GRANT AWARD RE CHILD CARE HEALTH CONSULTATION WITH FTF.PDF

C-86-15-114-G-00

C-86-15-114-G-00 ATTACHED TO AND A PART OF
Grant Agreement
GRA-STATE-16-0776-01
Child Care Health Consulatation
IN WITNESS WHEREOF, the parties agree to enter into this Contract:
FOR AND ON BEHALF OF
MARICOPA COUNTY
By
Chairman, Board of Supervisors
Date
ATTEST:
Clerk of the Board
Date
APPROVED AS TO FORM:
Attorney for Maricopa County
Date

GRANT AGREEMENT
GRA-STATE-16-0776-01
Between The
Arizona Early Childhood Development and Health Board
(First Things First)
And
Maricopa County Department of Public Health
I. Purpose
The intent of this evidence based strategy is to provide Child Care Health Consultation
services for child care centers and homes by Maricopa County. The following regions will
receive services from Maricopa County: East Maricopa, Northwest Maricopa, Phoenix
North, Phoenix South, Southeast Maricopa, and Southwest Maricopa. The CCHC will
provide health and safety information to child care staff and directors, conduct trainings,
and provide other direct or referral services related to health and safety to early childhood
providers for children birth to five. Services will be provided using the 3-tiered service
levels.
II. Term, Renewal
The term of this Agreement is July 1, 2015 through June 30, 2016. The parties may renew
this Agreement for up to two (2) additional twelve (12) month extensions (including lesser
parts thereof).
Ill. Description of Services
Early childhood professionals are entrusted to provide care for children, and they must
keep children safe from injuries and infectious diseases, while providing care. Health and
safety related issues directly impact the quality of early care and education programs. The
health and safety standards are based on the Caring for Our Children (3rd edition)
standards that are higher than state licensing standards. The Child Care Health
Consultation program is evidence based and has been shown to promote healthy and safe
improvements in child care environments.
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.
In some regions, there are CCHC only centers that are not enrolled in the Quality First
Program. The role of the CCHC is to promote the health and development of children,
families, and to ensure a healthy and safe child care environment. Topics of technical
G RA-STATE-16-0776-01 Page 2 of 30

assistance: sanitation, hand-washing, playground safety, medication management,
emergency preparedness, and health and illness management.
The target population of the Child Care Health Consultation Program is centers and homes
enrolled in the Quality First Program, and in some regions in centers or homes not enrolled
in Quality First as determined by the regional council.
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. Complete the Program(s) and Implementation Plan described in Section !V.A. In
providing these services, the Grantee shall act in accordance with its Program
Questions and Narrative Responses and the approved budget as well as 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 timelythe 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 $1,047,358.00, on the terms described in this Section.
B. Payment is conditioned upon receipt by First Things First of timely, accurate and
complete (1) 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.
GRA-STATE-16-0776-01 Page 3 of 30

Expenses eligible for reimbursement must be paid, accrued or obligated by the Grantee
by the Agreement term end date. Final payment shall be contingent upon receipt of all
fiscal, programmatic, and data reports required of the Grantee under this Agreement.
Requests for reimbursement received later than forty-five (45) days after the
Agreement end date will not be paid.
D. Funds provided to the Grantee under this Agreement shall only be used to fulfill the
Grantee's responsibilities under this Agreement. Any questions regarding the
appropriate use of the funds shall be resolved by mutual agreement between the
parties.
E. If the Grantee receives reimbursement for expenditures that are disallowed by an audit
exception by First Things First, the state or the federal government, the Grantee shall
promptly repay the funds to First Things First.
VI. Quarterly Program Narrative and Data Submission Reporting Requirements
A. At a minimum, the Grantee shall submit quarterly one Program Narrative Report and
three Data Submission Reports (one per month) 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
2 nd Quarter (October 1 - December 31) Due: January 20
3 rd 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 January 2015) are hereby incorporated by reference into
this Agreement as if fully set forth herein. Copies of this document are available at
1-Itt_p_livIty -iatWeDo Fut Pa es Eli ibilit .as x (under Eligibility), by
emailing grants@azfttgov or by calling the First Things First Procurement Specialist, at
602-771-5114.
GRA-STATE-16-0776-01 Page 4 of 30

B. Working on Sovereign 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.
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
utive Order No DtfPrflt TV
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.
GRA-STATE-16-0776-01 Page 5 of 30

F. Relationship of Parties. The Grantee under this Agreement is an independent contractor.
Neither party to this Agreement shall be deemed to be the employee or agent of the
other party.
VIII. Agreement Administration and Operations
A. Advertising, Publishing and Promotion of Agreement. The Grantee shall not use,
advertise or promote information for commercial benefit concerning this grant without
the prior written approval of First Things First.
B. 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
e protocol and style e 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.
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 the
Grantee's compliance with this subsection. In consultation with First Things First, the
Grantee shall revise the materials to meet First Things First's protocol and style
requirements 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. 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.
D. 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.
E. 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
GRA-STATE-16-0776-01 Page 6 of 30

Things First shall own (for and on behalf of the State) the entire right, title and interest
to the Intellectual Property throughout the world. The Grantee shall notify First Things
First, within thirty (30) days, of the creation of any Intellectual Property by it or its
subcontractor(s) and subgrantee(s). The Grantee, on behalf of itself and any
subcontractor(s) and subgrantee(s), agrees to execute any and all document(s)
necessary to assure ownership of the Intellectual Property vests in the State and shall
take no affirmative actions that might have the effect of vesting all or part of the
Intellectual Property in any entity other than the State. The Intellectual Property shall
not be disclosed by Grantee or its subcontractor(s) and subgrantee(s) to any entity not
the State without the express written authorization of First Things First.
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
. a
against any and all claims, actions, liabilities, damages, losses, costs or expenses
(including reasonable attorneys' fees) ("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 lndemnitee are caused by the act,
omission, negligence, misconduct or other fault of the lndemnitor or any of its officers,
officials, agents, employees or volunteers.
B. Patent and Copyright. The Grantee shall indemnify and hold harmless the State against
any liability, including costs and expenses, for infringement of any patent, trademark or
copyright arising out of grant performance or use by the State of materials furnished or
work performed under this Agreement. The State shall reasonably notify the Grantee
of any claim for which it may be liable under this paragraph. This paragraph does not
apply if the Grantee is insured pursuant to A.R.S. § 41-621.
C. Subcontractors. The Grantee shall contractually require its subcontractors and
subgrantees, if any, to defend, indemnify and hold harmless the State of Arizona and its
departments, agencies, boards, commissions, universities, officers, officials, agents and
employees ("State") from and against any and all Claims (including court costs,
attorneys' fees, and costs of claim processing, investigation and litigation) for bodily
injury or personal injury (including death), or loss or damage to tangible or intangible
property caused, or alleged to be caused, in whole or in part, by the negligent or willful
acts or omissions of the subcontractor or subgrantee or any of its owners, officers,
directors, agents, employees or volunteers. This indemnity shall include any claim or
amount arising out of or recovered under the Workers' Compensation Law or arising
out of the failure of the subcontractor or subgrantee to conform to any federal, state or
local law, statute, ordinance, rule, regulation, or court decree. It is the specific intention
of the parties that the State shall, in all instances, except for Claims arising solely from
the negligent or willful acts or omissions of the State, be indemnified by the
subcontractor or subgrantee from and against any and all Claims. It is agreed that the
GRA-STATE-16-0776-01 Page 7 of 30

subcontractor or subgrantee will be responsible for primary loss investigation, defense
and judgment costs where this indemnification is applicable.
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 and consultation
with First Things First.
XI. Termination Upon 30 Days Notice
In addition to the termination provisions incorporated by reference, either party may
terminate the Agreement for any or no reason by giving at least thirty (30) days written
notice of termination to the other party. If the Grantee requests termination under this
provision, the Grantee shall cooperate with reasonable requests from First Things First to
decrease services and costs related to the Agreement.
XII. Notices
The Grantee shall address all notices related to this Agreement to:
First Things First
Finance Division
4000 N. Central Avenue, Suite 800
Phoenix, AZ 85012
First Things First shall address all notices related to this Agreement to:
Machrina Leach
Maricopa County Department of Public Health
4041 N. Central Ave.
Phoenix, AZ 85012
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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
Niaricopa County Department of Public Arizona Early Childhood Development
Health A.,./ And Health Board
GRA-STATE-16-0776-01 Page 9 of 30

Agency/Organization Profile
A. Agency/Organization:
Program Name Community Health Nursing
Agency Maricopa County Department of Public Health Contact Person Machrina Leach
Address 4041 N. Central Avenue Position Nurse Program Manager
Address Suite 639 Email machrinaleach(thmail.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 EIN changes, please go to https://qao.az.gov/afis/vendor-
information, download the State of Arizona Substitute W-9 Form, and submit with your application.
Congressional district (federal) in which agency provides most services: District #
Legislative district (state) in which agency provides most services: District # 15
Go to http://www.caredistricting.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? $33,429,022
Agency's fiscal year-end date: June 30, 2015
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 84018
Phone: 602-553-0333

B. Proposed Program Information/Description:
Amount requested: 1,047,358.00
Service area of proposed program: East Maricopa, Northwest Maricopa, Phoenix North, Phoenix South,
Southeast Maricopa, Southwest Maricopa
Target population of proposed program: regulated early child care and education providers in Maricopa
County who are participating in Quality First, the Quality Improvement and Ratings System
Number of center based providers to be served: 410
Number of home based providers to be served: 73
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.
Specially trained registered nurses, designated as Child Care Health Consultants (CCHC), will provide tiered health consultation
services in a culturally competent manner to regulated child care centers and homes participating in Quality First, the Quality
Improvement and Ratings System developed by the Early Childhood Development and Health Board. Services may include:
Health and safety assessments
• Reviews of health and safety practices of child care staff( i.e. hand washing, diapering, sanitation, nutrition, physical
activity)
• Assistance to child care staff in implementing a quality improvement plan
• Technical assistance to child care staff to correct health and safety deficiencies
• Interpretation of national standards to promote best practices in health and safety
• Guidance to child care staff in the prevention of communicable diseases through outbreak recognition, control, and
reporting
• Assistance with the development and implementation of health and safety policies and procedures
• Education and training on a variety of health and safety topics

C. Contact Information:
The First Things First Partner Grant Management System (PGMS) has four contact slots per contract. The same
person may be assigned to more than one slot.
Main Contact: is responsible for the overall program and will have access to all financial, programmatic, and
data reports in PGMS.
Finance Contact: is responsible for the submission of reimbursement requests through PGMS and will have
access to budget and reimbursement information in PGMS.
Program Contact: is responsible for program implementation and will have access to the program and data
reports in PGMS.
Evaluation Contact: is responsible for the program evaluation and data collection activities and will have
access to only the data reports in PGMS.
PGMS Contacts
Name: Karen Hoffman Email: KarenHoffman@mail.maricopa.gov
Main Contact
Title/Position: CCHC Supervisor Phone: 602-506-1582
Physical Address (if different than the agency address):
Same
Name: Kimberly Abbott Email: KimberlyAbbott@mail.maricopa.gov
Finance Contact
Title/Position: CHN Accountant Phone: 602-506-6358
Physical Address (if different than the agency address):
Same
Name: Machrina Leach Email: MachrinaLeach@mail.maricopa.gov
Program Contact
Title/Position: CHN Program Manager Phone: 602-506-6662
Physical Address (if different than the agency address):
Same
Name: Email:
Evaluation Contact
Title/Position: Phone:
Physical Address (if different than the agency address):
Same

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 - those individuals directly responsible for program implementation/services and are fully or
partially funded through the proposed program.
Name/ FTEs funded
Position Title Background/Expertise* Key Roles and Responsibilities through the
program
CCHC from 2010 and moved to Supervise and evaluate Four (4)
CCHC supervisor in 2011 Child Care Health Consultants and
for Community Public Health one Administrative Assistant.
Nursing in the County Health Gather data from electronic
Department. Twenty- six (26) charting system in the Extranet and
years of nursing experience in a from MCDPH CCHC database
variety of areas, primarily school submitting information to First
health nursing, public health and Things First. Organize meetings
hospice. Bachelor of Arts in with co-supervisor bimonthly or as
K aren Education: Associate Degree in needed for CCHC's. Orientation and
Hoff man / Nursing. Has completed training given to new staff as
Child C are NTI/CCHC Trainer Training, NTI needed. Meet with other
Health CCHC Training, OMAHA, and leadership Staff to discuss budget, 0.8 FTE
Consultant Carefacts Training. Resume on policy, programs, etc. Collaborate
Supervisor file with FTF. with FTF Leaders, Coaching
supervisors, Child Care Licensing,
Assessor supervisors as well as
other partners in public health.
Review and create curriculum
modules. Network with all CCHC's
to create better ways of improving
quality in child care centers
through education and intervention
methods.
CCHC for Community Health Provide consultation and technical
Monica Nursing in the County Public assistance to child care providers.
Charles/ Health Department for 2+ years. Provide education, training, and
Child Care More than ten (10) years of guidance on a variety of health and 1.0
Health clinical and hospital nursing safety topics for child care staff and
Consultant experience. Main focus in nursing parents. Document data and
has been maternal nursing. activities conducted with child care

Bachelor of Science in Nursing. providers, children, and families
Completed the NTI CCHC following charting and reporting
Training. Resume on file with FTF. requirements. Provide guidance,
support, and information regarding
available resources for families and
child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.
CCHC with Community Health Provide consultation and technical
Nursing in the County Public assistance to child care providers.
Health Department for 1+ year. Provide education, training, and
Thirteen (13) years of nursing guidance on a variety of health and
experience caring for children as safety topics for child care staff and
a pediatric nurse. Experience as parents. Document data and
Kellie a ctinical manager. Bachelor of ac ivities conducted with child care
Engen/Child Arts in Psychology and Criminal providers, children, and families
Care Health Justice and an Associate Degree following charting and reporting 1.0
Consultant in Nursing. Completed NTI CCHC requirements. Provide guidance,
Training. Resume on file with FTF. support, and information regarding
available resources for families and
child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.
CCHC with Community Health Provide consultation and technical
Nursing for County Public Health assistance to child care providers.
Department since 2010. Thirty- Provide education, training, and
Six (36) years of nursing guidance on a variety of health and
experience with most of it safety topics for child care staff and
concentrating in the nursing care parents. Document data and
of women and children. Worked activities conducted with child care
in a variety of other positions providers, children, and families
Martha such as school nurse, medical following charting and reporting
Golfen/Child office, and hospital. Bachelor of requirements. Provide guidance,
Care Health Arts in Art History and an support, and information regarding 1.0
Consultant Associate degree in Nursing. available resources for families and
Completed the NTI CCHC course, child care providers for up-to-date
Carefacts and OMAHA training, immunizations; health, dental, and
Resume on file with FTF. developmental screenings; and
mental health services. Currently
has developed and implemented
the on-line trainings for the CCHC
program along with consulting with
clients in her caseload.

CCHC with Community Health Provide consultation and technical
Nursing for County Public Health assistance to child care providers.
Department since 2010. Twenty- Provide education, training, and
seven (27) years' experience in guidance on a variety of health and
nursing. Background is mostly in safety topics for child care staff and
maternal nursing, but has worked parents. Document data and
Idolinda previously in public health activities conducted with child care
Khalsa/Child working with children, providers, children, and families
Care Health Completed the NTI CCHC Class, following charting and reporting 1.0
Consultant and OMAHA and Carefacts requirements. Provide guidance,
trainings. Resume on file with support, and information regarding
FTF. available resources for families and
child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.
-• - I- • us- • sviee consu a ion an' ec nrcal
the Maricopa County Public assistance to child care providers.
Health Department. Thirty-five Provide education, training, and
(35) years as a public health guidance on a variety of health and
nurse providing services to safety topics for child care staff and
families. Over twenty-three (23) parents. Document data and
Diane years' experience providing activities conducted with child care
LeFevre/Child newborn intensive care follow-up providers, children, and families
Care Health services for families through following charting and reporting 1.0
Consultant home visitation. Completed NTI requirements. Provide guidance,
CCHC Training, OMAHA and support, and information regarding
Carefacts Training. Resume on available resources for families and
file with FTF. child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.
CCHC with Community Health Provide consultation and technical
Nursing at the County Public assistance to child care providers.
Health Department since 2009. Provide education, training, and
Twenty-three ( 23) years of guidance on a variety of health and
nursing experience beginning in safety topics for child care staff and
M arn ie pediatric nursing then moving to parents. Document data and
Richardson/ school nursing for 18 years. activities conducted with child care
Child Care Completed NTI CCHC Training, providers, children, and families
Health OMAHA and Carefacts Training, following charting and reporting 1.0
Consultant Resume on file with FTF. requirements. Provide guidance,
support, and information regarding
available resources for families and
child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.

CCHC with Community Health Provide consultation and technical
Nursing for County Public Health assistance to child care providers.
Department since 2009. During Provide education, training, and
this time working as a CCHC guidance on a variety of health and
Hearing Screening for a separate safety topics for child care staff and
grant that was awarded. Sixteen parents. Document data and
Melissa (16) years of nursing experience activities conducted with child care
Suit/Child Care with the emphasis in pediatric providers, children, and families
Health along with some public health following charting and reporting 1.0
Consultant background. Bachelor Degree in requirements. Provide guidance,
Community Health/Psychology support, and information regarding
and an Associated Degree in available resources for families and
Nursing. Completed Nil CCHC child care providers for up-to-date
course and the OMAHA and immunizations; health, dental, and
Carefacts trainings. Resume on developmental screenings; and
file at FTF. mental health services.
Laureen CCHC with Community Health Provi e consu a ion an tec nica
Weiss/Child Nursing for the County Public assistance to child care providers.
Care Health Health Department since January Provide education, training, and
Consultant 2014. Twenty-one (21) years' guidance on a variety of health and
experience in nursing. She has safety topics for child care staff and 1.0
worked extensively in behavioral parents. Document data and
health, but also in pediatric activities conducted with child care
settings and in school health. providers, children, and families
Bachelor of Science Degree in following charting and reporting
Nursing. Completed the NTI requirements. Provide guidance,
CCHC course. Resume on file at support, and information regarding
PTE. available resources for families and
child care providers for up-to-date
immunizations; health, dental, and
developmental screenings; and
mental health services.
Claudia Corral/ Experience with the CCNC Provides administrative support for 1.0 FTE
Administrative program as a hearing screening the Child Care Health Consultation
Assistant CCHC assistant for the Hearing Program: prepares training packets
program Screening Program from April for trainings to individual
2011 through June 2013. programs, community training, and
Worked as an administrative CCHC and HSS trainings, maintains
assistant for the CCNC program CCHC training supply inventory,
for the last 3 years. She has provides key services for the on-
experience in the medical field as line training program, monitors
a CNA and Lab Tech. She has program completion, mails out
completed the T3 Train the completion certificates and
Trainer for the hearing screening answers questions regarding the
program. Bilingual Spanish and programs. Assists with calls from
English. Will have completed the Spanish speaking only clients.

Spanish Medical Interpreter Class Provides training to the community
offered by Phoenix Children's on child safety seats.
Hospital by May 30, 2015. Is a
child seat safety specialist.
Resume on file with FTF.
Additional
Personnel -
those
individuals fully
or partially
funded
through the
proposed
program but
not directly
implementing
or managing
the program.
Program Total: 9.8
* 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.

Required Narrative Responses
Provide a narrative response that addresses the following items.
a) Provide a description of the CCHC program being implemented in your region(s).
Child Care Health Consultants provide tiered health consultative services to all regions of
Maricopa County in both regulated child care center and homes who participate in Quality First,
the Quality Improvement and Ratings System developed by the Early Childhood Development
and Health Board. The design of the child care health consultative program that is utilized is
influenced by the work of the National Training Institute for Child Care Health Consultants out of
the University Of North Carolina at Chapel Hill. The CCHC program is a voluntary, helping
process which takes place between the CCHC and the child care provider. It is a problem solving
process with the intent of addressing immediate concerns in health and safety areas and
Euevere-pinvexpE are LH L1V (le mar concern arises in e
future, the provider will be able to handle it independently. In addition, it is a fully collaborative
process which includes not only the child care program director and staff, but also other OF
Technical Advisors, such as OF coaches, inclusion coaches, Mental Health Consultants and OF
education specialists. For the Fiscal Year 16 the CCHC program will be staffed with 1 nurse
supervisor, 7.5 Registered Nurses, and 1 administrative assistant.
b) Identify capacity or infrastructure building, which will be needed, including agreements and
partnerships with other departments and agencies, additional resources, and training and
technical assistance to provide the proposed service.
The infrastructure for the CCHC program housed at Maricopa County Department of Public
Health (MCDPH) is and has been in place for a period of five plus years. The CCHC program, as
part of Community Health Nursing, partners with other areas in the MCDPH Disease Control
Division, such as Office of Epidemiology, Office of Preparedness and Response and Office of Vital
Registration. Community Health Nursing has partners throughout the Department of Public
Health in the Community Health Action Division which houses the WIC program, Office of Family
Health, Office of Oral Health, and Office of Health Promotion and Education. In the MCDPH
Community Transformation Division there is the Office of Tobacco & Chronic Disease, Office of
Nutrition and Physical Activity, Office of Community Empowerment and the Office of Public
Policy. Being part of the MCDPH we also partner with the nonprofit organizations Maricopa
County Children's Immunization Partnership(MCChIP) and The Arizona Partnership for
Immunization (TAPI). The Child Care Health Consultation Program also partners with other
agencies under the umbrella of First Things First such as the Valley of the Sun United Way,
Southwest Human Development, and Arizona Association for Supportive Child Care working side
by side with Coaches, Mental Health Consultants, and Inclusion coaches in a collaborative
capacity. Arizona Department of Health Services is another partner we work with especially the
Office of Child Care Licensing. All CCHC's go through a Nil CCHC certification course upon
getting hired as a CCHC at MCDPH. They also attend numerous trainings such as Owner/Director
Orientation Workshop sponsored by ADHS Office of Child Care Licensing and Arizona
Department of Economic Security Family Child Care recruitment training. There are many
trainings/conferences that focus in on the area of child care that are offered to the nurses
throughout the year (Obesity conference, Child Abuse conference, AZ Annual Immunization

conference, FTF Summitetc.) The CCHC's participate in the Quality First Coaching Academy
alongside other collaborative partners in Quality First to gain knowledge of the multi-stage
coaching model identified for use by FTF when offering technical assistance to child care
providers. The OF Coaching Academy also promotes professionalism and cultural responsibility.
c) Identify barriers to providing the service or program proposed and plans for addressing these
barriers.
Regional councils have budgeted for a specific number of CCHC's to cover all Maricopa County
QF Child Care Centers. There are a number of factors that influence the ability to effectively
manage a caseload and a point system has been put into place(See CCHC Handbook pg. 26). The
maximum caseload for each CCHC FTE is 25 clients not to total more than 30 points. Utilizing the
CCHC Tier Model for services, we are typically able to provide Tier 2 and 3 services to
approximately 45% of the total number of QF programs. Services will continue to be provided
via the CCHC Tiered Services Model.
A barrier or challenge for this grant cycle will center on Tier One Programs. Since the Helpline
will no longer be available to provide Tier One services, this task will fall to the MCDPH CC-IC
program in the new fiscal year. All Tier 1 Programs will be contacted to see if they need
services and will have be given access to a central phone number/e-mail to contact if they
decide they would like services. The CCHC's will provide Tier 2 and 3 level services to those
programs that choose to participate at the Tier 2 or 3 levels.. If the demand for Tier 2 or Tier 3
CCHC services outstrips the number of CCHC's we have available to provide the services, then
we will implement a waiting list protocol. The protocol will rotate "wait list" programs on to a
CCHC caseload as other Programs are moved down to the Tier 1 level, thus opening up a space
for the "wait listed" program. Several factors determine as to which Programs stay on service
or move back to Tier 1. The first factor is the commitment a center makes to participate in the
OF CCHC Process (e.g. keeping appointments, allowing CCHC to visit on at least a quarterly basis,
returning on going communication). Programs that are not able to make this commitment for
CCHC services can be moved to Tier One Services level until they are ready for CCHC services.
Other factors that keep the Tier System fluid could include considering the length of time a
program has been receiving CCHC services (especially any program that have been receiving
services for 3 or more years)„ or programs that have made marked improvement (3-5 stars).
These programs could move down to Tier 1, thus allowing others to have Tier 2 or 3 CCHC
services. For those improved programs that desire to continue with a CCHC, but that do not
require Tier 2 or 3 services, we would give them the opportunity to be assigned to the CCHC
they have been working with to maintain that excellent working relationship, but at Tier One
CCHC service level.
In order to provide additional services to Tier One programs, the MCDPH CCHC program
proposes that Tier one programs have access to a central MCDPH CCHC line to request CCHC
services. The MCDPH CCHC Program already has on-line training in place for child care
providers, in addition to community trainings throughout the year, both of these training
offerings are available on our web site: http://www.maricopa.govipublichealth/defaultaspx
A second barrier to providing services is the sheer number of collaboration meetings that the
CCHC must attend quarterly as well as the commitment to attend the OF Academy meetings
numerous times throughout the year . Such meetings take time away from providing direct

services to programs. To address this barrier, we are having the CCHCs utilize other means of
communication with collaborative team members such as email/telephone instead of having to
attend every meeting in person. The CCHC's are also contributing to the collaboration process
for the quality improvement plan by writing health and safety SMART goals and sharing with the
team.
d) Describe plans to recruit and locate personnel within the geographical region of the provided
service that meet the staff qualification standard detailed in the Standards of Practice, and are
linguistically appropriate and culturally responsive for the population to be served. If there is
anticipated difficulty in hiring qualified personnel, include a plan and timeline for supporting
staff to meet the qualification standard.
Currently, the MCDPH Child Care Health Consultant Program is fully staffed with 7.5 FTE CCHC's
and 2 supervisory staff. As discussed above, the staffing model will change in the new fiscal year
to 1 supervisory staff and 7.5 FTE CCHC staff and one FTE administrative assistant staff. Should
staffing levels change, due to staff turn-over, MCDPH has hiring mechanisms in place through
DLIT hUIrIdFl ResoulLes uv nsure that qualitied candidates are selected tor the
interview process. Job descriptions are reviewed annually and updates are made according to
grant requirements. At this time, MCDPH CCHC Program does not anticipate difficulty in hiring
qualified staff.
e) Describe steps that will be taken to promote collaboration with other government departments
and partners working with the agency.
Collaboration networks with other government departments and partners working with the
agency are already in place with the capacity to expand these networks as needed.
1) The CCHC program collaborates with the other Quality First technical advisors working with
Quality First Programs on several different levels: Individual program collaborative efforts to
develop the Quality Improvement Plan, CCHC staff attendance and participation with the
Quality First Academy, and Supervisory participation in joint collaboration meetings and at
quarterly VSUW Coaching meetings. In addition, BASECAMP allows for CCHC staff and
supervisors to pose questions to the assessment team and to clarify the meanings of
standards taken from the Environmental Rating Scales and Caring for Our Children, 3rd Ed.
CCHC's also collaborate with all pertinent technical advisors to address critical incidents that
may arise with a OF program.
2) The CCHC program maintains collaborative relationships with ADI-15 Office of Child Care
Licensing and DES, with members from those offices invited annually to a CCHC Statewide
meeting. CCHC's have the capacity to contact ADHS for questions and clarifications
regarding licensing regulations.
3) The MCDPH CCHC program and MCDPH Office of Nutrition and Physical have partnered with
ADHS Bureau of Nutrition and Physical Activity to implement programs aimed at obesity
prevention in the child care setting through the Empower and Empower Plus Programs.
CCHC's focus on helping child care programs implement policies from the Empower Program
and demonstrate how Empower and Empower Plus concepts can readily be adapted to their
individual programs.
4) The MCDPH CCHC Program collaborates with Pima County CCHC Program to determine
dates/sites of CCHC Training Programs and Health and Safety Specialist Training Programs.
The two programs also meet to discuss overall curriculum of the CCHC and HSS training
programs to ensure that content is standardized for both training programs.

5) The MCDPH CCHC program also collaborates with our internal MCDPH departments.
Community Health Nursing (CNN) has county funded CCHC's who help support non-QF
programs in Maricopa County. CHN also provides NTI certified trainers who help produce
CCHC Training that is done by MCDPH CCHC program The CCHC program partners with the
CHN program to provide free adult immunizations to child care providers following
community training events. The office of Epidemiology will alert the CCHC program of any
reports of outbreaks in a child care center. If the program is a OF program, then a QF
funded CCHC can contact the program to assist the program in managing their outbreak.
The CCHC program has partnered with our Public Information Office to create on-line
trainings for child care providers on the CCHC section of the MCDPH web site. Plans are in
place to expand this partnership to include additional training offerings and to put up a
Facebook page to reach more child care programs with pertinent information.
f) Describe the plan and resources necessary to meet FTF basic reporting requirements and
maintain data securely and confidentially.
I ViCUP program TrUgT2 aireaay nas rc=lciurs in tnat meet tne F Basic Ke po rung
Requirements and maintain data securely and confidentially. CCHC supervisors report to FTF via
the secured FTF extranet and PGMS system. Maricopa County Office of Enterprise Technology's
(OFT) Information Security division provides the processes and technology to ensure the
confidentiality, integrity and availability of all County information systems, to include those of
MCDPH. The Information Security organizational unit focuses on information security policies,
governance and compliance. All staff members are required to review Maricopa County and
Maricopa County Department of Public Health Ethics and HIPAA policies. MCDPH has additional
polices in place for HIPAA compliance and for maintenance of hard copy records and storage of
closed records.

Health (CCHC) NTI on
Documentation Health staff completed members training charting have on
County Public care Program CCHC Training. staff net staff training
of Child all have all completed Extra all charting
Support Maricopa Department (MCDPH) Consultation Currently members CCHC Currently, FTF system. Currently completed extranet
1 based have the
B
Will
Task Completed 2016 2016 2016 2016
30, 30, 30, 30,
Date June June June June
2016
D Plan 30,
Attachment Implementation —June Hoffman Hoffman/Monica Hoffman Johnson Hoffman
1, 2015 Karen Karen Armstrong Karen Nicole Karen
July
are County CCHC months net and
staff and Public positions CCHCs NTI 6 receive Extra receive to California Health Checklist the
contact County of (MCDPH) hired within will the System will how Health (CHP) on it
Qualified per requirements Department open Newly complete Staff on Staff on the Safety net.
hired Maricopa Health fill will training hire training Charting training utilize Childcare Program and document Extra
1: to 2: of 3. 4.
with
positions
Staff
CCHC qualified
Fill

for Includes to by
needed needed training supply CHN
of coordinated CHN and
supplies training. training licensing for review be Supervisor, Manager person
curriculum of packets/handouts OCCL requirements certificates. will net
Maintain copying meet Periodic needs CCHC Program Financial Extra Extranet
2015 2016 2016 2016
30, 30, 30, 30,
June June June June
Hoffman Hoffman, Leach Administrative Hoffman
Karen Karen Machrina FTF Home Karen
the for that Child safety will to are CCHC greet,
needed support budget supplies in enhanced help meet and Home Programs extranet programs assign a to and and
to program a activities utilized to Programs health CCHC new CCHC CCHC will programs meet Orientation
1.Procure supplies CCHC Establish additional and/or be providing materials FTF Administrative assign MCDPH the for assignment MCDPH Supervisor the selection.
2. can Care their goals. 1.The the when ready 2. new for Tier
program an and to of Tier
CCHC Implement intake process guidelines providing
necessary for and referral assignment new for Services,
Purchase resources Develop updated case the meet grant the One

in
will made will
via MCDPH
Program documented materials
calls/emails Programs the
CCHC be net; on website.
One net. will Extra available
Extranet MCDPH document Tier Extra Script CCHC
to the be
2016 2016 2016
30, 30, 30,
June June June
Supervisor Hoffman Hoffman
Staff staff
CCHC Karen CCHC Karen CCHC
program Tier CCHC is is space placed CCHC re- an confirm or Tier to materials on
3 or the space a the be for Care be Tier given services. orientation as posted Website.
QF 2 following the will CCHC for If will Child will the to selection selection well
new Tier Of available list to and CCHC an be
a If desires services orientation, Supervisor coordinate assignment program available. program wait a services. One Programs oriented opportunity one a 3 Develop as announcement can MCDPH
3. not on Tier System tier make or 2 script, that the
in of Tier
programs advise to services and desire access services.
current to changes cycle possible to
all One new CCHC grant programs CCHC
Tier of new the 3 Tier
Contact QF on them accessing the assess these or
2

one website. will made. trainings, how
tier contact maintained supervisor CCHC be Program CCPs coming and Services.
CCHC Program incoming a to quarterly and Documentation
about the be and if needs CCHC a keep up Community resources
and shall MCDPH CCHC any to of CCHC
Information programs number the MCDPH document calls/emails determine assignment MCDPH provide newsletter informed valuable access Support
on will The will events, to
B
2016 2016 2016 Taskl,Will ! Completed 1
30, 30, 30,
June June June Date
2016
Plan 30
Hoffman Hoffman Staff Hoffman Implementation 1,2015—June Person Responsible
Administrative
Karen Karen CCHC Assistant CCHC Karen
July
contact to CCHC given on Tier will
program a One for or 3 1 be CCHC they CCHC will the web that all Programs, Tier
CCHC Tier call to assistance or 2 Tier will information a is quarterly on to what Task
maintain for Tier reach member want services. program a CCHC First
MCDPH number programs CCHC request Services Identified Programs contact to or 3 or CCHC publish newsletter MCDPH site/Facebook available Quality matter assignment.
shall how staff need 2 be no
for that one
to level be services Tier a
select one will as
that Tier services the to receive Activities
at will
Programs remain CCHC oriented they center.

be be net.
FTF will Extranet. will Extra
be
will the Selection the Selection the
in in in
services Tier Tier
documented net. documented documented
CCHC extra CCHC CCHC
2016 Z016
30, 30,
6/30/20 June June
Hoffman staff Hoffman Staff Hoffman Staff.
Karen CCHC Karen CCHC Karen CCHC
Tier Care of for 18 to with to a
provide Acceptance can CCHC time. full services to to short have Quality 5 ready One, have opt CCHCs as
CCHC qualified Child is CCPs any receive 12 elect episodic, services. Care the (3 — are Tier to contact may programs Program.
shall 3 to First services from at CCHC or 2 Child that significant in who to their
Tie may approximately Tier System request CCHC, on of One
CCHCs and services Quality Programs. CCHC voluntary. withdraw services CCPs Tier 3 months, receive term Tier 3 Programs made progress First stars), transition continued their remain panel
2 but Tier
3 per of CCHC the services Tier in Tier
Tier qualified Programs Standards Load in and managed the flexible.
and to the document CCHC Two keep
Tier 2 services Care CCHC utilizing Case handbook. level Tier be to and
Child and and tier One, will way fluid
Provide CCHC FTF FTF Practice Model Guidance CCHC The 3 (Tier Three) such a system

in in
and be Extranet will designate the been and
Health will the documented that 2 program.
the meetings in documentation least has Tier
the Assessment in be and/or at ensure each care
from documented will extranet. net to Pathway on child
Results Safety documented Collaboration extranet. Results Supervisor review Extra quarterly clinical initiated 3
be the will the Tier
2016 2016 2016 2016
30, 30, 30, 30,
June June June June
Hoffman Staff. Hoffman Staff Hoffman Staff
Karen CCHC Karen CCHC Karen CCHC
challenges and, can Health the of Plan findings Safety related
Safety be California and Health Assessment Safety for health
and will annually Health Health the communicated director, and results the of goals CCHC on and with of goals Clinical
the Checklist and in CCP Coach. in based Health
Health Assessment completed Care Strengths in Safety be Health Assessment utilized development Safety CCP's is Assessment formulation safety FTF
FTF utilizing Child Program safety noted and shall the to QF to The be and program. Each Care the of and the to Pathway
all
an Safety Three tools The Health Safety Health are Our National for child
perform and Tier ERS and Clinical goals the Assessment For Edition, standards in Clinical
shall Health on the Coaches, Childcare Health CCHC and from Caring rd safety CCHC
CCHC Assessment Like by Safety on 3 practice and
The annual Program Note: utilized California Program Checklist, Pathway, developed and based Children, best health care. Implement Pathway

reflects maintain of each
services. will documentation on
charting Program reviews
Extranet component CCHC internal charting staff.
2016 2016
30, 30,
June June
staff Hoffman Staff Hoffman Staff
CCHC Karen CCHC Karen CCHC
Health based Caring 3" Ed provide according ensure is in the health reviewing
Goals from will Consultative and/or review to model that providing technical
CCHC Practice Children services will CCHC is is making etc.)
Develop Safety Best Standards Our (CF0C3). CCHC CCHC the NTI Model Supervisor designee documentation the consultative (that CCHC is education, assistance, policies, referrals,
and on for Each to that place
utilizing
services CCHC component Home
the Model indicated: Assistance and
CCHC to following as Education review implementation and Referral/Medical
Provide according Consultative the services Advocacy Health Technical Policy Resource

the and upon and .k0o..:. in
basis, the assigned health Health made training
assess their established the be
semi-annual meeting of Evaluation. 54pticitt:,.ttqcurogrit4t shall with guidelines.
will of goals
a CCHCs progress CCPs in safety completion Safety Referrals accordance grantee
On
2016 Will Completed 2016
30, Task; 30,
June Date June
2016
Plan 30,
—June Hoffman
Implementation 2015 Person Responsible Staff.
1, Karen CCHC
July
Program is to them staff candidates
discharge with a Health Extranet goal for 12-18 review HSS CCP assist interested Grantee.
Care a for of needs in The services will of the their shall these
Child have in place date completion Safety approximately CCHC with and identifying referring Training
Each shall plan target and identified charting. provide months. Each components Program directors and the
in to
Tier FTF the
3 and the in management Safety Program
Discharge Tier utilizing Pathway. grantee and
all and Training
of Clinical training Health
Incorporate Planning programs CCHC Assist Production the Specialist
2 of

HSS Trainer will done
at be file. the CCHC's CCHC be and/or
attendance will their Train certificates the of reported will
training in in number be FTF. Audits Supervisor
Staff Course maintained will to designee
CCHC Mentor maintained CCHC completion The Trainers quarterly Quarterly CCHC
be file. by her
2016 2016 2016 2016 2016
30, 30, 30, 30, 30,
June June June June June
Hoffman Staff Hoffman Staff Hoffman Staff Hoffman Johnson
Karen CCHC Karen CCHC Karen CCHC Karen Nicole
the order an an Grant task Course available to a TA specific will a extranet have
will Train in as as TA will twice CCHC updated business compliance develop readily that
staff HSS Training both and CCHC specific staff CCHC Trainer be training staff to more documentation and 5 the CCHC can confirmed.
CCHC function trainer Mentor to CCHC the and provide CCHC Refer for the and in contract requirements. shall from the notes
Each complete Trainer HSS HSS Refer for more details Each complete Train Program new year. Grant details CCHC complete within days with FTF IT report that Supervisor identify not been
to to so
for
CCHC
the Trainers maintain the system.
will in Training timely in
Staff as and and charting
CCHC participate grant CCHC Program Implement accurate documentation Extranet
TA the

with nursing along scheduled at each meeting. FTF QF and community needed. and planned Health.
collaboration place coaching CCHC CCHCs coaching health inclusion place) has Council State Phoenix as needed. is CCHCs as presentations being County Public
are in ASCC, and with and in directors. program representation attend and Academy all Other attended are of
mental (if CCP Regional in by Maricopa
Quarterly meetings SWHD, supervisors supervisors. collaborate staff, consultants, coaches with CCHC CCHC FTF Supervisors meetings biannually Coaching attended supervisors. meetings Multiple trainings Department
for
2016 2016 2016
30, 30, 30,
June June June
Hoffman Hoffman Hoffman
CCHCs CCHCs CCHCs
Karen All Karen All Karen All
attend Joint meetings supervisory via email) meetings their child inclusion supervisors Council State Coaching other as supervisors through efforts
CCHCs person, or OF team with programs(coach, health and Regional FTF OF and meetings and community community
Supervisors Collaboration and other meetings, attend(in telephone, collaboration with the working care mental consultant, coaches) CCHCs attend meetings, meetings, Academy related appropriate. CCHCs schedule presentation collaborative partners.
with
grantee to provided by Quality duplication systems QF regional marketing events the improving and programs.
FTF meetings in avoid FTF meetings, Academy, the local and other community regarding in health care
in services grantees to confusion in meetings, with appropriate. CCHC of child
Participate collaboration enhance multiple First and and Participate development Coaching council activities community Provide presentations of the status safety in
as role the

via by add
submitted by identified training to
Documentation be supervisors completed CCHCis topics clinical been continue
will be been have online
reports by System. will or curriculum to FTF have completed curricula for plan to
Support FTF quarterly PGMS Surveys supervisors request. 26 related pathway and 4 created with a more.
a) b)
Be
Will
Task Completed 2016 2016 2016
30, 30, 30,
Date June June June
2016
Plan 30,
Implementation —June Person Responsible Hoffman Hoffman
2015 CCHCs
July 1, Karen Karen All
FTF as
to surveys or personnel. program, implement curriculum.
submit Reports in FTF curriculum CCHC
and by First and
Prepare Quarterly Participate requested Quality Identify topics for develop new/revised
Quality and
data, reports activities or
report evaluation elements program FTF personnel Development
by
Collect and surveys, other regarding required Assurance Curriculum Review
and as

translated to who services. on to to for is periodic CCHCs is
curriculum continue member and working curriculum online is modules process curricula cultural modules on-line Spanish
been We caseload translation for plan review review attend to speaking 16 One in production.
16 have Spanish. staff currently Diapering translated The more use. to months. will related translated Spanish. module in
Currently modules into have one a full provides is education. translate online Curriculum place every 18 staff training competency. Spanish have training currently
has She the be in All Key into
2016 2016 2016 2016
30, 30, 30, 30,
June June June June
Hoffman Hoffman
CCHCs CCHCs
Karen All Karen All
in
curriculum Spanish Implement periodic training of cultural service training Spanish Care
into and curriculum process. receives and linguistically Spanish and for Child
Translate modules Design periodic review Staff education provision appropriate delivery. Develop curricula modules predominately speaking Providers.
the and
and to
standards related competencies
practices
Implement best cultural

2016
30,
June
Hoffman
CCHCs
Karen All
to
access to care speak
line
have child who languages.
will Language with
Staff the assist providers other

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, 2015 — June 30, 2016
Budget Category Line Item D4COOtiOn Requested "Funds:: Total Cost
PERSONNEL SERVICES Personnel Services Sub Total $fi9S;190
Salaries .80 FTE CCHC Supervisor 67,786
1.0 FTE CCHC Program Assistant 30,206
8.0 FTE CCHCs 595,946
$626 X 2.0 Bilingual Skills 1,252
EmetoyEE RELATED. EXPENSES • Employee Related Expenses Sub Total 235,858
Fringe Benefits or Other ERE Variable Co 19.21 x 695,190 133,546
Fixed @10,440 x 9.8 102,312
PROFESSIONAL AND OUTSIDE_SERVICES _Professional &Outside Services Sub-Total-
Contracted Services
TRAVEL Travel .Sub Total $3,055
In-State Travel 15 miles x 48 weeks x 9 x 0.445 2,884
Out-ot-State Travel roes x 48 weeks x .80 x 0.445 171
AID TO ORGANIZATIONS OR INDIVIDUALS Aid to Organizations orindividuals Sub Total
Subgrants or Subcontracts to
organizations/agencies/entities
OTHER OPERATING EXPENSES Other Operating Expenses Sub Total
• Telephones/Communications Services Cell phone service $40 x 10 x 12 4,800
• Internet Access months
VPM@Ss x 12 mo. x 10 600
• Professional Development (Staff
Training, Conferences, Workshops, $530 x10 staff 5,300
Training Fees for Staff)
• Program Supplies 7,341
NON-CAPITAL EQUIPMENT Non-Capital Sub Total
Equipment $4,999 or less in value
SUbtOtal:INrett.Progranycests', -. $952,144
ADMINISTRATIVE/INDIRECT COSTS Total Admin/Indirect $95,214
Indirect/Admin Costs July 2015-June 2016 $95,214
Total $1,047,358

Attachment E
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 arid correspond directly with the
proposed line-item budget.
Personnel Services: $695,190
Salaries for 8.0 FTE CCHCs, 1.0 FTE CCHC Program Assistant, and .80 FTE CCHC nursing supervisor.
Maricopa County Department of Public Health uses a Placement in Range System for determining
nursing salaries using an average rounded salary and salaries are determined based on the number of
years of nursing experience. Most of the nurses are very experienced and earn a salary in the top range,
although some earn less. The number of supervisors will decrease this coming fiscal year to one
supervisor and the number of CCHCs will increase to 8.0. The 8.0 FTEs are budgeted using an average
rounded rate ($35,54 x 2096 hours x 8.0FTEs= $595,946). Please note, average rounded rates are being
utilized to reflect Maricopa County salary increases that were put into effect mid —term FY 2015-2016
and an anticipated average salary increase for Maricopa County employees during FY 2015-2016, thus
accounting for overall budgeted salary increases over last fiscal year.
A $626 language differential is budgeted for each of the 2 employees who are bilingual in English and
Spanish. The additional .25 FTE added for the CCHC Program assistant will reflect in increased
administrative duties that reflect in the implementation of the new grant. The supervisor's salary is
budgeted based on the salaries of the current incumbent, for a total of $67,786. The supervisor's salary
is shared with another grant for technical assistance therefore there is .80 FTE in this grant and .20 in
the TA grant. The supervisor will be responsible for the day to day supervlson of staff, determining
staff assignments within the tiered services delivery model, collecting and reporting all data as required
by FTF regarding program activities, providing recommendations for CCCHC system development, and
fostering collaboration between CCHC's and other early childhood coaches and consultants.
Employee Related Expenses: $235,858
Fringe benefits are calculated at @ 19.21 % of salary A($695,190 x 19.2.1%) for a cost of $133,546 for
Medicare, social security, worker's compensation, long-term disability, life insurance, and Arizona State
Retirement System. Medical, dental, vision, and prescription drug coverage benefits are calculated @
$10,440 for 9.8 FTEs for $102,312. These benefits have been calculated using the Maricopa County
projected rates for the contract period of July 1, 2015-June 30, 2016.
Travel: $3,055
Mileage for local travel is budgeted at 15 miles a week x 48 weeks (based on 2 weeks of vacation and
10 paid holiday) x 9 FTEs @ the State of Arizona rate of $0.445 for a total of $2,884. Mileage for the
supervisor is budgeted for 10 miles a week x48 weeks x .80 FTE for a total of $171.
Other Operating Expenses: $18,041
Cell phone service is budgeted @ $40/month x 12 months x 10 FTEs x 12months for a total of $4800.
VPN service for the staff and supervisor to telecommute and be able to work on their computers away

from the office is budgeted for $5 x12 monthsx10 for a total of $600. Professional Development/Staff
Training is budgeted at $530 x 10.
FTEs for a total of $5300. Program supplies including diapers, wipes, gloves, physical activity equipment,
updated resource materials, etc. all used for demonstration, technical assistance, policy development,
and training purposes are budgeted at $7,341.
Administrative/Indirect Costs: $952,144
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'15 116 is 15% The maximum
10% indirect cost rate($95,214) has been budgeted for this project. The unrecoverable 5 %($47,607) will
be contributed by MCDPH as in kind.
%.
Authorized Signature Date