difference being the Site Assistant's rate per
hour. Site Assistants are projected to work 12,954 annual hours at an average rate of $13.93 per
hour for a total expense of $180,442 for the 12-month period.
Total Salaries for Temporary Personnel is $504,539
Total Salaries for Permanent and Temporary Personnel is $906,554
Employee Related Expenses
Fringe benefits for permanent personnel are calculated at $11,856 per FTE (9 FTE) for a total of
$106,704 (fixed rate) which is for medical and dental coverage. Variable benefits are calculated at
19.45% of salaries for Medicare, social security, unemployment, workers' compensation, long
term disability, life insurance and the Arizona State Retirement System. Total variable benefit
cost is $78,192 for the 12-month period. The total cost of fixed and variable benefits for
Permanent Personnel is $184,896
Fringe Benefits for Temporary Personnel only include the variable benefits and are calculated at
19.45% of salaries for Medicare, social security, unemployment, workers' compensation, long
term disability, life insurance, and the Arizona State Retirement System. Total variable benefit
cost is $98,133 for the 12-month period.
Total Cost for Employee Related Expenses is $283,029
Professional and Outside Services
Contracted Services
Consulting Dentist
A Dentist will be contracted to provide standing orders and clinical consultation across all sites.
The cost for this contract is $7,500.
Peoria School District
A unique partnership with this school district allows us to screen and varnish children 0-5 years of
age in large groups. The cost for this partnership will be $8,000.
FTF-M ULTI-19-0671-00 Page 49 of 159

Total Cost for Professional and Outside Services is $15,500
Travel
In-State Travel
Travel is necessary between sites for training, events, program monitoring and meeting attendance
(e.g., First Things First State and Regional meetings). Travel for the 12-month period for all staff
is estimated at 25,200 miles. At $.445 per mile, the total cost for in-state travel is $11,214.
Out-of-State Travel
Travel expenses for 3 FTEs to attend the annual National Oral Health Conference is estimated to
cost $1,200 in Airfare ($400 each) + $1,800 for Lodging ($150 per night x 4 nights each) + $720
in Per Diem ($60 per day x 4 days each) + $300 in Transportation (Phoenix & Conference Airport
Shuttles) for a total cost of $4,020. Depending on the location all costs will stay within the State
allotted guidelines.
Total Cost for Travel is $15234
Aid to Organizations or Individuals
Dignity Health
As a subcontractor and partner, Dignity Health will be the primary provider of services in the East
and Southeast Maricopa County regions. The partnership will allow coordinated services across
Maricopa County. Total Cost for this contract will be $407,700.
AZ Early Childhood Education Association
AECEA will develop a 2-hr training based on ADHS Empower Standard for Oral Health. Training
will include general oral health education, implementation of a tooth brushing program, age
appropriate activities for teachers to deploy in classrooms, parent engagement strategies and
explanation/expectations of how to participate in a screening event (if applicable at the facility).
Cost Breakdown includes 59 dental/medical clinics @ $225 per hour. Total Cost for this contract
will be $26,550.
Total Cost for Aid to Organizations or Individuals is $434,250
Other Operating Expenses:
Telephone/Communications Services
Monthly charges for staff Smart Phones is $500 or $6,000 for the 12-month period.
General Office Supplies
Office supplies are estimated at $200 per month or $2,400 for the 12-month period. Office
supplies include pens, pencils, paper, folders, envelopes, ink-toner and other miscellaneous office
supplies.
Rent/Occupancy
WIC Clinic rent g $10.00/day for 31 days * 50 weeks or $15,500 for the 12-month period.
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Printing/Copying
Printing and copying of forms, brochures and educational materials is estimated at $1,250 per
month for the 12-month period totaling $15,000.
Conferences/Workshops/Training Fees
The cost for 3 FTEs to attend the annual Western Regional Dental Conference is $405 ($135
each). The registration fee for 3 FTEs to attend the annual National Oral Health Conference will
cost $2,175 ($725 each). Additional miscellaneous staff training for 8 FTEs is estimated at $2,400
($300 each). The total cost for the 12-month period is $4,980.
Program Supplies
Clinical Supplies
Each visit requires approximately $2 in clinical supplies (fluoride varnish, gloves, gauze, etc.).
The total cost for 16,500 children is $33,000 for the 12-month period.
Dental Gift Bags
The dental gift bags (e.g., toothbrush, stickers, toothpaste, educational materials, etc.) are
estimated at $2 per bag. The total cost for 16,500 children is $33,000 for the 12-month period.
Toothbrushes for Expectant Mothers
2,300 adult toothbrushes for pregnant women will be purchased at $1.50 each. Total cost is
$3,450 for the 12-month period.
Food Expenditure
Food provision for presentations @ medical offices for community outreach — 320 lunches @$5
each for 20 presentations. Total cost is $1,600 for the 12-month period.
Educational Materials/Incentives
Pamphlets/brochures will include the First Teeth First program brochures, as well as brochures for
pregnant women, kids zero to two years and kids age two to five years. Incentives to encourage
program participation will include items such as toothbrush kits, cups for kids, infant
toothbrushes, floss, toothpaste and other miscellaneous educational materials for a total cost of
$19,981 for the 12-month period.
Total Cost for Other Operating Expenses is $134,911
Non-Capital Equipment
N/A
Administrative/Indirect Costs
Administrative/Indirect costs are general or centralized expenses of overall administration of an
organization that receives grant funds and does not include particular program costs. Such costs
are generally identified with the organizations overall operation and are part of the organization's
policies and procedures and are consistently used for all funding sources/types. Oral Health is
using:
FTF-MULTI-19-0671-00 Page 51 of 159

Option B - Federally Approved Indirect Costs: Ifyour 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 aEreement. (See Appendix H, For Original Copy Only)
Indirect Costs include county central service costs and departmental common costs such as
financial services, information technology, telecommunications, building maintenance, legal and
risk management, human resources/payroll and other administrative costs shared by all grant
programs within the department. The indirect rate is calculated based on actual costs from a prior
fiscal year, and is updated annually. The indirect amount is determined monthly by applying the
indirect rate to actual expenditures for the prior month. The current approved indirect rate is
16.6%, but indirect costs for this grant are capped @ IO% of the operating expenses resulting in a
total cost of $135,522 for the 12-month period.
Authorized Signature Date
FTF-MULTI-19-0671-00 Page 52 of 159

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
Agency/Organization Program Objectives Amount
Received From:
N/A $0
Total: $0
B. Financial Controls.
Successful applicants 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
FTF-MULTI-19-0671-00 Page 53 of 159

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 4(1 r
FTF-MULTI-19-0671-00 Page 54 of 159

Section H - 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 original application.
- 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
application?  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.)
 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.
FTF-MULTI-19-0671-00 Page 55 of 159

1. Purpose, Intended Outcomes, and Research Questions
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.
FTF-MULTI-19-0671-00 Page 56 of 159

Section I - Profile
Agency/Organization Profile
A. Grantee Information:
Agency/Organization Maricopa County through its Dept of Public Health Contact Person Jan Kalina
Address 4041 N Central Avenue, Ste 1400 Position Dental Hygienist
Address Suite 1400 Email JanKalina@mail.maricopa.gov
City, State, Zip Phoenix, AZ 85012
Phone (602) 506-6282 Ext County Maricopa
Employer Identification Number (EIN): 86-6000472
Agency Classification: _____State Agency __X___County Government _____Local Government _____Schools
_____Tribal _____Faith Based _____Non Profit _____Charitable _____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
and 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 Appendix I, For Original Copy Only) _X___Y ____N
Contact information for firm conducting agency audit:
Audit firm: State of Arizona, Office of the Auditor General
Address: 2910 N 44th Street, Ste 410, Phoenix, AZ 85018
Phone: (602) 553-0333
FTF-MULTI-19-0671-00 Page 57 of 159

B. Program Summary:
Program Name: First Teeth First
(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: Maricopa County
Brief Program Description (250 words or less):
The First Teeth First program provides oral health screenings, fluoride varnish and education to
children through the age of five years at Maricopa County Women, Infant and Children (WIC) clinics,
childcare centers, preschools and community based organizations in Maricopa County. This program
provides a basic oral health screening to the child and provides one on one education to parents at the
time of service. Children receive a toothbrush kit once services are completed to promote healthy
brushing habits to the child. The parent is encouraged to bring the child back to the site every six
months to receive services again and continue to promote healthy habits. Screenings and education
are also provided to expectant mothers. Professional development and outreach to medical and
dental providers will increase awareness and services to young children. In addition, partnerships with
other health professional learning institutions will enhance knowledge of oral health and how to
incorporate this knowledge into their practice. Finally, submitting claims for reimbursement will allow
revenues to be reinvested in the program for expansion, enhancement, and innovation and to sustain
the program.
Strategy and Proposed Service Units
Primary Strategy:
Oral Health
Total Number (All Regions) of children receiving oral health screenings: ___16,500_______
Total Number (All Regions) of expectant mothers receiving oral health screenings: ___2,300_______
Total Number (All Regions) of medical clinics, dental clinics, and early care and education programs receiving oral
health educations: ____115______
East Maricopa:
Number of children receiving oral health screenings: __2000____
Number of expectant mothers receiving oral health screenings: _300_____
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations: __15__
Northwest Maricopa:
Number of children receiving oral health screenings: ___3000___
Number of expectant mothers receiving oral health screenings: __400____
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations: _20___
FTF-MULTI-19-0671-00 Page 58 of 159

Phoenix North:
Number of children receiving oral health screenings: _2000_____
Number of expectant mothers receiving oral health screenings: __300____
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations: _15___
Phoenix South:
Number of children receiving oral health screenings: _5500_____
Number of expectant mothers receiving oral health screenings: ___700___
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations: __35__
Southeast Maricopa:
Number of children receiving oral health screenings: __2000____
Number of expectant mothers receiving oral health screenings: __300____
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations: __15__
Southwest Maricopa:
Number of children receiving oral health screenings: _2000_____
Number of expectant mothers receiving oral health screenings: ___300___
Number of medical clinics, dental clinics, and early care and education programs receiving oral health educations:
_15_____
FTF-MULTI-19-0671-00 Page 59 of 159

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.
Program Contact: is responsible for program implementation and will have access to the program 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.
Evaluation Contact: is responsible for the program evaluation and data collection activities and will have access
to the data reports in PGMS.
PGMS Contacts
Name: Berenise Bauer Email: BereniseBauer@mail.maricopa.gov
Main Contact
Title/Position: FTF Program Coordinator Phone: 602.372.4650
Physical Address (if different than the agency address):
1645 E. Roosevelt Street, Phoenix, AZ
Name: Berenise Bauer Email: BereniseBauer@mail.maricopa.gov
Program Contact
Title/Position: FTF Program Coordinator Phone: 602.372.4650
Physical Address (if different than the agency address):
1645 E. Roosevelt Street, Phoenix, AZ
Name: Mari Smith Email: MariSmith@mail.maricopa.gov
Finance Contact
Title/Position: FTF Accounting Specialist Phone: 602.506.7745
Physical Address (if different than the agency address):
Name: Berenise Bauer Email: BereniseBauer@mail.maricopa.gov
Evaluation Contact
Title/Position: FTF Program Coordinator Phone: 602.372.4650
Physical Address (if different than the agency address):
1645 E. Roosevelt Street, Phoenix, AZ
FTF-MULTI-19-0671-00 Page 60 of 159

APPENDIX A
ORAL HEALTH RISK ASSESSMENT TOOL
FTF-MULTI-19-0671-00 Page 61 of 159

Oral Health Risk Assessment Tool
The American Academy of Pediatrics (AAP) has developed this tool to aid in the implementation of oral health risk
assessment during health supervision visits. This tool has been subsequently reviewed and endorsed by the National
Interprofessional Initiative on Oral Health.
Instructions for Use
This tool is intended for documenting caries risk of the child, however, two risk factors are based on the mother or primary
caregivers oral health. All other factors and findings should be documented based on the child.
The child is at an absolute high risk for caries if any risk factors or clinical findings, marked with a& sign, are documented
yes. In the absence of L1 risk factors or clinical findings, the clinician may determine the child is at high risk of caries
based on one or more positive responses to other risk factors or clinical findings. Answering yes to protective factors
should be taken into account with risk factors/clinical findings in determining low versus high risk.
Patient Name: Date of Birth: Date:
Visit: 06 month 09 month 0 12 month El 15 month El 18 month 024 month 030 month 03 year
4 year 0 5 year 06 year 0 Other
RISK FACTORS PROTECTIVE FACTORS CLINICAL FINDINGS
Mother or primary caregiver had • Existing dental home • White spots or visible
active decay in the past 12 El Yes E3 No decalcifications in the past 12
months • Drinks fluoridated water or takes months
171Yes ENo fluoride supplements E Yes E No
▪ Yes CI No & Obvious decay
• Fluoride varnish in the last E Yes E No '
• Mother or primary caregiver does 6 months • Restorations (fillings) present
not have a dentist El Yes 0 No Yes El No
Li Yes El No
• Has teeth brushed twice daily
E Yes El No
• Visible plaque accumulation
) Continual bottle/sippy cup use Yes EI No
with fluid other than water
E Yes 0 No • angivitis (swollen/bleeding gums)
El Yes 0 No
• Frequent snacking
LI Yes 0 No • Teeth present
• Special health care needs 0 Yes E No
E Yes E No • Healthy teeth
• Medicaid eligible E Yes E No
ElYes ENo
ASSESSMENT/PLAN
Caries Risk: Self Management Goals:
EI Low III High 0 Regular dental visits Li Wean off bottle El Healthy snacks
Completed: 0 Dental treatment for parents n Less/No juice 0 Less/No junk food or candy
0 Anticipatory Guidance D Brush twice daily LI Only water in sippy cup CI No soda
Li Fluoride Varnish El Use fluoride toothpaste El Drink tap water 0 Xyl ito I
El Dental Referral
Treatment of High Risk Children
If appropriate, high-risk children should receive professionally applied fluoride varnish and have their teeth brushed twice
daily with an age-appropriate amount of fluoridated toothpaste. Referral to a pediatric dentist or a dentist comfortable
caring for children should be made with follow-up to ensure that the child is being cared for in the dental home.
Adapted trorn Flamos-Gornez FJ. Crystal YO, Ng MW, Craft JJ, Featherstone JD, Pediatric dental care: prevention and management protocols based on caries risk assessment. J Cali! Dent Assoc.
2010;38(10):746-761; American Academy of Pediatrics Section on Pediatric Dentistry and Oral Health. Preventive oral health Intervention for pediatricians. Pediatrics. 2003; 122(6):1387-1304; and
American Academy of Pediatrics Section of Pediatric Dentistry. Oral health risk assessment timing and establishment of the dental home. Pediatrics. 2003;111(0:1113-1116.
The Academy recommendations of Pedlatrlos. In All this Rights publication Reserved. do not The indicate American an Academy exclusive of course Pediatrics of treatment does not or review serve or as endorse a standard any at modifications medical care. made Variations, to this document taking into and account in no Individual event shell circumstances, the AAP be liable may far be any appropriate. such changes. Copyright E 2011 American
American Academy of Pediatrics Bright National interprofessional Initiative
DEDICATED TO THE HEALTH OF ALL CHILDREN" fir .1111. prevention inn.s..10no. find WW1 Woleuml% point.= on Oral Health
obi MK IMO.-

Oral Health Risk Assessment Tool Guidance
Timing of Risk Assessment
The Bright Futures/AAP "Recommendations for Preventive Pediatric Health Care," (ie, Periodicity Schedule) recommends all children
receive a risk assessment at the 6- and 9-month visits. For the 12-, 18-, 24-, 30-month, and the 3- and 6-year visits, risk assessment
should continue if a dental home has not been established. View the Bright Futures/AAP Periodicity Schedule—http://brightfutures ,
aap.org/clinical_practice.html.
Risk Factors
Maternal Oral Health
Studies have shown that children with mothers or primary caregivers who have had active decay in the past 12 months are at
greater risk to develop caries. This child is high risk.
Maternal Access to Dental Care
Studies have shown that children with mothers or primary caregivers who do not have a regular source of dental care are at a
greater risk to develop caries. A follow-up question may be if the child has a dentist.
Continual Bottle/Sippy Cup Use
Children who drink juice, soda, and other liquids that are not water, from a bottle or sippy cup continually throughout the day or
at night are at an increased risk of caries. The frequent intake of sugar does not allow for the acid it produces to be neutralized or
washed away by saliva. Parents of children with this risk factor need to be counseled on how to reduce the frequency of sugar-
containing beverages in the child's diet.
Frequent Snacking
Children who snack frequently are at an increased risk of caries. The frequent intake of sugar/refined carbohydrates does not allow for
the acid it produces to be neutralized or washed away by saliva. Parents of children with this risk factor need to be counseled on how
to reduce frequent snacking and choose healthy snacks such as cheese, vegetables, and fruit.
Special Health Care Needs
Children with special health care needs are at an increased risk for caries due to their diet, xerostomia (dryness of the mouth,
sometimes due to asthma or allergy medication use), difficulty performing oral hygiene, seizures, gastroesophageal reflux disease
and vomiting, attention deficit hyperactivity disorder, and gingival hyperplasia or overcrowding of teeth. Premature babies also may
experience enamel hypoplasia.
Protective Factors
Dental Home
According to the American Academy of Pediatric Dentistry (AAPD), the dental home is oral health care for the child that is delivered
in a comprehensive, continuously accessible, coordinated and family-centered way by a licensed dentist. The AAP and the AAPD
recommend that a dental home be established by age 1. Communication between the dental and medical homes should be ongoing
to appropriately coordinate care for the child. If a dental home is not available, the primary care clinician should continue to do oral
health risk assessment at every well-child visit.
Fluoridated Water/Supplements
Drinking fluoridated water provides a child with systemic and topical fluoride exposure, a proven caries reduction intervention.
Fluoride supplements may be prescribed by the primary care clinician or dentist if needed. View fluoride resources on the Oral Health
Practice Tools Web Page http://aap.org/oralhealth/PracticeTools.html.
Fluoride Varnish in the Last 6 Months
Applying fluoride varnish provides a child with highly concentrated fluoride to protect against caries. Fluoride varnish may be
professionally applied and is now recommended by the United States Preventive Services Task Force as a preventive service in
the primary care setting for all children through age 5 http://www.uspreventiveservicestaskforce.org/Page/Topic/recommendation-
summary/dental-caries-in-children-from-birth-through-age-5-years-screening . For online fluoride varnish training, access the
Caries Risk Assessment, Fluoride Varnish, and Counseling Module in the Smiles,for Life National Oral Health Curriculum,
www.smilesforlifeoralhealth.org .
Tooth Brushing and Oral Hygiene
Primary care clinicians can reinforce good oral hygiene by teaching parents and children simple practices. Infants should have their
mouths cleaned after feedings with a wet soft washcloth. Once teeth erupt it is recommended that children have their teeth brushed
twice a day. For children under the age of 3 (until 3rd birthday) it is appropriate to recommend brushing with a smear (grain of rice
amount) of fluoridated toothpaste twice per day. Children 3 years of age and older should use a pea-sized amount of fluoridated
toothpaste twice a day. View the AAP Clinical Report on the use of fluoride in the primary care setting for more information
http://pediatrics.aappublications.org/content/early/2014/08/19/peds.2014-1699.
American Academy of Pediatrics 4 Bright National int erptofessional Initiative
• Futures. on Oral Health
DEDICATED TO THE HEALTH OF ALL CHILDREN" ItAl"

Clinical Findings
White Spots/Decalcifications
This child is high risk.
White spot decalcifications present—immediately place the child in the high-risk
category.
,L Obvious Decay
This child is high risk.
Obvious decay present—immediately place the child in the high-risk category.
Restorations (Fillings) Present
This child is high risk.
Restorations (Fillings) present—immediately place the child in the high-risk
category.
Visible Plaque Accumulation
Plaque is the soft and sticky substance that accumulates on the teeth from food
debris and bacteria. Primary care clinicians can teach parents how to remove
plaque from the child's teeth by brushing and flossing.
Gingivitis
Gingivitis is the inflamation of the gums. Primary care clinicians can teach parents
good oral hygiene skills to reduce the inflammation.
Healthy Teeth
Children with healthy teeth have no signs of early childhood caries and no other
clinical findings. They are also experiencing normal tooth and mouth development
and spacing.
For more information about the AAP's oral health activities email oralhealth@aap.org or visit www.aap.org/oralhealth.
The Academy recommendations of Pedatrics. in PM this Rights publication Reserved. do not The indicate American as exclusive Academy course of Pediatrics of treatment dues not or review serve as or endorse a standard any of modifications medical care. made Variations, to this taking document into and account In no individual event shall circumstances, the AAP he liable may for be any appropriate. such changes. Copyright tzl 2011 American
American Academy of Pediatrics Bright Nat inftAl Inter professionWirtitiative
DEDICATED TO TOE HEALTH OF ALL cHtLDRF.N- 16 41 Futures_ prevention men peen!, remit. on Oral Health
dr I too worm, end chlOrertedtiontrito. Melnlernille,

APPENDIX B
QUALITY ASSURANCE
FTF-MULTI-19-0671-00 Page 65 of 159

Not Observed Not Observed Not Observed
Communication
Excellent Excellent Excellent
Leadership; Success Success Success
Wellness, Not Meet Not Meet Not Meet
TEAMMATE: Does Does Skills Does
BY: &
Security drink Technical
ASSURANCE REVIEWED food,
FIRST Safety, cross- etc.)
visible face belongings, consistently Alignment Wellness; any
TEETH QUALITY Effectiveness; and from tee or room staff & if and headlamp,
worn back top the personal clinic staff timely Security child
FIRST time are tag scrub in as internal and Organizational for (touching mouth
ON-SITE SITE: Personal name neat/pulled pants/FTF children from free well with respectful visible visible organized Safety, each occurs and
scheduled and is while area as Points" sign and changed nose
Competencies: Observation at ID hair scrub used co-worker Communication professional, Competencies: Observation clean Competencies: Observation contamination covers
Arrived County Provider Black Not Treatment To "Talking Program Area Gloves Mask
area worn
REVIEWED: vibrate work respectful is
on in Protective (PPE)
phones food/drink is Communication Area Appearance Control
PROVIDER DATE: Professionalism Personnel Cell No Demeanor Site Personal Equipment
Practice Treatment Practice Infection Practice
1 2 3 4 5 6 7 8 9 10 11 12 13

Not Observed Not Observed Not Observed Not Observed
Skills Skills
Excellent Technical Excellent Technical Excellent Excellent
Success Success Success Service Success
Communication Not Communication; Not Communication; Not Not
Does Meet Does Meet Does Meet Customer Does Meet
Effectiveness; Effectiveness; in varnish when Effectiveness; Teamwork; relay
signed/dated screening non-English to
Personal Personal andlor and information or Personal educated assistant to assistant
treatment Cavicide Service; screening/varnish Service; screening completely other varnish to Service; and to results instructions Communication; verbatim directed site to
w/ for screening and assessment education care provided than
during surfaces Customer program COST" form Customer eligibility to out filled name/DOB contraindications Customer risk for screening Points" effectively home Diversity; needed, conversation rather
worn contaminated FTF "NO consent child's PRIOR form child's illegible no caries chart flip out called "Talking varnish "post-varnish" if and caregiver
protection Wipe Competencies: Observation Introduced Explained Explained Competencies: Observation Verified database Confirmed caregiver Verified or blank Verified Competencies: Observation Reviewed appropriately Utilized Clearly Reviewed Applied Gave Competencies: Observation Translation, contact Eye speaking
Eye by
Protection RDH/SA
Surface Form/ Screening/ Application Translation
14 15 Techniques: Approach 16 17 18 Consent Pre-Screening 19 20 21 22 RDH Varnish 23 24 25 26 27 28 SA 29 30

Not Observed Not Observed Not Observed
Skills
Excellent Technical Excellent Alignment Excellent
Communication Success Success Organizational Success
Not Communication; Not Not
Skills, Does Meet Does Meet Does Meet
Accountability;
Technical Referral submitted Effectiveness; for cancer share down for "tub", day work
Service, Spiffies name, code opportunity to Fiscal participants tear and forms supply next
or Dental brochures paperwork Personal OB/GYN zip intraoral findings recruit up review assure use
Customer toothbrush and List signed all Service; completion and city as including our Leadership; both set both both both to ready
Findings" Clinic educational and of Guidance for regarding questionnaire with and
Teamwork, Fee completed understanding Customer including screening, mother Teamwork; Assistant Assistant Assistant accuracy. Assistant stocked
Home age-appropriate Reduced appropriate Anticipatory paperwork information address maternal oral expectant OB/GYN Site Site Site and Site etc.
"Take all 0.nd and area and and
Competencies: Observation Provided child Provided Provided paperwork Demonstrated weekly/monthly Utilized Competencies: Observation Reviewed Gathered phone/fax, Reviewed education Completed screening Provided her Competencies: Observation Hygienist within site Hygienist treatment Hygienist completion Hygienist paperwork,
Gave List All with
Screening
Post-Screening Maternal Teamwork
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46

Signature
Evaluator
2017
Signature November
Provider Revised
Item Number

APPENDIX C
SATISFACTION SURVEY
FTF-MULTI-19-0671-00 Page 70 of 159

T. • First Teeth First For Staff Use Only:
Ni FIRST THINGS FIRST rt Public Maricopa Health County Date: / /
Participant Satisfaction Survey Site
We are interested in hearing your thoughts about the preventative dental services you just received. Please fill out the
following survey. This survey is anonymous (we do not collect names). Your opinion counts! Thank you for your time.
Directions: Please mark the answer (or answers) that you feel best fits your opinion.
1. How did you hear about the preventative dental services your child(ren) received today?
0 Flier 0 Clinic Staff El School D Friend/Relative Website Other:
2. The paperwork was easy to understand. n Yes ill No
3. The information given to me on my child's dental health was helpful. n Yes No
What was the most important thing you learned today?
4. I would recommend this program to others with young children. Yes No
5. I plan to bring my child back in 6 months for a dental screening and/or fluoride varnish. Yes 7 No
6. Please give us any other comments:
Thank you so much for completing our survey.
For Staff Use Only:
First Teeth First Date:
.t.4 FIRST THINGS FIRS1 Try Marlcopa Public Health County Participant Satisfaction Survey Site
We are interested in hearing your thoughts about the preventative dental services you just received. Please fill out the
following survey. This survey is anonymous (we do not collect names). Your opinion counts! Thank you for your time.
Directions: Please mark the answer (or answers) that you feel best fits your opinion.
1. How did you hear about the preventative dental services your child(ren) received today?
0 Flier 0 clinic Staff School Friend/Relative El Webs ite Other:
2. The paperwork was easy to understand. Yes No
3. The information given to me on my child's dental health was helpful. n Yes El No
What was the most important thing you learned today?
4. I would recommend this program to others with young children. n Yes 0 No
5. I plan to bring my child back in 6 months for a dental screening and/or fluoride varnish. ri Yes 7 No
6. Please give us any other comments:
Thank you so much for completing our survey.

First Teeth First For Staff Use Only:
Maricopa County Date: /
ill FIRST THINGS FIRST Trir Public Health Encuesta de SatisfacciOn para Site
P articip ante s
Estamos interesados en oft sus pensamientos sobre los servicios dentales preventivos que usted acaba de recibir. Por favor
Ilene la encuesta que sigue. El estudio es anOnimo (no colectamos nombres). Su opinion cuenta! Gracias por su tiempo.
Instrucciones: Por favor marque la respuesta (o respuestas) que mejor describe su opinion.
1. zComo supo de los servicios dentales preventivos que su(s) hijo(s) recibieron hoy?
Folleto Empleado de la Clinica 0 Escuela U Amigo/Familiar p Sitio Web Otro:
2. LEI papeleo fue Sell de entender? si No
3. i,La informacion que me dieron sobre la salud dental de mi hijo(a) fue UM? 1-1 Si E No
LCual foe la cosa mas importante que usted aprendi6 hoy?
4. LRecomendaria este programa a otra gente con nifios? E Si 7 No
5. zTengo planeado traer a mi hijo(a) en 6 meses para un cheque() dental y/o barniz de fluoruro? Si No
6. 4Por favor provea otros comentarios que tenga sobre nuestro programa:
iGracias por completar nuestra encuesta!
First Teeth First For Staff Use Only:
04 FIRST THINGS FIRST JVY ,Marlcopa PublkHllth County Encuesta de SatisfacciOn para Date: Site
P articip antes
Estamos interesados en oir sus pensamientos sobre los servicios dentales preventivos que usted acaba de recibir. Por favor
Ilene la encuesta que sigue. El estudio es anonimo (no colectamos nombres). i Su opini6n cuenta! Gracias por su tiempo.
Instrucciones: Por favor marque la respuesta (o respuestas) que mejor describe su opinion.
1. LComo supo de los servicios dentales preventivos que su(s) hijo(s) reeibieron hoy?
fl Folleto Ej Empleado de la Clinica Escuela p Amigo/Familiar 0 Sitio Web [3 Otro:
2. LEl papeleo fue facil de entender? 7 Si 7 No
3. ,La informacion que me dieron sobre la salud dental de mi hijo(a) fue titil? Si El No
LCual foe la cosa mas importante que usted aprendia hoy?
4. LRecomendaria este programa a otra gente con nitios? 0 Si 7 No
5, zTengo planeado traer a mi hijo(a) en 6 meses para un cheque() dental y/o barniz de fluoruro? 0 Si No
6. LPor favor provea otros comentarios que tenga sobre nuestro programa:
Gracias por completar nuestra encuesta!

APPENDICES D1- D6
SERVICE LOCATIONS
FTF-MULTI-19-0671-00 Page 73 of 159

reaching
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APPENDIX E
PEORIA UNIFIED SCHOOL DISTRICT
INTERGOVERNMENTAL AGREEEMENT
FTF-MULTI-19-0671-00 Page 80 of 159

"Please return an executed original to
the Clerk of the Board of Supervisors."
Agenda Item Id:
Item Title
AMENDMENT TO 1GA WITH PEORIA UNIFIED SCHOOL DISTRICT FOR TRANSPORTATION AND
COORDINATION OF ORAL HEALTH SERVICES
C Number: C-86-15-041-3-03
Action Requested:
Approve Amendment No. 3 to Intergovernmental Agreement (IGA), Transportation and Coordination of
Oral Health Services between Peoria Unified School District (PUSD) and Maricopa County by and through
its Department of Public Health (MCDPH), Office of Oral Health Services (OOHS) to provide funding to
PUSD for transportation and coordination of oral health service to pre-school children within the PUSD
school district. The Agreement amount is for the budget year July 1, 2017 through June 30, 2018 in the
amount of $7,998 annually. The term of the Agreement is for the period July 1, 2016 through June 30,
2019, for a not-to-exceed total budget of $23,994.00.
The contract is amended as specified:
I.Cover Page
5. Start Date: July 1, 2017
6. Expiration Date: June 30, 2018
II. Attachment B is replaced with the revised Attachment B
All other terms and conditions of the original contract and its amendments shall remain in full force and
effect.
Board Required Information:
This 1GA amendment is funded through a grant from, Arizona Early Childhood Development and Health
Board, First Things First, Oral Health Grant. (C-86-15-105-3-00)
Additional Information:
IGA approval history:
Amendment 2 approved on 06/22/2016 as C-86-15-041-3-02
Amendment 1 was approved on 07/22/2015 under file number C-86-15-041-3-01
Base IGA was approved on 11/19/2015 under file number C-86-15-041-3-00
Expenditure Impact By FY:
FY2017-18 = $7,998 = Expenditures
"Please return an executed original to
the Clerk of the Board of Supervisors."

Approved.
(6/21/2017 12:54:44 PM) - Step: DeptHead
User: Max Porter
Response: APPROVE
(6/21/2017 11:56:13 AM) Step: DeptCoor
User: Cheryl Rentscheler
Response: APPROVE
Comments:
Approved
(6/21/2017 11:38:46 AM) Step: Originator
User: Katherine Mason
Response: APPROVE
Is there a Financial impact?
yes ,. _ ...
...c: ObjécC! - —iiiiiii'u'iii: ,RepL
:. - . -,- ti
18 V DTSL 532 NA 0860 8651 8110 00 $7,998 ORALHL 1000
Is there related Managing for Results information?
yes
- PPerformance/Demand :.: - : iiki .i.t , ,Results. ,.i ,._
'
-- giii: --- - -
Family Health Dental Sealants Number of children 7,382 children eligible to
eligible to receive sealants receive sealants .
General item Information
Department: Department of Public Health
Constellation:
Contact Name: Katherine Mason
Phone Number: 602-372-0674
Return To: Katherine Mason
Phone Number: 602-372-0674

AGREEMENT NO: C-86-15-041-3-03 AMENDMENT NO: 3
AMENDMENT 3 TO INTERGOVERNMENTAL AGREEMENT (IGA)
Between MARICOPA COUNTY By and Through
DEPARTMENT OF PUBLIC HEALTH, Office of Oral Health, and
PEORIA UNIFIED SCHOOL DISTRICT
I. The IGA is amended as specified:
a. Cover Page
3, Agreement AmoUnt: $7,998
S. Start Date: July 1, 2017
6. Expiration Date: June 30, 2018
b. Attachment B is replaced with the revised Attachment B
All other terms and conditions of the original contract and its amendments shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties agree to the changes indicated herein:
FOR AND ON BEHALF OF
MARICOPA COUNTY FOR AND ON BEHALF OF
PEORIA UNIFIED SCHOOL DISTRICT
By: _ By:
Derrrry-13errrrey, Chairman, Board of Supervisors
STEVE CHUCTitcairG
AUG 01 2017 a-0
Date Date
ATTEST
Date Date

AGREEMENT NO: C-86-3.5-041-3-03 AMENDMENT NO: 3
APPROVED AS TO FORM APPROVED AS TO FORM
Attorn or Maricopa County
cf- ,92407
Date Date
2

AGREEMENT NO: C-86-15-041-3-03 AMENDMENT NO: 3
ATTACHMENT B
Peoria Unified School District
6330W Thunderbird Road
Glendale, AZ 85306
Oral Screening Schedule 2017-2018 (Tentative)
Date Location
Thursday, October 19, 2017 Parkridge
Thursday, October 26, 2017 Sky View
Thursday, Nov 2, 2017 Desert Palms
Thursday, Nov 30, 2017 Sky View
Thursday, March 1, 2018 Parkridge
Thursday, March 15, 2018 Sky View
Thursday, March 29, 2018 Desert Palms
Thursday, April 12, 2018 Sky View
3

APPENDIX F
CHILD CRISIS ARIZONA EARLY HEAD START
FTF-MULTI-19-0671-00 Page 86 of 159

CHILD CRISIS ARIZONA EARLY HEAD START 61 402 N. 24T“ STREET, PHOENIX, AZ 85008/ PHI 602-889-6165/FAX: 602-889-6173
C - 86 - 17 -065 - 3 -00 Community Partnership Agreement
Community Partner: Maricopa County by and through its Department of Public Health, Oral Health, First Teeth First
Address: 1645 E. Roosevelt Street Phoenix, AZ 85006
Telephone: (602) 527-0612 (cell) Fax: (602) 506-3081 Website: www.firstteethfirst.org
Child Crisis Arizona Early Head Start Program and Maricopa County, First Teeth First are entering into an agreement
to better serve the children and families in our community.
Child Crisis Arizona Early Head Start Program agrees to:
0 Distribute materials to our clients regarding services with First Teeth First.
0 Refer clients to First Teeth First for fluoride varnish treatment every 6 months.
0 Invite First Teeth First to their semi-annual pancake breakfast to set up an information booth and distribute
fliers and or pamphlets to our clients.
0 Invite FTF to Parent Meetings to talk about the importance of dental hygiene and fluoride treatment.
0 Child Crisis Arizona Early Head Start will share annual report with community partner which includes school
readiness goals and overview of child assessment Information.
The Community Partner, iviaricopa County, First Teeth First, agrees to:
0 Inform community about Child Crisis Arizona Early Head Start and Preschool Programs
e Provide basic oral health screening and fluoride varnish treatments to children enrolled in the Early Head Start
and Preschool Program.
e Provide oral health trainings for parents and staff of Child Crisis Arizona Early Head Start and Preschool
Program when schedule and availability permits.
0 Refer patients living in the following two zip codes: 85008 and 85006 for the Child Crisis Arizona Early Head
Start Program
Child Crisis Arizona Early Head Start Program and Community Partner agree to maintain open communication in the
partnership. Both partners agree to Requirements as set out in Attachment A and to review their collaboration
agreement once a year and if necessary, adjust to current program changes or needs via amendment**,

Attachment A
INDEMNITY
1, County agrees to indemnify, hold harmless, and defend Partner, its officers and employees from and
against any and all claims, damages, suits and proceedings, from liability, punitive damages, costs or expense
of every type, all or any part thereof arising out of or In connection with or by reason of any act or omission of
County or any subcontractors or anyone directly or indirectly employed by either County or any
subcontractors. County and its subcontractors shall reimburse Partner for its costs, including attorney's fees
for defense of any litigation arising from such claim. County shall include a clause to this effect in all
subcontracts inuring to the benefit of the Partner,
2. Similarly, Partner agrees to indemnify, hold harmless, and defend County, its officers and employees from and
against any and all claims, damages, suits and proceedings, from liability, punitive damages, costs or expense
of every type, all or any part thereof arising out afar in connection with or by reason of any act or omission of
Partner or any subcontractors or anyone directly or indirectly employed by either Partner or any
subcontractors. Partner and its subcontractors shall reimburse County for its costs, including attorney's fees
for defense of any litigation arising from such claim. Partner shall include a clause to this effect in all
subcontracts inuring to the benefit of County,
INSURANCE
A. The Partner shall have in effect at all times during the term of this Contract insurance or comparable
self-insurance that is adequate to protect the County, its officers, employees, property, and equipment
against the losses set forth below. The Partner shall provide the County with a certificate of Insurance
or a certified copy of the insurance policy naming the County as an additional insured, or, if the Partner
is self-insured, shall provide the County with a letter indicating that it is self-insured.
B. The following types and amounts of insurance are required as minimums:
1.) Workers' Compensation and Unemployment Insurance as required by law.
2,) Unemployment insurance as required by Arizona Law.
3.) Public liability, bodily injury, and property damage policies that insure against claims for liability
for the Contractor's negligence or maintenance of unsafe vehicles, facilities, or equipment
brought by clients receiving services pursuant to this Agreement and by lawful visitors of such
clients, The limits of the policies shall not be less than $2,000,000 per occurrence and
$4,000,000 aggregate.
C. Automobile and Truck Liability, Bodily injury and Property Damages:
1.) General Liability, each occurrence; $1,000,000,00
2.) Property Damage; $1,000,000.00
3.) Combined single limit; $1,000,000.00

D, Standard minimum deductible amounts are allowable. Any losses applied against Insurance deductible
are the sole responsibility of the Partner.
E, Professional Liability:
1.) Insurance for the Partner and its Agents, Employees, and other Partner Staff shall be maintained
with coverage limits of one million dollars ($1,000,000) per person, three million dollars
($3,000,000) per occurrence.
2.) The Partner agrees that in the event it, or any of its Agents, Employees, or other Partner Staff
working under this Contract, is named as a defendant in litigation ; or is identified in a written
notice of claim wherein professional misconduct is alleged, the Partner shall promptly notify
the Director in writing. The duty to notify under this paragraph applies whether or not the
County is claimed to be involved, is named as a party to the matter, or could be potentially liable
as a party.
F. The Partner shall immediately inform the Director in writing of any cancellation or its insurance or any
decrease in its lines of coverage at least thirty (30) days before such action takes place,

ATTACHED TO AND A PART OF:
Community Partnership Agreement
MCDPH, Community Health Action, Oral Health, with
Child Crisis Arizona Early Head Start
C-86-17- 065-3-00
IN WITNESS WHEREOF, the parties agree to enter into this Agreement and its Amendments:
FOR AND ON BEHALF OF MARICOPA COUNTY (Partner")
MAY 0 3 2017
By
Denny Barney Date
Chairman, Board of Supervisors
MAY 03 2017
Clerk of the Board 00,117 Date
APPROVED AS TO FORM:
2C-
Attorneyfibr Maricopa County Date
Child Crisis Arizona Early Head Start Program Representative: Nadia Wigtzei LJS A R‘ •cci:,CE-c
Signature: CZ et,_, Date": 3) ri ) 1 7
" Effective upon full execution; no expiration date; 30 day cancellation by either party

APPENDIX G and G1
ORAL HEALTH FTF DATA REPORTING REQUIRMENTS SFY19
and
SUPPLEMENT TO DATA REPORTING DOCUMENT
FTF-MULTI-19-0671-00 Page 91 of 159

-1-1+
Ta FIRST THINGS FIRST
Oral Health SFY19 FTF Data Reporting Requirements
This document details the SFY2019 data reporting requirements for this strategy. Review closely and complete as
instructed. The completed FTF Data Reporting Requirements document is to be included as an attachment with your
application.
To assist with the completion of this document, please refer to the supplemental document in the Guidance Materials
Section of this RFGA entitled FTF Data Reporting Requirements Definitions for more information on the definitions of
each of the data fields listed below.
I. Program Implementation and Programmatic Outcome Data:
N/A al Yes, Required for SFY 2019 0 Yes, Capacity Building in SFY 2019
Purpose: To inform grant partner performance on strategy implementation, program monitoring/Quality Assurance,
quarterly data reporting to Regional Councils, and FTF annual reporting. Additionally, programmatic outcome data will
be used to inform fidelity of implementation and to fully assess and document the impact of FTF strategies and
outcomes for young children, their families, and the professionals that serve them.
Data Submission Guidelines: FTF requires that grant partners submit program implementation and outcome data on a
quarterly basis. Grant partners must submit data on a quarterly basis through a direct file transfer via FTP (file transfer
protocol/flat files). All grant partners will submit participant-level data for the following sections found in the table
below: Child and Caregiver Services Data; Expectant Mother Services Data; Education for ECE Professionals, Medical
Professionals, Oral Health Professionals Data. Grant partners contracted for the additional strategy components of
Group Education for Children and/or Teledentistry are also required to submit data on these components.
FTF recognizes that not all grant partners may have internal infrastructure for a data system to meet the FTF data
reporting requirements. FTF will work with identified grant partners to provide a data system to gather and submit data
in alignment with the FTF data requirements.
Instructions:
1. Review the FTF program implementation and outcome data reporting requirements in the table below. Complete
this section by indicating whether your program is currently collecting each of the data indicators listed by
choosing Yes or No.
Category Data Field Currently Collecting?
Participant-level Strategy Data Requirements
Child and Caregiver Services Data (Collected and Submitted at Participant Level)
Child identifier (i.e., unique ID) IX Yes • No
Participant Tracking
FTF Regional Partnership Council E Yes INI No
First Things First I Data Reporting Requirements SFY19 i Oral Health Page 1 of 1g

:fa FIRST THINGS FIRST
Category Data Field Currently Collecting?
Date child's consent form signed by caregiver: XYes 0 No
Consent (MM/DD/YYYY)
Child has established dental home (Source: AAP Oral Health 0 Yes r,g No
Risk Assessment Tool):
Yes
No
Date child last visited dentist/dental clinic: 5(Yes • No
Never
Within the past year
Dental Home 1-3 years ago
More than 3 years ago
How often the child visits the dentist/dental clinic: • Yes 1:81No
Never
Once every two years
Once every year
Every 6 months
More than 2 times a year
Child brushes teeth twice daily: RYes 0 No
Oral Health Practice Yes
No
Mode by which the caregiver completed the AAP Oral • Yes X No
Health Risk Assessment Questionnaire (select all that apply):
Interview
Paper form
N/A
Caregiver completed AAP Oral Health Risk Assessment • Yes No
Questionnaire:
Yes
No
Oral Health Risk Partial completion
Assessment
If "no" or "partial completion" of AAP Oral Health Risk 0 Yes l'XNo
Assessment Questionnaire, reason why:
Parent/caregiver refused
Parent/caregiver did not have enough time
Unable to reach parent/caregiver
Other (please specify)
Date AAP Oral Health Risk Assessment Questionnaire • Yes N No
completed by caregiver:
(MM/DD/YYYY)
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 2 of 18

FIRST THINGS FIRST
Category Data Field Currently Collecting?
Child received an oral health screening: CKYes • No
Yes
No
Oral Health Date oral health screening received by child: X Yes • No
Screening (MM/DD/YYYY)
Oral health screening conducted at a teledentistry event: • Yes Oit:No
Yes
No
Child has untreated decay (Source: ASTDD Basic Screening 1:2(Yes • No
Survey):
Yes
No
Child's number and type of teeth with untreated decay • Yes No
(Source: ASTDD Basic Screening Survey):
# decayed primary teeth
# decayed permanent teeth
Child has treated decay (Source: ASTDD Basic Screening CKYes • No
Survey):
Yes
No
Child's number and type of teeth with treated decay • Yes 5(No
Child's State of (Source: ASTDD Basic Screening Survey):
Teeth/
# treated primary teeth
Treatment of Teeth
# treated permanent teeth
Child's treatment urgency (Source: ASTDD Basic Screening IXYes • No
Survey):
Urgent need for dental care
Early dental care needed
No obvious problems
Child has white spots/visible decalcifications (Source: AAP X Yes • No
Oral Health Risk Assessment Tool):
Yes
No
Child Caries Risk (Source: AAP Oral Health Risk Assessment • Yes R No
Tool):
Low/High
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 3 of 18

VI+ FIRST THINGS FIRST
Category Data Field Currently Collecting?
Caregiver was provided anticipatory guidance: 0 Yes X No
Yes
No
If the caregiver was not provided anticipatory guidance, the • Yes X No
reason:
Parent/caregiver refused to complete
Unable to reach parent/caregiver
Other (please specify)
Date education/anticipatory guidance provided to • Yes r,St No
caregiver:
Education/
(MM/DD/YYYY)
Anticipatory
Format of anticipatory guidance: • Yes X No
Guidance
In-person
Over phone
Educational topic(s) covered with caregiver (select all that 0 Yes g No
apply):
Oral development
Fluoride
Oral hygiene & health habits
Nutrition and diet
Injury prevention/habits
Other [please specify]
A self-management goal was set with the caregiver: • Yes X No
Yes
No
Date caregiver set self-management goal (Source: AAP Oral 0 Yes No
Health Risk Assessment Tool)
(MM/DD/YYYY)
Goal set (select all that apply): • Yes No
Regular dental visits
Self-Management Brush twice daily
Goal Use fluoride toothpaste
Wean off bottle
Less/no juice
Only water in sippy cup
Drink tap water
Healthy snacks
Less/No junk food or candy
No soda
Xylitol
Other please specify
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 4 of 113

v.:
FIRST THINGS FIRST
Category Data Field Currently Collecting?
Caregiver achieved goal: 0 Yes X No
Yes
No
Unknown
The child received fluoride varnish during the oral health XYes 0 No
screening:
Yes
No
If the child did not receive fluoride varnish, the reason: LI Yes [2( No
Grant partner applied fluoride varnish in the past 3 months
Fluoride Varnish Another entity applied fluoride varnish in the past 3 months
(please specify who)
Parent/caregiver refused
Child did not cooperate
Date child received fluoride varnish: K1 Yes El No
(IVIM/DD/YYYY)
X-Rays and Digital Date x-rays and digital images captured: 0 Yes R No
Images (Applicable (MM/DD/YYYY)
only for Date x-rays and digital images sent to dental home: 0 Yes No
teledentistry events) (MM/DD/YYYY)
Child received referral(s): 0 Yes C8; No
Yes
No
Date of referral(s) made for child: 0 Yes X No
(MM/DD/YYYY)
If the child did not receive one or more referrals, the 0 Yes X No
reason(s) why:
Child already has a dental home
Parent/caregiver refused a referral
Parent/caregiver does not have dental insurance and is
Referral unable to afford an appointment
Lack of provider availability
Other barrier (please specify)
Child referral type(s): 0 Yes R No
Dental home for regular treatment
Hospital for urgent dental care needs
Dental home for urgent dental care needs
Other (please specify)
Child referral follow-up date: (MM/DD/YYYY) 0 Yes X No
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 5 of 11

FIRST THINGS FIRST
Category Data Field Currently Collecting?
Child referral outcome: Eves 1:2( No
Refusal
Could not contact the parent/caregiver
No availability/wait list
Scheduled
Attended appointment
Unknown
Other (please specify)
Expectant Mother Services Data
Expectant Mother Identifier (i.e., unique ID) X Yes 1:1 No
Participant Tracking Regional Partnership • Yes 14 No
Date consent form signed by expectant mother: ISC Yes • No
Consent
(MM/DD/YYYY)
Expectant mother has existing dental home: E Yes CS( No
Yes
No
Date expectant mother last visited dentist/dental clinic: )4 Yes El No
Never
Within the past year
1-3 years ago
More than 3 years ago
Dental Home
How often the expectant mother visits the dentist/dental I=1 Yes No
clinic:
Never
Once every two years
Once every year
Every 6 months
More than 2 times a year
Mode by which the risk assessment was completed by El Yes R No
expectant mother (select all that apply):
Interview
Paper form
N/A
Oral Health Risk
Assessment Expectant mother completed risk assessment • Yes I, No
questionnaire:
Yes
No
Partial completion
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 6 of .1.8

+il+ FIRST THINGS FIRST
Category Data Field Currently Collecting?
If "no" or "partial completion," reason why: 0 Yes I(No
Expectant mother refused
Expectant mother did not have enough time
Unable to reach expectant mother
Other (please specify)
Date risk assessment completed by expectant mother: R Yes 0 No
(MM/DD/YYYY)
Expectant mother completed oral health screening: tZt Yes • No
Yes
No
Oral Health
Date oral health screening completed by expectant mother: X Yes • No
Screening
(MM/DD/YYYY)
The oral health screening was conducted at a teledentistry EXYes 0 No
event?
Expectant mother has untreated decay: [2( Yes No
Yes
No
Expectant mother: Number teeth with untreated decay • Yes R No
Expectant mother has treated decay: X Yes 0 No
Yes
Tooth Decay No
Expectant mother: Number of teeth with treated decay • Yes X No
Expectant mother's treatment urgency: X Yes • No
Urgent need for dental care
Early dental care needed
No obvious problems
Expectant mother was provided anticipatory guidance: El Yes No
Yes
No
Date education/anticipatory guidance completed with D Yes R No
Education/ expectant mother:
Anticipatory (MM/DD/YYYY)
Guidance
Format of anticipatory guidance with expectant mother: 0 Yes (No
In-person
Over phone
First Things First Data Reporting Requirements SFY19 I Oral Health Page 7 of la

FIRST THINGS FIRST
Category Data Field Currently Collecting?
Educational topic covered with expectant mother: 0 Yes I:81 No
Oral hygiene & health habits
Nutrition and diet
Oral health for newborn or child
Dental care
Fluoride
Other [please specify]
Self-management goal was set by expectant mother: 0 Yes R No
Yes
No
Date expectant mother set self-management goal: • Yes Nt Na
(MM/DD/YYYY)
Goal set: 0 Yes X No
Regular dental visits
Brush twice daily
Use fluoride toothpaste
Self-Management Drink tap water
Goal Healthy snacks
Less/No junk food or candy,
No soda
Xylitol
Other (please specify)
Expectant mother adopted goal: 0 Yes Nt No
Yes
No
Unknown
Date x-rays and digital images captured • Yes No
X-Rays and Digital
(MM/DD/YYYY)
Images: Required if
Teledentistry
Date x-rays and digital images sent to dental home • Yes RNo
Component is being
Implemented (MM/DD/YYYY)
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 8018

FIRST THINGS FIRST
Category Data Field Currently Collecting?
Expectant mother received referral(s): El Yes X No
Yes
No
Date of referral(s) made for expectant mother: 0 Yes No
(MM/DD/YYYY)
If the expectant mother did not receive one or more 0 Yes Cg No
referrals, the reason(s) why:
Expectant mother already has a dental home
Expectant mother refused a referral
Expectant mother does not have dental insurance and is
unable to afford an appointment
Lack of provider availability
Other barrier (please specify)
Expectant mother referral type(s): (drop-down menu): E Yes No
Referral Dental home for regular treatment
Hospital for urgent dental care needs
Dental home for urgent dental care needs
Other (please specify)
Follow-up date for expectant mother referral: • Yes (X No
(MM/DD/YYYY)
Expectant mother referral outcome: • Yes g No
Refusal
Could not contact the expectant mother
No vacancy/wait list
Scheduled
Attended appointment
Unknown
Other (please specify)
First Things First I Data Reporting Requirements SFY19 1 Oral Health Page 9 of 18

FIRST THINGS FIRST
Category Data Field Currently Collecting?
Education for ECE Professionals, Medical Professionals, and Oral Health Professionals Data
(Collected and Submitted at Participant Level for Every Training Conducted)
Date training completed (MM/DD/YYYY) CS(Yes • No
Registry ID • Yes R No
FTF Regional Partnership Council NI Yes • No
Type of Training Completed: • Yes X No
Arizona Department of Health Services Tooth Brushing in
Child Care Settings
Smiles for Life Curriculum (includes four courses):
Training Details - Relationship of Oral and System Health
- Child Oral Health
- Pregnancy & Woman's Oral Health
- Caries AAP Oral Health Risk Assessment Questionnaire
Fluoride Varnish & Counseling)
The profession of the participant completing the training: X Yes 0 No
ECE professionals
Medical professionals
Oral health professionals
Group Education for Children Data
(Collected and Submitted for Every Session Conducted)
Date(s) education provided (MM/DD/YYYY) • Yes X No
FTF Regional Partnership Council • Yes X No
Group Education
Details Curriculum Used • Yes X No
[Text Field]
Number of children participating [Numeric Field] 0 Yes X No
First Things First I Data Reporting Requirements SEY19 I Oral Health Page 10 of 13

+t-r+ FIRST THINGS FIRST
Category Data Field Currently Collecting?
Staff and Training Data
(Collected and Submitted for Every Session Conducted)
Date of training 0 Yes EXNo
(MM/DD/YYY)
FTF Regional Partnership Council • Yes No
Type of staff implementing the oral health strategy: • Yes IXNo
Direct service staff
Administrative staff
Volunteers
Sub-grant partner
Other (please specify)
Training topic: Ei Yes 1g No
Training Details Utilizing and completing the Basic Screening Survey
Utilizing and completing the Oral Health AAP Oral Health
Risk Assessment Tool
The appropriate process to apply fluoride varnish
Approaches to mitigating a child's apprehension about oral
health screening and fluoride varnish
Approaches to providing oral health care in a public health
setting
Utilizing motivational interviewing skills to provide
anticipatory guidance
Teledentistry equipment and process
Teledentistry Events
(Collected and Submitted for Every Teledentristry Event)
Regional Partnership 0 Yes No
Date of teledentistry event (MM/DD/YYYY) 0 Yes RN°
Teledentistry Events Teledentistry Method (Options from drop - down menu): • Yes No
Real-time consultation
Store-and-forward
First Things First I Data Reporting Requirements SFY19 I Oral Health Page II of 13

FIRST THINGS FIRST
2. If your response is a NO, for any types of data marked required in the table above, describe how you will modify
your data collection to comply with the FTF data requirements upon award. Provide sufficient details to clarify
your plan. Please use additional space as necessary to complete your explanation.
First Teeth First currently collects much of the Program Implementation and Programmatic Outcome Data required
in SFY2019. To ensure collection of all data, First Teeth First will revise current forms utillized and initiate use of
others (for example, Child Oral Health Risk Assessment Tool). First Teeth First database will be adjusted to
accomodate new data fields and training of data entry personnel will be performed. Tracking Staff and Training Data
is currently tracked in Excel. This spreadsheet will be revised to include all data fields required.
II. Participant Level Demographic Information:
El N/A El Yes, Required for SFY 2019 El Yes, Capacity Building in SFY 2019
Purpose: To better understand the reach of FTF programs within and across strategies and regions and to ensure that
services are provided to the intended audiences in alignment with the scope of work.
Instructions:
1. Review the FTF participant level demographic data requirements in the table below. Complete this section by
indicating whether your program is currently collecting each of the data indicators listed by choosing Yes or No.
a) For children (ages 0-5) receiving oral health services
Data Submission Guidelines: FTF requires that grant partners will submit participant level demographic information on an
annual basis via File Transfer Protocol (FTP) or flat files (e.g., excel, csv file).
Data Field Response Options Currently Collecting?
Caregiver Information
Caregiver Identifier (i.e., unique ID) YES • NO IX
Caregiver First and Last Name YES R NO 0
Caregiver Address/City/Zip YES NO •
Caregiver Phone Number YES R NO •
Caregiver Date of Birth YES • NO X
Caregiver Sex Category: YES • NO X
Male
Female
Caregiver Race Category: YES • NO R
Alaska Native
American Indian
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Other
First Things First I Data Reporting Requrernents SFY19 I Oral Health

M FIRST THINGS FIRST
Data Field Response Options Currently Collecting?
Caregiver Ethnicity Hispanic/Latino: YES • NO X
Yes
No
Caregiver Highest Education Level Category: YES • NO X
Less than high school
High school graduate or GED
Some College
Technical or vocational degree
Bachelor's degree or higher
Caregiver Employed Category: YES • NO X
Yes
No
Caregiver Primary Language Category: YES • NO C8:
English
Spanish
Other (please specify)
Caregiver Medical Insurance Category: YES • NO X
Employer
Private
AHCCCS
Indian Health Services
Military
None
Other (please specify)
Caregiver Has Primary Health Care Category: YES O NO X
Provider Yes
No
Caregiver Has Dental Insurance Category: YES • NO X
Yes
No
Caregiver Relationship to Child Category: YES • NO X
Parent
Grandparent
Foster Parent
Other Relative (please specify)
Other Non-Relative (please specify)
Legal Guardian Category: YES • NO R
Yes
No
Child Information
Child Identifier (i.e., unique ID) YES igi NO •
Child First and Last Name YES R NO •
Child Date of Birth YES X NO •
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 13 of 18

÷-ta FIRST THINGS FIRST
Data Field Response Options Currently Collecting?
Child Sex Category: YES (IX NO •
Male
Female
Child Race Category: YES X NO •
Alaska Native
American Indian
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Other
Child Ethnicity Hispanic/Latino: YES X NO •
Yes
No
Child Primary Language Category: YES • NO IX
English
Spanish
Other (please specify)
Child with Special Needs Category: Yes/No YES • NO X
Child Medical Insurance Type Category: YES • NO R
Employer
Private
AHCCCS
Indian Health Services
Military
None
Other (please specify)
Child Has Primary Health Care Provider Category: YES • NO a
Yes
No
Child Has Dental Insurance Category: YES X NO LI
Yes
No
Household Information
Household Income Category: YES • NO X
less than $15,000
$15,000-$30,000
$31,000-$45,000
$46,000-$60,000
$61,000-$75,000
$76,000-$90,000
$91,000-$105,000
over $105,000
Number of Adults in the Household YES • NO [X
First Things First I Data Reporting Requirements SFY19 I Ora Health Page 14 of 18

FIRST THINGS FIRST
Data Field Response Options Currently Collecting?
Employment Status of Other Adult(s) in Employed: YES LI NO
Household Yes
No
Adult(s) in Household Who are Active in Category: YES • NO R
the Military or a Military Veteran Yes
No
Household Public Assistance Category: (Select All That Apply) YES • NO R
WIC
Food Stamps/EBT/SNAP
Cash Assistance/TANF
DES Child Care Subsidy
Quality First Scholarship
Other (please specify)
Number of Other Children in -the Less than 1 year old YES • NO X
Household 1-2 years old
3-5 years old
6-17 years old
Child Care Type Category: (Select All That Apply) YES • NO IX
My partner or I take care of my
child(ren) at home
Head Start
Child care center/preschool program
Family child care home
Relative/neighbor or babysitter
Children Under 6 with Special Needs Category: Yes/No YES • NO X
Living in the Household
b) For expectant mothers receiving oral health services
Data Submission Guidelines: FTF requires that grant partners will submit participant level demographic information on an
annual basis via File Transfer Protocol (FTP) or flat files (e.g., excel, csv file).
Data Field Response Options Currently Collecting?
Caregiver Information
Caregiver Identifier (i.e., unique YES III NO
ID)
Caregiver First and Last Name YES X NO •
Caregiver Address/City/Zip YES R NO •
Caregiver Phone Number YES R NO •
Caregiver Date of Birth YES • NO X
Due Date for Expectant Mothers YES • NO IR
Caregiver Sex Category: YES • NO R
Male
Female
First Things First I Data Reporting Requirements SFY19 Oral Health Page 15 of 18

I+4 FIRST THINGS FIRST
Data Field Response Options Currently Collecting?
Caregiver Race Category: YES X NO •
Alaska Native
American Indian
Asian
Black or African American
Native Hawaiian or Pacific Islander
White
Other
Caregiver Ethnicity Hispanic/Latino: YES CX NO •
Yes
No
Caregiver Highest Education Category: YES • NO X
Level Less than high school
High school graduate or GED
Some College
Technical or vocational degree
Bachelor's degree or higher
Caregiver Employed Category: YES • NO 12t
Yes
No
Caregiver Primary Language Category: YES • NO X
English
Spanish
Other (please specify)
Caregiver Medical Insurance Category: YES • NO X
Type Employer
Private
AHCCCS
Indian Health Services
Military
None
Other (please specify)
Caregiver Has Primary Health Category: YES • NO LX
Care Provider Yes
No
Caregiver Has Dental Insurance Category: YES R NO •
Yes
No
Caregiver Relationship to Category: (Select All That Apply) YES • NO X
Child(ren) in Household Parent
Grandparent
Foster Parent
Other Relative (please specify)
Other Non-Relative (please specify)
Caregiver Legal Guardian to One Category: YES El NO [X
or More Child(ren) in Household Yes
No
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 16 of 18

FIRST THINGS FIRST
Data Field Response Options Currently Collecting?
Household Information
Household Income Category: YES • NO Cg
less than $15,000
$15,000-$30,000
$31,000-$45,000
$46,000-$60,000
$61,000-$75,000
$76,000-$90,000
$91,000-$105,000
over $105,000
Number of Adults in the YES • NO X
Household
Employment Status of Other Employed: YES • NO 5-4
Adult(s) in Household Yes
No
Adult(s) in Household Who are Category: YES • NO R
Active in the Military or a Yes
Military Veteran No
Household Public Assistance Category: (Select All That Apply) YES II NO (X
WIC
Food Stamps/EBT/SNAP
Cash Assistance/TANF
DES Child Care Subsidy
Quality First Scholarship
Other (please specify)
Number of Children in the Less than 1 year old YES • NO DK
Household 1-2 years old
3-5 years old
6-17 years old
Child Care Type Category: (Select All That Apply) YES • NO (X
My partner or I take care of my child(ren) at
home
Head Start
Child care center/preschool program
Family child care home
Relative/neighbor or babysitter
Children Under 6 with Special Category: Yes/No YES • NO X
Needs Living in the Household
c) For professionals receiving group education
Data Submission Guidelines: FTF requires that grant partners will submit demographic data on professionals served (i.e.,
professionals) on an annual basis via the Arizona Early Childhood Workforce Registry (Registry). For this strategy,
contracted grant partners are required to collect demographic data on all professionals who participate in a prescribed
program. The demographic data requirements for participating professionals shall be collected through the Arizona Early
Childhood Workforce Registry (Registry).
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 17 of 18

FIRST THINGS FIRST
The Registry is a web-based system that keeps a record of professionals' demographic information, work experience,
educational qualification, and professional development activities in a central location. It enables early childhood
professionals and those interested in a career in early education to find and register for professional development
opportunities. All professional participants you serve through this strategy must enroll as a member with the Registry
and have a complete profile. As part of the data requirements for this strategy, FTF requires awarded grant partners to
submit the Registry ID of all professionals served. That will enable FTF to directly access data on these professionals from
the Registry system. FTF will use this information to understand the characteristics of participants that are served, to
monitor alignment of those characteristics with the target population specified in this Scope of Work, and, when
possible, to evaluate the effectiveness of FTF's funded strategies.
The following resources exist to support Registry enrollment:
• Registry Registration Video https://www.youtube.com/watch?v=pPnDGuVmk9Q
This video provides information about participation and enrollment in the Registry.
• E-mail inquiries infoPthearizonaregistrv.org
Send questions about registration to this e-mail to get support from the Registry staff.
• The Network Guide http://azearlychildhood.oraflipbook/101720170page=1
This guide has step by step instructions with screen shots about how to enroll in the Registry.
2. If your response is a NO, for any types of data marked required in the table above, describe how you will modify
your data collection to comply with the FTF data requirements upon award. Provide sufficient details to clarify
your plan.
a) First Teeth First currently collects minimal demographic information on caregivers. Our services are typically provided in
venues that do no allow great privacy. Due to the sensitivity of much of the information we will be requesting, First Teeth First will utilize
a tablet (I-Pad, etc.) with a survey developed for caregiver to enter information confidentially. (Please see Appendix _.)
Data Collection Process
1. For the required types of data (i.e., program implementation and programmatic outcome data, and participant-
level demographic information), describe the proposed data collection process; who will be responsible for data
collection and data submission; what procedures will be in place to ensure timely, accurate, and secure collection
and submission; and how data will be used to inform and improve programming. If applicable, also include the
anticipated approval process to collect, submit, and report data from tribal government programs.
Data will be collected by Registered Dental Hygienists and Bilingual Site Assistants at permanent locations via Consent Forms, Oral Health
Risk Assessment Tool, and motivational interviewing. Each site and site assistant has a laptop and access to the First Teeth First database
to provide timely data input. Data entry will be completed by the Bilingual Site Assistant on site on a daily basis. (Please see Appendix
Note: lf demographic and programmatic outcome data is gathered in a tribal community/region (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 grant partners 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). Additionally, grant partners will be required to ensure they have culturally appropriate methodology (e.g., in- person
interviews) and a culturally responsive approach for gathering participant-level demographic information and/or programmatic
outcome data from program participants.
First Things First I Data Reporting Requirements SFY19 I Oral Health Page 18 of 18

Appendix G1
Supplement to:
Oral Health SFY2019 Data Reporting Requirements
IL b) Required child information would be collected with a combination of revision of current
forms and utilizing the survey mentioned in the previous paragraph.
c) Due to the sensitivity of much of the information we will be requesting, data on expectant
mothers receiving oral health services will be collected with a combination of revision of
current forms and utilizing a "tablet" survey.
d) Demographic information on professionals receiving group education will be collected
through the Arizona Early Childhood Workforce Registry. The Registry ID of all
professionals served will be submitted to First Things First.
III. (Continued)
Monthly, consent forms and treatment records are brought directly to the administrative
office from each permanent site by staff members for database cross checking. This is
done to ensure proper data entry has occurred at all locations.
When services are provided at childcare centers, preschools or community events, data is
collected via consent forms. Parents are typically not present to offer information not
found on the Consent Form. A system will be established to collect the balance of
information requested via an email link to a confidential survey site. Data collected from
the Consent Form will be entered into the First Teeth First database by bilingual site
assistants in the FTF office within 72 hours.
The First Teeth First Internal Dental Hygienist will collect and enter data collected for
professionals receiving group education. The Health Educators will be responsible for
collecting data for educational presentations providing during their outreach. This data
will be entered by the Health Educators or Bilingual Site Assistants.
Data collected is used as a feedback loop for program improvement and service delivery
awareness.

APPENDIX H
PUBLIC HEALTH GRANTS INDIRECT COST PLAN FY17-18
(FOR ORIGINAL COPY ONLY)
FTF-MULTI-19-0671-00 Page 111 of 159

Based on Actual Expenditures for the
Year Ended June 30, 2016
Maricopa County, Arizona

Maticopa County
Department of Finance
Shelby L. Stharbach
CPA, CGFNI
Assistant County CERTIFICATE OF INDIRECT COSTS
Manager and
Chief Financial Officer
301 West Jefferson Street
Suite 960 This is to certify that I have reviewed the indirect cost rate proposal submitted
Phone: Phoenix, 602.506-3561 AZ 85003-2143 herewith and to the best of my knowledge and belief:
Fax: 602.506-4451
ws,yw,rnarieopa.gov/finance 1. All costs included in this proposal dated July 1, 2015 to June 30, 2016 (FY16)
to establish billing or final indirect costs rates for July i f 2017 to June 30,
2018 (FY18) are allowable in accordance with the requirements of the Federal
award(s) to which they apply and the provision of 2 CFR Part 200, Uniform
Administrative Requirements, Cost Principles and Audit Requirements for
Federal Awards. Unallowable costs have been adjusted for in allocating costs
as indicated in the indirect cost proposal.
2. All costs included in this proposal are properly allocable to Federal awards on
the basis of a beneficial or causal relationship between the expenses incurred
and the agreements to which they are allocated in accordance with applicable
requirements. Further, the same costs that have been treated as indirect
costs have not been claimed as direct costs. Similar types of costs have been
accounted for consistently and the Federal Government will be notified of any
accounting changes that would affect the predetermined rate.
I declare that the foregoing is true and correct.
GOVERNMENT UNIT: Maricopa County
SIGNATURE:
NAME OF OFFICIAL: Shelby L. Scharbach
TITLE Assistant County Manager - Chief Financial Officer
DATE OF EXECUTION: July 1, 2017

Epi Epi the clinic
Consultants Disease Response for Disease Health Records
Certificates Disease Emergency Homeless Health HIV/STD Tuberculosis Laboratory
Health and Healthcare Hansen's Refugee Medical
Death & Immunizations Care Educators Communicable Non-Communicable Services Health Preparedness Public
Birth Child Nurse Data Public
once and Policy Performance Public Policy
Vital Community Health Preparedness Perform Improvement Health of Improvement of Office Health
of Office Registration of & Promotion of Office Epidemiology of &Response Disease Control Public Office
Office Wellness Office A A
and Health
Infants, (WIC) Family of Health Oral
Health Women, ildren h C Office of Office
Li N
Public Finance & Services Acton 1, • 'A!
County of Resources Procurement Grants & Professional Administration r=1"71761 Health
Human _ & Budget Technical Program
Marlowe Department 4. ;11 Children Start Program Insurance
& Healthy Control Care Partnership Program Dental
Infants, Phoenix Hazard Intensive Family Sealant First Teeth White
Community Transformation IWomen, 1South Lead Newborn !Nurse Dental First Ryan
it F '1
Community Communications Marketing Health Initiatives
of Empowerment Worksite Innovation Schaal Community Innovation
Office of Office and of Office Health of Wellness of Health
Office and Office
Misuse of with Comm. Media Admiri Program
& Collaborative County Partnership Support &Youth Media Cps Program Activity Ambassador Programs Design
11/2/15 Integration Abuse integration (HIPMC) and Youth for Stakeholder Populations/Hispanic Social & Program Worksites Initiative Nutrition School
Systems Drug Health Disease Health Maricopa Improvement County Strategy Children Challenges STEP Information & Content to directly Arizona Arizona Health Physical & Youth IGNITE Hearts Internship to Community
Updated: Health Prescription Behavioral Chronic Preventive Kids Health Maricopa Claud for Alliance Unique Collective Public Marketing Special Digital FindHelpPhx* *reports Healthy Smokefree Adolescent Nutrition & Parent & STAND Million Dietetic Community Routes Safe Healthy
Last Safe

MARICOPA COUNTY
DEPARTMENT OF PUBLIC HEALTH
DESCRIPTION OF INDIRECT COSTS
FOR FY2017/ 2018 PLAN
CENTRAL SERVICE COST ALLOCATION PLAN COSTS
This category consists of countywide costs allocated to Public Health from the OMB
2 CFR Part 200 Cost Allocation Plan. These costs were allocated entirely to
administration and then allocated to various grant funded programs based on
salary and/or operating expenditures per grant agreements.
DEPARTMENTAL INDIRECT
The Departmental cost pool consists of costs that benefit all Public Health
divisions. These costs were allocated to the divisions based on salary and
operating expenditures. The following description of the organization is based
on the structure as of February 2017.
PUBLIC HEALTH DIRECTOR
The Department of Public Health is organized into six primary divisions consisting
of the Administration division, Community Transformation, Community Health
Action, Clinical Services, Disease Control and Program Operations and one quasi
division namely Performance Improvement. The Director and staff provide
oversight to these areas and ensure the fulfillment of their mission and
mandates. The administrative costs were allocated to the divisions based on
salary expenditures with the exception of the salary of the Public Health Director
which was retained in the General Fund as a mandated public health position.
ADMINISTRATION DIVISION
This division consists of four administrative units: Professional & Technical
Services, Human Resources, Budget & Finance and Procurement & Grants
Management. Professional & Technical Services provides facilities management
and strategic planning services.
PUBLIC HEALTH CLINICAL SERVICES
This division provides tuberculosis control, confidential counseling and testing
services for a variety of infectious diseases, health screening for new refugees to
the County, health services for the homeless, pharmacy support to the

Department and to clients, and lab support to the Department and to the
Correctional Health and Juvenile Probation departments.
COMMUNITY HEALTH ACTION
This division is responsible for the Office of Family Health, the Women, Infants
and Children (WIC) grant program and the Office of Oral Health.
COMMUNITY TRANSFORMATION
This division is responsible for the Office of Worksite Health Innovation, Office of
School Health & Wellness Initiatives and Office of Community Health Innovation.
DISEASE CONTROL
This division is responsible for the Office of Preparedness & Response,
Community Health Nursing (including childhood immunizations), Epidemiology
and Disease Surveillance, and Vital Registration — the registration of births and
deaths in Maricopa County.
PROGRAM OPERATIONS
This division is responsible for the Office of Healthcare Innovation, Office of
Community Empowerment and Office of Communications and Marketing. The
cost of Office of Office of Communications and Marketing was allocated to the
divisions based on salary expenditures.
PERFORMANCE IMPROVEMENT AND PUBLIC HEALTH POLICY
This team directly reports to the department director and consists of the Office of
Performance Improvement and Office of Public Health Policy.
GRANT PROGRAMS
This category was established to accumulate indirect costs to compute the
indirect rate for the Department of Public Health. The indirect rate cost base
was determined using total grant expenditures, less capital expenditures for
grants, administrative costs in the grant fund not subject to indirect, Central
Service Costs, and pass-through subrecipients. The 2015/2016 expenditures
used as grant base for calculating the indirect rate for 2017/2018 is
$32,267,595,89 ($41,788,596.88 total grant fund expenditures less
$9,521,000.99 in distorting costs = $32,267,595.89 net base).

Public Health
Departmental Indirect Cost Allocation for Grants for 1Y2017-18
2CFR Part 200 County Wide 2,238,717.04
Indirect Cost
Allocated Rate Base Indirect Rate
County Wide Rate 2,238,717 32,267,596 6,9%
Departmental Rate 3,115,457 32,267,596 9.7%
5,354,174 16.6%
Rate base was calculated as defined below:
Total FY16 Expenditures for Public Health Grants 41,788,596.88
Less: Capital total for grant 900's -9,995.00
Less; Administration not subject to indirect (net of CSCA) -3,186,815.21
Less: CSCA -1,844,699.60
Less: Internal Audit Costs -3,756,58
Less: Pass Thru- Subreciplents -4,475,734.60
RATE BASE 32,267,595.89
Allocation of County Wide Cost
Basis:
Labor % of Labor Indirect Cost
General Fund (100-860) 5,983,724.24
OantifiOnd(5V4:801,):: 25,651,171,76 100% 2,238,717,04
Special Revenue Fund (265-863) 3,828,672.49
TOTAL OPERATIONS* 35,463,568,49 100% 2,238,717.04
*Net of Admin Labor
Allocation of Public Health Admin Cost
Administration Services Labor:
Administration (100-860-8601 ODIR/SPPT) Less Indirect (0795) 231,178.00
Administration (100-860-8602) Less indirect (0795) 332,429.52
Administration (100-860-8630) Less Indirect (0795) 806,287.42
Administration (100-860-8632) Less Indirect (0795) 440,606.84
Administration (100-860-8640) Less Indirect (0795) 307,731.22
Administration (100-860-8642) Less indirect (0795) 584,479,84
Administration (265-863-8630) Less indirect (0795)
Single Audit Costs (532-861-8630) 3,756.58
Administration Services Labor 2,746,469.42
Administration Services Non-Labor (Less Capital/Central Services) 1,600,749.83
TOTAL ADMINISTRATIVE SERVICES 4,307,219.25
Basis:
Labor % of Labor indirect Cost
Admin (100-860-8601/02/30/32/40/42)** Allocated Out
General Fund (100-860) 5,983,724.24 16.87% 726,751,80
;Grant Fund (52-861..) 25 651,171 76 72.33% 3,115,45695
Special Revenue Fund (265-863) 3,828,672.49 10.80% 465,010.50
TOTAL OPERATIONS* 35,463,568.49 100.00% 4,307,219,25
TOTAL ADMINISTRATIVE SERVICES 2,706,469,42
TOTAL 38,170,037.91 100.00% 4,307,219.25
Recon Agrees To Pivot Table 38,170,037.91
**Net of indirect (0795)
FY18 Public Health indirect Cost Allocation Plan/Grant Fund 3/28/2017 2:42 PM

APPENDIX I
SINGLE AUDIT REPORT
MARICOPA COUNTY
YEAR ENDED JUNE 30, 2017
(FOR ORIGINAL COPY ONLY)
FTF-MULTI-19-0671-00 Page 118 of 159

Maricopa County
Single Audit Report
Year Ended June 30 2017
A Report to the Arizona Legislature
ONA
Aitth -General
CUd AR IZMaking a Positive Difference

i .,.........._ A ARIZONA
uditorGenerai
Making a Positive Difference
The Arizona Office of the Auditor General's mission is to provide independent and impartial information and
specific recommendations to improve the operations of state and local government entities, To this end, the
Office provides financial audits and accounting services to the State and political subdivisions, investigates
possible misuse of public monies, and conducts performance audits and special reviews of school districts, state
agencies, and the programs they administer.
The Joint Legislative Audit Committee
Representative Anthony Kern, Chair Senator Bob Worsley, Vice Chair
Representative John Allen Senator Sean Bowie
Representative Rusty Bowers Senator Judy Burges
Representative Rebecca Rios Senator Lupe Contreras
Representative Athena Salman Senator John Kavanagh
Representative J.D. Mesnard (ex officio) Senator Steve Yarbrough (ex officio)
Audit Staff
Jay Zsorey, Director
Taryn Stangle, Manager and Contact Person
Contact Information
Arizona Office of the Auditor General
2910 N. 44th St.
Ste. 410
Phoenix, AZ 85018
(602) 553-0333
www.azauditor.gov

Auditors Section
Independent auditors report on compliance for each major federal program report
on internal control over compliance; and report on schedule of expenditures of federal
awards required by the Uniform Guidance 1
Schedule of Findings and Questioned Costs 5
Summary of auditors' results 5
Financial statement findings 7
Federal award findings and questioned costs 7
County Section
Schedule of expenditures of federal awards 17
Notes to schedule of expenditures of federal awards 20
County Response
Corrective action plan
Summary schedule of prior audit findings
Report Issued Separately
Comprehensive annual financial report
Report on internal control over financial reporting and on compliance and other
matters based on an audit of basic financial statements performed in accordance
with Government Auditing Standards
Maricopa County I Year Ended June 30, 2017
PACE

Arizona Audttor General Maricapa County I Year Ended June 30, 2017
PAGE ii

STATE OF ARIZONA
OFFICE OF THE DEPUTY MELANIE AUDITOR M_ CHESIVEY GENERAL
AUDITOR GENERAL
Independent auditors' report on compliance for each major federal program;
report on internal control over compliance; and report on schedule of
expenditures of federal awards required by the Uniform Guidance
Members of the Arizona State Legislature
The Board of Supervisors
, Maricopa County, Arizona
Report on compliance for each major federal program
We have audited Maricopa County's compliance with the types of compliance requirements described in
the U.S. Office of Management and Budget (OMB) Compliance Supplement that could have a direct and
material effect on each of its major federal programs for the year ended June 30, 2017, except for the Section
8 Housing Choice Vouchers (14.871) major federal program administered by the Housing Authority of
Maricopa County. That major federal program was audited by other auditors whose report has been
furnished to us, and our opinion, insofar as it relates to that major federal program's compliance with the
types of compliance requirements described in the OMB Compliance Supplement, is based solely on the
report of the other auditors. The County's major federal programs are identified in the summary of auditors'
results section of the accompanying schedule of findings and questioned costs.
Maricopa County's basic financial statements include the operations of the Maricopa County
Accommodation Schools, which expended $999,490 in federal awards that are not included in the County's
Schedule of Expenditures of Federal Awards for the year ended June 30, 2017. Our audit, described below,
did not include the operations of the Maricopa County Accommipdation Schools because the
Accommodation Schools engaged other auditors to perform an audit in accordance with Title 2 U.S. Code
of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards (Uniform Guidance).
Management's responsibility
Management is responsible for compliance with federal statutes, regulations, and the terms and conditions
of its federal awards applicable to its federal programs.
Auditors' responsibility
Our responsibility is to express an opinion on compliance for each of the County's major federal programs
based on our audit of the types of compliance requirements referred to above. We conducted our audit of
compliance in accordance with U.S. generally accepted auditing standards; the standards applicable to
financial audits contained in Government Auditing Standards, issued by the Comptroller General of the
United States; and the audit requirements of the Uniform Guidance. Those standards and the Uniform
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Guidance require that we plan and perform the audit to obtain reasonable assurance about whether
noncompliance with the types of compliance requirements referred to above that could have a direct and
material effect on a major federal program occurred. An audit includes examining, on a test basis, evidence
about the County's compliance with those requirements and performing such other procedures as we
considered necessary in the circumstances.
We believe that our audit and the report of the other auditors provide a reasonable basis for our qualified
and unmodified opinions on compliance for major federal programs. However, our audit does not provide
a legal determination of the County's compliance.
Basis for qualified opinion on Teacher and School Leader incentive Grants and Child Support
Enforcement programs
As described in the accompanying schedule of findings and questioned costs, the County did not comply
with certain compliance requirements that are applicable to the major federal programs listed below.
Compliance with such requirements is necessary, in our opinion, for the County to comply with the
requirements applicable to these programs.
CFDA Finding
Program name number Compliance requirements number
Teacher and School Leader Incentive Grants 84.374 Matching and reporting 2017-103,
(formerly the Teacher Incentive Fund) 201 7-1 05
Child Support Enforcement 93.563 Allowable costs/cost principles 2017-106
Qualified opinion on Teacher and School Leader Incentive Grants and Child Support Enforcement
programs
In our opinion, except for the noncompliance described in the basis for qualified opinion paragraph,
Maricopa County complied, in all material respects, with the types of compliance requirements referred to
above that could have a direct and material effect on the Teacher and School Leader Incentive Grants
(84.374) and Child Support Enforcement (93.563) programs for the year ended June 30, 2017.
Unmodified opinion on each of the other major federal programs
In our opinion, based on our audit and the report of the other auditors, Maricopa County complied, in all
material respects, with the types of compliance requirements referred to above that could have a direct and
material effect on each of its other major federal programs identified in the summary of auditors' results
section of the accompanying schedule of findings and questioned costs for the year ended June 30, 2017.
Other matters
The results of our auditing procedures disclosed other instances of noncompliance that are required to be
reported in accordance with the Uniform Guidance and that are described in the accompanying schedule
of findings and questioned costs as items 2017-101, 2017-102, 2017-104, and 2017-108. Our opinion on
each major federal program is not modified with respect to these matters.
Report on internal control over compliance
The County's management is responsible for establishing and maintaining effective internal control over
compliance with the types of compliance requirements referred to above. In planning and performing our
audit of compliance, we considered the County's internal control over compliance with the types of
requirements that could have a direct and material effect on each major federal program to determine the
PAGE 2

auditing procedures that are appropriate in the circumstances for the purpose of expressing an opinion on
compliance for each major federal program and to test and report on internal control over compliance in
accordance with the Uniform Guidance, but not for the purpose of expressing an opinion on the
effectiveness of internal control over compliance. Accordingly, we do not express an opinion on the
effectiveness of the County's internal control over compliance.
Our consideration of internal control over compliance was for the limited purpose described in the preceding
paragraph and was not designed to identify all deficiencies in internal control over compliance that might be
material weaknesses or significant deficiencies, and therefore, material weaknesses or significant deficiencies
may exist that have not been identified. However, as discussed below, we identified certain deficiencies in
internal control over compliance that we consider to be material weaknesses and significant deficiencies.
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
functions, to prevent, or detect and correct, noncompliance with a type of compliance requirement of a
federal program on a timely basis. A material weakness in internal control over compliance is a deficiency,
or a combination of deficiencies, in internal control over compliance, such that there is a reasonable
possibility that material noncompliance with a type of compliance requirement of a federal program will not
be prevented, or detected and corrected, on a timely basis. We consider the deficiencies in internal control
over compliance described in the accompanying schedule of findings and questioned costs as items 2017-
101, 2017-103, 2017-104, 2017-105, 2017-106 2017-107, and 2017-108 to be material weaknesses.
A significant deficiency in internal control over compliance is a deficiency, or a combination of deficiencies,
in internal control over compliance with a type of compliance requirement of a federal program that is less
severe than a material weakness in internal control over compliance, yet important enough to merit attention
by those charged with governance. We consider the deficiencies in internal control over compliance
described in the accompanying schedule of findings and questioned costs as items 2017-102 and 2017-
109 to be significant deficiencies.
The purpose of this report on internal control over compliance is solely to describe the scope of our testing
of internal control over compliance and the results of that testing based on the requirements of the Uniform
Guidance. Accordingly, this report is not suitable for any other purpose.
Maricopa County's response to findings
Maricopa County's responses to the findings identified in our audit are presented in its corrective action plan
at the end of this report. The County's responses were not subjected to the auditing procedures applied in
the audit of compliance, and accordingly, we express no opinion on them.
Report on schedule of expenditures of federal awards required by the Uniform Guidance
We have audited the financial statements of the governmental activities, business-type activities, discretely
presented component unit, each major fund, and aggregate remaining fund information of Maricopa County
as of and for the year ended June 30, 2017, and the related notes to the financial statements, which collectively
comprise the County's basic financial statements. We issued our report thereon dated December 21, 2017,
that contained unmodified opinions on those financial statements. Our report also included a reference to our
reliance on other auditors. Our audit was conducted for the purpose of forming our opinions on the financial
statements that collectively comprise the County's basic financial statements. The accompanying schedule of
expenditures of federal awards is presented for purposes of additional analysis as required by the Uniform
Guidance and is not a required part of the basic financial statements. Such information is the responsibility of
the County's management and was derived from and relates directly to the underlying accounting and other
records used to prepare the basic financial statements. The information has been subjected to the auditing
PAGE 3

procedures applied in the audit of the basic financial statements and certain additional procedures, including
comparing and reconciling such information directly to the underlying accounting and other records used to
prepare the basic financial statements or to the basic financial statements themselves, and other additional
procedures in accordance with U.S. generally accepted auditing standards by us and the other auditors. In
our opinion, based on our audit, the procedures performed as described previously, and the report of the
other auditors, the schedule of expenditures of federal awards is fairly stated in all material respects in relation
to the basic financial statements as a whole.
Jay Zsorey, CPA
Director, Financial Audit Division
March 28, 2018
PAGE 4

SCHEDULE OF FINDINGS
AND QUESTIONED COSTS
Summary of auditors' results
Financial statements
Type of auditors' report issued on whether the financial statements audited were
prepared in accordance with generally accepted accounting principles Unmodified
Internal control over financial reporting
Material weaknesses identified? Yes
Significant deficiencies identified? Yes
Noncompliance material to the financial statements noted? No
Federal awards
Internal control over major programs
Material weaknesses identified? Yes
Significant deficiencies identified? Yes
Type of auditors report issued on compliance for major programs
Unmodified for all major programs except for the Teacher and School Leader Incentive
Grants (formerly the Teacher Incentive Fund) (84.374) and Child Support Enforcement
(93.563) programs which were qualified.
Any audit findings disclosed that are required to be reported in accordance with 2
CFR §200.516(a)? Yes
Identification of major programs
CFDA number Name of federal program or cluster
10.904 Watershed Protection and Flood Prevention
10,916 Watershed Rehabilitation Program
14.239 HOME Investment Partnerships Program
14.871 Section 8 Housing Choice Vouchers
15.226 Payments in Lieu of Taxes
17.258/17.259/17.278 W10A Cluster
Arizona Auditor General iliaricopa County—Schedule of Findings and Questioned Costs J Year Ended June 30, 2017
PAGE 5

CFDA number Name of federal program or cluster
84.374 Teacher and School Leader Incentive Grants (formerly the
Teacher Incentive Fund)
93.563 Child Support Enforcement
93.568 Low-Income Home Energy Assistance
93.600 Head Start
Dollar threshold used to distinguish between Type A and Type B programs $3,000,000
Auditee qualified as low-risk auditee? No
Other matters
Auditee's summary schedule of prior audit findings required to be reported in
accordance with 2 CFR §200.511(b)? Yes
Maricopa County—Schedule of Findings and Questioned Costs Year Ended June 30, 2017
PAGE 6

Financial statement findings
Financial statement findings were reported in the separately issued report on internal control over financial
reporting and on compliance and other matters based on an audit of basic financial statements performed
in accordance with Government Auditing Standards,
Federal award findings and questioned costs
2017-101
CFDA number and name: 10.904 Watershed Protection and Flood Prevention
Award numbers and years: 68-9457-15-537, December 1, 2009 through December 1, 2020;
68-9457-12-509, October 18, 2012 through September 30, 2017
Federal agency: U.S. Department of Agriculture
Compliance requirement: Reporting
Questioned costs: None
Criteria—To comply with 7 Code of Federal Regulations (CFR) §3016.20(b)(1), internal controls should be
maintained over reporting to provide reasonable assurance that federal program reports are accurate and
reliable. Failure to accurately compile and report information could result in noncompliance with a program's
reporting and matching requirements,
Condition and context—The County's Flood Control District (District) did not adequately compile and
review the SF-425, Federal Financial Reports (FFR), submitted to the federal agency. Specifically, the District
incorrectly reported the recipient's share of expenditures that accounts for the County's matching
contribution on two reports and on a third report overreported the federal cash disbursements, The District
corrected the errors on subsequent reports it filed. Further, the District submitted three of its reports after
the reports' required deadline.
Effect—Three of the District's FFRs submitted to the federal agency during the period July 1, 2016 through
June 30, 2017, were not accurate. The District misstated the federal cash disbursements, recipient share of
expenditures, and remaining recipient share to be provided.
Cause—The District did not follow its policies and procedures to ensure data used to prepare the FFRs
was accurate prior to submission. In addition, the District submitted the reports late because it was waiting
on approval of expenditures from the federal grantor.
Recommendation—To help ensure the accuracy of the FFRs, the District should follow its policies and
procedures by requiring that a responsible employee performs a detailed review of the FFRs and reconciles
them to supporting data. In addition, the reports should be submitted to the federal agency on time.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-102.
Arizona Auditor General Maricopa cóuhLy_Schedu1c:oi Findings and Questioned Cosls ..1 Year Ended June 30,201
PAGE 7

2017-102
CFDA number and name: 84.374 Teacher and School Leader Incentive Grants (formerly
the Teacher Incentive Fund)
Award numbers and years: S374A100025, October 1,2010 through September 30, 2016;
S374A120089, October 1, 2012 through September 30, 2017;
U374A160041, October 1, 2016 through September 30, 2021
Federal agency: U.S. Department of Education
Compliance requirement: Subrecipient monitoring
Questioned costs: None
Criteria—In accordance with 34 CFR §80,20(b)(3), the County's Maricopa Education Service Agency
(Agency) must maintain effective control and accountability over its grant programs. To comply with 34 CFR
§80.23(a), the Agency should only reimburse expenditures for the specified funding period outlined in its
contract.
Condition and context—The Agency was awarded the Teacher and School Leader Incentive Grants
program in 2010 along with its subrecipient school districts. The Agency entered into contracts with
subrecipients that expired on December 30, 2015. However, the Agency did not extend grant contracts for
subawards that were still being funded. As a result, the Agency allowed three subrecipients to continue to
request reimbursement and reimbursed them for $212,229 in program expenditures after the subrecipients'
contracts expired,
Effect—The Agency did not comply with subrecipient monitoring requirements and ensure that its
subrecipients requested reimbursement for allowable expenditures incurred only during the contract period.
The expenditures subrecipients incurred were valid and within the grants' period of availability; therefore,
there were no questioned costs.
Cause—The Agency did not have procedures in place to ensure its subrecipients were reimbursed for
allowable expenditures incurred only during the subrecipients' contract period.
Recommendation—To help ensure the Agency complies with subrecipient monitoring requirements, it
should evaluate and update, as appropriate, its existing policies and procedures to ensure they are aligned
with the federal agency's regulations. This must include ensuring its subrecipients are reimbursed for
allowable expenditures incurred only during the subrecipient's contract period.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-107.
Arizona Auditor General Maricopa County—Schedule of Findings and Questioned Costs •] Year Ended June 30 5 201
PAGE 8

2017-103
CFDA number and name: 84.374 Teacher and School Leader Incentive Grants (formerly
the Teacher Incentive Fund)
Award numbers and years: S374A100025, October 1, 2010 through September 30, 2016;
S374A120089, October 1, 2012 through September 30, 2017;
U374A160041, October 1, 2016 through September 30, 2021
Federal agency: U.S. Department of Education
Compliance requirement: Matching
Questioned costs: Unknown
Criteria—In accordance with 34 CFR §80,20(b)(3), the County's Maricopa Education Service Agency
(Agency) must maintain effective control and accountability over its grant programs. This includes ensuring
the grantee complies with applicable statutes, regulations, and approved applications as outlined in 34 CFR
§75.700.
Condition and context—The Agency agreed to match a total of $7,516,860 of program expenditures
over the 2012 grant award's (grant #S374A120089) 5-year term. The Agency planned to meet the match
with the administrative salaries of the school districts participating in the program. However, for the final two
grant years, the Agency did not meet the required match because two school districts were no longer
participating in the grant and one school district had a reduction in administrative staff, As of June 30, 2017,
the Agency did not meet the matching requirement by $505,965 for the full grant award. Although the Agency
had until September 30, 2017, to finalize the grant award's match, no additional matching funds were
contributed as of that date.
Effect—The Agency did not comply with matching requirements, resulting in potential questioned costs of
$505,965. The Agency informed the grantor of the changes to its participating schools and lack of matching
funds in its annual performance report; however, the Agency did not obtain a waiver to reduce the required
match, Auditors were unable to determine if acceptance of the performance report by the grantor waived
the County's additional matching requirement.
Cause—The Agency was aware that it did not meet the matching requirement because of changes to its
subrecipients but did not request a waiver from the U.S. Department of Education.
Recommendation—To help ensure the Agency complies with the matching requirements, the Agency
should monitor the match and determine if there is available funding to help match the program
requirements from other subrecipients or county funds. If the Agency is unable to meet the match, they
should communicate with the federal agency and determine if the grantor will waive the remaining
unmatched program dollars.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
Arizona Auditor General Man pa County—Schedule of Findings and Questioned Costs 1 Year Ended June 30, 2017
PAGE 9

2017-104
CFDA number and name: 84.374 Teacher and School Leader Incentive Grants (formerly
the Teacher Incentive Fund)
Award numbers and years: S374A100025, October 1, 2010 through September 30, 2016;
S374A120089, October 1, 2012 through September 30, 2017;
U374A160041, October 1, 2016 through September 30, 2021
Federal agency: U.S. Department of Education
Compliance requirement: Procurement
Questioned costs: None
Criteria—in accordance with 34 CFR §80.20(b)(3), the County's Maricopa Education Service Agency
(Agency) must maintain effective control and accountability over its grant programs. Additionally, to comply
with 2 CFR §80.36(b), a nonfederal entity must use its documented procurement procedures, which reflect
the applicable state and local laws and regulations. This includes ensuring competition impracticable
procurements exceeding an aggregate amount of $100,000 comply with the Maricopa County Procurement
Code MC1-351 and MC1-352,
Condition and context —The Agency did not always follow the County's procurement rules and
regulations. Specifically, the Agency paid a vendor $94,000 for services received prior to documenting or
submitting the competition impracticable form to the County's Office of Procurement Services and an
additional $100,000 prior to obtaining the Board of Supervisors' approval. Additionally, the Agency did not
provide a written explanation supporting the procurement. The original expenditures occurred approximately
4 months before the Agency completed the competition impracticable form and 1 year before board
approval.
Effect—The Agency did not comply with procurement requirements. The Agency documented later that
the vendor was the sole provider, and therefore, there are no questioned costs.
Cause—The Agency did not follow the County's Procurement Code because of insufficient oversight.
Recommendation—The Agency should follow the County's internal control policies and procedures to
ensure that all vendors being paid more than $100,000 are competitively procured and that the County's
Procurement Code is followed, If services are unavailable from another vendor, the Agency should
document that competition is impractical prior to obtaining services and entering into a contract. The Board
of Supervisors should approve the procurement.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
Arizona AuditOr General Maricopa County—Schedule, of Findings and Ouesfioned Costs 1 Year Ended June 30, 2017
PAGE 10

2017-105
CFDA number and name: 84.374 Teacher and School Leader Incentive Grants
(formerly the Teacher Incentive Fund)
Award numbers and years: S374A100025, October 1, 2010 through September 30, 2016;
S374A120089, October 1, 2012 through September 30, 2017;
U374A160041, October 1, 2016 through September 30, 2021
Federal agency; U.S. Department of Education
Compliance requirement: Reporting
Questioned costs: None
Criteria—To comply with 34 CFR §§75.702 and 75.730, internal controls should be maintained over
reporting to provide reasonable assurance that federal program reports are accurate and reliable. Failure to
accurately compile and report information could result in noncompliance with the program's reporting
requirements.
Condition and context—The County's Maricopa Education Service Agency (Agency) did not adequately
compile and review its final performance report (FPR) for grant #S374A100025. Specifically, the Agency
incorrectly reported its non-TIE, performance-based compensation costs, matching contributions, and
reimbursements to subrecipients in the financial section of the report. The Agency was unable to locate all
of the documentation to support the amounts reported in the report. Although matching dollars were
reported incorrectly for grant #5374A100025, the Agency did meet its federal matching requirement for this
grant award.
Effect—The FPR submitted to the federal grantor agency was not accurate. The Agency overstated its
reimbursements to subrecipients and matching contributions by approximately $680,000 and $820,000,
respectively, and understated the increasing share of non-TIF, performance-based compensation by
approximately $6,5 million on the report.
Cause—The Agency did not have adequate policies and procedures to help ensure supporting
documentation used to prepare the FPR was maintained and that the report was reviewed for accuracy and
completeness prior to submission,
Recommendation—To help ensure reports are accurately compiled, the Agency should further develop
its policies and procedures by requiring that a responsible employee performs a detailed review of the
reports and reconciles the reports to supporting documentation. All documentation used to compile the
report should be retained by the Agency.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-106.
Arizona Auditor General Maricopa County—Schedule of Findings and • • ' Guestoned Costs • illear Ended June 30 5 2017
PAGE 11

2017-106
CFDA number and name: 93.563 Child Support Enforcement
Award numbers and years: DI16-002158, October 1, 2015 through September 30, 2020;
G1604AZ4004, October 1, 2015 through September 30, 2020
Federal agency: U.S. Department of Health and Human Services
Pass-through grantor: Arizona Department of Economic Security
Compliance requirement: Allowable costs/cost principles
Questioned costs: Unknown
Criteria—In accordance with 2 CFA §200.430(i), the County's Superior Court (Court) should ensure that
employee payroll costs charged to the Child Support Enforcement program are supported by personnel
activity reports or equivalent documentation that supports distribution of each employee's activity during the
period. In addition, in accordance with 45 CFR §75.303, the Court must establish and maintain effective
internal control over the federal award that provides reasonable assurance that the nonfederal entity is
managing the federal award in compliance with federal statutes, regulations, and the awards' terms and
conditions.
Condition and context—During the fiscal year, the Court spent $1,263,678 in salaries and wages for its
Child Support Enforcement program. The Court charged salaries and wages to the program based on
spreadsheets used to track each employee's hours devoted to the program, but it did not retain this
documentation. Although county employees charging to the grant prepared a time sheet each pay period,
the time sheets did not specify the actual activity, and no periodic certifications were prepared. As a result,
auditors could not confirm the payroll amounts charged to the program were appropriate.
Effect—The Court may have charged inappropriate payroll costs to the program. As there was a lack of
documentation, auditors were unable to determine questioned costs, if any, that may have resulted from
this finding.
Cause—The Court did not have policies and procedures to maintain documentation to support its
allocation of payroll costs to the federal program.
Recommendation—The Court should develop and implement policies and procedures to ensure its
distribution of employees' payroll costs charged to the program is supported by items such as the
employees' time sheets or a time-study analysis.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-109.
Arizona Auditor General 14Taricops County—Schedule of Findings and Questioned Costs I Year Ended June 30, 2017
PAGE 12

2017-107
CFDA number and name: 93.600 Head Start
Award numbers and years: 09CH010385/01, July 1, 2016 through June 30, 2017;
09HP0004/02, July 1, 2016 through June 30, 2017;
09HP000105/01, March 1, 2017 through August 31, 2018
Federal agency: U.S. Department of Health and Human Services
Compliance requirement: Matching
Questioned costs: None
Criteria—In accordance with 45 CFR §1303.4, the County's Human Services Department (Department) is
required to match at least 20 percent of the total cost of the Head Start program, which can include cash
and in-kind matching contributions. Further, in accordance with 45 CFR §75.303, the Department must
establish and maintain effective internal control over the federal award that provides reasonable assurance
•that the Department is managing the federal award in compliance with federal statutes, regulations, and the
award terms and conditions.
Condition and context—The Department records in-kind contributions in its Child Plus database system
using data from approved in-kind contribution forms. However, for 10 of 60 in-kind contributions tested, the
Department did not have proper controls to ensure the amounts recorded in the system were accurate,
supported, or approved by an authorized employee. Specifically, for 9 contributions, the information
recorded in the Child Plus database system did not agree to the approved in-kind contribution forms, and
the Department did not retain documentation to support 1 contribution, Based on these sample items, the
Department both understated and overstated in-kind contributions. Auditors projected the total error in the
population to be approximately $118,000 and determined that the County met the matching requirement by
more than $1.5 million despite the instances of under- and overreported donated time identified.
Effect—Failure to properly enter information into the Child Plus database system could result in future
noncompliance with the program's matching requirements. It could also result in inaccurate data being
submitted to the federal grantor.
Cause—The Department does not have policies and procedures to perform reviews or audits to correct
errors in data entered into the Child Plus system. Further, the Department did not follow its policies and
procedures to ensure that all supporting documentation was maintained.
Recommendation—To help ensure that only allowable in-kind contributions are used to match federal
expenditures and the program's matching requirements are met, the County should strengthen its policies
and procedures for reviewing, approving, and documenting its in-kind match in the Child Plus database
system. Someone who is not responsible for entering the data into the system should perform this review.
The County's responsible officials views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-111.
Arizona Auditor General Maricona County—Schedule Findings and Questioned Costs I •• Year Ended • •
:•41;c; . ,
PAGE 13

2017-108
CFDA number and name: 93.600 Head Start
Award numbers and years: 09CH010385/01, July 1,2016 through June 30, 2017;
09HP0004/02, July 1, 2016 through June 30, 2017;
09HP000105/01, March 1, 2017 through August 31, 2018
Federal agency; U.S. Department of Health and Human Services
Compliance requirement: Reporting
Questioned costs: None
Criteria—In accordance with 45 CFR §75.341, the County's Human Services Department (Department)
should complete the SF-425, Federal Financial Report (FFR), to report federal expenditures. The Department
should prepare the report using the designated accounting basis and accurately report in-kind contributions
and the federal share of expenditures. Further, in accordance with 45 CEO §75,303, the Department must
establish and maintain effective internal control over the federal award that provides reasonable assurance
that the Department is managing the federal award in compliance with federal statutes, regulations, and the
award terms and conditions.
Condition and context—The Department did not adequately prepare and review the FFRs resulting in
various errors in five of six reports tested. Specifically, for four reports, the Department did not retain
documentation supporting its in-kind contributions for the Head Start/Early Head Start and Early Head Start
Child Care Partnership programs. In addition, the Department indicated it prepared all its reports on the
cash basis of accounting but prepared them under the accrual basis of accounting. As a result, the
Department reported the total federal share of expenditures incorrectly on four of the reports. Finally, four of
the reports were submitted after the due date.
Effect—The Department underreported the in-kind contributions on the FFRs for the Head Start/Early Head
Start and Early Head Start Child Care Partnership programs by $493,629 and $36,449, respectively. In
addition, the Department overstated the total federal share of expenditures on the annual FFRs for the Head
Start/Early Head Start and Early Head Start Child Care Partnership programs by $435,522 and $213,740,
respectively.
Cause—The Department did not retain documentation for all amounts reported at the time the FERs were
compiled and submitted. In addition, the Department's review of the FFRs failed to identify the errors
because of employee turnover resulting in new employees compiling and reviewing the reports.
Recommendation—The Department should further develop its policies and procedures over its review
process to ensure the FERs are compared to supporting records and any errors noted are corrected prior
to submitting them. In addition, the Department should retain documentation that supports the amounts
included in the FFRs at the time the reports are compiled. Further, the Department should improve its
policies and procedures to ensure that FFRs are properly reviewed and approved for accuracy by a second
employee and submitted to the federal agency in a timely manner.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
This finding is similar to prior year finding 2016-112,
Arizona Auditor General Maricopa County—Schedule of Findings and Questioned Costs I Year Ended June 30.2017
PAGE 14

Other auditors' findings
The other auditors who audited the Section 8 Housing Choice Vouchers program administered by the
County's Housing Authority reported the following significant deficiency.
2017-109
Cluster name: Housing Voucher Cluster
CFDA number and name: 14.871 Section 8 Housing Choice Vouchers
Award number and year: AZ20P009501-10, July 1, 2016 through June 30, 2017
Federal agency: U.S. Department of Housing and Urban Development
Compliance requirement: Reporting
Questioned costs: None
Criteria—Agencies are required to report leasing and other programmatic activity to the Voucher
Management System (VMS) on a monthly basis in accordance with the accrual method of accounting.
Condition and context—Financial data reported to HUD through the VMS was not reported in
accordance with program requirements as data contained errors or was otherwise incomplete. Missing data
included reporting monthly FSS escrow payments and FSS forfeitures. In addition, it is unclear if other activity
such as ACH returns and landlord repayments are effectively considered in reported amounts.
Effect—The Authority reported program expenditures in excess of actual amounts resulting in inaccurate
program funding totaling approximately $100,000 due to error and potentially another $73,663 due to
differences in annualized amounts versus amounts reported in the financial statements.
Cause—Employee oversight in reporting certain line items of VMS and lack of reconciliation and/or
assessment of completeness of data reported.
Recommendation—We recommend the Authority update VMS to adjust for items identified during the
audit to ensure that program funding is reconciled appropriately prior to closeout of the calendar year
funding period. In addition, reported amounts should be reconciled to bank activity and/or the Authority's
general ledger for appropriateness, accuracy, and completeness. Further, financial activity reported in VMS
should include all areas required by program requirements such as reporting of FSS Escrow Deposits and
FSS forfeitures in the appropriate reporting fields.
The County's responsible officials' views and planned corrective action are in its corrective action plan
included at the end of this report.
Arizona Auditor General IVIaricopa County—Schedule of Findings and Questioned Costs I Year Ended June 30, 2017
le4,5r•5Z,
PAGE 15

Arizona Auditor General Maricopa County--Schedule of Findings and Questioned Costs Year Ended June 30, 20 7
PAGE 16


Maricopa County
Schedule of expenditures of federal awarcks
Year ended June 30, 2017
Federal Pass-through Amount
agency/CFDA Pass-through grantor's Program provided to
number Federal program name Cluster title grantor numbers expenditures subrecipients
10 553 School Breakfast Program Child Nutrition Cluster Arizona Department ED09-0001
at Education 119,242
10 553 School Breakfast Program (Non cash) Child Nutrition Cluster Arizona Department E1109-0001
of Education 20,537
Total 10.553 139,779
10 555 National School Lunch Program Child Nutrition Cluster Arizona Department ED09-0001
of Education 188,095
. • . .
10 555' National School Lunch Program (Non Cash) Child Nutrition Cluster Arizona Department E1309-0001
of Education 32,396
Total 10.555 220,491
Total Child Nutrition Cluster 360,270
10 557 WIC Special Supplemental Nutrition Program for Arizona Department ADHS14-053007,
Women, infants, and Children of Health Services AD1-tS15-084210 11,204,424
10 558 Child and Adult Care Food Program Arizona Department KR02-1170-ALS
of Education 409,599
. . . .
10 561 State Administrative Matching Grants for the SNAP Cluster Arizona Department ADHS16-106547
Supplemental Nutrition Assistance Program of Health Services 2,187,767 $ 556,41.4
10 578 WIC Grants To States (WGS) Arizona Department ADHS14-053007
of Health Services 2.093
10 665 Schools and Roads—Grants to States Forest Service Schools
and Roads Cluster 103,573
10 904 Watershed Protection and Flood Prevention 17,935,723
10 916 Watershed Rehabilitation Program 9,404,486
10 16-LE-11031200-005 Cooperative Law Enforcement Agreement 126,167
Total Department of Agriculture 41,734,102 556,414
Vann) bi
14 218 Community Development Black CDBG - Entitlement
Grants/Entitlement Grants Grants Duster 1,954,829 1,420,459
14 231 Emergency Solutions Grant Program 180,346 180,346
14 289 HOME Investment Partnerships Program 3,433,547 2,851,271
14 350 Public and Indian Housing 2,741,683
14 870 Resident Opportunity and Supportive Services-
Service Coordinators 89,446
14 871 Section 8 Housing Choice Vouchers Housing Voucher Cluster 13,901,932
14872 Public Housing Capital Fund Program 1,397,057
14 896 Family Self-Sufficiency Program 59,445
14 900 Lead-Based Paint Hazard Control in Privately- City Of Phoenix 141175-0
Owned Housing 127,742
Total Department of Housing and Urban Development 23,886,027 4,452,076
Department of the intoner
15 226 Payments ..... .......... in Lieu of Taxes
15 227 Distribution of Receipts to State and Local
Governments 8,446
15 228 BLM Wildland Urban Interface Community Fire
Assistance 20,336 20,336
Total Department of the Interior 3,182,544 20,336
16 554 National Criminal History Improvement Program Arizona Criminal NCP15-16-003,
(NCHIP) Justice Commission NCP 16-17-004 233,730
. .
16 575 Crime Victim Assistance Arizona Department 2015-VA-GX-0032
of Public Safety 674,314
16 576 Crime Victim Compensation Arizona Criminal VC-17-056
Justice Commission 832307
See accompanying notes to scheduie.
PAGE 17

Maricopa County
Schedule of expenditures of federal awards
Year ended June 30, 2017
Federal Pass-through Amount
agency/CFDA Pass-through grantor's Program provided to
number Federal program name Cluster title grantor numbers expenditures subrecipients
16 593 Residential Substance Abuse Treatment for Arizona Criminal RSAT-16-005
State Prisoners Justice Commission 32,361
16 606 State Criminal Alien Assistance Program 1,529,773
16 609 Project Sate Neighborhoods Arizona Criminal PSN-15-002
Justice Commission 1206 ,
16 735 PREA Program: Demonstration Projects to
Establish 'Zero Tolerance" Cultures for Sexual
Assault in Correctional Facilities 80,809
16 738 Edward Byrne Memorial Justice Assistance
Grant Program 1,089,167
16 738 Edward Byrne Memorial Justice Assistance Arizona Criminal DC-16-027, DC-17-
Grant Program Justice Commission 327 822,111
Total 16.738 1,911,278 810,000
16 742 Paul Coverde41 Forensic Sciences Improvement Arizona Criminal CV16-17-002
Grant Program Justice Commission 9,488
16 754 Harold Rogers Prescription Drug Monitoring Arizona Criminal PDMP-15-001
Program Justice Commission 32,265
. .
16 755 Southwest Border Prosecution Initiative 99,867
_. • •• • . . .
16 756 Court Appointed Special Advocates Administrative A710705-16-1016-
Office of the Courts, G.1
Arizona Supreme .
Court 30,626
16 812 . Second Chance Act Reentry Initiative 292,710 70,018
16 833 National Sexual Assault Kit Initiative . 59,622
16 88A-PX-46088 Desert Hawk Violent Crime Task Force 33,478
16 SWAZP0734 Organized Crime Drug Enforcement Task
Forces 480,994
16 unknown DEA Task Force 49,718
Total Department of Justice 6,384,548 880,018
17 258 WICA Adult Program WIOA Cluster Arizona Department 0I16-002124
of Economic
Security . 3,754,850
17 259 WIOA Youth Activities Wl0A Cluster Arizona Department DI16-002124
of Economic
..... ... . . . • . . . Security . ........ ........ 3,632,232
17 278 WIOA Dislocated Worker Formula Grants WIOA Cluster Arizona Department 0116-002124
of Economic
Security 6,380,969
Total VVIOA Cluster 13,768,051
Total Department of Labor 13,768,051
Depart nt ofT partation
20 205 Highway Planning and Construction Highway Planning and Arizona Department AC STP-MMA-
Construction Cluster of Transportation 0(0239), AC SW-
MMA-0(248), AC
STP-MMA-0(0249),
CM-MMA-0(235),
CM-MMA-0(242),
CM-MMA-0(246),
CM-MMA-0(246)D,
CMAQ MMA-0(245),
CMAQ MMA-0(255),
CMAQ MMA-0(256),
NA-14-0004849-i,
MMA-0(257)F, STP
MMA-0(224) 2 687 538
See accompanying notes to schedule.
PAGE -D3

Maricopa County
Schedule of expenditures of federal awards
Year ended June 30, 2017
Pass-through Amount
Federal
Pass-through grantor's Program provided to
agency/CFDA
number Federal program name Cluster title grantor numbers expenditures subrecipients
20 205 Highway Planning and Construction Highway Planning and Maricopa 656
Construction Cluster Association of
Governments 952,948 390,576
Total Highway Planning and Construction
3,640,486 390,576
Cluster
20 237 Motor Carrier Safety Assistance High Priority Arizona Department FM-CVN-0124-16-
Activities Grants and Cooperative Agreements of Transportation 01-00 33,294
20 500 State and Community Highway Safety Highway Safety Cluster Arizona Governor's 2016-Al-001, 20 -:i 6-
Office of Highway AL-014, 2016-PT-
Safety 016, 2017-AI-003,
2017-AL-024, 2017-
AL-025, 2017-Ci0T-
013, 2017-PT-016 317,183
20 616 National Priority Safety Programs Highway Safety Cluster Arizona Governor's 2017-40511-0 .18
Office of Highway
Safety 9,482
Total Highway Safety Cluster 326,665
Total Department of Transportation 4,000,445 390,576
Instittft- f Mtiseuft-At
45 310 Grants to Stalas Arizona. f.slaie 2016-36026-15
Library. A -chives
ano I ifcc,-cs 5,453
66 001 Air Pollution Control Program Support 1,489,982
.66 0 .4 Surveys, Stumes, Research, Investigations,
Demonstrations, and Special Purpose Activities
Relating to the Clean Air Act 34,463
66 040 State Clean Diesel Grant Program 4:080
Total Environmental Protection Agency 1,528,525
Dopa men o
81 042 Weatherization Assistance for Low-Income Arizona Department 204-16, EW-ESA-14-
Persons of Administration 4181-03
Office of Grants
and Federal
305,932
Resources
84 002 Adult Education—Basic Grants to States Arizona Department 16FAEAPT-613237-
of Education 16B, 17EAFABE-
713237-160,
17FAEAPT-713237-
16B, 17FAEIEL-
713237-160,
17FEDW10-713237-
16B 221,074
. • .. . . . Arizona Department 16FLCCCT-6 .13245-
84 Title I State Agency Program for Neglected and
Delinquent Children and Youth of Education 02A 521
- . • • .•••• . . 16FEsSCB-613229-
84 027 Special Education—Grants to States Special Education Cluster Arizona Department
(IDEA) of Education 550, 17FESCBG-
613229-09A,
17FESSCG-713229-
55B 185.174
84 206 Javits Gifted and Talented Students Education Arizona Department 17-03-EDSG
of Education 50,000
• .
English Language Acquisition State Grants Arizona Department 16FELENG-613245-
of Education 664, 17FELENG-
713245-66A 52,854 52,854
84 374 Teacher and School Leader Incentive Grants
(forrrerly the Teacher Incentive . Fund) ..... ........ 19,755,551 . 9,319,272
See accompanying notes to schedule.
PAGE 19

Maricopa County
Schedule of expenditures of federal awards
Year ended June 30, 2017
Pass-through Amount
Federal
agency/CFDA Pass-through grantor's Program provided to
number Federal program name Cluster title grantor numbers expenditures subrecipients
84 411 Education innovation and Research (formerly
Investing in Innovation (13) Fund) 496,307 19,037
Total Department of Education 20,761,481 9,391,163
93 044 Special Programs for the Aging-- iTitie lit, Part Aging Cluster Area Agency on 2017-28-MCH
B—Grants for Supportive Services and Senior Aging
Centers 403,585
93 069 Public Health Emergency Preparedness Arizona Department ADHS12-007891,
of Health Services A ............. 2,276,719
. ..
93 074 Hospital Preparedness Program (HPP) and Arizona Department . ADHS12-007891,
Public Health Emergency Preparedness (PHEP) of Health Services ADHS17-133194
Aligned Cooperative Agreements 1,608,916
93 103 Food and Drug Administration— Research 61,423
93 116 Project Grants and Cooperative Agreements for Arizona Department ADHS13-042100
Tuberculosis Control Programs of Health Services 307,006
93 136 Injury Prevention and Control Research and Arizona Department ADHS16-109742
State and Community Rased Programs of Health Services 137 . 912 . ..
93 224 Health Center Program (Health Care for the Health Center Program
Homeless) Cluster 3,768,578 188.480
93 236 Grants to States to Support Oral Health Arizona Department ADHS13-037845
Workforce Activities of Health Services 3,202
93 268 Immunization Cooperative Agreements Arizona Department ADHS13-041805
of Health Services _648,764
93 297 Teenage Pregnancy Prevention Program 962,873 246,087
93 323 Epidemiology and Laboratory Capacity for Arizona Department ADHS16-130023
Infectious Diseases (ELC) of Health Services 29,002
93 505 Affordable Care Act (AGA) Maternal, Infant, and Maternal, Infant, and Arizona Department ADHS12-023419,
Early Childhood Home Visiting Program Early Childhood Home of Health Services ADHS17-155910
Visiting Cluster 1,210,420 371,604
93 870 Maternal, infant and Early Childhood Home Maternal, Infant, and Arizona Department ADHS12-023419,
Visiting Grant Program Early Childhood Home of Health Services ADHS17-155910
Visiting Cluster 770,627 236,586
Total Maternal, infant and Early Childhood Home
Visiting Cluster 1,981,047 608,190
93 539 PPHF Capacity Building Assistance to Arizona Department ADHS13-041805
Strengthen Public Health Immunization of Health Services
Infrastructure and Performance financed in part
by Prevention and Pubic Health Funds . . ..... 733,939
63. 5.58 Temporary Assistance for Needy Families TANF Cluster Arizona Department ADES15-089115
of Economic
Security 564,228
93563 Child Support Enforcement Arizona Department D116-002158,
of Economic G1604AZ4004
Security . . . . 2.797.700
93 568 Low-income Home Energy Assistance Arizona Department 204-16, LW-ESA-12-
of Housing 2182-03 822,621
.93 568 Low-Income Flume Energy Assistance Arizona Department ADES15-089115
of Economic 2,928,456
Total 93.568 3,751,077
93 569 Community Services Block Grant Arizona Department AGES 15-089115
of Economic
Security 610,104 12,610
93 576 Refugee and Entrant Assistance—Discretionary Arizona Department DE10)038-001
Grants of Economic
Security . 696,122
93 597 Grants to States for Access and Visitation Arizona Department DI16-002145
Programs of Economic
Security 39 739
93 600 Head Start 15,587,141
93 667 Social Services 'Block Grant Area Agency on 2017-28-MCH
Aging 187,379
See accompanying notes to schedule,
FACE 20

Maricopa County
Schedule of expenditures of federal awards
Year ended June 30, 2017
Pass-through Amount
Federal
Pass-through grantor's Program provided to
agency/CFDA
number Federal program name Cluster title grantor numbers expenditures subrecipients
93 667 Social Services Block Grant Arizona Department ADES15-089115
of Economic
Security 315271 315,934
'rota! 93.667 503,350 315,934
93 758 Preventive Health and Health Services Block Arizona Department ADHS15-078134,
Grant funded solely with Prevention and Public of Health Services ADHS16-102232
390,139
Health Funds (PPHF)
93 914 HIV Emergency Relief Project Grants . . . 9,064,690 6,043,924
93 917 HIV Care Formula Grants Arizona Department ADHS14-059037,
of Health Service ADHS17-155496 478,096 118,340
93 026 Healthy Start Initiative 1,695,865 242,384
93 940 HIV Prevention Activities—Health Department Arizona Department ADHS13-034910,
Based of Health Services ADHS16-113997 793,351
93 944 Human Immunodeficiency Virus (HIV)/Acquired Arizona Department ADHS12-016584
Immunodeficiency Virus Syndrome (AIDS) of Health Services
33,830
Surveillance
93 945 Assistance Programs for Chronic Disease Arizona Department ADHS14-061877,
Prevention and Control of Health Services ADHS16-113997,
ADHS16-114422 168,943
93 959 Block Grants for Prevention and Treatment of Governors Office of IGA-SABG-GR-16-
Substance Abuse Youth, Faith and 040116-08, IGA-
Family SABG-GR-17-
070116-08 48,148
93 977 Sexually Transmitted Diseases (STD) Prevention Arizona Department ADHS16-116340,
and Control Grants . of Health Services ADHS14-071224 548,697
93 994 Maternal and Child Health Services Block Grant Arizona Department ARTS -13-037845,
to the States of Health Services ADHS14-074958,
ADHS16-102232 977,180
Total Department of Health and Human Services 51,671,366 7,775,949
94 006 AmeriCorps Arizona Governor's AZ-VSG-15-0901
Office for Children, 07, AC-VSG-15-
Youth and Families 090115-07Y2 168,027
95 001 High Intensity Drug Trafficking Areas Program
Departiner0f*Ineland Security -
97 042 Emergency Management Performance Grants -Arizona Department OHS-16-GPD-042-
of Emergency and 09-01, EMW-2015-
Military Affairs EP-00048, EMW-
2017-EP-000008-
S01 763,979
97 067 Homeland Security Grant Program Arizona Department 140805-05, 150811-
of Homeland Cl r 150811-02,
Security 150811-03, 160204-
1, 160204-02,
160205-01, 160205-
2, 160812-01,
160812-02, 160812-
03 787,908
97 091 Homeland Security Biowatch Program 593,865
Total Department of Homeland Security 2,145,752
$ 170,068,055 $ 23,466532
Total expenditures of federal awards
See accompanying notes to schedule.
Pascal

Maricopa County
Notes to schedule of expenditures of federal awards
Year ended June 30, 2017
Note 1 - Basis of presentation
The accompanying schedule of expenditures of federal awards (schedule) includes Maricopa County's
federal grant activity for the year ended June 30, 2017. The information in this schedule is presented in
accordance with the requirements of Title 2 U.S. Code of Federal Regulations (CFR) Part 200, Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform
Guidance).
Note 2 - Summary of significant accounting policies
Expenditures reported on the schedule are reported on the modified accrual basis of accounting, except for
the following programs: Schools and Roads—Grants to States (10.665), Payments in Lieu of Taxes (15.226),
and Distribution of Receipts to State and Local Governments (15.227). For these programs, revenues
received during the fiscal year are considered earned and are reported as expenditures. All remaining
expenditures are recognized following the cost principles contained in the Uniform Guidance, wherein
certain types of expenditures are not allowable or are limited as to reimbursement. Therefore, some amounts
presented in this schedule may differ from amounts presented in, or used in the preparation of, the financial
statements.
Note 3 - Catalog of Federal Domestic Assistance (CFDA) numbers
The program titles and CFDA numbers were obtained from the federal or pass-through grantor or the 2017
Catalog of Federal Domestic Assistance. When no CFDA number had been assigned to a program, the two-
digit federal agency identifier and the federal contract number were used. When there was no federal
contract number, the two-digit federal agency identifier and the word "unknown" were used.
Note 4 - Indirect cost rate
The County did not elect to use the 10 percent de minimis indirect cost rate as covered in 2 cFri §200.414.
PAGE 22


Maricopa County
Office of Assistant County Manager and Department of Finance
Shelby L. Scharbach
CPA, CGFIYI
Assistant County 3\ fanager March 23, 2018
and
Chief Financia.1 Officer
301 West Jefferson St .Suite
960
Phx, AZ 85003-2148
Phone: 602-506-3561
Fax: 602-506-4451
www.rnaricopa.gov
Debbie Davenport
Auditor General
2910 North 44th Street, Suite 410
Phoenix, AZ 85018
Dear Ms. Davenport:
We have prepared the accompanying corrective action plan as required by the
standards applicable to financial audits contained in Government Auditing
Standards and by the audit requirements of Title 2 U.S. Code of Federal
Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Regulations. Specifically, for each finding we are
providing you with our responsible officials' views, the names of the contact people
responsible for corrective action, the corrective action planned, and the
anticipated completion date.
Sincerely,
Shelby L. Scharbach
Assistant County Manager — Chief Financial Officer

Maricopa County
Corrective Action Plan
Year Ended June 30, 2017
Federal award findings and questioned costs
2017-101
: CF DA No: 10.904 Watershed Protection and Flood Prevention
Department: Maricopa County Flood Control District
Contact person(s): David Turner, Finance Support Supervisor Flood Control District,
(602) 506-861
:Anticipated completion date: March 31, 2018
County Response: Concur
County Corrective Action Plan: The Maricopa County Flood Control District has policies
and procedures to accurately report and submit timely quarterly Federal Financial Reports
(FFR). However, as these federal program grants are construction related, events occur
that affect who may be responsible for certain construction expenditures which can delay
the accurate reporting of federal and recipients share of expenditures. These events also
delayed the timeliness of the same quarterly reports. In addition, clerical errors were
made on other occasions that were detected with subsequent reviews per district
procedures. These errors were corrected, and amended quarterly FFR's filed with the
grantor.
2017-102
_CFDA No: 84.374 Teacher and School Leader Incentive Grants
Department: Maricopa County -Education Service-Agency -
Contact person(s): Marc Kuffner, Assistant Superintendent for Economic Managernen
(602) 506-2068
.Anticipated completion e 30, 2017
County Response: Concur
County Corrective Action Plan: The Maricopa County Education Service Agency
(MCESA) has policies and procedures to ensure that its subrecipients are reimbursed for
only allowable expenditures incurred during the award period of availability. The Teacher
Incentive Fund grant is a five year award and MCESA received a one year no cost
extension from the U.S. Department of Education. However, the intergovernmental
agreements with the subrecipients were not extended. These allowable expenditures did
occur within the grant award period of availability.
'2017-103
CFDA No.: 84,374 Teacher and School Leader Incentive Grants
Department: Maricopa County Education Service Agency
Contact person(s): Marc Kuffner, Assistant Superintendent for Economic Managemen
(602) 506-2068
Anticipated conipletiondat September 30, 2017
County Response: Concur
County Corrective Action Plan: The Maricopa County Education Service Agency
(MCESA) notified the U.S. Department of Education (USDOE) of a reduction in matching
funds through the Annual Performance Report (APR) and Interim Performance Report

Maricopa County
Corrective Action Plan
Year Ended June 30, 2017
(IPR) process by submitting both budget and match adjustments. MCESA believes
USDOE approved the adjustments through the APR/IPR process. MCESA is updating its
procedures to ensure a formal waiver is requested from the grantor if the required match
amount may not be met.
2017-104
CFDA No: 84.374 Teacher and School Leader Incentive Grants
Department: Maricopa County Education Service Agency
Contact person(s): Marc Kuffner, Assistant Superintendent for Economic Managemen
(602) 506-2068
Anticipatedcompletion date: June,30 2017
County Response: Concur
County Corrective Action Plan: The Maricopa County Education Service Agency
(MCESA) will comply with the County's Procurement Code (MCI-351 and MCI-352) for
any purchases over $100,000. This includes Board approval for sole-source contracts
prior to obtaining services. In addition, MCESA will also improve documentation for the
rationale for any competition impracticable contracting decisions.
Elk
2d17-105
CFDA No,: 84,374 Teacher and School Leader Incentive Grants
Department: Maricopa County Education Service Agency
Contact person(s): Marc Kuffner, Assistant Superintendent for Economic Managemen
(602) 506-2068
:rffiptpftd conipilpWrg March 31, 2018
County Response: Concur
County Corrective Action Plan: The Maricopa County Education Service Agency
(MCESA) updated its policies and procedures to ensure that reports are completed
accurately. However, procedures and policies were not always followed due to new
personnel and role changes. Further training will ensure that supporting documentation
is maintained and reviews by knowledgeable staff are completed prior to submission.
*i:47-106
CFDA No.: 93_563 Child Support Enforcement
Department: Maricopa County Superior Court
Contact person(s): Cheri Clark, Family Court Administrator/Director Conciliation Services,
(602) 506-2109
Anticipated Completion date: June 30, 2018
County Response: Concur
County Corrective Action Plan: Maricopa County Superior Court implemented an
application to create a time study analysis. Although timesheets were completed last year,
to address ongoing concerns, Maricopa County Superior Court is using data from a
software application to create a time study analysis. This will capture a representative
sample of staff and time spent on Child Support Enforcement eligible activities for a

Maricopa County
Corrective Action Plan
Year Ended June 30, 2017
representative, sample of months. The time study analysis is anticipated to be completed
by March 31, 2018 and will be applied retroactively for reporting employee payroll costs
charged to the program in Federal Fiscal Year 2018. The Court has enlisted the Court's
Grant Manager to provide a review and audit of the policies and procedures regarding
this funding source to ensure they meet the funding requirements.
2017-107
CFDA No.: 93.600 Head Start
Department: Maricopa County Human Services Department
Contact persons): Jacqueline Edwards, Deputy Director, 602-506-4812
Anticipated cornpiption date: March 31, 2018 -
County Response: Concur
County Corrective Action Plan: The Maricopa County Human Services Department has
developed a new electronic database system that permits real-time entry of volunteer
time contributions. This system will store the required support documentation for the
volunteer time contributions and calculate the volunteer hours. This will ensure accurate
information is recorded and the total amount of in-kind contributions is accurately reported
to the grantor. The Department has revised policies and procedures related to in-kind
match documentation and entry in conjunction with the implementation of this new
database system, which ensures compliance with program requirements. A secondary
review and approval of match documentation will also be completed by program staff not
responsible for in-kind forms.
2017-108
CFDA No.: 93,600 Head Start
Department: Maricopa County Human Services Department
Contact person(s): Jacqueline Edwards, Deputy Director, 602-506-4312
Anticipated comptetipn date: March 10, 2013
County Response: Concur
County Corrective Action Plan: The Maricopa County Human Services Department has
updated policies and procedures to ensure reports include adequate documentation and
are retained. Additionally, processes have been strengthened to ensure that supporting
documentation is included with each financial report prior to processing. The Department
has implemented a tracking system that documents report due dates, the person
responsible for report completion, and the staff member responsible for review. The
review includes the Finance Manager, Program Staff, and the Deputy Director. Finally,
processes have been strengthened to ensure that reports are submitted on time.

Maricopa County
Corrective Action Plan
Year Ended June 30, 2017
2017-109
Depailmenti Housing Authority of Marloopa County
Contact person(s): Mario Anites, Director of Finance and Portfolio Management, (602)
/44-4517
iAnt.iplpated completion date i December 2017
County Response: Concur
County Corrective Action Plan: The Housing Authority of Maricopa County (HAMC) will
be reconciling VMS data with bank activity as part of the bank reconciliation and month
end process to include proper classification on financial statements, sub ledgers, and
external reports along with timely resolution of unreconciled or outstanding balances.
Complete, corrective action has been taken with full implementation by December 2017,
which includes audit adjustments to VMS reports and reconciliation and transfer of FSS
balances.

Mancopa County
Office of Assistant County Manager and Department of Finance
Shelby L. Scharbach
CPA, CGEM
Assistant Manager and County March 23, 2018
Chief Financial Officer
331 West Jeffefson St
Suitt 960
Phx, _AZ 85003-2148
Phone: 602-506-3561
Fax: 602-506-4-451
www.maricopa.goy
Debbie Davenport
Auditor General
2910 North 44th Street, Suite 410
Phoenix, AZ 85018
Dear Ms. Davenport:
We have prepared the accompanying summary schedule of prior audit findings
as required by the audit requirements of Title 2 U.S. Code of Federal Regulations
Part 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards. Specifically, we are reporting the status of audit
findings included in the prior audit's schedule of findings and questioned costs.
This schedule also includes the status of audit findings reported in the prior audit's
summary schedule of prior audit findings that were not corrected.
Sincerely,
Shelby L. Scharbach
Assistant County Manager — Chief Financial Officer

Maricopa County
Summary Schedule of Prior Audit Findings
Year Ended June 30, 2017
Status of financial statement findings
The County should follow its policies and procedures when preparing financial
statements and note disclosures
Finding No. 2015-01
Status: Fully corrected.
The County should improve access controls over its information technology
resources
!Finding - No, 2015-02
*Ow Polfgkcquppl,e, d.
Access control procedures for Treasurer IT systems have been updated to ensure users
with multiple IDs are identified and approvals are fully documented. Access controls
related to new employees have been revised to prevent access prior to management
approval. The Treasurer's Office is currently implementing a new financial system that
will be implemented in fiscal year 2018. It is anticipated that controls for this system will
adhere to current National Institute of Standards and Technology (N 1ST) guidelines and
help correct the remaining deficiencies. Contact person is Phil Van Kley, Information
Systems Manager, Maricopa County Treasurer, (602) 506-4635.
,Housing Authority of Maricopa County ffIA General Ledger MIttice
'Finding No 2015-05
Status; Not corrected.
The Housing Authority of Maricopa County (HAMC) will be updating the bank
reconciliation process to include timely resolution for "unreconciled" or "need more
research" items along with separate reconciliations for non-cash items. Additionally
trainings and technical assistance has been obtained to accelerate and address the
agency's learning curve for new staff. Corrective action is anticipated to be implemented
by December 2017. Contact person is Mario L. Aniles, HAMC Director of Finance and
Portfolio Management, (602) 744-4517.
The County -should follow its policies and procedures when preparing financial
statements and note disclosures
,Finding No 2016-01
thus: Fully corrected.
The County should improve access controls over its information systems
iFinding No 2016-02
!SO_tus Partiglly correqted
Maricopa County takes all IT audit findings seriously and will make efforts to resolve any
deficiencies. The County improved access controls over its IT resources by resolving
account concerns and implementing policy. The Treasurer's Office updated its access

Maricopa County
Summary Schedule of Prior Audit Findings
Year Ended June 30, 2017
controls. A new system should be fully implemented in March 2018 that will comply with
NIST guidelines and completely correct the deficiency. Contact persons are Kevin
Westover, Business Integration Specialist, Office of Enterprise Technology (602) 506-
1667 and Phil Van Kley, Information Systems Manager, Maricopa County Treasurer,
(602) 506-4635.
The County should establish internal controls over temporary employees' payroll
Finding No. 2016-03
tatus: Fully c
Justice Courts Administration needs to improve controls over purchasing cards
Finding No. 2016-04
StaWs: Fully corrected
The County should improve controls over purchasing controls
IFinding No. 2016-05
"Status : FOY corrected
'Housing Authority of Maricopa County iHAMC): General Ledger Maintenance
Finding No 2016-06
Ws.: Not corrected.
The Housing Authority of Maricopa County (HAMC) will be updating the bank
reconciliation process to include timely resolution for "unreconciled" or "need more
research" items along with separate reconciliations for non-cash items. Additionally
trainings and technical assistance has been obtained to accelerate and address the
agency's learning curve for new staff_ Corrective action is anticipated to be implemented
by December 2017. Contact person is Mario L. Aniles, HAMC Director of Finance and
Portfolio Management, (602) 744-4517.
Status of federal .award findings and questioned costs
'dF11)A No.: tf4474 Teacher Incentive Fund
Finding No. 2014-108
.Status: Fully corrected,
CFDA No.: 10.904 Watershed Protection and Flood Prevention
, Finding No, 2015-101
Status : Pala& cciffgaP.0,
The Maricopa County Flood Control District understood this item was fully corrected as
of September 30, 2016. The District understood that the only in kind match expenses that
were to be reported on Federal Financial Reports (FFR) were those that were 'certified'.
The District now understands that if certified match amounts do not meet the District's
35% match requirement, otherwise reimbursement eligible costs are paid by the District
and included on the applicable quarterly FFR. A written concurrence has been requested

Maricopa County
Summary Schedule of Prior Audit Findings
Year Ended June 30, 2017
with the grantor (National Resource Conservation Service - NRCS). Contact person is
David Turner, Finance Support Supervisor Flood Control District, (602) 506-8617
ZR5A No.: 84_374 Teacher Incentive Fund
Finding No. 2015-102
Status: Fully corrected
CFDA No.,: 84.374 Teacher Incentive Fund
;Finding No. 2015-105
Fully corrpgtgd.
CFA No.: 93.563 Child Support Enforcement
Finding No. 2015-108
Status: Not corrected..
Maricopa County Superior Court implemented an application to create a time study
analysis. Although timesheets were completed last year, to address ongoing concerns,
Maricopa County Superior Court is using data from a software application to create a time
study analysis. This will capture a representative sample of staff and time spent on Child
Support Enforcement eligible activities for a representative sample of months. The time
study analysis is anticipated to be completed by March 31, 2018 and will be applied
retroactively for reporting employee payroll costs charged to the program in Federal Fiscal
Year 2018. The Court has enlisted the Court's Grant Manager to provide a review and
audit of the policies and procedures regarding this funding source to ensure they meet
the funding requirements. Contact person is Cheri Clark, Family Court
Administrator/Director of Conciliation Services, (602) 506-2109.
tFDA No.: 93.568 Low-Income Home Energy Assistance
finding No. 2015-109
.Status: Fully corrected.
t FDA No.: 10.904 Watershed Protection and Flood Prevention
Finding No. 2016-101
IStatus: F
CFDA No flrbo4 Watershed Protection and Flood Prevention
10.916 Watershed Rehabilitation Program
Finding No,. 2016-102
StAtus:,,P,Ailiat4„,courpctqd
The Maricopa County Flood Control- District understood this item was fully corrected as
of September 30, 2016. The District understood that the only in kind match expenses that
were to be reported on Federal Financial Reports (FFR) were those that were 'certified'.
The District now understands that if certified match amounts do not meet the District's
35% match requirement, otherwise reimbursement eligible costs are paid by the District
and included on the applicable quarterly FFR. A written concurrence has been requested

Maricopa County
Summary Schedule of Prior Audit Findings
Year Ended June 30, 2017
with the grantor (National Resource Conservation Service - NRCS). This item is fully
corrected for CFDA 10.916. Contact person is David Turner, Finance Support Supervisor
Flood Control District, (602) 506-8617
j'Z39 f4, EInvestment Partnership PIogram
Findin No 2016-103
Status rtrrected
:dFDA No.: 17.253 WIA/VVIOA Adult Program
17.259 VVIANVIOA Youth Activities
17.278 WIANVIOA Dislocated Work Formula Grants
Finding No, 2016- 104
AtAtus: Fully corrected
tFDA e: 84474 Teacher Incentive Fund
IFindin No, 2016-105
Status lly corre
,CFDA No,: 84.374 Teacher Incentive Fund
, Finding No. 2016- 106
Partiatty corpt.ed.
The Maricopa County Education Service Agency (MCESA) updated its policies and
procedures to ensure that reports are completed accurately. However procedures and
policies were not always followed due to new personnel and role changes. Further training
will ensure that supporting documentation is maintained and reviews by knowledgeable
staff are completed prior to submission. Contact person is Marc Kuffner, Assistant
Superintendent for Economic Management & Consulting, (602) 506-8617.
74 Teacher Incentive Fund
finding No. 2016-107
'Status: Partially corrected.
The Maricopa County Education Service Agency (MCESA) has policies and procedures
to ensure that before the award monitoring including obtaining DUNS numbers is
completed for new subrecipients. DUNS numbers were verified for all current
subrecipients by March 2017 and MCESA considers this portion of the finding fully
corrected. The Teacher Incentive Fund grant is a five year award and MCESA received
a one year no cost extension from the U.S. Department of Education. However, the
intergovernmental agreement with the subrecipients was not extended. These allowable
expenditures did occur within the grant awards period of availability. Contact person is
Marc Kuffner, Assistant Superintendent for Economic Management & Consulting, (602)
506-8617.

Maricopa County
Summary Schedule of Prior Audit Findings
Year Ended June 30, 2017
CFDA No.: 93.224 Health Center Program (Health Care for the Homeless
Finding No. 2016-108
)is: Fully cofrocted.
CFDA No.: 93=.643thild Support Enfoitement
Finding No. 2016-109
Status : Not corrected_
Maricopa County Superior Court implemented an application to create a time study
analysis. Although timesheets were completed last year, to address ongoing concerns,
Maricopa County Superior Court is using data from a software application to create a time
study analysis. This will capture a representative sample of staff and time spent on Child
Support Enforcement eligible activities for a representative sample of months. The time
study analysis is anticipated to be completed by March 31, 2018 and will be applied
retroactively for reporting employee payroll costs charged to the program in Federal Fiscal
Year 2018. The Court has enlisted the Court's Grant Manager to provide a review and
audit of the policies and procedures regarding this funding source to ensure they meet
the funding requirements. Contact person is Cheri Clark, Family Court
Administrator/Director of Conciliation Services, (602) 506-2109.
ditA NO.; 93.51:t Low-Income Home Energy Assistance
finding No, 2016-110
,Status; Fully corrected.
dFDA No.: 93.600 Head Start
Finding No. 2016-111
,atafu: P corrected.
The Maricopa County Human Services Department updated its policies and procedures
for in kind reporting. A new electronic tracking application was partially implemented in
February 2017. Full implementation of the application is anticipated by July 2018. Contact
person is Jaqueline Edwards, Deputy Director, (602) 506-4812.
1CFDA No.: 93.600 Head Start
Finding No. 2016-112
111 ;=:,EP. all srrected,
The Maricopa County Human Services Department updated its policies to ensure
required financial reports are completed accurately. The department is in the process of
implementing additional processes to ensure that supporting documents are retained with
copies of the financial reports in the document storage system. Additionally, reports are
reviewed to supporting documentation by the program and finance managers for
accuracy prior to submission. Corrective action is anticipated to be fully implemented by
June 30, 2018. Contact person is Jaqueline Edwards, Deputy Director, (602) 506-4812.

ARIZONA.
AuditorGeneral
Making a Positive Difference

END OF REQUEST FOR GRANT
APPLICATION
FTF-MULTI-19-0671-00
FTF-MULTI-19-0671-00 Page 159 of 159