GOVT AGRMT RE CHILD CARE HEALTH CONSLTN WITH FTF.PDF

Government Agreement Summary
Region/Funding Source: Various Regional Partnership
GRA Number: GRA-STATE-17-0844-01
Councils Statewide
Applicant Information:
Maricopa County Department of Public Health
4041 N. Central Avenue, Suite 1400
Phoenix, AZ 85012
Strategy: Child Care Health Consultation Technical
Amount Available for Award: $52,028
Assistance
Target Service Units:
The target population for technical assistants are CCHCs and includes training and certification of newly hired CCHCs
in the state, training for Health and Safety Specialists (HSS) in child care programs, and two of four quarterly level
professional development opportunities in the regions across the state and assist with the coordination of a year-
end symposium.
Brief Description:
Child Care Health Consultants offer specialized training and technical assistance to child care staff and directors of
centers and homes enrolled in the Quality First Program. CCHCs are required to complete the National Training
institute curriculum, and become certified CCHCs in the state of Arizona. Topics to be included in the curriculum are:
licensing, sanitation, hand-washing, playground safety, medication management, emergency preparedness, and
health and illness management.
Grant Term/Estimated Start Date: Contact Information:
The estimated grant term is July 1,2016 through June Russell Spencer
30, 2017, unless terminated, cancelled or extended. Director, Fiscal Operations
First Things First
Email: Rspencer@azfttgov
Phone: (602) 771-5043
GRA-STATE-17-0844-01 Page 1 of 40

GOVERNMENT AGREEMENT
GRA-STATE-17-0844-01
Between The
Arizona Early Childhood Development and Health Board
(First Things First)
And
Maricopa County Department of Public Health
(Grantee)
I. Purpose
The intent of this evidenced-based strategy is to provide Child Care Health Consultation
technical assistance to CCHCs providing services in the state of Arizona.
Term, Renewal
The term of this Agreement is July 1, 2016 through June 30, 2017. The parties may renew
this Agreement for up to one (1) additional twelve (12) month extension (including lesser
parts thereof).
III. Description of Services
A. Early childhood professionals are entrusted to provide care for children, and they must
keep children safe from injuries and infectious diseases while providing care. Health
and safety related issues directly impact the quality of early care and education
programs. The health and safety standards for CCHC are based on the Coring for Our
Children (31d edition) standards and are higher than state licensing standards. The Child
Care Health Consultation program is evidence-based and has been shown to promote
healthy and safety improvements in child care environments,
B. Child Care Health Consultants offer specialized training and technical assistance to child
care staff and directors of centers and homes enrolled in the Quality First Program.
CCHCs are required to complete the National Training Institute curriculum, and become
certified CCHCs in the state of Arizona. Topics to be included in the curriculum are:
licensing, sanitation, hand-washing, playground safety, medication management,
emergency preparedness, and health and illness management.
C. The target population for technical assistants are CCHCs and includes training and
certification of newly hired CCHCs in the state, training for Health and Safety Specialists
(HSS) in child care programs, and two of four quarterly level professional development
opportunities in the regions across the state and assist with the coordination of a year-
end symposium.
GRA-STATE-17-0844-01 Page 2 of 40

IV. GRANTEE'S Responsibilities
The Grantee shall:
A. Prior to entering into this Agreement, have completed and submitted to First Things
First for review and approval the following forms and documents:
1. Agency/Organization Profile
2. Program Personnel Table/Program Organization Chart
3. Required Narrative Responses
4. Implementation Plan
5. Line-Item Budget and Budget Narrative
6. Funding Sources and Financial Controls
The completed forms and documents comprise part of this Agreement.
B. In providing programming described in Section IV.A, the Grantee shall act in accordance
with its Program Questions and Narrative Responses; the approved budget; and the
following First Things First documents: the Scope of Work (Exhibit A), Guidance
Materials (Exhibit B), and the Data Security Guidelines and Requirements for
Collaborators (Exhibit C).
C. Coordinate and collaborate with all First Things First grant recipients, as collaboration is
critical to developing a seamless service delivery system for children and families.
D. Submit timely the reports described in Section VI.
V. Reimbursement/Payment
A. First Things First shall pay the Grantee on a cost-reimbursement basis for expenses
approved in the budget, up to $52,028, on the terms described in this Section.
B. Payment is conditioned upon receipt by First Things First of timely, accurate and
complete (i) reimbursement documents, (ii) Program Narrative Reports and (iii) Data
Submission Reports submitted via the First Things First Partner Grant Management
System (PGMS). Payments shall be made only for those services performed or goods
received.
C. The Grantee shall submit reimbursement requests at least quarterly, though not more
frequently than monthly. The Grantee shall submit a final reimbursement request
marked "final" no more than forty-five (45) days after the Agreement end date.
Expenses eligible for reimbursement must be paid, accrued or obligated by the Grantee
by the Agreement term end date. Final payment shall be contingent upon receipt of all
fiscal, programmatic, and data reports required of the Grantee under this Agreement.
Requests for reimbursement received later than forty-five (45) days after the
Agreement end date will not be paid.
GRA-STATE-17-0844-01 Page 3 of 40

D. Funds provided to the Grantee under this Agreement shall only be used to fulfill the
Grantee's responsibilities under this Agreement. Any questions regarding the
appropriate use of the funds shall be resolved by mutual agreement between the
parties.
E. If the Grantee receives reimbursement for expenditures that are disallowed by an audit
exception by First Things First, the state or the federal government, the Grantee shall
promptly repay the funds to First Things First.
VI. Quarterly Program Narrative and Data Submission Reporting Requirements
A. At a minimum, the Grantee shall submit quarterly one Program Narrative Report and
one Data Submission Report by the 20 th of the month following the quarter via PGMS.
Failure to submit timely reports will result in suspension of reimbursement. The
reports shall contain such information as deemed necessary by First Things First.
B. Program Narrative and Data Submission Reports are due:
1 st 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
C. If the Grantee provides services to more than one First Things First region (multi-
regional strategies), the Grantee shall collect, store and report the data for the Data
Submission Reports separately for each region served.
VII. General Terms
A. FTF Grants Uniform Terms and Conditions. First Things First's Grants Uniform Terms
and Conditions (revision date November 2015) are hereby incorporated by reference
into this Agreement as if fully set forth herein. Copies of this document are available at
http://www.azftf.gov/WhatWeDo/Funding/Pages/Eligibility.aspx (under Eligibility), by
emailing grants@azftf.gov or by calling the First Things First Procurement Specialist, at
602-771-5114.
B. Working on Tribal Land. If the Grantee performs any work under this Agreement on
sovereign land of an Indian tribe or nation, the Grantee shall comply with any
requirements set forth by the tribal government in relation to essential functions of the
grant operation, including data collection. It is a material requirement of this
Agreement that the Grantee follow all First Things First tribal policies and procedures
including the Tribal Data Policy, complete all Institutional Review Board (IRB)
requirements, obtain all appropriate parental consents and obtain appropriate tribal
approvals as designated by tribal authorities.
GRA-STATE-17-0844-01 Page 4 of 40

C. Non-Discrimination. The provisions of State Executive Order 2009-09 are incorporated
herein by reference. These provisions mandate, in part, that contractors will not
discriminate against any employee or applicant for employment because of race, age,
color, religion, sex or national origin. The Grantee shall also comply with all other
applicable state and federal statutes, regulations and executive orders concerning non-
discrimination practices, including the Americans with Disabilities Act and Federal
Executive Order No. 13279— Equal Protection of the Laws for Faith-Based and
Community Organizations.
D. Records. Pursuant to A.R.S. § 8-1174, the Grantee shall retain and shall contractually
require each subcontractor and subgrantee to retain all books, accounts, reports, files
and other records ("records") relating to the Agreement for a period of five years after
the completion of the Agreement. All records shall be subject to inspection and audit
by the State (including First Things First) and by an independent auditor at all
reasonable times. Upon request, the Grantee shall produce any or all such records at
First Things First's main office in Phoenix, Arizona.
Notwithstanding the foregoing paragraph, pursuant to 2 C.F.R. § 200.333, if the grant
includes federal pass-through funds, then the Grantee shall retain and shall
contractually require each subcontractor and subgrantee to retain all records
pertaining to the federal pass-through funds for a period of three years from the date
of submission of the final expenditure report and until any litigation, claims or audit
findings involving the records have been resolved and final action taken. All such
records shall be accessible and subject to audit in accordance with 2 C.F.R. § 200.336.
This paragraph does not apply to a grantee, subgrantee or subcontractor that is a
federal agency.
E. Non-Availability of Funds. Every payment obligation of First Things First under this
Agreement is conditioned upon the availability of funds appropriated or allocated for
the payment of such obligation. If funds are not allocated and available for the
continuance of this Agreement, this Agreement may be terminated by First Things First
at the end of the period for which funds are available. No liability shall accrue to First
Things First in the event this provision is exercised, and First Things First shall not be
obligated or liable for any future payments or for any damages as a result of
termination under this paragraph.
F. Relationship of Parties. The Grantee under this Agreement is an independent contractor.
Neither party to this Agreement shall be deemed to be the employee or agent of the
other party.
VIII. Agreement Administration and Operations
A. Advertising, Publishing and Promotion of Agreement, The Grantee shall not use,
advertise or promote information for commercial benefit concerning this grant without
the prior written approval of First Things First.
GRA-STATE-17-0844-01 Page 5 of 40

B. Review of Printed Materials. First Things First must review and approve all Grantee
publications and/or media funded or partially funded through this Agreement for
compliance with this Agreement. The Grantee shall submit to First Things First via
PGMS all print and electronic materials related to the programs and services funded
under this Agreement before publicly distributing those materials so that First Things
First may first review and approve prior to release. If deemed necessary by First Things
First, the Grantee shall revise the materials as indicated by First Things First before
publicly distributing the materials. First Things First shall have full and complete rights
to reproduce, duplicate, disclose, perform, and otherwise use all materials prepared
under this Agreement.
C. Acknowledgment of FTF Funding. The Grantee shall recognize First Things First as a
funding source of programs and services funded in whole or part under this Agreement
in all publicly distributed print or electronic materials related to those programs and
services. The Grantee shall make this recognition in a manner described in First Things
First's most current protocol and style guide. First Things First will post any updates to
the protocol and style guide under the Grantee Resources section of PGMS. The
Grantee shall also recognize First Things First as a funding source of programs and
services funded in whole or part under this Agreement in all formal oral presentations
and media interviews related to those programs and services.
D. Public Awareness Efforts. The Grantee shall consult with First Things First in the
planning of public awareness/marketing strategies, such as websites, advertising or
media campaigns, related to the programs or services funded under this Agreement.
E. Property of the State. Any materials and data required to be collected, delivered or
created under this Agreement, including but not limited to reports, computer programs
and other deliverables, are the sole property of the State (First Things First). The
Grantee is not entitled to a patent or copyright on those materials and may not transfer
the patent or copyright to anyone else. The Grantee shall not use or release these
materials without the prior written consent of First Things First.
F. Ownership of Intellectual Property. Any and all intellectual property, including but not
limited to copyright, invention, trademark, trade name, service mark, and/or trade
secrets created or conceived pursuant to or as a result of this Agreement and any
related subcontract or subgrant ("Intellectual Property"), shall be work made for hire
and First Things First shall be considered the creator of such Intellectual Property. First
Things First shall own (for and on behalf of the State) the entire right, title and interest
to the Intellectual Property throughout the world. The Grantee shall notify First Things
First, within thirty (30) days, of the creation of any Intellectual Property by it or its
subcontractor(s) and subgrantee(s). The Grantee, on behalf of itself and any
subcontractor(s) and subgrantee(s), agrees to execute any and all document(s)
necessary to assure ownership of the Intellectual Property vests in the State and shall
take no affirmative actions that might have the effect of vesting all or part of the
GRA-STATE-17-0844-01 Page 6 of 40

Intellectual Property in any entity other than the State. The Intellectual Property shall
not be disclosed by Grantee or its subcontractor(s) and subgrantee(s) to any entity not
the State without the express written authorization of First Things First.
G. Sectarian Purposes. Funds provided under this Agreement may not be expended for
any sectarian purpose or activity, including religious worship or instruction.
Additionally, the Grantee shall implement the programs or services funded under this
Agreement consistent with the First Amendment of the United States Constitution.
With respect to these programs or services, the Grantee also shall not discriminate
against any program or service beneficiary or applicant on the basis of religion. First
Things First reserves the right to verify or monitor compliance with this paragraph. The
Grantee shall repay any funds awarded under this Agreement that the Grantee spends
in violation of this paragraph.
IX. Indemnification
A. Not State Agency. This paragraph applies if the Grantee is not a department, agency,
board, commission or university of the State. Each party (as "Indemnitor") agrees to
defend, indemnify, and hold harmless the other party (as "Indemnitee") from and
against any and all claims, actions, liabilities, damages, losses, costs or expenses
(including reasonable attorneys' fees) (hereinafter collectively referred to as "Claims")
arising out of bodily injury of any person (including death) or property damage, but only
to the extent that such Claims which result in vicarious/derivative liability to the
Indemnitee are caused by the act, omission, negligence, misconduct, or other fault of
the Indemnitor including its officers, officials, agents, employees or volunteers. The
State of Arizona, Early Childhood Development and Health Board (First Things First) is
self-insured per A.R.S. § 41-621.
B. Patent and Copyright. The Grantee shall indemnify and hold harmless the State against
any liability, including costs and expenses, for infringement of any patent, trademark or
copyright arising out of grant performance or use by the State of materials furnished or
work performed under this Agreement. The State shall reasonably notify the Grantee
of any claim for which it may be liable under this paragraph. This paragraph does not
apply if the Grantee is insured pursuant to § 41-621.
C. Subcontractors. The Grantee shall contractually require its subcontractors and
subgrantees, if any, to defend, indemnify and hold harmless the State of Arizona and its
departments, agencies, boards, commissions, universities, officers, officials, agents and
employees ("State") from and against any and all Claims (including court costs,
attorneys' fees, and costs of claim processing, investigation and litigation) for bodily
injury or personal injury (including death), or loss or damage to tangible or intangible
property caused, or alleged to be caused, in whole or in part, by the negligent or willful
acts or omissions of the subcontractor or subgrantee or any of its owners, officers,
directors, agents, employees, volunteers, or subcontractors. This indemnity shall
GRA-STATE-17-0844-01 Page 7 of 40

include any claim or amount arising out of or recovered under the Workers'
Compensation Law or arising out of the failure of the subcontractor or subgrantee to
conform to any federal, state or local law, statute, ordinance, rule, regulation, or court
decree. It is the specific intention of the parties that the State shall, in all instances,
except for Claims arising solely from the negligent or willful acts or omissions of the
State, be indemnified by the subcontractor or subgrantee from and against any and all
Claims. It is agreed that the subcontractor or subgrantee will be responsible for
primary loss investigation, defense and judgment costs where this indemnification is
applicable. The subcontractor or subgrantee shall agree to waive all rights of
subrogation against the State for losses arising from the work performed by the
subcontractor or subgrantee for the State.
X. Insurance.
The Grantee shall provide a Certificate of Self-Insurance. The Certification shall be sent
directly to First Things First, Fiscal Specialist, 4000 N. Central, Suite 800, Phoenix, Arizona
85012. If the Grantee is a department, agency, board, commission or university of the
State of Arizona, then the Certificate of Self-Insurance requirement does not apply.
In addition, the Grantee shall contractually require its subcontractors to procure and
maintain until all of its obligations have been discharged or satisfied, including any
warranty periods under this Agreement, insurance against claims for injury to persons or
damage to property which may arise from or in connection with the performance of the
work by the subcontractor and its owners, officers, directors, agents, employees, or
volunteers. The insurance policies shall be in accordance with recommendations of the
Risk Management Division of the Arizona Department of Administration, including its
published Insurance Modules, and in consultation with First Things First.
XI. Termination Upon 30 Days Notice
in addition to the termination provisions incorporated by reference, either party may
terminate the Agreement for any or no reason by giving at least thirty (30) days written
notice of termination to the other party. If the Grantee requests termination under this
provision, the Grantee shall cooperate with reasonable requests from First Things First to
decrease services and costs related to the Agreement.
XII. Notices
The Grantee shall address all notices related to this Agreement to:
First Things First
Finance Division
4000 N. Central Avenue, Suite 800
Phoenix, AZ 85012
GRA-STATE-17-0844-01 Page 8 of 40

First Things First shall address all notices related to this Agreement to:
Maricopa County Department of Public Health
4041 N. Central Avenue, Suite 1400
Phoenix, AZ 85012
XIII. Authority to Execute this Agreement
Each individual executing this Agreement represents and warrants that he or she is duly
authorized to do so.
XIV. In Witness Whereof
The parties hereto agree to carry out the provisions of this Agreement.
FOR AND BEHALF OF FOR AND BEHALF OF THE
Maricopa County by and through its Arizona Early Childhood Development
Department of Public Health And Health Board
Name: Clint L. Hickman Josh Allen
Title: Chairman CFO/COO
Maricopa County Board of Supervisors
Date Date
ATTEST:
Clerk of the Board Date
APPROVED TO FORM:
Attorney for Maricopa County Date
GRA-STATE-17-0844-01 Page 9 of 40

Attachment A Agency/Organization Profile
Attachment B Program Personnel Table/Program Organization Chart
Attachment C Required Narrative Responses
Attachment D Implementation Plan
Attachment E Line Item Budget and Budget Narrative
Attachment F Funding Sources and Financial Controls
Exhibit A Overview of First Things First and Scope of Work
Exhibit B Guidance Materials
Exhibit C Data Security Guidelines and Requirements for Collaborators
Exhibit D Maricopa County Department of Public Health
Indirect Cost Plan FY15-16
GRA-STATE-17-0844-01 Page 10 of 40

Agency/Organization Profile
A. Agency/Organization:
Program Name Maricopa County Department of Public Health Community Wellness and Health Promotion Child Care
Health Consultation Program
Agency Maricopa County Department of Public Health Contact Person Machrina Leach
Address 4041 N. Central Ave Position Program Manager
Address Email MachrinaLeach@mail.maricopa.gov
City, State, Zip Phoenix, AZ 85012 Phone 602-506-6662 Ext
County Maricopa Fax 602-506-5506
Employer identification Number: 86-6000472
Agency Classification: State Agency X County Government Local Government Schools
Tribal Faith Based Non Profit Private Organization Other
Have you previously conducted business with First Things First using this EIN? X Yes No
if not, or if there has been address or ElN changes, please go to httbs://aao.az.qov/sites/default/files/GAO-W-
9 072815-.5%265%26A.pdf, download the State of Arizona Substitute W-9 Form, and submit with your
application.
Congressional district (federal) in which agency provides most services: District # 4
Legislative district (state) in which agency provides most services: District # 15
Go to http://www.azredistricting.orq 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? $3.5 mill
Agency's fiscal year-end date: June 30,2017
Agency's accounting method: Cash X Accrual
Does your organization undergo an annual independent audit in accordance with 2 CFR Part 200, Subpart F?
X Yes No
Contact information for firm conducting agency audit:
Audit firm: State of Arizona: Office of the Auditor General
Address: 2910 N. 44 th Street, Suite 410, Phoenix, AZ 85018
Phone: 602-553-0333
GRA-STATE-17-0844-01 Page 11 of 40

B. Proposed Program Information/Description:
Amount requested: $52,028
Service area of proposed program: Statewide
Target population of proposed program: Child Care Health Consultants Statewide
Number of center based providers to be served: N/A
Number of home based providers to be served: N/A
Please provide a brief description (250 words or less) of the proposed program, including service area and target
population. This description may be used by First Things First for public information regarding the grant.
The technical assistance grantee, working as a team with the other FTF Training contractor and the CCHC Program Manager shall:
1.Offer to provide half the initial and on going training for CCHC's funded under the FTF unmbrella in the State of Arizona in
accordance with the former National Training Institue fro Child Care guidelines, adhering to the FTF grant requirements with
services being provided in a culturally competent manner to qualified CCHC's.
2. Offer to provide half of the training (up to 2 x per year) for child care providers interested in expanding their skills to improve the
Technical Assistant Grant Requirements with services being provided in a culturally competent manner to qualified CCPs. Grantee
shall assist in the development of distance learning opportunities for Health and Safety Specialist Training.
3.1n collaboration with the CCHC program manager and utilizing standard CCHC references and resources (e.g. CFOC, 3rd edition)
develop an updated Child Care Policy Manual and devise a mechanism for periodic review and update of the Child Care Policy
Manual.
4. Provide technical assistance for providers, to include CCHC's and child care providers.
5. Collaborate with all FTF grant recipients in developing seamless service delivery of CCHC and Health and Safety Specialist
Training, policy and procedures development?maintenance, and technical assistance to CCHC's and child care program providers.
GRA-STATE-17-0844-01 Page 12 of 40

C. Contact Information:
The First Things First Partner Grant Management System (PGMS) has four contact slots per contract. The same person
may be assigned to more than one slot.
Main Contact: is responsible for the overall program and will have access to all financial, programmatic, and data
reports in PGMS.
Finance Contact: is responsible for the submission of reimbursement requests through PGMS and will have access
to budget and reimbursement information in PGMS.
Program Contact: is responsible for program implementation and will have access to the program and data
reports in PG MS.
Evaluation Contact: is responsible for the program evaluation and data collection activities and will have access to
only the data reports in PGMS.
PGMS Contacts
Name: Email:
Main Contact Karen Hoffman KarenHoffman@mail.maricopa.gov
Title/Position: Phone:
CCHC Supervisor 602-506-1582
Physical Address (if different than the agency address):
4041 N. Central Aye, Phoenix, AZ 85012
Name: Email:
Finance Contact Kimberly Abbott KimberlyAbbott@mail.maricopa.gov
Title/Position: Phone:
Accountant 602-506-6358
Physical Address (if different than the agency address):
4041 N. Central Ave Phoenix, AZ, 85012
Name: Email:
Program Contact
Title/Position: Phone:
Physical Address (if different than the agency address):
Name: Email:
Evaluation Contact Betty Harroun BettyHarroun@maii.maricopa.gov
Title/Position: Phone:
Information Management Analyst 602-506-6379
Physical Address (if different than the agency address):
4041 N. Central Avenue, Phoenix, AZ 85012
GRA-STATE-17-0844-01 Page 13 of 40

Program Personnel Table
In the following table, provide a list of all personnel or positions that will be fully or partially funded
through the proposed program. For Key Personnel, include the name and position title; pertinent
background and/or expertise 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/expertise/degrees and field of study. For all personnel, provide the Full Time
Equivalent (FTE) for each position. Example:
Key Personnel • fully or partially funded through proposal directly responsible for program
implementation/services
Name/ Background/Expertise* FTEs funded
(include qualifications that align with the Key Roles and Responsibilities through the
Position Title Standards of Practice) program
Child Care Health Consultant Provide oversight and management
since January 2010, supervisor to the Child Care Health
since July,2011. Registered Nurse Consultation (CCHC) program and
with 27 years of nursing staff This includes planning,
experience in hospital/school directing and evaluating CCHC
health, hospice, and public services; hiring, orienting and
Karen
health. Bachelor of Arts in supervising a team of child care
Hoffman/CCHC 0.20
Education, Associate Degree in nurse consultants; submitting
Supervisor
Nursing. Completed NT1/CCNC required data and reports; and
Trainer Training,NTI/CCHC participating in First Things First
Training. Resume on File with (FTF) and other community
FTF. meetings this includes the Technical
Assistance grant.
Experience with the CCHC
program as a hearing screening Provides adminstrative and clerical
assistant for the Hearing support to the Child Care Nurse
Screening Program 2011-2014. Consuls tant Program(CCNC),
During this time she assisted the supervisors and staff Performs
CCHC program as well with data entry assisting with the CCNC
Claudia
administrative duties which is her Database and Online Continuing
Corral/CCHC
position at the present Education classes. Assists with
Program 0.20
time.Experience in the medal administrative tasks of setting up
Assistant
field as a CNA and Lab Tech. and running the CCHC Courses and
Completed the Train the Trainer Health and Safety Specialist
for the Hearing Screening Trainings. Provides support as
Program. Completed Medical trained child safety seat expert to
Translation Course in 2015 and is CCNC program and otherwise
biliqual in Spanish and English. assists with a myriad of
Resume on file with FTF. administrative tasks as needed.
GRA-STATE-17-0844-01 Page 14 of 40

Additional Personnel - fully or partially funded through proposal - not directly implementing or have direct
program oversight
Program Total: 0.40
* 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 table will need to be submitted to
First Things First within 14 days of the proposed change.
GRA-STATE-17-0844-01 Page 15 of 40

RESUME -1
Karen K. Hoffman, RN
2801 E. Lupine Avenue
Phoenix, AZ 85028
Home Phone (602) 992-2671
January 2010 Maricopa County Public Health Department
to present Community Health Nursing
4041 N. Central Ave Suite 600
Phoenix, AZ 85012
RN — Child Care Nurse Consultant
RN — Supervisor of CCNC's
Supervise and evaluate four child care nurse consultants. Gather data from electronic
charting system in the Extranet and from MCDPH CCHC database submitting
information to First Things First. Organize meetings with co-supervisor bimonthly or
as needed with CCNC's. Monitor calendars, activity logs, and time cards of CCNC's.
Participate in various community trainings. Participate in immunization
administration clinics. Orientation and training given to new staff as needed. Meet
with other leadership staff to discuss budget, policy, programs etc. Collaborate with
First Things First leaders, Coaching Supervisors, Child Care Licensing, Assessor
supervisors, as well as, Disease Surveillance, Immunization nurses, Epidemiology,
and Office of Family Health. Review and work and create curriculum modules.
Network with all CCNC's to create better ways of improving quality in child care
centers through education and intervention methods.
RN-Serve full time as a consultant to child care facilities, by establishing
relationships with providers in the community. Identify, implement, and evaluate
strategies to achieve quality child care. Establish basic health and safety operational
guidelines and plans for child care program. Serve as a liaison to other health care
professionals, community organizations and any other resources related to the
specific needs of the facility regarding health and safety. Conduct trainings for staff,
parents, and children covering specific subjects related to health and safety issues
teaching at a best practice level. Manage 15-30 facilities at any one time. Electronic
charting used to collect data and address care plans.
2005-2015 Hospice of the Valley
2122 E. Highland Ave. #100
Phoenix, AZ
RN- Providing direct nursing care to hospice patients in their homes and in group
homes and long term care facilities on weekends. Also have substituted for a nurse
over the summer and was a case manager for a group of hospice patients. Phone
triage participating as part of a team of nurses on weekends, making assignments for
nurse visits, problem solving over the phone, ordering medications, reporting to
doctors on incoming labs and tests that are done during the week, taking phone
orders from doctors. Electronic charting done on all patients whether seen in'l
GRA-STATE-17-0844-01 Page 16 of 40

1j18aa homes or taking phone calls from pts.
1991-2009 Gateway Elementary School (98-05) / Wm. T. Machan Elementary
School (91-98), Creighton School District, Phoenix, AZ
RN- School Nurse/Lead Nurse-Providing direct nursing care and medical referrals to
kindergarten through eighth grade population. Plans, organizes, and implements
student vision, hearing, and dental screenings. Arranges appropriate medical
referrals using agencies that provide services for those children who are uninsured
and those who are trying to get insured (AHCCCS). Plans, organizes, and
implements staff in services on blood borne pathogens for OSHA standards and CPS
protocol. Provides blood pressure screenings for employees as well as arranges
influenza clinics for staff. Serves as an occupational health nurse to staff. Maintains
all files pertaining to health office. Compiles and completes all reports required by
state and district policy. Acting Lead Nurse in district as of January 1998. Plans
meeting for all nurses providing in services/ trainings as needed, orients new nurses,
works on updating policy and procedure manual, plans and utilizes district nursing
budget annually, evaluates district nurses, and keeps district informed of health
related issues. Works with school personnel to monitor attendance. Contacts outside
agencies when applicable (CPS, Health Department, private physicians). Evaluates
and administers vaccine to students through the county Vaccine for Children
program.
1996-2000 AS11 "Breaking the Cycle", College of Nursing, Tempe, AZ
RN- Community Health Nurse pool position. Provide direct nursing care to children
seen at various sites serviced by the organization. (Salvation Army Homeless Shelter,
Trinity Church, Wm. T. Machan Elementary School) Evaluation and administration
of immunizations, screen for vision and hearing, height and weight, hemoglobin
testing, review charts making sure appropriated charting is done and orders are
followed up on, educate parents about health care issues for their children, mix
medications prescribed, deliver medications, make referrals and do home visits with
outreach worker.
1995-2000
Attended ADH technical assistance meetings beginning in October 1995 for
planning a Site- based health center and obtained a planning contract for Wm. T.
Machan School from ADH in February 1996 for $3000.00. Wm.T. Machan
partnered with "Breaking the Cycle" and began operation of the Wm. T. Machan
Community Health Center in May 1996. Duties included triaging clients, making
appointments, follow up on TB skin tests, participating in case management of
clients. Acting chair on the Community Health Advisory Board.
1990-1991 Valley Lutheran Hospital, Mesa, AZ
RN-Telemetry Unit, Direct patient care given to monitored cardiac patients, as well
as all types of medical/surgical patients. Acquired certification in basic ECG and
Advanced Cardiac Life Support.
GRA-STATE-17-0844-01 Page 17 of 40

1989-1990 Mesa Lutheran Hospital, Mesa, AZ
RN-Oncology Department, Staff nurse providing patient care for cancer patients who
included dealing with the terminally ill and their families. Functioned as a relief
charge nurse when needed. Acquired Chemotherapy, Epidural and Central Line
certification.
LPN-Pool, on call working medical/ surgical floors.
1987-1988 Maricopa Medical Center, Phoenix, AZ
Receptionist, secretary, computer operator, staffing, quality assurance assistant.
1984-1987 Mesa Public Schools-Community Education
Pre-Kindergarten Teacher
Dance Teacher
EDUCATION
1987-1989 Associate of Applied Science in Nursing
Mesa Community College
1974-1979 Bachelor of Arts in Education, Arizona State University
CERTIFICATIONS
Arizona State Board of Nursing —Certified School Nurse-1998
Basic Life Support - July2014
Arizona Department of Education-Certified School Nurse-1991
- Certified School Teacher 1986
Child Care Nurse Consultant Certification —2010
National Training Institute for Child Care Health Consultants Trainer Certification -
2012
LICENSURE
Registered Nurse, State of Arizona, RN071811
Other Accomplishments:
Reviewer for "Stepping Stones to Caring for Our Children" 3 rd Edition 2013
Participated in providing research material for the "California Child Care Health
Program Health and Safety Checklist" funded by the University of California San
Francisco School of Nursing. 2013
GRA-STATE-17-0844-01 Page 18 of 40

RESUME -2
Claudia Corral
3253 E Priscilla Ct
Phoenix, AZ 85008
602-5033397
c1audiacorra12003(&,yahoo.com
Maricopa County Department Of Public Health
4041 N Central #600
Phoenix, AZ 85012
Position: Administrative Assistant Specialized
Employed from 05-2011 until Present
Supervisor: Karen Hoffman
Responsibilities: Provides administrative and clerical sup ort to the Child Care Nurse Consultant
Program(CCNC), supervisors and staff. Performs data n -ry assisting with thc CCNC Database and
Online Continuing Education classes. Assists with admmistrative.ta§ks of setting up and running_the
CCHC Courses and Health and Safety Specialist Trainings. Prpvides support as gamed child saTety
seat expert to CCNC program and otherwise assists with a myriad of administrative tasks as needed.
Maricopa County Correctional Health
234 N Central Ave # 5000
Phoenix, AZ 85004-2228
Position: Medical Asst/Lab Tech
Employed from 05-2009 until 05-2011
Supervisor: Nancy Knapp
Responsibilities: Assist providers with any procedures done in the clinic, Blood pressures, checking
patients in the clinic, make appts etc. Specimen collecting blood, urine.
Employed by: Banner Estrella Medical Center
9201 West Thomas Road
Phoenix, Arizona 85037
Position: Pool-CNA/Patient care tech
Employed from 03-2005 until 03-2006
Supervisor: Dana Martyn
RN.MSN.Assistant Director
Responsibilities: Assist throughout the ER, Med Surg, Telemetry and ICU departments
on patient care responsibilities such as blood draws, UAs, vitals and also
entering patients data into computer throughout the night.
Employed by: St. Luke's Hospital
1800 East Van Buren Street, Phoenix, AZ.
Starting position: CNA
Ending position: Patient Care Tech
Employed from: 02-2003
Employed to: 01-2005
Supervisor: Peter Wats
Title: Charge Registered Nurse Responsibilities: Patient care for whole floor of 20-40 patients
depending on census, Vitals Q4hrs, insert Foley catheters as well as DC, DC IVs, follow cardiac
diets, answer call lights assist nurses working with me Enter data into patients
GRA-STATE-17-0844-01 Page 19 of 40

charts as well as computer.
Address: 1800 E. Van Buren Phoenix AZ 85006
Employed by: Balsz Elementary
Starting position: One on one special education assistant
Ending position: Same
Employed from: 11-01
Employed to: 11-02
Supervisor: Tarni Bengochea
Title: Assistant Principal Responsibilities: Working one on one with special need boy that
needed assistance with everyday living activities.
Address: 4130 E. Bellview, Phoenix AZ 85008
Employed by: John F. Long Elementary
4407 N. 55th Avenue, Phoenix AZ 85031
Starting position: Special Education Teacher Assistant
Ending position: Same
Employed from: 11-95
Employed to: 11-97
Supervisor: Current Principal: Ms. Jauregui
Responsibilities: Assist teacher with special needs children on everyday living activities
GRA-STATE-17-0844-01 Page 20 of 40

Program Organization Chart
For all of the personnel or positions that will be fully or partially funded through the proposed program,
provide a program organizational chart that illustrates the hierarchy of positions/responsibilities specific to
the proposed program.
CHILD CARE NURSE CONSULTANT ORGANIZATION CHART
• Machrina Leach
Program Director
mberly Abbott 'Karen Hoffman Childi
Accountant Caro Ntlf $e Consultant Supervisor
Marcy Arizmendi Diane LeFevre
Office Assistant CCNC:
specialized for CHN
Melissa Suit
rCNC
Mai nie Richardson Marci Gplfen
CCNC E; : iccNc:
Claudia Corral
Administrative
Assistant . •
GRA-STATE-17-0844-01 Page 21 of 40

Required Narrative Responses
Provide a narrative response that addresses the following items.
a) Provide a description of how you will implement and carry out technical assistance for the
CCHC program in Arizona.
The MCDPH CCHC Technical Assistance Grant:
A. Provides for training of National Training Institute (NT!) Qualified Child Care Health
Consultants on at least an annual basis and coordinates additional training dates with
Pima County TA counterpart as needed. One CO-IC trainings were sponsored by the
MCDPH CCHC program during 2015-2016.
B. Collaborates with FTF CCHC program manager and other FTF CCHC Grantees to develop
CCHC Train the Trainer course in order to provide for qualified CCHC Trainers, since the
National Training institute at the University of North Carolina no longer provides CCHC
Train the Trainer programs. Course was completed and is now being implemented by the
CCHC staff at MCDPH.
C. Continues to work with FTF CCHC Program Manager and sister Technical Assistance
Grantee to complete curriculum for and to deliver up to two (2) Health and Safety
Specialist (HSS) trainings per year as needed.
D. Continue to collaborate with FTF CC-IC Program Manager and other key partners to
develop a new, updated Arizona Child Care Policy Manual.
E. Continue to provide CCHC technical assistance to CCHC's through-out all the FTF RPC's.
b) Provide a description of how the target population will be served by the proposed strategy:
• How the Target Service Number based on the Unit of Service(s) included in the Scope of
Work will be achieved.
• How technical assistance will meet the needs of the targeted population.
• How outreach efforts, engagement and retention practices will be employed by technical
assistance for the targeted population.
A. The MCDPH CCHC Technical Assistance Grant Staff provides the following via FTF
Quarterly Reports:
1. Dates of CCHC and Health and Safety Specialist Training.
2. Number of participants attending CCHC and Health and Safety Specialist Training
3. Summary of participant evaluation following each course.
4. Dates/topics of meetings related to grant activities.
B. The MCDPH CCHC Technical Assistance Grant Staff:
1. Maintain internal training records for CCHC training, Health and Safety Specialist Training
and for CCHC "Train the Trainer" training.
2. Collaborate with the FTF CCHC Training Manager and sister TA agency to maintain a
master list of qualified CCHC's in the State of Arizona. Records will also be kept on Health
and Safety Specialist and CCHC Trainers.
3. Report on progress being made toward completing the Arizona Child Care Health Policy
Manual.
GRA-STATE-17-0844-01 Page 22 of 40

c) Identify infrastructure or capacity building which will be needed to provide technical assistance
to the CCHC program, including agreements and partnerships with other departments and
agencies, additional resources, and training and technical assistance.
Train the trainer for CCHC Course. MCDPH CCHCs have the resources of the Department of
Public Health. We have expertise in communicable disease, health and nutrtion, emergency
preparedness and growth and development. We are able to obtain the latest information
from these Offices.
d) Identify barriers to providing technical assistance to the CCHC program and plans for addressing
these barriers.
Lack of participants in need of technical assistance trainings could prevent previously stated
technical assistance from taking place. Improve marketing techniques to reruit Child Care
Providers for the HSS trainings.
e) Describe plans for training new CCHC staff that meets the personnel qualification standard
detailed in the Standards of Practice, and is linguistically appropriate and culturally responsive
for the population served. If there is anticipated difficulty or delay in providing CCHC training
for qualified personnel, include a plan and timeline for supporting new CCHC staff training.
CCHC trainings can be planned as needed and this might be a more productive use of time
than scheduling them 4 times a year whether they are needed or not.
f) Describe steps that will be taken to promote collaboration with other government and tribal
departments and partners working with the agency.
N/A
g) Describe the plan for reporting on how technical assistance for CCHC and HSS training is
implemented.
FTF Quarterly reports will be submitted reporting on CCHC trainings or HSS trainings that
have taken place.
GRA-STATE-17-0844-01 Page 23 of 40

be be being CCHC need
trainers roster updated grant shall FTF. would is the
table Documentation CCHC a and be per dates to Manager MCDPH anticipate
following NTI shall FTF meeting report subcontracting time
MCDPH identified Roster to quarterly Program this not
The Support forwarded if At does subcontracting.
Qualified been maintained. requirements. Collaboration in CCHC contacted considered. Program
program. implementation. have and noted FTF for
the Be
and Will -
implementing planning Task ,.. : Completed' .-
and program Date - .. 6/30/17 6/30/17 6/30/17 40
of
initiating, Plan 2017 24
effective 30, Responsible Page
developing, —June Hoffman Hoffman Hoffman/Machrina
demonstrate Implementation 2016 Person -
in 1, Karen Karen Karen Leach
activities that July MCPH CCHC in NTI wish enough
activities CCHC qualified at trainers Child Specialist FTF program qualified from may Health Training for CCHC trainers
critical internal and and other trainers who and sub-contracting not are CCHC
the the Task with Health identify CCHC CCHC Safety with Assistance identify MCDPH CCHC Specialist training there
include to trained for and to CCHC of with Safety NTI if based
illustrate to Collaborate Community programs NTI MCDPH Health Trainings Collaborate Technical Arizona trained outside assist and Consider qualified trainers MDDPH
to
should necessary
Plan as Trainers
expanded Activities CCHC
Implementation Qualified
be NTI GRA-STATE-17-0844-01
The should Identify

as site. CCHC credentials posted websites upon, be Assistant and by required to submitted be and CCHC contact of by
FTF the website in be MCDPH site. agreed shall Support date as training shall staff FTF date approved
on MCDPH Basecamp identified with training shall and basecamp is dates/times historical FTF be shall each CCHCs CCHC Support to sent name, and training
published the CCHC be documents, the dates/times websites training websites. Administrative to reports reports of end the by reports manager. include degrees of
are and the will in documentation CCHC additional training maintain the qualified Administrative will
Dates website as well Trainers Training included Training FTF on on and then posted CCHC shall provide grant. Training at ITF session. of List maintained quarterly program list The information, completion FTF.
If
6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 40
of
25
support and and and and Page
Hoffman/CCHC Hoffman Hoffman Hoffman Hoffman Administrative Assistant Hoffman Administrative Assistant Hoffman Administrative Assistant Hoffman Administrative Assistant
Administrative
Karen Karen Karen Karen Karen CCHC Support Karen CCHC Support Karen CCHC Support Karen CCHC Support
FTF /times sister program in the by of TA list state.
CCHC other grantee, dates CCHC our Assistance candidates Grantee coordinate year. be may Manager training agendas, process be following list a the CCHC other master the
FTF and FTF and CCHC other will per coordinated all and shall meet CCFIC FTF and in
with manager Assistance possible training. with Manager Technical identify training. FTF the Assistance grantee training training if Program of include logs, reports FTF maintain that a as with manager maintain CCHCs
Collaborating program Technical determine CCHC Collaborated Program CCHC to Grantee CCHC with Working and manager Technical this one to Additional considered CCHC Maintenance to attendance evaluations Training to submitted training. and individuals qualifications Collaborate to qualified
for FTF for AZ, up FTF records every Create training agency of
training peryear
potential training Candidates CCHC FTF 1X to keeping
publish CCHC Training of up occur
and statewide CCHC Training will necessary record RA-STATE-17-0844-01
Determine for dates Identify CCHC Initial candidates as and Program
G

posted websites Safety program to for report. to and a on be Progress FTF
be and this reported a on documented action submitted agendas. Health submitted FTF for shall in the in
shall MCDPH Health by be manager recommendations be be process with in review spreadsheet progress process.
and maintained shall shall after shall include and be noted considered /or submitted
dates/times websites Trained list program basis. and/or trainings training's records shall logs associated Specialists. shall list basis. be shall Report. being and a and track to be reports.
Training FTF NTI of Specialists updated CCFIC quarterly Adjusts future each Training and attendance evaluation Safety Updated quarterly Meetings Quarterly Policies development identified developed development/review shall reports Quarterly
on List and FTF in FTF
'
6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 6/30/17 40
of
26
Support Support FTF Page
Hoffman Hoffman Hoffman Hoffman Hoffman Hoffman/CCHC Hoffman/CCHC Hoffman Hoffman/MCDPH Staff/CCHC Manager
Karen Karen Karen Karen Karen Karen Administrative Assistant Karen Administrative Assistant Karen Karen CCHC Program
as trainers to subcontracts for care completed Specialist manager distance for Safety program Care a program based by outlined
sites to trainers either modules participant evaluation records programs child Safety Program of and with Child FTF/AZ, of procedures
training Trainers assistance trained training through training to and training champion of list have who and Series FTF development opportunities Health Training develop for set principles
NTI the or a Health the of collaboration Manual standardized and the
Determine Identify Provide necessary Utilize deliver directly Adjust according feedback Maintain health Maintain providers the Training Assist the in learning delivery Specialist in manager Policy policies upon Nil
Manager training FTF under of Health curriculum„ Safety curriculum, Safety two to up appropriate maintenance
Program periodic funded State the the of training and training and Trainings as and and policy
with in receipt Health Health year RA-STATE-17-0844-01
Consult develop CCHC's umbrella Arizona Upon Champion deliver Specialist deliver Specialist per times Development program procedures
to for of G

in or to to Assistant by
noted be website CCHC phone phone reports CCHC phone phone reports usage and
be shall shall and keep and keep on=line up is
Report. numbers MCDPH Supervisor shall assistance quarterly Supervisor shall assistance quarterly Administrative on program
efforts website
Quarterly phone the on CCHC Program Assistant technical provide Program Assistant technical provide CCHC records the
above Collaborative FTF Contact published FTF CCHC Program of and CCHC Program of and MCDPH keep once CCPs running.
See the the logs calls FTF. logs calls FTF. shall
6/30/17 6/30/17 On-going On—going 6/30/17 6/30/17 40
of
27
FTF FTF Page
Hoffman/MCDPH Staff/CCHC Manager Hoffman/CCFIC Manager Administrative Assistant Hoffman/MCDPH CCHC Administrative
Hoffman Hoffman Staff/
Karen CCHC Program Karen Program Karen CCHC Support Karen Karen CCHC Program Assistant
Policy for manual key in needed Care for call Support taking MCDPH the if office. CCHC's phone not will units based which guidelines. to Safety their
Care plan a of other other as Child Policy phone to in assist the to Supervisor, the of Program provide to of day supervisor may staff Program training Providers FTF available and with
Child place, in updating developed with as such CCHCs, of Safety contact CCHC's assistance. Administrative shall give to Program out is CCHC shall assistance working If CCHC assistance. CCHC on-line Care Curriculum and be will Health use to
updated is Manual periodic be Collaborate partners, statewide development and Health Manual. Maintain for numbers technical CCHC Assistant messages CCHC supervisor MCDPH Supervisor technical 2 within receipt. available provide MCDPH develop Child MCDPH Nil follows Program and CCHCs Specialists programs.
Once shall call for on
assistance throughout on San
focus and Regions
technical CCHCs a County
to with Apache GRA-STATE-17-0844-01
Provide activities state Maricopa Carlos
the

Assistance
Technical
CCHC
On-going 40
of
28
Page
Hoffman
Karen
the
answer regarding
phone to Program
contact CCHCs questions Tiered
for for CCHC
Maintain numbers calls FTF Model.
in service
CCFICs the of
to local
fidelity to
assistance the model providers. GRA-STATE-17-0844-01
Provide maintain program delivery

naditiit g 0011, e.:::•1=.:4,V.,
The budget narrative should provide a clear and concise explanation of the methods used to determine
the amounts for each line item in the following line -item budget.
Budget period: July 1, 2016 —June 30, 2017
:-.1,,,,13:4,i' "'"'R''' '''''r"---'*':714q&''"-Iiaiiii:**41-tikiiii4-0i0M::::'-'44g,-:. -.. 'Iti-7L1 . •-• kiotiefiiritLiK;W4 - ' '. 'dtg4,17;: ......
I.. P. EA SONNEL$ r Ma CE.S ,. .. :• ... , . ., .... .'..-....,.::,:.:: . .. -, . ,. . ........... :"...,: ..f:: .Po . .. .: .%.,....::. litl 1 ::, 5' eilli : -,-,...: C 'S'.$1fl •....-. 1:61. ,—.... ' 23;029 ,.:,
Salaries .20 FTE CCHC Supervisors $16,882
.20 FIE CCHC Program Assistant @ $6,147
$14.41 x 2088
',000.-!.0.ytE*1:.ATEEYX!sf-t9s,E$.:.:.: ,::;:'::.-4;.: ....,.. ,,..::',::';':}::::!;:.:..- :..,--;.::E.:•:"1.;i :;::. .. . : . : .r::.i::.::i. Mpiqyee:Ro.ip.to*orI 4.Sub.,-.'rcii.ir:' •::: :!,..... •-;:-.:i: •?.-.-$;.4*.i. :
Fringe Benefits or Other ERE ' Variable @ 19.21%x $23,029 $4,424
Fixed @ $10,032 x .40 FTEs 1 $4,013
- 000$$10.NA4-ANIiiQVT$10.k$01.VP-$.. , ...... :-..f.'...:.::.-..:: .':::.0.r..000ii.1.1 . *.'09Ai4 S ervices .50100:. - f'..::::•:'.i'::. ...:::"'.. ''' -'1:":'.]:.:.:::':.
Contracted Services
!
r.0!/.0::: :.:....::: .'..-,::, . ''.... ''' ''.'. '':i.:', --:::::;',..".,,,,....,.,. , , , ,. .. ..-'f'::;;; :.,::: . . ,. ,,g;.':::', 71?.i.ii.4.1 .S.1•44•3•.<4.0!' ' ' " ..... ... • '.:!...:"..-.•••:$',-:
In-State Travel
Out-of-State Travel
.:.*IlltP.:PROAki.tATIOS 03: i(pi.vitiOAL,...-s.i" ...........:,..::::: *:::::;.':::...::,....?.i. ' ...:...c.49:0i.'ipinliail,6 1p.pi. Individuals SA.tb TOtal:. ::::::'.;...;.:,..::;:.;::::.. :.:"...P.ff,ft.••.
Subgrants or Subcontracts to
organizations/a gencies/entities
-:'-frr.ligl3.0.',iO4tiNG.tOtNSO-::-.::::::'::i :.'. .-...'::-::.''::...'::::-::.;.:-;:: ... .... .. . Other .:Oi:)e.rtllit :Pcprises,504':?. : -..:''. 1:: :••••"--;:•$?:,4-1•3":
• Telephones/Communications Services
• Internet Access
....................... .. ......................_
• Food
• Rent/Occupancy
0 Evaluation (non-contracted & non-
personnel expenses)
• Utilities
• Furniture
• Postage
• Software (including IT supplies)
• Dues/Subscriptions
• Advertising
• Printing/Copying
• Equipment Maintenance
• Professional Development (Staff Training, 1,000 x .40 FTEs $400
Conferences, Workshops, Training Fees
for Staff)
• Insurance
• Program Materials
• Program Supplies
. $15,433
• Scholarships
• Program Incentives
NON CAPITAL EWA .17,MEINt.:'•.:::,.':;i:',•..•:::::: . .." .. " ""):::::::: •; . ,....:';;I : .::.' ::•.••.;:.••..'. •••'...'•: ,::::•;•:•::::.::.:•'..t?::::'••.:- ,::::::•:•"..':::::.; NenLCePitalSiiiit6iall .:: ..:,1:;:: ' .. - :•:-,,,,•.....,.$.:.
Equipment $4,999 or less in value
60f64101iiit:#4 "?...,-..::,,,.....:7,,,,:::,,-.Nr..E.v.: ,.,.::... ' ---- -..-1.-:?...•:,:. 0-- : ,".;C:S,,,;--- 7, ki'.4..,i",i:it" ' 4*--.-,1,.:,:,:.!:: .... ' $47,298
A0i.vliSISTRAIWE/#0.1itEtf CCIS.1-5;'.,:';':::,,::.1:"::-.:":::: L:... . :. ... .. '.i.:::::::, .'',' y:-.,,..'„:. i.;,...:*: .::: ..................................................................... ::::::::::,.,..2;; ,:.;; ..:.,:::.,::,.:.,$4;740
Indirect/Admin Costs $ $
.Total $ $52,028'
Authorized Signature Date
GRA-STATE-17-0844-01 Page 29 of 40

Budget Narrative
The purpose of the budget narrative is to provide more clarity and detail on the budget line items. The
budget narrative should explain the criteria used to calculate the amounts entered in the line-item budget.
The budget narrative should include all budgeted items and correspond directly with the proposed line
item budget using the following categories that apply:
Personnel Services: 23,029
Salary for .20 FIE CCHC Supervisor (Karen Hoffman) at average rounded rate of 40.43/hour rounded
x2088(16,882) has been budgeted, Salary for FTE CCHC Program Assistant (Claudia Corral) at 14.41 x
2088(6,147) has been budgeted. The Health and Safety Specialist Program and the CCHC Training
programs are in place. Mechanisms are in place to work with other TA Grantee for HSS and CCHC program
planning and continued work on Child Care Policies.
Employee Related Expenses: 8,347
Fringe benefits are calculated @ 19,21% x 23,029 for a cost of $4,424. (For Medicare, social security,
worker's compensation, long term disability, life insurance, and Arizona State Retirement System)
Medical, dental, prescription drug coverage benefits are calculated @ $10,032X.40 FTEs= $4013. These
benefits have been calculated using the Maricopa County projected rates for the contract period of July 1,
2016-June 30, 2017,
Professional and Outside Services: $0.0
Traveh-$0:0
Aid to Organizations or Individuals: $0.0
Other Operating Expenses: $15,833
Professional Development /Staff Training are calculated @ 1000 x .40 FTEs and are budgeted for $400.
Program supplies will include supplies for courses, to include CCHC Caring for Our Children 3rd edition
textbooks, Health and Safety "Switch" book by Heath and Health(part of the HSS curriculum), flash drives,
health education demonstration and training supplies for both the CCHC Training Program and for the HSS
Training program. Supplies will include a mix of tools that promote implementation of health and safety
goals, the incorporation of physical activity in in child care curriculum, tools to use to maximize brain
development in infants. These supplies are budgeted at 15,433.
Non-Capital Equipment: $0.0
Administrative/Indirect Costs: $4,730
Option B Indirect Costs:
Maricopa County utilizes a cost allocation system which is comprised of two components. The county-
wide portion includes those costs allocated entirely to administration; the departmental cost pool consists
of costs that benefitted all Public Health planning services, finance, procurement, human resources,
grants/contracts, and agency liability insurance. The indirect rate is derived annually based on the
expenditures of the previous year. The indirect rate for MCDPH for FY 2016-2017 is actually 15%. The
maximum 10% indirect cost rate ($4,730) has been budgeted for this project. The unrecoverable 5% A
($2,365) will be contributed by MCDPH as in-kind. (See Exhibit D — 114CDPI-1 Indirect Cast Plan FY15-16)
Authorized Signature Date S'M
GRA-STATE-17-0844-01 Page 30 of 40

tER23 m
Funding Sources and Financial Controls
A. In the following table, identify other funding/resources (including federal, state, local and private
funding) that the agency/organization has made or will make available 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, 0 If used
state, local, private) and Brief Description of How the Funding Helps Amount for match
Agency/Organization Achieve the Program Objectives on this
Received From: grant
$0
Total: $0
-
B. Describe the financial controls and accountability measures the agency/organization will employ 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 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. Also, at the Department level, the Accounts Payable/Receivable and Procurement unit will
process, review and monitor all financial requests provided by the program accounting specialist. The
Department 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 Maricopa County
Finance Department Will process issuance and receipts of all payments. Throughout this entire
accounting system based on Generally Accept Accounting Principles (GAAP), there are several checks and
balances. Before posting to Maricopa County'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, Maricopa County policies and guidelines, as well as, State
and Federal laws and regulations.
Authorized Signature Date
GRA-STATE-17-0844-01 Page 31 of 40

dhibit A — Over f First Things First and Scop-
First Things First is designed to meet the diverse needs of children and families in Arizona
communities. The statewide First Things First Board and Regional Partnership Councils in local
communities across the state share the responsibility of ensuring that early childhood funds are
spent on strategies that will result in improved development, health and education outcomes for
young children.
Local Regional Partnership Councils are comprised of community volunteers, with each member
representing a specific segment of the community that has a role in ensuring that Arizona's
children grow up to be ready for school and set for life: parents, leaders of faith communities,
tribal representatives, educators, health professionals, business leaders and philanthropists.
First Things First Strategic Direction
First Things First's commitment to young children means more than only funding programs and
services. It means having a shared vision about what being prepared for kindergarten actually
means. First Things First specifies that programs and services funded by the First Things First
Board and Regional Partnership Councils are to address one or more of the following Goal Areas to
impact children birth to age five and their families:
• Improve the quality of early childhood development and health programs
• Increase the access to quality early childhood development and health programs
• Increase access to preventive health care and health screenings
• Offer parent and family support and education concerning early childhood development
and literacy
• Provide professional development and training for early childhood development and
health providers
• Increase coordination of early childhood development and health programs and provide
public information about the importance of early childhood development and health
The First Things First Board established a strategic framework with a set of school readiness
indicators that provide a comprehensive composite measure to show if Arizona is making progress
in providing opportunity for young children to be ready for school and set for life. The strategies
funded by First Things First work collectively to develop a comprehensive system across the state
and regionally to address the school readiness indicators. The First Things First Board and
Regional Partnership Councils determine the priorities and strategies to be funded across the state
and throughout the regions assessing the challenges and building on the resources and assets in
place.
School Readiness Indicators
• #7% children demonstrating school readiness at kindergarten entry in the development
domains of social-emotional, language and literacy, cognitive and motor and physical.
• #1% of children enrolled in an early care and education program with a Quality First rating
of 3-5 stars.
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• #7% of children with special needs enrolled in an inclusive early care and education
program with a Quality First rating of 3-5 stars.
• #/% of families that spend no more than 10% of the regional median family income on
quality care and education with a Quality First rating of 3-5 stars.
• % of children with newly identified developmental delays during the kindergarten year.
• #1% of children entering kindergarten exiting preschool special education to regular
education.
• 4#7% of children ages 2-4 at a healthy weight (Body Mass Index-BMI).
• #1% of children receiving at least six well child visits within the first 15 months of life.
• #1% of children age 5 with untreated tooth decay.
• % of families who report they are competent and confident about their ability to support
their child's safety, health and wellbeing.
Scope 0
Statement of Need
Early care and education providers are entrusted with young children every day and often for a
significant portion of the day. While providing early education services, they must also keep
children safe and protected from injuries and potentially serious infectious diseases. Child care
staff also work with parents to promote good social, emotional and physical health for children—
all generally without benefit of medical expertise. According to the American Academy of
Pediatrics, "following health and safety best practices is an important way to provide quality early
care and education for young children". Unfortunately, in many circumstances child care staff
may have to call multiple resources to answer health related questions if they can find assistance
at all.
Research has shown that many health and safety related issues such as immunization compliance,
adherence to medication administration protocols, diapering and hand washing and development
of emergency plans directly impact the quality of early care and education programs. Caring For
Our Children, the national health and safety performance standards developed by the National
Resource Center for Health and Safety in Childcare in partnership with other leading children's
health organizations states (Standard 1.6.0.1) that an early care and education provider "should
identify and engage/partner with a child care health consultant (CCHC) who is a licensed health
professional with education and experience in child and community health and child care and
preferably specialized training in child care health consultation".
Child Care Health Consultation has been shown to promote healthy and safe environments for
children in child care and encourage early care and education settings (centers and family child
• care homes) to implement the highest standards of health and safety on behalf of the children in
their care. Child Care Health Consultation has been shown to be an essential element in achieving
high quality early care and education programs and in maintaining the quality gains made over
time.
GRA-STATE-17-0844-01 Page 33 of 40

Training, technical assistance, and preparation for the role of the CCHC are useful and beneficial in
improving the health and safety of children in early care environments. CCHC training has resulted
in positive gains for CCHCs, such as increased knowledge in the role of CCHC, the scope of practice,
health related policies, and national health and safety standards (Crowley, A.A., & Kulikowich, J.M.
(2009).
The Technical Assistance strategy includes oversight and implementation of the CCHC training for
CCHCs and Health and Safety Specialists, in the state of Arizona. Two CCHC trainings and two HSS
trainings are required each year. Also, development and implementation of an annual CCHC
Symposium. Also, the technical assistance strategy includes the following:
• Collaboration with Pima County Health Department in providing CCHC training for
CCHCs.
• Responsible for reporting scheduled CCHC training and HSS training to the FTF CCHC
Program Specialist.
• Participation in Quality First Academy professional development opportunities related
to Quality First Technical Assistants.
• Collaborating with Pima County Health Department to update the CCHC Handbook in
alignment with the CCHC Standards of Practice developed by FTF.
First Things First is the administrative home for CCHC and has the responsibility for oversight of
the CCHC grants. As the administrative home, FTF does not provide direct service(s), but it is
responsible for the following:
• Fiscal and contract oversight including but is not limited to adherence to the Standard
of Practice, personnel qualifications and monitoring invoices budget modifications and
staff change forms.
• Coordination of data reporting using the database developed by FTF and includes
coordinating database use, and responding to database questions.
• Coordination data reporting training and professional development opportunities with
the Technical Assistance grantees-Maricopa and Pima County Health Departments to
ensure quality implementation of professional development. This includes the
following:
• Build upon and leverage the existing professional development infrastructure
and system.
• Co-determine frequency, methods and sequence of training and professional
development opportunities.
• Establish a coordinated plan for training and professional development with TA
grantees. For example, development and implementation of a Community of
Practice i.e., a forum for communication and sharing of best practices, such as
in which CCHC grant partners and other providers meet to regularly enhance
skills in service provision.
• Service Integration: support coordination and collaboration across all
community programs, service providers and community stakeholders (not
specific to sub-grantee or FTF grantees).
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• Coordinate and collaborate with grantees implementing CCHC. The
Administrative Home will regularly convene sub-grantees and other providers in
the region to develop a seamless and coordinated system of service delivery.
Applicable School Readiness Indicators
Partners implementing this strategy will work collectively with First Things First to address the
school readiness indicators below:
#/% children demonstrating school readiness at kindergarten entry in the development domains
of social-emotional, language and literacy, cognitive and motor and physical.
• #/% of children enrolled in an early care and education program with a Quality First rating
of 3-5 stars.
• #1% of children with special needs enrolled in an inclusive early care and education
program with a Quality First rating of 3-5 stars.
• #1% of families that spend no more than 10% of the regional median family income on
quality care and education with a Quality First rating of 3-5 stars.
• % of children with newly identified developmental delays during the kindergarten year.
• #1% of children entering kindergarten exiting preschool special education to regular
education.
• #1% of children ages 2-4 at a healthy weight (Body Mass Index-BM I).
• #1% of children receiving at least six well child visits within the first 15 months of life.
• #1% of children age 5 with untreated tooth decay.
• % of families who report they are competent and confident about their ability to support
their child's safety, health and wellbeing.
Applicable Goal Areas
Partners implementing this strategy will work collectively with First Things First to address the goal
areas below:
• Improve the quality of early childhood development and health programs
• Increase the access to quality early childhood development and health programs
• Increase access to preventive health care and health screenings
• Offer parent and family support and education concerning early childhood development
and literacy
• Provide professional development and training for early childhood development and
health providers
• Increase coordination of early childhood development and health programs and provide
public information about the importance of early childhood development and health
Target Population and Geographic Area to Serve
All CCHCs across the state. CCHCs in the state of Arizona require training and certification prior to
providing CCHC services.
Health and Safety Specialists, who are designated staff in child care centers. Health and Safety
Specialist training for child care programs in Arizona.
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Target Service Units and Performance Measures
The Target Service and Performance Measures for this strategy are:
Target Service Units: CCHC's that need additional training
Conduct two CCHC trainings per year for newly hired CCHCs in the state.
Assist with other CCHC trainings as needed for newly hired CCHCs in the state.
Collaborate with Pima County to update NTI training plans.
Collaborate with Pima County to update CCHC Handbook (2013 edition).
Conduct two Health and Safety trainings for Health and Safety specialists per year.
Performance Measures:
Number of CCHC train ings (2) completed.
Number of Health and Safety trainings for specialists (2) completed.
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Exhibit :B .
Guidance Materials
All Standards of Practice and Target Service Unit (TSU) Guidance Documents can be accessed
through the FTF Strategy Toolkit, located at http://www.azftf.gov/pages/strategytoolkit.aspx.
Links to the documents specific to this Grant Agreement are located below. There may be other
documents that appear on the links but the documents required for this Grant Agreement are
indicated below. For difficulty in accessing any of the documents, email the name of the
document and the Grant Agreement number to grants@azftf.gov for assistance.
Standards of Practice Documents Required for this Grant Agreement
Child Care Health Consultation Strategy Overview:
http://azftf.gov/pages/WebMain.aspx?Pagelc1=9E8669C97C0C408B9F3567C855744398&St
rategyld=84
Include any other supporting policies mentioned in the SOW document
Target Service Unit (TSU) Guidance Document
Child Care Health Consultation TSU Guidance Document:
http://azftf.gov/pages/Web M a in.aspx?Pageld=9E8669C97C0C408B9F3567C855744398&St
rategyld=84
Additional Documents
Suspected Child Maltreatment Mandated Reporting Policy
http://azftf.gov/pages/WebMain.aspx?Pageld=9E8669C97C0C408B9F3567C855744398&St
rategyld=84
G RA-STATE-17-0844-01 Page 37 of 40

Exhibit C
Data Security Guidelines and Requirements for Collaborators
BACKGROUND:
The purpose of the Arizona Early Childhood Development and Health Board (First Things First - FTF) is to aid
in the creation of a system that offers opportunities and support for families and communities in the
development of all children, so they can grow up healthy and ready to succeed. Our work is accountable
and transparent to decision-makers and the citizens of Arizona. Collaboration and direct funding of
grantees to undertake work on behalf of the children and families of Arizona is fundamental to the purpose
and mission of FTF. Regular submission of data related to funded work is an important part of ensuring
accountability and maximum positive impact for young children, as well as a material condition of receiving
FTF grant funding.
Data Security Guidelines for Data Submission to FTF
First Things First will ensure that resources allocated have maximum impact for the benefit of children and
families. To ensure this accountability, FTF has established data reporting requirements for all state and
regional grantees. All funded providers shall regularly submit programmatic and financial reports as
identified in the FTF reporting requirements.
FTF data submissions are classified in one of three levels:
• Public data
• Limited distribution data
• Confidential data
Public data are those data that are readily available in the public sphere, such as websites, publications, or
other widely-used sources. Limited distribution data do not identify individuals, but may be of sufficiently
small cell size that their dissemination poses a threat to the confidentiality of individuals. Confidential data
are those data that identify individuals; are governed by tribal or other agreements that limit their viewing,
analysis, and dissemination; or that even when aggregated, put at risk the anonymity of any individual.
The majority of FTF reporting submissions are completed through the FTF Partner Grant Management
System (PGMS). Subsequent to the award of a grant, the grantee will receive general training on login and
navigation within the PGMS system. With this login, the grantee will be able to manage their contract
information. An additional training on strategy-specific data submission requirements will also be
conducted. During that training, the grantee will be informed on submission of data reporting requirements
through PGMS. All data submitted through PGMS is public data or limited distribution data. Because
PGMS is located in a secure extranet environment, grantees using PGMS for data submission are not
required to undertake additional security measures related to their data submission above those identified
in the general and data submission orientations (password and login security, guidelines for upload of
narrative and other reports).
A small group of grantees submit data requirements, with an agreement between the grantee and FTF,
through an established secure web service or FTP (File Transfer Protocol) site via the internet, rather than a
PGMS web-based entry form. Such data is likely to contain limited distribution data and shall adhere to the
GRA-STATE-17-0844-01 Page 38 of 40

following protocols. Grantees that submit data through the secure web service must submit data within the
established data structures and format; follow all login procedures; submit a formal data change request
form if needed; and ensure that limited distribution data may not be intercepted or viewed at any time by
parties other than the grantee and FTF. Additionally, grantees must ensure that throughout the reporting
and submission process the data is secured and that any confidential data is de-identified and/or
encrypted.
Any grantee submitting data identified as confidential must file a formal data security policy with PTF.
Data Security Guidelines for Grantee Maintenance of Data
In order to submit data to FTF in fulfillment of reporting requirements, grantees shall keep all data
collected for their program(s) within their system (database) or hardcopies. Grantee data is likely to contain
highly sensitive information on individuals, their education and their health. These guidelines and
requirements are for the maintenance of those data.
All grantees must have a data security policy in force that identifies how the organization ensures that data
is protected in all its forms, during all phases of its life cycle, from inappropriate access, use, modification,
disclosure, or destruction.
All grantees subject to HIPAA, FERPA, tribal law, or other data regulation are required to submit and
maintain those approvals for all data.
Data Permission Guidelines for Grantee Data
All grantees must be prepared for FTF review of client-level data (e.g. child-level, teacher-level, or early
care and education provider-level) during on-site visits. Additionally, FTF data reporting requirements may
include submission of client-level data (e.g. child-level, teacher-level, or early care and education provider-
level). The grantee agrees to allow FTF to access such data. Should the data be subject to HIPAA, the
grantee agrees to enter into FTF's HIPAA Business Associate Agreement.
To inform clients of FTF's reporting requirements, all grantees must include in their client enrollment forms
the statement: "To comply with reporting requirements of the funding source, I grant permission to [insert
grantee organizational name] to release background, service, and impact related information to the
Arizona Early Childhood Development and Health Board, also known as First Things First." The grantee
warrants to FTF that prior to entering into the grant agreement for FTF funding, it has appropriately
enquired and satisfied itself that it has the ability and authority comply with the requirements of this
section.
Grantees Serving Clients on Tribal Lands
First Things First recognizes Arizona tribes as sovereign nations that have the right to regulate research and
data collection on their tribal lands. To this end, First Things First is committed to obtaining all appropriate
tribal approvals for data collection, analysis and reporting. Accordingly, grantees shall only collect, use and
share data from tribal land in accordance with a data collection agreement between a tribe and First Things
First or the grantee.
Compliance with Data Security Guidelines
The grantee acknowledges that failure to comply with any requirement of these Data Security Guidelines
shall be a material breach of the grant agreement.
GRA-STATE-17-0844-01 Page 39 of 40

First Things First's own Data Security Policy & Procedures and Tribal Data Policy may be viewed on the FTF
website, www.azftf.gov , under Funding/Eligibility & How to Apply or
http://www ,azftf.gov/WhatWeDo/Funding/Pages/Eligibility.aspx.
Revised November 2015
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