MARC COMMUNITY RESOURCES, INC APPLICATION GRIC 2017.PDF
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Last updated: 02/08/2017 General information Organization Marc Community Resources, Inc. Contact First name John Contact Last name Moore Contact e-mail john.moore@marccr.com Contact phone number 480-222-3257 Address Street 924 N Country Club Drive City Mesa State AZ ZIP Code 85201 From what tribe is the organization requesting the grant? Gila River Indian Community Total grant amount request 90,000 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian Community Grants Only) 90,000 Year 2 (Gila River Indian Community Grants Only) Year 3 (Gila River Indian Community Grants Only) Year 4 (Gila River Indian Community Grants Only) Year 5 (Gila River Indian Community Grants Only) 1 / 2 2 / 2 Gila River Indian Community Grant Application Grant Cycle 2017 Cover Sheet Municipality Information 1. Date of Application: 2/22/2017 (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa County 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Denny Barney 4. Mailing Address: 301 W Jefferson, 10th Floor 5. City: Phoenix State: Arizona Zip Code: 85003 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Melody Henderson/Maricopa County Government Relations Signature: Applicant Information 7. Department/Organization Name: Marc Community Resources, Inc. 8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: John Moore Title: President/CEO 10. Phone Number: 480-222-3257 11. Mailing Address: 924 N Country Club Drive 12. City: Mesa State: Arizona Zip Code: 85201 13. Email Address: john.moore@marccr.com Website Address: www.marccr.com Project Information 14. Project Name: Employment Training & Day Program for Individuals w/Severe Developmental Disabilities 15. Purpose of Grant: Construction of an employment training and day program for individuals with severe intellectual and developmental disabilities in Chandler, ideally situated to serve the unmet needs of the surrounding population. 16. Priority Funding Area Education 17. Annual amount requested $90,000 18. Number of years that funding is requested 1 19. Total amount requested (annual amount x $90,000 number of years) For Office Use Only: Data Entry Receipt Evaluation Outcome Approval Recommended/Amount $ Denial Gila River Indian Community Grant Application Grant Cycle 2017 20. Has your organization received past funding No from GRIC? If yes, list each year and amount Chandler, Ahwatukee and cities immediately south 21. Geographic area served toward Maricopa Gila River Indian Community Grant Application Grant Cycle 2017 Narrative Please structure your proposal to provide the following information in the order indicated. Provide the narrative in paragraph form in the text field provided. Please be thorough but strive for brevity. 1. Briefly describe the organization’s history, mission and goals. Now in its 60th year of operation, Marc’s mission is to provide opportunities to people who have disabilities to determine where and how they live, learn, work and play. Marc is a not-for-profit organization that has been providing a comprehensive continuum of educational, vocational, day activity, community living, affordable housing, outpatient clinic services, psychiatric intervention, in- home supports and other related programs for people with intellectual disabilities, developmental delays (ID/DD) and behavioral health challenges since 1957. Today, we assist approximately 4,000 individuals and their families in pursuing the highest level of independence, based upon principles of choice, inclusion and community integration. Over the past five years, Marc has served approximately 100 Native Americans each year. All the individuals we serve are low income and have been medically determined to be at risk for institutionalization, including assisted living, nursing care, hospitals and jails. Our services, including supported housing, employment, in-home support, host homes, health and wellness, day programs, counseling and family support, help keep the family unit intact and help individuals with severe medical and behavioral challenges to pursue a meaningful life and the greatest level of self-sufficiency possible. Marc was named the 2016 Nonprofit of the Year by the Mesa Chamber of Commerce. 2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with Arizona municipalities including past and present support, whether it be through partnerships, collaborations, in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in this project. If the applying organization is a municipality governmental sub- division please enter the text “Not applicable.” For this grant application, Maricopa County will receive the grant and then distribute the awarded funds as appropriate. Marc has a long history of collaboration with and support from Maricopa County. Dating back to 1975, the County Board of Supervisors, led by Tom Freestone, leased a building to Marc in East Mesa for $1 a year and provided CDBG funding to make building improvements. This space became Marc’s second day program for individuals with developmental disabilities in Mesa. In 2007, the County deeded a 5 acre park to Marc in order to build a new day program and 28 units of low income housing for individuals with special needs. The County regularly provides Marc with tickets to sporting events for the benefit of the individuals we serve in our day programs and group homes. The Maricopa County Industrial Development Authority (IDA), managed by the County Board of Supervisors, has approved two Gila River Indian Community Grant Application Grant Cycle 2017 separate low interest rate tax-exempt bonds allowing Marc to refinance debt and complete capital projects totaling about $9 million. The IDA has also approved grants totaling $100,000. In addition, Marc has a long history of collaboration and support with the City of Mesa where it was founded and maintains its headquarters. Marc employees serve on the City of Mesa Human Relations committee and are actively involved on the City’s Housing our Heroes initiative to provide supporting services to homeless veterans. Marc has a contract with the City of Mesa to employ individuals with disabilities to make sandwiches for police detainees. Marc receives funding each year from Mesa United Way. For the past ten years, Marc has received City of Mesa Human Services funding to support its employment program and received Community Development Block Grant (CDBG) funding for several capital campaigns. The City of Mesa used Neighborhood Stabilization Program (NSP) funding to purchase and rehabilitate four different bankrupt housing units in blighted neighborhoods and then deeded the homes to Marc to use in its programs and rent to low income citizens. The campus that Marc calls its headquarters was deeded to Marc by the City of Mesa. 3. Describe the proposed project and planned goals and activities. Marc will construct an employment training and day program for individuals with severe intellectual and developmental disabilities at its new location at 201 S. Roosevelt Avenue in Chandler, ideally situated to serve the unmet needs of the surrounding population. The new day program will be coupled with employment training for those that choose this option. Marc has one of the largest vocational programs for individuals with disabilities in Arizona. Individuals served and their families highly prefer to pair services at day programs with employment training to facilitate significant progressive steps to self-sufficiency. While Marc purchased the property in May 2016 (see photo attached), significant renovations are required to create a safe and appropriate learning and supportive environment including, but not limited to, specialized rubber flooring (falling is common due to seizures and ambulatory challenges), sensory rooms (light, sound, smells and touch can have a profound negative impact on some of the people we serve), smart board technology (effective cognitive exercises and entertainment), specialized stove (reduces burns), ADA compliant bathrooms with showers and Hoyer lifts (to allow safe lifting of service recipients). More information about our day programs, including testimonials, can be found at http://marccr.com/marc-services/community-day- services. 4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. This grant satisfies several of the priority funding areas identified by the Gila River Indian Community. First, a day program has many elements of both Education and Healthcare. Education: Gila River Indian Community Grant Application Grant Cycle 2017 In terms of education, the life skills program provides services to adults with moderate to profound developmental disabilities who have adequate motor and adaptive skills to train for life skills in a closely supervised, structured setting. The Program is designed to meet the diverse needs of all individuals and promote personal growth in maximizing functional ability, independence, and exposure to work activities. The primary focus is to participate in and build on meaningful activities and community integration. Individual goals are developed to enhance each participant’s potential to train for maximum development. Every six months, a review of the participant’s programs is provided. Annually, or if a major change has occurred, a meeting is held with all concerned parties. Educational opportunities include: community resources training, nutrition and health training, stranger/danger, living safely in a community, community sign recognition, money management, being a volunteer, social skills training/education, learning cooking skills, exercising for increased mobility and strength, and recreational education such as watching favorite movies, going to baseball games or the local library, and shopping. Individuals served in the day programs did not fully reach their potential while they were still attending public school. Our goal is to continue their education throughout their adult life in order to maximize the learning possibilities for those served and thereby increase their independence. The average age of an individual who moves on to employment from a day program this past year was 26.5 years of age. Healthcare: Although the deinstitutionalization movement in the 1970s supported individuals with disabilities to live in community settings with rights and opportunities for education, recreation, employment, and housing, the social and environmental supports needed for healthy lifestyles were not often considered. Consequently, people with ID/DD continue to have widening inequities in healthcare services compared with their peers without disabilities, as well as poorer health outcomes. Despite the documented benefit of health promotion and education to maintain health and control risk factors, people with ID/DD continue to be excluded from many community-based health promotion programs. Marc’s adult day services provides an organized program in a community group setting to promote social, physical and emotional wellbeing. Individuals served are encouraged to establish one or more health-related goals. Marc’s day programs place an emphasis on increasing skills and maintaining self-help skills and advocacy. We teach the individuals age-related health and behavioral skills in both community and classroom settings. Basic nutrition is taught as part of our cooking class and health is taught along with our exercise classes. Gaining new strength and maintaining current body condition is crucial to our participants’ well-being and continued life. Being the most vulnerable of adults, the day programs place a high importance on cleanliness to avoid illness that may decrease overall health. Health and wellness continues to be emphasized at all day program sites. Sites are equipped with exercise bicycles, elliptical machines, therapy balls, range of motion equipment and yoga mats. Marc day programs provide activities that promote flexibility, strength, balance, conditioning, nutrition, oral hygiene and more. Two of Marc’s individuals lost over 60 pounds together in the past year as a result of their participation in daily exercise, Zumba, community outings and dances. We are also serving older disabled seniors due to advancing medical technology. For example, age 50 used to be a major Gila River Indian Community Grant Application Grant Cycle 2017 milestone for the people we serve. Today, we have 35 individuals over the age of 56. For this senior group, stretching and basic exercise like walking are critical. Economic Development: Marc will provide job skills training for individuals participating in the day program with the goal to obtain work that meets the needs of the individual. Vince Lombardi said, “the only place success comes before work is in the dictionary.” Work is fundamental to our wellbeing. We can all agree that nothing restores hope, confidence and dignity to an individual than the ability to be independent and self-sufficient, to contribute, to pay taxes, to pay your own way. Unfortunately, as stated earlier, Arizona ranks in the bottom ten in the U.S. To respond, Marc built one of the largest employment training programs for individuals with disabilities in Arizona. 5. Identify the needs/problems to be addressed, target population and number of people to be served by the project. Needs/Problems: Since 2000, the number of individuals with ID/DD receiving services through the Division of Developmental Disabilities (DDD) has doubled to more than 30,000. The prevalence of autism has skyrocketed from 1 in 166 to 1 in 50 (per Centers for Disease Control). In Mesa Public Schools, the largest school district in Arizona, the number of students in special needs programs has increased by 26% in the last nine years even while total enrollment decreased by 16%. The growth in the number of individuals with severe disabilities is due in large part to medical technology. The U.S. is commonly ranked as number one in the world in medical technology and around fifteenth in prenatal care. From a macro-trend perspective, more at-risk infants are surviving the birth process. While we all celebrate this accomplishment, it also means an increase in the number of people with severe disabilities: behavioral health challenges, intellectual disabilities, developmental delays and medically fragility. Marc’s day programs have experienced a growth of 144% since 2010, again, showing the high demand for this service. Like childcare, schools and doctors, one of the most important criteria for selecting a service agency is proximity to home. Based on discussions with leadership from DDD and review of public DDD data reflecting the location of service recipients, there is a severe shortage of ID/DD service providers for individuals living in Chandler, Ahwatukee and cities immediately south toward Maricopa. In fact, many individuals with significant disabilities are being transported long distances (an hour each way) into Phoenix to get the services they need. This also means that many families may not be getting the services they need due to the lack of transportation. To highlight another need, only 9% of the 30,000 adults in the ID/DD system obtain any kind of employment (20% is national average). Arizona ranks 41st in the U.S. as it relates to employment for individuals with ID/DD (source: 2015 United Cerebral Palsy (UCP) “The Case for Inclusion” report, produced annually to rank Medicaid programs). Together, with the help of the Gila River Indian Community, we can improve this situation. Marc will build a day program for individuals with ID/DD at its new location at 201 S. Roosevelt Avenue in Chandler, ideally situated to serve the unmet needs of the surrounding population. The new day program will be coupled with employment training for those that choose this option. Marc has one of the largest vocational programs for individuals with disabilities in Arizona. Gila River Indian Community Grant Application Grant Cycle 2017 Families are a major beneficiary of this new program. We like to say that day programs keep the family unit intact. Mom and dad can continue to work while son or daughter actively participates in a day program with a curriculum focused on self-sufficiency, socialization and community integration. Day programs also help reduce caregiver burnout. Most of the individuals in day programs require 24 hour supervision and, in many cases, total care for dressing, toileting, feeding, bathing, etc. Day programs give families a healthy break from the emotional and physical demands of caregiving. Finally, taxpayers benefit from day programs. Without proper supports, the individuals Marc serves will require higher and more expensive levels of institutional care such as skilled nursing at taxpayer expense. The average cost per individual served for Marc’s day programs in the prior year was $10,454, compared to a nursing home at $90,520 or the Arizona State Institution in Coolidge at about $200,000. To punctuate this point, Marc engaged an outside firm to measure the social return on investment of its programs for the year ended September 30, 2015, using international standards for calculating this unique outcome for nonprofits. For every dollar ($1) invested in Marc’s programs, taxpayers (the community) receive $2.83 of value in return (283% return on investment). This is not surprising. Individuals that receive effective health services and achieve life goals oftentimes reduce maladaptive behaviors, medical costs, medications, service needs, utilization of entitlements, engagement with local law enforcement and get jobs, pay taxes and maximize independence. The Population: To be in the Arizona ID/DD Medicaid system, individuals must meet poverty eligibility requirements and be medically determined to be at risk of homelessness and institutionalization, including nursing care, hospitals and jail. This vulnerable population requires significant and specialized support to participate in activities of daily living, to learn, to achieve life goals, to remain healthy, to experience a meaningful life and to reach their full potential. In addition, about a third of this population also experiences behavioral health challenges that make it difficult to participate in community activities, maintain social/family relationships and obtain/maintain jobs. This new day program will benefit individuals served, families and taxpayers. Marc has existed for 60 years and is unique in that it provides a wide array of programs and services that are customized for both ID/DD and behavioral health populations. People Served: Once this renovation is complete, Marc will serve 26 individuals with ID/DD from its new location situated to serve the unmet needs of the surrounding population. Additionally, the program has the capacity to serve larger numbers in employment. A later phase will involve the construction of a new building on vacant land adjacent to the building in this first phase (also purchased by Marc in 2016). 6. Define the project as a new or continuing program. This is a new program site in Chandler which replicates a highly successful and well known program currently located in three other Maricopa County locations. 7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. Gila River Indian Community Grant Application Grant Cycle 2017 The timeline is flexible. Next steps and timelines are as follows: 1. Architect will submit final blueprints to Marc (April) 2. Plans will be submitted to City of Chandler and permit will be issued (May) 3. Marc will issue the solicitation for constractors (July) 4. Contractors will begin construction (August) 5. Marc will be ready to open for business (September) 8. Identify other organizations, partners or funders participating in the project and their roles. The City of Chandler is another critical funding partner. Marc has submitted a grant for $101,977 of CDBG funds to offset some of the building, equipment and startup costs. Wells Fargo has awarded a $7,000 grant for this project. Marc will fund the remaining portion of startup funding needed. The Chandler site was selected due to its ideal location in an industrial area. As it has in the past, Marc will partner with the local manufacturers and other business to provide additional real work training opportunities supported by a job coach. 9. Would you be able to implement the proposed plan if your organization received partial funding for this project? The project would be delayed, but would be eventually completed. The site was purchased free and clear for $658,000. Marc is committed to open this program that is essential to individuals and families. If all funding is not received, Marc will secure other means of financing such as loans or donations over an uncertain time period. 10. Describe your plan for project sustainability beyond the grant period. If this is a program/project previously funded by the Gila River Indian Community describe efforts made towards the previously described sustainability plan. This grant is critical for the non-recurring startup construction phase. Marc has a $12 million service contract with the Division of Developmental Disabilities to offset the ongoing delivery of services once the program is open and serves enough participants to reach breakeven (usually about 5-6 months and about 9 individuals). 11. Describe your plan to document progress and results. Gila River Indian Community Grant Application Grant Cycle 2017 For the construction and equipping of the facility, we will track progress through construction draws and providing a detail of all expenditures. From an ongoing programmatic perspective, Marc will track the number of people served and outcomes in four domains: customer satisfaction, access to care, performance and efficiency. 12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project for the past five (5) years. If this information is included in a separate attachment, please indicate that here. In 2014, the Salt River Pima Maricopa Indian Community approved a $100,000 grant to help build a senior center and day program for individuals with developmental disabilities in Mesa. This construction project has been successfully completed and all units are occupied as intended. In 2016, grant applications for this program were made to the Tohono O’odham Nation and to the Fort McDowell/Yavapai Nation. Gila River Indian Community Grant Application Grant Cycle 2017 Project Budget Budget Period: May 2017 to September 2017 For each budget item listed here please provide a narrative description on the following Project Budget Detail page. Proposed Budget Expense Amount Amount In Kind Total Budget requested from requested or contributions (list each budget item) GRIC secured from other funders 1. Construction Costs $ $101,976 $0 $101,976 2. Specialized Equipment & $90,000 $33,959 $0 $123,959 Technology 3. Program Operational Wages $0 $39,833 $0 $39,833 4. Employee Related Expenses $0 $7,600 $0 $7,600 5. Vehicle Costs $0 $5,833 $0 $5,833 6. Utilities $0 $2,500 $0 $2,500 7. Janitorial $0 $3,750 $0 $3,750 8. Telephone $0 $1,677 $0 $1,677 9. Insurance $0 $833 $0 $833 10. Hiring, Advertising $0 $1,900 $0 $1,900 11. Click here to enter text. $0 $0 $0 $0 12. Click here to enter text. $0 $0 $0 $0 13. Click here to enter text. $0 $0 $0 $0 14. Click here to enter text. $0 $0 $0 $0 15. Click here to enter text. $0 $0 $0 $0 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $90,000 $199,851 $0 $289,851 Gila River Indian Community Grant Application Grant Cycle 2017 Project Budget Detail Please provide a narrative description for each of the project budget items listed on the previous page. Include the dollar figure and how it was derived. 1. The $101,976 of construction costs to create a safe and effective program was derived from an architect’s professional estimate. 2. The detail of specialized equipment is attached. One example is that direct care staff lift around 1,200 pounds a day with transfers and other support related to changing, toileting and showering. To avoid back injuries, Hoyer lifts are required. In addition, the individuals we serve have extreme sensory challenges, necessitating a sensory room and equipment. Specialized exercise equipment allow individuals to pursue health goals. Likewise, smartboards make specialized learning software readily available and easily accessible to individuals in wheelchairs. Wells Fargo is paying for $7,000 of the equipment, Marc would pay $26,959 and we request that the Gila River Indian Community grant fund the remaining $90,000. 3. The wages and remaining program expenses below represent the startup costs that are 100% funded by Marc and will not be covered by program revenues until later in the year when the number of people served reaches a breakeven point. In other words, program management and other staff must be hired, vehicles purchased and utilities paid for before the first service recipient enters the program. From experience, it is usually takes about six months to serve enough individuals to have revenues exceed expenses. 4. Employee-related expenses represent the employer paid payroll taxes and benefits for employees including FICA, FICAMed, worker compensation, unemployment and group benefits. 5. Employment and Day Programs provide transporation to and from the program and to job sites. 6. Utilities represent the cost of electricity, sewer and trash services. 7. Janitorial costs are the expenses required to keep facilities, bathrooms, floors and equipment clean and sanitary. 8. Telephone cost represent data and voice usage, including internet costs. 9. Insurance is the cost for property, liability and vehicle coverage. 10. Hiring costs include advertising, drug screens, fingerprint clearance and other similar costs to get the program up and running. 11. Click here to enter text. Gila River Indian Community Grant Application Grant Cycle 2017 12. Click here to enter text. 13. Click here to enter text. 14. Click here to enter text. 15. Click here to enter text. 16. Click here to enter text. 17. Click here to enter text. Other explanation: Click here to enter text. Marc Community Resources, Inc Chandler Employment and Day Program Startup Costs Equipment Units Unit Cost Total Floor Mats 12 $375 $4,500 Wheelchair Swing 1 $3,465 $3,465 Adult Swing 1 $950 $950 Hoyer Lifts 2 $1,500 $3,000 Exercise Equipment (Treadmill, Elliptical, Bike) 1 $3,000 $3,000 Cabinets for storage 1 $12,000 $12,000 55” Large Flat Screen TV 2 $1,800 $3,600 Entertainment Center 1 $1,200 $1,200 Wii (exercise, entertainment such as bowling) 2 $250 $500 Recliners (stops fighting over couches) 10 $650 $6,500 Tables (designed for wheelchairs) 8 $850 $6,800 Massage Chair (alleviates pressure sores, tactile stim) 1 $2,900 $2,900 Materials to build a garden 2 $1,500 $3,000 Tetherball set (exercise) 1 $550 $550 6 X 6 Cloth Bulletin Board (sensory stimulation) 8 $850 $6,800 BigTrack Trackball for computer games/software 4 $199 $796 Large print keyboard (assists those with visual tactile challenges) 4 $120 $480 Optic Comb (sensory stimulation) 2 $359 $718 Tactile Panel (sensory stimulation) 1 $2,650 $2,650 Bubble Panel (sensory stimulation) 2 $1,025 $2,050 Sand/Water Board Stimulation (stimulates senses & calms) 2 $2,825 $5,650 Solar Effects Projector (calms those with aggressive behavior) 3 $1,250 $3,750 Smart Board (interactive touch teaching board) 3 $8,950 $26,850 Outdoor BBQ with Seating and cover 1 $22,250 $22,250 Total Equipment & Supplies $123,959 GRIC Grant Application Photos of Site for New Community Day Services and Employment Related Services Storage building, back of lot Marc Community Resources, Inc. GRIC Grant Application Photos of Site for New Community Day Services and Employment Related Services Additional land to expand services Marc Community Resources, Inc. GRIC Grant Application Photos of Site for New Community Day Services and Employment Related Services North side of main building Marc Community Resources, Inc. GRIC Grant Application Photos of Site for New Community Day Services and Employment Related Services Arial view of lot Main building Marc Community Resources, Inc. GRIC Grant Application Photos of Site for New Community Day Services and Employment Related Services Exterior Marc Community Resources, Inc.