GRANT AGRMT RE NUT OBESITY PA WITH FTF.PDF

FIRST THINGS FIRST
4000 North Central Avenue, Suite 800, Phoenix, Arizona 85012
602.771.5100 I 877.8017234 I azftf.gov
Chair June 9, 2015
Janice Decker
Vice Chair Siman Qaasim
Dr. Pamela Powell Maricopa County Department of Public Health
Members 4041 N. Central Ave. Suite 1400
Nadine Mathis Basha Phoenix, AZ 85012
Shawnna L.M. Bolick E-Mail: simanqaasim@mail.maricopa.gov
Gayle Burns
Gerald Szostak Subject: RFGA If FTF-RC007-16-0553-00
Vivian Saunders
Ruth Solomon Contract number: It FTF-RC007-16-0553-03
Ex-Officio Members Dear Ms. Qaasim:
Hon. Diane Douglas
Superintendent, ADE Your application to provide a Nutrition, Obesity and Physical Activity
Timothy Jeffries Grant program for the Southwest Maricopa Regional Partnership
Director, DES Council of the Arizona Early Childhood Development and Health Board
Cory Nelson (First Things First) has been accepted. Please find attached, a
Interim Director, DHS countersigned copy of your Offer and Acceptance form. The initial
contract period shall be from July 1, 2015 through June 30, 2016. The
Chief Executive Officer amount of your contract grant award is $100,000.
Sam Leyvas
Additionally, pursuant to the Insurance Requirements contained in the
Uniform Terms and Conditions, it is your responsibility to ensure that
all required coverage, in the types and amounts stated, shall be
maintained in full force and effect during the term of this contract and
shall not serve to limit any liabilities or any other Contractor
obligations. The applicable Certificate of Insurance must be submitted
to this office, to my attention no later than July 15, 2015. Please
indicate your contract number in the description section of the
certificate.
Also as a reminder, pursuant to the Acknowledgement of FTF
Funding section of the Request for Grant Application, First Things
First reserves the right to review and approve all publications
funded or partially funded through this contract. First Things First
has decided to exercise this right. Please contact our
Communications Division at communication@azftf.gov for
approval of publications and/or media.
READY FOR SCHOOL. SET FOR LIFE.

A member of the Finance team will be contacting you within the next 30 days to set up time for a
grantee orientation. The purpose of the meeting will be to provide current information regarding
the management of your grant and to establish a relationship with the First Things First staff that
will support your grant award.
Congratulations on your contract award. First Things First looks forward to working with you. If
you have any questions, please contact me at 602-771-5114 or via e-mail at imartin@azftf.gov .
Sincerely,
Pwwwe 711aftaa
Procurement Specialist

FIRST THINGS FIRST
Ready for School. Set for Life.
OFFER and ACCEPTANCE
and
STATEMENT of ASSURANCES
TO THE STATE OF ARIZONA, ARIZONA EARLY CHILDHOOD DEVELOPMENT AND HEALTH BOARD:
APPLICANT OFFER
By signing and initialing below, the applicant hereby offers and agrees to complete the program and
implementation plan described in its grant application and approved by the Arizona Early Childhood
Development and Health Board and to be bound by and comply with the Grant Terms and Conditions
contained in the RFGA and with all other documents constituting the Grant Agreement, including the
following Assurances.
Maricopa County by and through its
Department of Public Health
Applicant Name (Agency/Organization) Signature of Au orized Official
4041 N. Central Ave., Ste 1400 Bob England, M.D., M.P.H.
Address Printed Name
Phoenix AZ 85012 Director
City State Zip Title
Arizona Transaction Privilege (Sales) Tax Point of Contact Concerning this Application:
License No:
Name: Siman Qaasim
Federal Employer Identification No: Phone: (602) 506-8409
86-6000472 E-Mail:SimanQaasim@mail.maricopa.gov
APPLICANT ASSURANCES
Initial the following:
GENERAL
To adhere to the most recent version of the 15f... To review and adhere to the First Things First Grants
Standards of Practice documents Uniform Terms and Conditions. Copies of this
To adhere to the Data Security Guidelines, as document are available at http://www.azftf.gov
applicable. (under Funding/Eligibility & How to Apply)
FTF-RC007-16-0553-00 Page 4

•
To accept funds and administer the programs in 11 To perform required financial and compliance audits in
accordance with all applicable federal and state accordance with federal law and guidelines, including
statutes and regulations and Grant Agreement the Single Audit Act and 2 CFR Part 200.
requirements.
431 To maintain documentation for employees working
16— To maintain internal controls, including policies across multiple funding sources to ensure the amount
and procedures, for assuring compliance with of time charged to each employee does not exceed
applicable cost principles and other Grant 100%.
Agreement requirements.
To have fiscal control and fund accounting procedures
To follow established personnel policies related in place to ensure proper disbursement of and
to salary scales, fringe benefits, and travel accounting for any funds paid to subcontractors.
reimbursement.
-10 To maintain enrollment and participate in e-verify, if
-73 z To use generally accepted accounting principles an employer.
(GAAP).
/0 To maintain a system of contract administration to
ensure conformance with the Grant Terms and
Conditions.
PROGRAMMATIC
To use proven, effective and/or evidence based IN To provide regular and timely reporting and to
programs. participate in all pertinent First Things First research
To maintain the personnel qualifications outlined and evaluation efforts.
in the Standards of Practice with subsequent To coordinate with First Things First during the length
hires. of the program period.
"gt To comply with any applicable federal, state, and To acknowledge funding from FTF in publicly-
local health and safety requirements that apply distributed materials in compliance with FTF's brand
to the facilities used for a program. guidelines and submit such materials in advance for
To actively participate in the Quality Assurance review.
process, including assessments. • To consult with FTF in the planning of public
To coordinate, to the extent possible, with other awareness/marketing strategies such as websites,
programs in the same geographic area that serve advertising or media campaigns.
similar target populations.
ACCEPTANCE OF APPLICATION AND OFFER
The grant application is hereby accepted. The applicant is now bound to perform the program and
implementation plan described in the grant application and approved by the Arizona Early Childhood
Development and Health Board and to comply with the Grant Terms and Conditions contained in the RFGA
and with all other documents constituting the Grant Agreement, including the Assurances above.
This grant shall henceforth be referred to as Grant No.VIT;V-QM _II grpa03 --
Arizona Early Childhpod Development and Health Boa.p.
Awarded this \3A-day of LS3J
Authorized Designee
FTF-RC007-16-0553-00 Page 5

C-86-15 ATTACHED TO AND A PART OF
Request for Grant Application (RFGA)
FTF-RC007-16-0553-00, Contract No.
FTF-RC007-16-0553-03,
Nutrition, Obesity and Physical Activity
Program
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 Terms and Conditions
1. Grant Agreement. The Request for Grant Applicants (RFGA), the Offer and Acceptance and Statement
of Assurances (Offer and Acceptance), and the grantee’s grant application, together with all exhibits,
incorporated documents and amendments, constitute the Grant Agreement.
2. Term. The term of this Grant Agreement is July 1, 2015 through June 30, 2016, unless terminated,
cancelled or renewed as otherwise provided herein. This Grant Agreement shall be effective only if a
First Things First authorized designee has signed the Offer and Acceptance or another official grant
form indicating acceptance of the Offer.
3. Renewal. The parties may renew the Grant Agreement as indicated in the Available Funding section
of the RFGA.
4. Services. The grantee shall complete the program and implementation plan described in its grant
application and approved by First Things First. In providing these services, the grantee shall follow the
Scope of Work, the Standards of Practice and the Data Security Guidelines and Requirements for
Collaborators found in the RFGA.
5. Reimbursement/Payment.
5.1. The grantee shall be paid on a cost-reimbursement basis for expenses approved in the
budget. Payment is conditioned upon receipt by First Things First of timely, accurate and
complete (i) reimbursement documents, (ii) Program Narrative Reports and (iii) Data
Submission Reports submitted via the First Things First Partner Grant Management System
(PGMS).
5.2. The grantee shall submit reimbursement requests at least quarterly, though not more
frequently than monthly. The grantee shall submit a final reimbursement request marked
“final” no more than forty-five (45) days after the Grant Agreement end date. Expenses
eligible for reimbursement must be paid, accrued or obligated by the grantee by the Grant
Agreement term end date. Final payment shall be contingent upon receipt of all fiscal,
programmatic, and data reports required of the grantee under this Grant Agreement.
Requests for reimbursement received later than forty-five (45) days after the Grant
Agreement end date will not be paid.
5.3. If awarded a grant, the grantee must have sufficient funds to meet obligations for at least
sixty (60) days while awaiting reimbursements. If an exception is requested to this
requirement, it should be provided in writing in the grant application describing the
justification and need for alternative considerations, which will be separately considered
during the application review and may not be approved. Requests for exceptions to
reimbursement-based payments submitted after awards are also made are subject to
separate review and may not be approved.
5.4. Funds awarded to the grantee under this Grant Agreement shall only be used to fulfill the
grantee’s responsibilities under this Grant Agreement. Therefore, if the full amount of the
grant award is not expended for any reason, including due to completion of the work at a
lower cost than budgeted or ending of the work before completion, the grantee will only
receive the amount of the grant award spent in accordance with the Grant Agreement and
FTF-RC007-16-0553-00 Page 1 of 9

will not receive the full original award. If the grantee is under budget, the parties may amend
the Grant Agreement to increase the contracted service units so as to use the full amount of
the original grant award.
5.5. If the grantee receives reimbursement for expenditures that are disallowed by an audit
exception by First Things First, the state or the federal government, the grantee shall
promptly repay the funds to First Things First.
6. Quarterly Program Narrative and Data Submission Reports.
6.1. At a minimum, the grantee shall submit quarterly one Program Narrative Report and three
Data Submission Reports (one per month) by the 20th of the month following the quarter via
PGMS. Failure to submit timely reports will result in suspension of reimbursement.
6.2. Program Narrative and Data Submission Reports are due:
1st Quarter (July 1 - September 30) Due: October 20
2nd Quarter (October 1 - December 31) Due: January 20
3rd Quarter (January 1 - March 31) Due: April 20
4th Quarter (April 1 - June 30) Due: July 20
6.3. If the grantee provides services to more than one First Things First region (multi-regional
strategies), the grantee shall collect, store and report the data for the Data Submission
Reports separately for each region served.
7. FTF Grants Uniform Terms and Conditions. First Things First’s Grants Uniform Terms and Conditions
(revision date January 2015) are hereby incorporated by reference into this Grant Agreement as if
fully set forth herein. Copies of this document are available at http://www.azftf.gov (under
Funding/Eligibility & How to Apply), by emailing grants@azftf.gov or by calling the First Things First
Procurement Specialist at 602-771-5114.
8. Working on Sovereign Tribal Land. If the grantee performs any work under this Grant 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 Grant 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.
9. Non-Discrimination. The provisions of State Executive Order 2009-09 are incorporated herein by
reference. These provisions mandate, in part, that contractors will not discriminate against any
employee or applicant for employment because of race, age, color, religion, sex or national origin.
The grantee shall also comply with all other applicable state and federal statutes, regulations and
executive orders concerning non-discrimination practices, including the Americans with Disabilities
Act and Federal Executive Order No. 13279 – Equal Protection of the Laws for Faith-Based and
Community Organizations.
10. Nonprofit Corporation Audit Reports. As required by A.R.S. § 35-181.03, if the grantee is a nonprofit
corporation that receives in excess of two hundred fifty thousand dollars ($250,000) in state
FTF-RC007-16-0553-00 Page 2 of 9

assistance in any fiscal year, the grantee shall file with First Things First for each such fiscal year at the
grantee’s expense either audited financial statements prepared in accordance with federal single
audit regulations or financial statements prepared in accordance with generally accepted accounting
principles and audited by an independent certified public accountant.
11. Records. Pursuant to A.R.S. §§ 8-1174 and 35-214, the grantee shall retain and shall contractually
require each subcontractor and subgrantee to retain all books, accounts, reports, files and other
records (“records”) relating to the Grant Agreement for a period of five years after the completion of
the Grant Agreement. All records shall be subject to inspection and audit by the State (including First
Things First) and by an independent auditor at all reasonable times. Upon request, the grantee shall
produce any or all such records at First Things First’s main office in Phoenix, Arizona.
Notwithstanding the foregoing paragraph, pursuant to 2 C.F.R. § 200.333, if the grant includes federal
pass-through funds, then the grantee shall retain and shall contractually require each subcontractor
and subgrantee to retain all records pertaining to the federal pass-through funds for a period of three
years from the date of submission of the final expenditure report and until any litigation, claims or
audit findings involving the records have been resolved and final action taken. All such records shall
be accessible and subject to audit in accordance with 2 C.F.R. § 200.336. This paragraph does not
apply to a grantee, subgrantee or subcontractor that is a federal agency.
12. Non-Availability of Funds. Every payment obligation of First Things First under this Grant Agreement
is conditioned upon the availability of funds appropriated or allocated for the payment of such
obligation. If funds are not allocated and available for the continuance of this Grant Agreement, this
Grant Agreement may be terminated by First Things First at the end of the period for which funds are
available. No liability shall accrue to First Things First in the event this provision is exercised, and First
Things First shall not be obligated or liable for any future payments or for any damages as a result of
termination under this paragraph.
13. Grant Administration and Operation.
13.1. Advertising, Publishing and Promotion of Grant. The grantee shall not use, advertise or
promote information for commercial benefit concerning this Grant Agreement without the
prior written approval of First Things First.
13.2. Acknowledgment of FTF Funding. The grantee shall recognize First Things First as a funding
source of programs and services funded in whole or part under this Grant Agreement in all
publicly distributed print or electronic materials related to those programs and services. The
grantee shall make this recognition in a manner described in First Things First’s most current
protocol and style guide. First Things First will post any updates to the protocol and style
guide under the Grantee Resources section of PGMS. The grantee shall also recognize First
Things First as a funding source of programs and services funded in whole or part under this
Grant 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 Grant 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
FTF-RC007-16-0553-00 Page 3 of 9

publicly distributing the materials. First Things First shall have full and complete rights to
reproduce, duplicate, disclose, perform and otherwise use all materials prepared under this
Grant Agreement.
13.3. Public Awareness Efforts. The grantee shall consult with First Things First in the planning of
public awareness/marketing strategies, such as websites, advertising or media campaigns,
related to the programs or services funded under this Grant Agreement.
13.4. Property of the State. Any materials and data required to be collected, delivered or created
under this Grant Agreement, including but not limited to reports, computer programs and
other deliverables are the sole property of the State (First Things First). The grantee 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.
13.5. Ownership of Intellectual Property. Any and all intellectual property, including but not limited
to copyright, invention, trademark, trade name, service mark and/or trade secrets created or
conceived pursuant to or as a result of this Grant Agreement and any related subcontract or
subgrant (“Intellectual Property”), shall be work made for hire and First Things First shall be
considered the creator of such Intellectual Property. First Things First shall own (for and on
behalf of the State) the entire right, title and interest to the Intellectual Property throughout
the world. The grantee shall notify First Things First, within thirty (30) days, of the creation of
any Intellectual Property by it or its subcontractor(s) and subgrantee(s). The grantee, on
behalf of itself and any subcontractor(s) and subgrantee(s), agrees to execute any and all
document(s) necessary to assure ownership of the Intellectual Property vests in the State and
shall take no affirmative action that might have the effect of vesting all or part of the
Intellectual Property in any entity other than the State. The Intellectual Property shall not be
disclosed by the grantee or its subcontractor(s) and subgrantee(s) to any entity not the State
without the express written authorization of First Things First.
13.6. Fund Management. The grantee must maintain any funds received under this Grant
Agreement on other than a cost reimbursement basis in separate ledger accounts and cannot
mix these funds with other sources. The grantee must manage all funds according to
applicable regulations for administrative requirements, cost principles and audits. The
grantee shall maintain proper audit trails for all reports related to this Grant Agreement.
14. Relationship of Parties. The grantee under this Grant Agreement is an independent contractor.
Neither party to this Grant Agreement shall be deemed to be the employee or agent of the other
party.
15. Indemnification.
15.1. Not Government Agency. This paragraph applies if the grantee is not a governmental entity.
To the extent allowed by law, the grantee shall defend, indemnify and hold harmless the State
of Arizona and its departments, agencies, boards, commissions, universities, officers, officials,
agents and employees (“State”) from and against any and all claims, actions, liabilities,
damages, losses, costs or expenses (including court costs, attorneys’ fees and costs of claim
processing, investigation and litigation) (“Claims”) for bodily injury or personal injury
(including death) or loss or damage to tangible or intangible property caused, or alleged to be
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caused, in whole or in part, by the negligent or willful acts or omissions of the grantee or any
of its owners, officers, directors, agents, employees, volunteers, subcontractors or
subgrantees. This indemnity includes any Claim or amount arising out of, or recovered under,
the Workers’ Compensation Law or arising out of the failure of the grantee to conform to any
federal, state or local law, statute, ordinance, rule, regulation or court decree. It is the
specific intention of the parties that the State shall, in all instances, except for Claims arising
solely from the negligent or willful acts or omissions of the State, be indemnified by the
grantee from and against any and all Claims. It is agreed that the grantee will be responsible
for primary loss investigation, defense and judgment costs where this indemnification is
applicable. In consideration of the award of this grant, the grantee agrees to waive all rights
of subrogation against the State for losses arising from the work performed by the grantee for
the State.
15.2. Government Agency. This paragraph applies if the grantee is a governmental entity and is not
a department, agency, board, commission or university of the State of Arizona. Each party (as
“Indemnitor”) agrees to indemnify, defend and hold harmless the other party (as
“Indemnitee”) from and against any and all Claims arising out of bodily injury of any person
(including death) or property damage but only to the extent that such Claims which result in
vicarious/derivative liability to the Indemnitee are caused by the act, omission, negligence,
misconduct or other fault of the Indemnitor or any of its officers, officials, agents, employees
or volunteers.
15.3. Patent and Copyright. The grantee shall indemnify and hold harmless the State against any
liability, including costs and expenses, for infringement of any patent, trademark or copyright
arising out of grant performance or use by the State of materials furnished or work performed
under this Grant Agreement. The State shall reasonably notify the grantee of any claim for
which it may be liable under this paragraph. This paragraph does not apply if the grantee is
insured pursuant to A.R.S. § 41-621.
15.4. Subcontractors. The grantee shall contractually require its subcontractors and subgrantees, if
any, to defend, indemnify and hold harmless the State as described in this Section unless the
subcontractor or subgrantee is a state agency.
16. Insurance.
16.1. In the event the grantee is a governmental entity, then the insurance requirements in this
Section do not apply, except that such governmental entity grantee shall provide a Certificate
of Self-Insurance. If the governmental entity grantee is a department, agency, board,
commission or university of the State of Arizona, then the Certificate of Self-Insurance
requirement does not apply either.
16.2. The grantee shall procure and maintain until all of its obligations have been discharged or
satisfied, including any warranty periods under this Grant Agreement, insurance in the
amounts stated below against claims for injury to persons or damage to property which may
arise from or in connection with the performance of the work hereunder by the grantee and
any of its owners, officers, directors, agents, employees, volunteers or subcontractors. The
grantee shall require and ensure that all of its subcontractors comply with this Section as well.
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16.3. The insurance requirements herein are minimum requirements for this Grant Agreement and
in no way limit the indemnity covenants. First Things First in no way warrants that these
minimum requirements are sufficient to protect the grantee from liabilities that might arise
out of the performance of the work under this Grant Agreement, and the grantee is free to
purchase additional insurance. The minimum insurance requirements are as follows:
Commercial General Liability – Occurrence Form
Policy shall include bodily injury, property damage, personal and advertising injury and broad
form contractual liability coverage.
• General Aggregate $2,000,000
• Products – Completed Operations Aggregate $1,000,000
• Personal and Advertising Injury $1,000,000
• Damage to Rented Premises $50,000
• Each Occurrence $1,000,000
The policy shall include coverage for sexual abuse and molestation. This coverage may be
sub-limited to no less than $500,000. The limits may be included with the General Liability
limit, provided by separate endorsement with its own limits or provided as separate coverage
included with the professional liability.
The grantee must provide the following statement on its Certificate(s) of Insurance: “Sexual
Abuse/Molestation coverage is included.” Policies/certificates stating that “Sexual
Abuse/Molestation coverage is not excluded” do not meet this requirement.
The policy shall be endorsed to include the following additional insured language: “The State
of Arizona and its departments, agencies, boards, commissions, universities, officers, officials,
agents and employees shall be named as additional insureds with respect to liability arising
out of the activities performed by or on behalf of the grantee.” Such additional insureds shall
be covered to the full limits of liability purchased by the grantee, even if those limits of
liability are in excess of those required by this Grant Agreement.
The policy shall contain a waiver of subrogation endorsement in favor of the “State of Arizona
and its departments, agencies, boards, commissions, universities, officers, officials, agents
and employees” for losses arising from work performed by or on behalf of the grantee.
Business Automobile Liability
Bodily Injury and Property Damage for any owned, hired, and/or non-owned vehicles used in
the performance of this grant.
• Combined Single Limit (CSL) $1,000,000
The policy shall be endorsed to include the following additional insured language: “The State
of Arizona and its departments, agencies, boards, commissions, universities, officers, officials,
agents and employees shall be named as additional insureds with respect to liability arising
out of the activities performed by or on behalf of the grantee, involving automobiles owned,
leased, hired or borrowed by the grantee.”
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The policy shall contain a waiver of subrogation endorsement in favor of the “State of Arizona
and its departments, agencies, boards, commissions, universities, officers, officials, agents
and employees” for losses arising from work performed by or on behalf of the grantee.
The policy shall contain a severability of interests provision.
Workers’ Compensation and Employers’ Liability
• Workers’ Compensation Statutory
• Employers’ Liability
Each Accident $1,000,000
Disease – Each Employee $1,000,000
Disease – Policy Limit $1,000,000
The policy shall contain a waiver of subrogation in favor of the “State of Arizona and its
departments, agencies, boards, commissions, universities, officers, officials, agents and
employees” for losses arising from work performed by or on behalf of the grantee.
This requirement shall not apply to each grantee or subcontractor exempt under A.R.S.
Chapter 23, Title 6 (§ 23-901 et seq.) when such grantee or subcontractor executes the
appropriate waiver (Sole Proprietor/Independent Contractor) form.
Professional Liability (Errors and Omissions Liability)
• Each Claim $1,000,000
• Annual Aggregate $3,000,000
In the event that the professional liability insurance required by this Grant Agreement is
written on a claims-made basis, the grantee warrants that any retroactive date under the
policy shall precede the effective date of this Grant Agreement and that either continuous
coverage will be maintained or an extended discovery period will be exercised for a period of
two (2) years beginning at the time work under this Grant Agreement is completed.
The policy shall cover professional misconduct or wrongful acts for the positions of
professionals/Key Personnel identified in this Grant Agreement.
16.4. Additional Insurance Requirements. The policies shall include, or be endorsed to include, the
following provisions:
The grantee’s policies shall stipulate that the insurance afforded the grantee shall be primary
insurance and that any insurance carried by First Things First, its agents, officials, employees
or the State of Arizona shall be excess and not contributory insurance, as provided by A.R.S. §
41-621(E).
Coverage provided by the grantee shall not be limited to the liability assumed under the
indemnification provisions of this Grant Agreement
16.5. Notice of Cancellation. With the exception of ten (10) day notice of cancellation for non-
payment of premium, any changes material to compliance with this Grant Agreement in the
insurance policies shall require thirty (30) days written notice to the State of Arizona. Such
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notice shall be sent directly to First Things First, Fiscal Specialist, 4000 N. Central, Suite 800,
Phoenix, AZ 85012, and shall be sent by certified mail, return receipt requested.
16.6. Acceptability of Insurers. The grantee’s insurance shall be placed with companies licensed in
the State of Arizona or on hold approved non-admitted status on the Arizona Department of
Insurance List of Qualified Unauthorized Insurers. Insurers shall have an “A.M. Best” rating of
not less than A- VII. The State of Arizona in no way warrants that the above-required
minimum insurer rating is sufficient to protect the grantee from potential insurer insolvency.
16.7. Verification of Coverage. The grantee shall furnish the State of Arizona with certificates of
insurance (ACORD form or equivalent approved by the State of Arizona) as required by this
Grant Agreement. The certificates for each insurance policy are to be signed by an authorized
representative.
All certificates and endorsements are to be received and approved by the State of Arizona
before work commences. Each insurance policy required by this Grant Agreement must be in
effect at or prior to commencement of work under this Grant Agreement and remain in effect
for the duration of the program. Failure to maintain the insurance policies as required by this
Grant Agreement or to provide evidence of renewal is a material breach of the Agreement.
All certificates required by this Grant Agreement shall be sent directly to First Things First,
Fiscal Specialist, 4000 N. Central, Suite 800, Phoenix, AZ 85012. The State of Arizona
program/grant number and program description shall be noted on the certificate of
insurance. The State of Arizona reserves the right to require complete copies of all insurance
policies required by this Grant Agreement at any time. DO NOT SEND CERTIFICATES OF
INSURANCE TO THE STATE OF ARIZONA'S RISK MANAGEMENT SECTION.
16.8. Subcontractors. The grantee’s certificate(s) shall include all subcontractors as insureds under
its policies or grantee shall furnish to the State of Arizona separate certificates and
endorsements for each subcontractor. All coverages for subcontractors shall be subject to
the minimum requirements identified above.
16.9. This Section assumes the grant award is for more than $50,000, that the grantee will be using
vehicles beyond commuting in order to provide the services under the Grant Agreement, that
the grantee will be working with children in order to provide the services under the Grant
Agreement, and that the grantee will be providing professional services in order to provide
the services under the Grant Agreement. If any of these assumptions do not apply to this
Grant Agreement, then upon agreement of First Things First, the insurance requirements will
be reduced or removed in part from the Grant Agreement as appropriate.
16.10. If the Grant Agreement requires the grantee to handle money on behalf of the State, the
grantee shall also procure and maintain a fidelity insurance policy, consistent with the State of
Arizona Risk Management Insurance Modules, that includes third party fidelity coverage.
16.11. If the Grant Agreement requires the grantee to provide information technology (IT) services,
the grantee shall also procure and maintain errors and omissions coverages, consistent with
the State of Arizona Risk Management Insurance Modules, including technology errors and
omissions, network security/privacy and media liability.
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16.12. The grantee understands and agrees that any modification or variation from the insurance
requirements in this Grant Agreement may only be made by First Things First in consultation
with the Department of Administration, Risk Management Section or in accordance with its
published insurance modules. Such action will not require a formal grant amendment, but
may be made by administrative action.
17. Notices. Notices to the grantee required by this Grant Agreement shall be made by First Things First
to the person indicated on the Offer and Acceptance form submitted by the grantee unless otherwise
stated in the Grant Agreement. Notices to First Things First required by the Grant Agreement shall be
made by the grantee to an authorized First Things First representative, unless otherwise stated. An
authorized First Things First representative and an authorized grantee representative may change
their respective person to whom notice shall be given by written notice to the other and an
amendment to the Grant Agreement shall not be necessary.
FTF-RC007-16-0553-00 Page 9 of 9

ec ion A Executive Summary
The Maricopa County Department of Public Health (MCDPH) through its Office of Health Promotion and
Education (OHPE) proposes to continue high quality, evidence based, grassroots health education to
parents and caregivers, childcare providers and family friend and neighbor care providers of children
zero to five in the Southwest Maricopa Region. The First Things First Needs and Assets Report
indicated the Southwest Region of Maricopa County has reported that childhood obesity
continues to be a significant health concern in the region. Health behaviors of children ages
birth to five are easily influenced by the environment they are placed in such as home and
childcare settings, the community in which they live and available resources.
Recognizing that the Southwest Region is the largest region in the county and is predominately rural
MCDPH OHPE has a multi-pronged strategy to reach parents and caregivers associated with institutions
such as a childcare facility or a family resource center as well as a grassroots approach that will deliver
outreach and nutrition and physical activity education in settings such as grocery stores, in-home and
apartment complexes. Education will consist of primarily three types: 1) Cooking Matters grocery store
tour and food demos in rural grocery stores and food retails, 2) tailored evidence-based nutrition and
physical activity education classes for parents/caregivers at childcare centers, family resource centers, or
in-home and at apartment complexes and 3) Color Me Healthy (CMH) and SPARK Early Childhood (EC)
evidence based train-the-trainer sessions targeting the 116 licensed childcare centers, Family Friend
and Neighbor providers and Headstarts in the region to create healthy environments for children ages
zero to five being cared for. The total number of adults to be served is conservatively estimated at 375
at minimum.
MCDPH OHPE has been delivering culturally responsive prevention programs to low-income, language
minority communities for decades with the strong institutional capacity of a large local health
department behind it. This project will build on the success of the SNACK program funded for the last
three years in the Southwest region, which has served almost 8,000 adults in evidence-based prevention
health programing in the Northwest and Southwest Maricopa Regions over the last 6 years and build an
excellent reputation for collaborative, quality programing (see letters for support). Evaluation will be
conducted on each of the three delivery methods to measure change in knowledge and intentions at the
time of the intervention and up to one year post-intervention for the CMH and SPARK EC interventions.
FTF-RC007-16-0553-00 Page 6

Sec ion B pacity for Ad. ressing the ee s and Implementing he S ra eg (25 poi ntsT
1. Provide examples of experience implementing related programs and the outcomes of
those programs. It should be noted that past performance on any grants may be
taken into consideration in the evaluation of your proposal.
Maricopa County Department of Public Health (MCDPH), Office of Health Promotion and
Education (OHPE) is responsible for planning, implementing, and evaluating health education
programs and activities for Maricopa County children, youth, and adults. OHPE has successfully
implemented community-based health promotion grants on a wide range of prevention topics
for decades.
Currently, the Safety, Nutrition, Activity and Care for Kids (SNACK) program works in the
Northwest and Southwest Regions of Maricopa County to make kids safer, healthier, and
happier. SNACK is funded by the Northwest and Southwest Maricopa Regional Partnership
Councils. The SNACK program originally began in 2009 in the Northwest Region only. SNACK
was so successful and well-received that it expanded to the Southwest Region in 2012. The
SNACK program provides health education and capacity building to families and service
providers who care for children ages zero to five, Child care providers and parents are
educated on child passenger safety, healthy eating and physical activity, and accessing low cost
or free healthcare and social services. The program uses the train-the-trainer approach to
educate childcare center staff to implement the Color Me Healthy Curriculum (CMH)
encompassing obesity prevention through healthy eating education and promoting physical
activity in centers. SNACK also encourages creation and maintenance of community gardens to
support healthy eating. The program also reaches families by delivering "family fun night"
events that provide education on safety, nutrition, physical activity and access to healthcare for
parents using interactive learning stations onsite in childcare centers.
The injury prevention component educates parents on the proper use and installation of car
seats. Parents learn hands-on in a one-hour education session or a car seat check-up event
before they can receive a car seat. Those parents that demonstrate a need are provided with a
safe, new car seat because only provision of a car seat with the education is an evidence-based
intervention as compared to a car seat education alone. A capacity building approach is also
used by the injury prevention team by certifying at least fifteen Northwest and Southwest
family-serving agency staff per year to become Nationally Certified Child Passenger Safety
Technicians (CPSTs) so they can distribute car seats and provide education to low income
families throughout both regions,
Additionally, through the SNACK program, the FindHelpPhx program came into existence and
has since been funded as a separate program by First Things First. Find HelpPhx is an easy-to-
use, bilingual website for to find resources that will increase the health and well-being of the
FTF-RC007-16-0553-00 Page 7

family. The SNACK team continues to educate families and childcare on the FindHelpPhx.org
web site.
The SNACK program has formed a very strong partnership network throughout Maricopa
County that has aided in the success of the program. The SNACK Program has partnered with
trained many agencies including: Carelst Resource Centers at Avondale and Gila Bend, Buckeye
Family Resource Center, KidsWatchAZ, Litchfield School District, Gila Bend Unified School
District, Paloma Preschool, Tolleson Head Start, Goddard School, Littleton Elementary School,
Trinity Lutheran School, Robey Elementary School, and Estrella Mountain Preschool. These
agencies have been pleased with the flexibility of the staff and appreciate that trainings are
conducted at their facilities.
To date, SNACK has held 100 Color Me Healthy trainings, 27 gardening trainings, 16 family fun
events, and 6 nutrition classes. The program has trained over 1,692 child care staff in the NW
and SW regions in the evidence-based Color Me Healthy toolkit and 1,679 parents or
caregivers with children zero to five in nutrition and physical activity through family fun
nights and gardening events. The injury prevention program has provided 174 parent
education sessions and 63 car seat check-up events (6,051 total parents/caregivers of children
zero to five educated), distributed over 6,652 new car seats, and certified 132 family-serving
agency staff as CPSTs in the West Valley.
Other recent programs addressing obesity prevention are Promoting Lifetime Activity for
Youth (PLAY) and Women Together for Health. PLAY was a teacher-directed physical activity
program that targeted children in 4 th - 8th grade in schools with at least 50% of students eligible
for free/reduced lunch. The PLAY program was funded from 1996 to 2011. Students were
educated about healthy nutrition decisions and encouraged to accumulate 60 minutes of daily
moderate-intensity physical activity. Participants learned about physical activity and the
benefits of decreasing heart disease and other health complications. During the 2010-2011
school year, PLAY served 2,349 students in 10 schools in Maricopa County. That year, 42% of
students who completed the program received the President's Active Lifestyle Award (PALA).
This award was given to students who logged at least 60 minutes of daily activity, at least 5 days
per week for the course of the program.
Women Together for Health Program (WTFH). This health prevention program was funded
from 2003 to 2010, through the Federal Maternal and Child Health Block grant. The program
continually met or exceeded nearly all outcome objectives. WTFH helped women of
childbearing age with limited education, family income, and employment opportunity increase
physical activity, make changes towards a healthy weight, improve dietary quality, manage
stress, and reduce smoking. The program recruited women with limited educational
attainment to supplement their knowledge of nutrition and physical activity. In terms of
education, 52% of those eligible had not graduated from high school and 93% did not have
college degrees. In 2010, program staff was successful in reaching the target audience: 83%
identified as ethnic minorities and 73% had received financial assistance from the Department
FTF-RC007-16-0553-00 Page 8

of Economic Security, Arizona Health Cost Containment System, or Women, Infants, and
Children program. More than 70% increased their daily step count by 2,000 steps by the
program's end. About 25% of participants switched from whole to low- or non-fat milk, and
51% increased fruit or vegetable consumption. The program increased the percentage of
participants reporting choosing whole grains at post-test and 46% reported an increase in
knowledge in reading nutrition labels. Eighty-eight percent of program participants made at
least one dietary improvement. Nearly 74% maintained these healthy lifestyle behaviors three
months post-program.
Kids and Infants Seated Safely (KISS) also funded by First Things First, accomplished the
following: certified 250 non-profit staff in family-serving agencies as CPSTs, distributed 2,262
new car seats, and educated 7,608 parents. In 2011, the KISS Program was a recipient of the
National Association of Counties award for outstanding public programming.
Transportation Related Injury Prevention Program (TRIPP) program educated approximately
25,600 at large and served 6,000 community members directly. Community members were
educated on reducing transportation related injuries among children. Education was provided
in classrooms, at car seat check events and health fairs. The program also distributed a total of
5,200 car seats to participants of economic need.
(BRC) as an external evaluator for all of our injury prevention programs. Approximately each
quarter, BRC conducts random phone interviews in English or Spanish of a representative
number of adults participating in OHPE's car seat programs, including SNACK. For over 10 years
over 90% of respondents indicated post-intervention that they found their child safety seat
easy to install in their car, that they will use their car seat every time and that they were
satisfied with the information received. Often, results were from 95% to 100%.
The Promoting Adolescent Seatbeit Safety (PASS) Program was funded from 2006 —2010. The
program educated a total of 2,135 youth (ages 12 to 18) and their parents about the
importance of seat belt use, correct seat belt use, general crash dynamics, skills for compliance,
Arizona state laws, dangers of impaired driving, and how to combat the "invincible teen"
mentality. The most notable change was students reporting an increase in seatbelt use
indicating that this program increased their knowledge and caused a positive change in
behavior, marking a programmatic success.
The Safe Routes to School (SRTS) Program has been providing services since 2006 and was
designed to increase the number of elementary age students walking and biking safely to
school through educational events and activities, classroom education, providing safety
information, and tracking the number of students walking to and from school. The SRTS
program expanded to the Balsz School District, Wilson School District, and Isaac School District,
ultimately reaching 33,600 students and informing many parents/community members about
safety when walking and biking to and from school. This is the first program of its kind in these
districts.
FTF-RC007-16-0553-00 Page 9

The above are only a few recent examples of successful, community-based programing
delivered by OHPE's culturally responsive and knowledgeable staff.
2. Describe your agency/organization's professional knowledge of and experience in
working with the target population.
Since 1994, OHPE has conducted prevention health programs to minority, low-income
Maricopa County residents with children zero to five in prevention education and direct
services through community outreach/education sessions in English and Spanish. These
programs have focused on a range of topics from healthy eating and physical activity to injury
prevention including the proper installation of car seats and child passenger safety to families
and caregivers. Since the inception of these programs over 14,000 parents have been educated
and received a car seat.
Currently the SNACK program, which is in the Office of Health Promotion and Education, is
providing the Nutrition, Obesity and Physical Activity strategy in the Southwest Region to
parents of children zero to five, child care professionals, and in-home care providers. Since
2009, the SNACK program has provided direct services and education in the rural areas, for
three years including the most rural areas.
3. Describe the capacity and/or infrastructure required to implement the proposed
program.
The Maricopa County Department of Public Health (MCDPH) is located in Phoenix, Arizona, and
serves a population (countywide) of over 4 million. Spread out over 9,200 square miles, the
county is a mix of urban and rural areas and includes the whole or parts of five Indian
Reservations.
The Maricopa County Department of Public Health (MCDPH) is the public health agency of
Maricopa County government. Its mission is "To protect and promote the health and well-being
of Maricopa County residents and visitors." MCDPH is organized into offices that are housed in
five Divisions: Community Health Action, Community Transformation, Disease Control, Clinical
Services and Administration. Additionally, the Office of Community Engagement, Office of
Performance Improvement, Office of Community Empowerment, and Office of Public Health
Policy report independently to the director. The proposed program will be entirely housed
under Community Health Action Division. The Public Health Department has over 600
employees and a total budget of $59.1 million for Fiscal Year 2014/2015, consisting of three
funds: general fund, grant fund, and special revenue (fee fund).
A primary responsibility of the department is to assess the health status of the county, the gaps
in service, and the risk factors related to disease, disability, injury, and death. MCDPH develops
FTF-RC007-16-0553-00 Page 10

programs to improve health and reduce risk and builds educational programs to change
knowledge, attitudes, and behaviors.
MCDPH provides an extensive array of clinical and community health services. Major programs
include maternal and child health home visiting and community education, parenting
education, childhood immunizations, HIV/AIDS counseling and education, STD prevention and
treatment, oral health, tobacco use prevention, health promotion and education, WIC and
other nutrition and education services, and health care for the homeless.
Furthermore, MCDPH is one of few organizations with the capacity to reach the large
geographic span of the requested service delivery area. Maricopa County Department of Public
Health has always worked collaboratively with local agencies with a long-term history of serving
families that survive on minimal income. This has consistently included families with minimal
education, fewer opportunities to achieve economic sustainability and families with multiple
physical and emotional challenges.
The MCDPH Office of Health Promotion and Education programs have benefited tremendously
from unparalleled organizational infrastructure in terms of program leadership and
supervision. The Office of Health Promotion and Education is administered by Siman
Qaasim. Ms. Qaasim has worked in prevention programs for over ten years both in Maricopa
County and abroad. She has extensive grants management experience and currently manages
over four million dollars in grant funds annually including all the financial, procurement,
contractual, reporting and human resource functions associated with these programs. The
Office of Health Promotion and Education is within the Community Health Action Division,
administered by Toby Urvater. With more than twenty years of public health experience, Ms.
Urvater is a seasoned, highly respected program administrator with exceptional organizational
development/management skills and extraordinary success in community collaboration.
At the program level, MCDPH Office of Health Promotion and Education is fully staffed and
prepared to support the launch of the proposed program. MCDPH Office of Health Promotion
and Education has demonstrated excellent staff retention. This continuity provides a stable
platform from which to improve and expand the program. The following are highlights of the
infrastructure that has been created at MCDPH that will actively support the proposed
program:
MCDPH Community Engagement Infrastructure (HIPMC)
The Health Improvement Partnership of Maricopa County (HIPMC) is a collaborative effort
between Maricopa County Department of Public Health and more than 55 public and private
organizations addressing the priority health areas identified in the 2012-2017 Community
Health Improvement Plan. The HIPMC brings together partner agencies and collaborative
groups passionate about promoting health and wellness within their respective communities
and provides stable infrastructure to share ideas and resources, identify gaps and barriers to
existing services and engage in thoughtful planning to achieve a shared vision. HIPMC meetings
FTF-RC007-16-0553-00 Page 11

and communications provide forums for information and data sharing, collaborative workgroup
initiatives, networking and shared reporting.
MCDPH Cross-program task forces
Task forces representing four different sectors of the community—Where We Live (Community),
Where We Learn (Education), Where We Work (Worksites), and Where We Receive Care
(Healthcare)—have been formed to develop plans with emphasis on utilizing evidence based-
strategies and policy, systems, and environmental approaches to impact health priorities. These
taskforces, referred to as "clouds" have been established within MCDPH to increase
collaboration between various health department programs, work synergistically to address
shared concerns, coordinate partnerships and community outreach and facilitate timely
communication in a very large organization. Program representatives attend cloud meetings on
a monthly basis and communicate program needs, provide input from their individual
programs.
2012-2017 Community Health Improvement Plan (CHIP)
The Maricopa County 2012-2017 Community Health Improvement Plan (CHIP) is a community-
wide action plan structured to utilize evidence based-strategies and policy, systems and
environmental approaches to impact health priorities. Community members identified
Diabetes, Access to Care, Cardiovascular Disease, Lung Cancer and Obesity as top public health
priorities. The CHIP addresses these chronic disease issues in places where people spend
significant amounts of time and includes four sectors: Healthcare, Community, Worksites, and
Education. The CHIP is anchored on the premise that all sectors must work collaboratively to
address health priorities by focusing on interventions that can help manage chronic diseases
and access to care by addressing health risk factors and determinants such as tobacco use,
physical activity, nutrition, and linkages to care in a coordinated and focused way.
The CHIP Workplan is a dynamic document that captures contributions from both MCDPH and
community partners and will become the strategic blueprint for how public health and
community partners will work collectively in making Maricopa County a healthier place to live
and work, Work is formulated into objectives and classified in the CHIP workplan document
under appropriate categories and strategies. Each objective has performance measures and
indicators of progress that are collected, updated and communicated to stakeholders quarterly,
both to monitor progress toward identified goals, and to establish new goals and priorities as
necessary.
MCDPH Performance Management System (a.k.a. "MCDPH Dashboard")
In 2013, the Maricopa County Department of Public Health (MCDPH) implemented an online
performance management system called the "MCDPH Dashboard". This custom built database
brings operational plans to life, offers a way to get all staff involved in strategic planning and
organizational success as well as supports community partnerships and collaborative efforts,
MCDPH Programs and certain partner agencies, coalitions or collaborative groups each identify
measureable objectives and activities needed to achieve these objectives. These activities and
objectives are then organized into broader goals and services. Dashboard information is
FTF-RC007-16-0553-00 Page 12

updated on a monthly basis by program staff and is visible to MCDPH staff across the
department providing a simple and clear snapshot that displays the organization's performance
at a given point in time. Customized reports on progress of selected objectives are also shared
with community partners and collaborative groups as appropriate.
The MCDPH Dashboard also serves as a partner tracking tool. Collaborating partners are linked
to specific MCDPH program objectives highlighting existing partnerships and identifying
opportunities for coordinating partnerships across public health programs. Customized reports
can also be generated by Dashboard users to identify which MCDPH programs, community
partners and/or collaborative groups are working in a specific area. (e.g. all objectives
impacting obesity, all objectives targeting children age 0-5 or all school-based objectives).
Community Health Indicator Tracking (a.k.a. Maricopa Health Matters)
Maricopa County Health Matters is a one stop source of non-biased data and information about
community health in Maricopa County, and healthy communities in general. It is intended to
help planners, policy makers, and community members learn about issues, identify
improvements, and collaborate for positive change. This site enables the community members
to compare Maricopa County's health with other Arizona communities, the nation, and national
targets with more than 100 health status indicators. Additionally, initiative centers
corresponding to the four sectors of the Health Improvement Partnership of Maricopa County
(HIPMC) are also built into the site highlighting current work being implemented by public
health partners as well as opportunities for partnerships.
4. Identify how qualified personnel will be recruited and supervised.
The Office of Health Education and Promotion will re-assign an experienced and qualified
bilingual Health Educator who has a minimum of a Bachelor's Degree and background in
Nutrition and Health Education including physical activity promotion. The Health Educator will
have a minimum of a Bachelor's Degree and background in Nutrition and Health Education
including physical activity promotion. Maricopa County has a human resource structure to
recruit and retain qualified personnel. The entire range of MCDPH human resource functions of
selection, recruitment, compensation, training and performance management are aligned and
consistent with state-of-the-art, professional human resource management. Fundamental
values of efficiency, economy, fairness and high performance are paramount to the program's
success. Evaluation of applicant training, experience, and education was used in the
recruitment and selection process.
5. Describe plans for ensuring personnel will be linguistically and culturally competent to
work with the target population. Specifically, please address plans to reach
monolingual residents.
The Office of Health Promotion and Education will reassign a bicultural, bilingual Health
Educator in order to effectively provide culturally appropriate services. The health educator
will be fluent in reading, writing, and speaking Spanish. MCDPH staff are already culturally and
FTF-RC007-16-0553-00 Page 13

linguistically experienced in working with the target population. Currently, 80% of OHPE staff
are bilingual. MCDPH has a strong history of hiring staff that are culturally responsive and has
always been a high priority for OHPE written annually into the strategic plan. This health
educator will be supervised by the OHPE Administrator, Siman Qaasim. The Program
Administrator will meet with the health educator biweekly to ensure program planning,
implementation, outreach, evaluation, and meeting the grant deliverables.
OHPE staff are regularly provided with cultural competency education through Department of
Public Health continuing education courses, AZ TRAIN, and Community Alliance for Culturally
and Linguistically Appropriate Services, through the Maricopa County Pathlore Learning Center
and the Diversity Leadership Alliance as well as other sources. Additionally, staff regularly
pursue educational and professional development opportunities such as national conferences,
trainings, and webinars as appropriate.
rk-witap,
1. Describe the proposed program, including how the Standards of Practice and any key
personnel requirements will be adhered to during program implementation
The National Pediatric Nutrition Surveillance System (2011) indicates that 30 percent of Arizona
children ages 2 to 4 are overweight or obese, and findings from the Arizona Healthy Smiles-
Healthy Bodies Survey conducted by the Arizona Department of Health Services in 2009
through 2010 estimates that 39 percent of children in 3 rd grade are overweight or obese. In
2012, the Maricopa County Department of Public Health (MCDPH) identified obesity as a top
community public health issue in Maricopa County. Obesity was selected as the second most
important priority among MCDPH professionals and was thought to be the second most
important health issue identified by community members. The First Things First Needs and
Assets Report indicated the Southwest Region of Maricopa County has reported that childhood
obesity continues to be a significant health concern in the region. Health behaviors of children
ages birth to 5 are easily influenced by the environment they are placed in such as home and
childcare settings, the community in which they live and available resources.
Healthy eating and physical activity can lower the risk of becoming obese and other diseases
associated with obesity. According to the CDC, elementary school-aged children should engage
in age/developmentally-appropriate physical activity for at least 30 to 60 minutes each day.
Adolescents should exercise (moderately/vigorously) three or more times a week for at least 20
minutes each session. Overweight children are more at risk for associated adult health
problems including: heart disease, type 2 diabetes, stroke, several types of cancer, and
osteoarthritis. The Lets Move campaign has identified that all community members play
important roles in reducing childhood obesity and ensuring healthy futures for our children.
Childcare centers and in-home providers have become an important part of the public health
matrix by creating safe and educational environments to provide nutrition, obesity and physical
activity educational opportunities for staff, parents, and children.
FTF-RC007-16-0553-00 Page 14

The proposed program will consist of:
• Providing parents residing in the targeted zip codes with direct community interactive
education on Nutrition, Obesity and Physical Activity to improve quality of health.
• Train childcare providers and Family, Friend and Neighbors (FFN) in an evidence based
curriculum in order to support child development.
• Using a grassroots approach in the Southwest Maricopa region to educating parents of
children 0-5 on nutrition and physical activity information.
interactive Parent Education classes on Nutrition, Obesity and Physical Activity:
Maricopa County Department of Public Health (MCDPH), Office of Health Promotion and
Education (OHPE), will target families, childcare providers, caregivers with children birth to 5 to
participate in interactive educational games and demonstrations linked to nutrition and
physical activity.
Participants will have opportunities to engage in a variety of one-hour evidence-based parent
education classes focused on nutrition, obesity and physical activity, taught by a highly qualified
health educator. Family education classes and events will be held in the most prominent child
care centers, community centers, partnering agencies and grocery stores. This approach is
intended to; increase access to services by providing relevant and reliable information to
families and those working with families; streamline and improve service delivery and
collaboration; and to provide data and information across the First Things First grantees and
providers in the community.
In order to build sustainability, community champions will be identified throughout the
southwest region. The Health Educator will recruit participants and community champions by utilizing
existing MCDPH OHPE established networks in this region. Nutritional food demonstrations, grocery
store tours, English and Spanish recipe apps and free fitness classes (e.g., a variety of aerobic
classes such as Zumba) will be offered. This interactive approach will provide parents and
caregivers opportunities to learn new skills and ways to make healthier family meals and
engage in regular physical activity.
The grassroots parent education component of the proposed program will use Cooking Matters
store tours. Their Cooking Matters initiative is ultimately designed for parents and caregivers to
teach others in their community other how to shop on a budget to make healthy, nutritious
meals at home. The Health Educator will offer interactive guided grocery store tours and offer
food demonstrations in the rural parts of the southwest region to help families make healthy
purchasing choices on a limited budget and make easy, healthy meals at home. The health
educator will train at least 50 adults on a Cooking Matters tour. These community members can
then download and order support materials and get assistance from the health educator to
lead their own tours. Volunteers may include parents, grocery store staff, professionals already
FTF-RC007-16-0553-00 Page 15

working in education and human service roles and childcare center staff. This project will
purchase a limited number of gift cards to incentivize volunteers that are low-income parents
and not agency or grocery staff. The USDA Supplemental Nutrition Assistance Program (SNAP)
has produced focus group tested nutrition and physical activity messages that resonate with
parents of young children and supports cooking matters.
Cooking Matters provides the following free material:
• Interactive online and ongoing training
• Participant booklets with tips and recipes
• Reusable grocery bags
• Interactive and on-going training
• Technical Support
• Tour leader flip book and planning guides
• Template recruitment flyers and communication materials
The Health educator will recruit tour leaders (health educator, community champions,
volunteers) to volunteer to provide/assist in providing education from grocery stores in
Avondale, Tolleson, Goodyear and Buckeye (Fry's and Walmart). Tour leaders will complete
self-guided and individualized training through Learning Space, an interactive online tool prior
to outreach. This tool allows tour leaders to network with other leaders and access available
resources. Upon completion of training, tour leaders will begin scheduling tours. Tour leaders
will receive free material with talking points on key concepts and presented according to
grocery store isle. These materials allow tour leader to rearrange sections to match the layout
of the participating store.
The tour leader/ community champion will be responsible for:
• Completing online training
• Ordering tour materials
• Recruiting participants
• Forming partnerships with local grocery store(s) to host the tour
• Reporting tour reach to Share Our Strength by returning participant surveys and tour
reporting forms (as well as completing the MCDPH survey for our evaluation)
In addition, the health educator will offer physical activity incentives such as pedometers and
at the grocery store tours and food demos and provided those to recruited champions to give
out as well.
In addition, the health educator will continue to offer nutrition and physical activity classes at
in a variety of settings. First, the health educator will continue the successful parent nutrition
and physical activity classes at the Avondale Care First Resource. Secondly, similar to the
successful SNACK "family fun nights", the Health Educator will offer parents at childcare
FTF-RC007-16-0553-00 Page 16

centers whose staff are trained in CMH, nutrition and physical activity classes. Classes will
cover nutrition using evidence-based materials that best fit that location (FNN or Childcare). If
necessary, materials will be translated into Spanish by MCDPH. The Health Educator will also
offer fun, physical activity parents can engage in with their children at home using simple
household items. The physical activity trainings will be on the SPARK homeplay. Parents will
also be given information on healthy recipe and shopping on budget apps for their smart
phones and receive nutrition materials in English and/or Spanish to take home. MCDPH has
evaluation staff dedicated to identifying and collecting evidence-based strategies on almost all
health topics and publishes them on our wearepublichealth.org website. The Health Educator
will select the evidence based materials that are the best fit for the specific parents/caregivers
for each class recognizing that an "evidence-based" label is simply not enough to achieve
genuine impact. We expect to reach a minimum of 300 adults with children zero to five
through these classes. Evaluation will be conducted by pre-post surveys already developed by
MCDPH on knowledge change and intentions regarding diet and physical activity behaviors.
Train childcare providers and Family, Friend and Neighbors (FFN) on Color Me Healthy, Spark
Early Childhood (CE) and Cooking Matters Curriculum:
MCDPH OHPE will utilize Color Me Healthy (CMH) and the SPARK Early Childhood (EC), curricula
to promote nutrition, obesity and physical activity. The CMH and the SPARK EC curriculum will
target obesity prevention through fun, interactive education by stimulating children's 5 senses
through color, music and play with an emphasis on social skills. The proposed train-the-trainer
program will target child care providers in child/home care settings and preschool and Head
Start teachers in the Southwest Region.
Through a current assessment of the designated area, there are at least 116 identified child
care providers and several Head Start sites. In the first ten months of the program at least 10
workshops will be held, reaching a minimum of 50 child care providers, preschool and Head
Start teachers.
The health educator will develop a marketing plan and user-friendly surveys, in Spanish and
English, to assess interest and commitment to program participation. Child care provider
contact information will be collected and entered into a data base. Once providers who
would like services have been identified, a four-hour, train-the-trainer program will be
scheduled.
In order to provide up-to-date trainings and on-going consultation, the health educator will
work closely with MCDPH nutritionists and registered dieticians to provide menu review and
technical assistance to child care centers that desire assistance with meeting nutritional
guidelines and implementing policies. This is intended to greatly assist providers in offering
affordable, quality, nutritional foods to children in their care. For ongoing training and
education, centers can choose additional trainings on Cooking Matters and physical activity in
an early childhood setting.
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Additionally, the health educator will offer support and technical assistance in the following
areas:
• Compliance with rules issued by the Arizona Department of Health Services,
Office of Child Care that incorporate standards promoting healthy eating and
physical activity.
• Participate in the Arizona Department of Health Services Empower program.
• Promote the United States Department of Agriculture (USDA) Nutrition
Programs for families and other caregivers, such as the Supplemental
Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC).
2. Identify whether the proposed program is evidence-based, evidence-informed, or a
promising practice, and summarize the supporting research and data that supports
this determination.
The education provided to childcare providers, parents and children follows the First Things
First Nutrition, Obesity and Physical Activity Standards of Practice guidelines for approaches in
early care and education programs that aim to:
• Increase staff knowledge of providing more fruits and vegetables to children and
reducing the use of fried foods and sugar-sweet beverages as part of center
diets.
• Change practices within early care and education settings related to healthy food
choices.
• Change practices in early care and education settings related to physical activity
time for children.
• Increase parental knowledge related to healthy food choices for their children
and change in parental behaviors.
• Encourage age appropriate involvement of children in learning about and
adopting healthy nutrition and physical activity behaviors
Color Me Healthy (CMH),is an award-winning, evidence based program using a train-the-trainer
curriculum targeting preschool children . Developed by North Carolina Cooperative Extension
and the Physical Activity and Nutrition Unit of the North Carolina Division of Public Health, this
curriculum is designed to address the current epidemic of early childhood overweight and
obesity in our country.
The CMH curriculum utilizes both social cognitive theory and the socio-ecological model. The
social cognitive theory focuses on how people develop and maintain certain behaviors and
effective approaches for intervention. The socio-ecological model presents a process for
designing health and educational programs based on five levels of influence: individual,
interpersonal, organization, community, and society. The development of Color Me Healthy
FTF-RC007-16-0553-00 Page 18

was guided by these two theories and emphasizes a comprehensive approach involving the
individual, family and community,
SPARK is a research-based organization dedicated to creating, implementing, and evaluating
programs that promote lifelong wellness. The SPARK Early Childhood (EC) is a curriculum
designed to provide children ages 3-5 with high activity, academically integrated, enjoyable
movement opportunities that foster social and motor development and enhance school
readiness skills, SPARK strives to improve the health of children, adolescents, and adults by
providing evidence-based physical activity trainings to educators, childcare providers and
community champions serving Pre-K through 12th grade students.ln addition, the program
includes teaching and emphasizing the following social skills: kindness, helpfulness, sharing,
cooperation, taking turns.
Gross-motor skills involve large body movements such as running, kicking, jumping, climbing,
and throwing. Fine-motor skills involve small body movements that require precision such as
writing, drawing and using utensils. Fine-motor skills are much more difficult to master than
gross-motor skills, but both types of motor skills improve significantly during the preschool
years. Caregivers can help adoptive motor skills by utilizing the SPARK EC curriculum to select
toys and physical activities that are appropriate to a child's skill level. Children that have the
opportunity to engage in physical activity help promote the development of essential skills.
The Spark Early Childhood (EC) curriculum aligns with the Early Childhood Environment Rating
Scale (ECERS). Created by the University of North Carolina at Chapel Hill, the rating scale was
designed to assess group programs in four environment: The Early Childhood Environmental
Rating Scale (ECERS-R), Infant/Toddler Environment Rating (ITERS-R), Family Child Care
Environment Rating Scale (FCCERS-R), and School-age Environment Rating Scale (SACERS).
ECERS-R total scale consists of 43 items and focuses on programs for two to five year old
children. Each scale evaluates items based on physical environment, basic care, curriculum,
interaction, schedule and program structure, and parent/staff education.
When evaluating inclusive and culturally diverse programs the scales are deemed as suitable
indicators due to the proven reliability and validity. To provide high quality care and education
that promotes quality of life and development opportunities. Quality programs must provide
for the three basic needs: all children have protection of their health and safety, opportunities
to build positive relationships, and opportunities for stimulation and learning from experience.
ESERS has recognized the SPARK Early Childhood (EC) curriculum to meet those needs which
also aligns with the goals of First Things First. Cooking Matters at the store is a free program of
the No Kid Hungry Campaign that empowers families to stretch food budgets and provide
healthy meals in a home setting. Cooking Matters was founded on a unique model of
collaboration among Share Our Strength and local program partners that leverages the
collective strengths of all involved. The program provides professional-level curricula and
instructional materials, training, evaluation and national leadership support while local program
partners provide hands-on, grassroots-level resources, program customizations and
FTF-RC007-16-0553-00 Page 19

relationships that are best addressed on the local level. This collaborative program model
makes Cooking Matters uniquely effective, efficient and sustainable among national nonprofit
education programs.
In 2013, the Altarum Institute evaluated Cooking Matters impact. Research found that the tour
produced lasting change of families' shopping habits. It also found that the change in behavior
has a large effect on those who are enrolled in the SNAP program. Grocery store layout and
label reading education helps to overcome the grocery cost barrier that many low-income
families experience. Analysis conducted by Deloitte indicated that the Cooking Matters
initiative is a smart investment due to participants learning to shop smarter and cook healthier
foods, helping to save families $46,000 in lifetime health care costs and lost wages.
The education provided to parents and children follows the guidelines outlined in the First
Things First Nutrition, Obesity and Physical Activity Standards of Practice approaches in to
promoting healthy nutrition and physical activity in communities. Community focused
interventions aim to:
• Increase availability of healthier foods in communities and hence healthier food
choices in small grocery stores, large chain stores, and mobile food delivery systems.
• Increase healthier environments that promote physical activity-i.e. playgrounds,
walking trails, community activities.
• Support community-based agriculture such as child care center gardens, community
gardens, farmers markets, and farm to school programs.
3. If there is a need to adapt an evidence-based or evidence-informed program as a
promising practice, explain what the adaptations are and the justification for why they
are being proposed.
There is no need to adapt any promising practice theories as Maricopa County Department of
Public Healthis an established agency that promotes current best practices.
4. Describe how the proposed program approach aligns and builds on the early
childhood system development in the Southwest Maricopa region.
MCDPH Office of Health Promotion and Education will work collectively with First Things First to
address the following school readiness indicator:
• # / % children demonstrating school readiness at kindergarten entry in the development
domains of social-emotional, language, and literacy, cognitive, and motor and physical.
• # / %of children ages 2-4 at a healthy weight (Body Mass Index BMI)
First Things First funding has created a network of programs aligned with the common goal of
ensuring children enter kindergarten ready to succeed. The proposed program addresses the
First Things First Goal development domains of social-emotional, language, and literacy,
FTF-RC007-16-0553-00 Page 20

cognitive, and motor and physical for children through age five.The proposed program is
consistent with the AZ Nutrition and Physical Activity State plan, as it will promote healthy
eating and active lifestyles via a comprehensive program which influences behavior on many
levels. Color Me Healthy and Spark EC will influence a healthy school environment which links
directly to the AZ Nutrition and Physical Activity State plan for schools, Objective #1, "Establish
a comprehensive healthy school environment with support of staff, students, parents and
community members in all Arizona school districts."
Additionally, the program will address Objective # 2 in the state plan, "Streamline obesity
prevention efforts taking place in Arizona to integrate services and messages."This program
network provides an ideal opportunity for collaboration. MCDPH Office of Health Promotion
and Education has already established strong partnerships with other First Things First grantees
and agencies in the southwest region including:Readiness Basket, Teen Outreach Pregnancy
Services (TOPS), FindHelpPhx, Nurse Family Partnerships, Avondale, Buckeye and Gila Bend
Careist Resource Center, Gila Bend Unified School District, Pendergast Resource Center,
Quality First Child care centers, and Catholic Charities-West Sector. These partnerships allow
parents to receive multiple services in a single location and understand the connectivity
between the school readiness strategies supported by First Things First. In addition, the Helaht
Educator will continue to educate parents and caregivers about available resources and train
them in the FindHelpPhx.org mobile site using promotional materials provided by the
FindHelpPhx program.
The Office of Health Promotion and Education has a strong partnership with the Arizona Department
of Health Service Empower Program (see letter of support attachment 1). OHPE has provided
culturally responsive nutrition and physical activity education and technical support to childcare and
family friend and neighbor providers in the southwest valley for the past three years. These efforts are
supportive of the Empower program, which requires licensed Empower Child Care facilities to attain
three training hours annually, on nutrition. The trainings that have been provided are in high need,
which this strong partnership allows the two agencies to provide more trainings in the region and raise
awareness of available resources in the targeted region.
OHPE staff has also created partnerships with other schools districts, schools, child care centers, local
colleges, community centers, churches, medical personnel, community leaders, state and local
government, and Native American communities to establish health and wellness programs throughout
the Southwest Valley. In addition, to early childhood health services, the resource centers in the region
serves children and their families through partnering with agencies to provide prenatal and parenting
education, literacy classes, immunization clinics, and hearing and vision screening. OHPE has
maintained strong partnership with Avondale Care 1 st, Buckeye Resource Center and Gila Bend Care
1st and has provided monthly safety parent education classes, trained staff on the Color Me Healthy
curriculum, and has help Family Events in Avondale and Gila Bend.
Examples of the strong and meaningful partnerships MCDPH has developed in the last three years
extend beyond FTF grantees and can be exampled by our relationship with the Gila Bend Unified School
FTF-RC007-16-0553-00 Page 21

District (GBUSD). GBUSD has demonstrated a growing investment in community outreach and
educational programs, advocacy efforts and collaborative community partnerships. Trainings and
education on nutrition and physical activity was highly needed. Educational materials were developed
to focus on early childhood and to meet the needs of the community. In 2012, Parent participation in
Gila Bend was not heavily attended. The office of Health Promotion and Education continued
researching, marketing and becoming familiar with available resources and establishing a trust in the
community. Marketing was conducted at the Gila Bend Library, Gila Bend Resource Center, GBUSD
website, and staff also reached out to San Lucy District Public Health Department. Currently, OHPE has
created a strong partnership with GBUSD Preschool and has seen an increase in parent
participation. Families have gained confidence in human service staff by seeking educational
information on the importance of maintain a healthy and active lifestyle.
5. Identify and describe the target population to be served by the proposed program,
including:
a) Population demographics (e.g., children birth through five, families of infants,
early childhood professionals, etc.)
The proposed program will provide direct service in group settings and one-on-one nutrition,
obesity and physical activity education to families, childcare providers, and/or those who
interact with children birth through age five residing within the Southwest Region designated
zip codes. In addition, staff will provide community presentations, educational tables at events/
resource centers and age specific educational pamphlets. Presentations and trainings will be
offered in English and Spanish in order to meet the need in the targeted population.
b) Target Service Number(s) based on the Unit(s) of Service included in the Scope of
Work of this RFGA.
Target Service Units:
Number of participating adults: 375
Number of participating children: 0
The total target service number should reflect all participants proposed to attend all
trainings targeted for the contract period. This may be a duplicated count since one
participant may attend multiple walk-in training sessions.
Proposed program will Educate 300 parents and caregivers, residing in the targeted zip codes in
Southwest Maricopa County, with direct Nutrition, Obesity and Physical Activity community
education to promote a healthy lifestyle in classroom setting or community events. In addition
the Health Educator will train 75 childcare providers using the Color Me Healthy (CMH) and/or
SPARK EC curriculum to support child development.
All of the factors and strategies discussed in this proposal have the potential to realistically
produce a service number of 375. Please see estimation of the service break out below:
FTF-RC007-16-0553-00 Page 22

Activities provided by health educator # of Participants Reached
in grassroots community outreach
Monthly grocery store tours/ 50
Champions recruited
Parents trained in nutrition and 250
physical activity classes in childcares,
community settings or resource
centers.
Total # of Participants Reached 300
Service numbers for Obesity # of Participants Reached at Childcare
prevention Centers and FFN
Childcare providers, family friend and 75
neighbor, pre-school and Head Start
teachers will be trained to disseminate
the Color Me Healthy and SPARK
curriculums
children will be impacted on the Color TBD — each center of FFN provider will
Me Healthy and SPARK be surveyed for the number of children
they have enrolled
Total # of Participants Reached 75
Overall Total # of Adult Participants 375
The targeted service number of 300 adults will participate in Nutrition, Obesity and Physical
education activities in classroom setting (including 50 in grassroots community grocery tour
events); 75 childcare providers, family friend and neighbor providers, pre-school and Head Start
teachers will be trained using the CMH curriculum. Therefore, a conservative estimate of 375
adults will be reaches; however, building on SNACK'S established and strong relationships in
these communities (particularly in the more rural areas) and its reputation as a high quality,
collaborative partner, we feel we will easily exceed this number.
FTF-RC007-16-0553-00 Page 23

c) How the proposed program will be culturally competent, linguistically
appropriate, age appropriate, and gender responsive for the target population.
The Maricopa County Department of Public Health, Office of Health Promotion and Education
has more than 25 years of combined experience tailoring interventions and educational
programs to specific populations, and will solicit community members' ideas and opinions when
developing activities to ensure that activities are appropriate, tailored and effective. The Health
Educator is bilingual and has participated in numerous Culturally and Linguistically Appropriate
Services (CLAS) trainings. Additionally, Maricopa County offers diversity and other cultural
competency training and mentorship on an ongoing basis.
First Things First Needs and Assets Report indicated the communities that make up the
Southwest Maricopa Region are highly diverse with a high percentage of Hispanic families with
a need for linguistically appropriate educational information for increased understanding and
retention. Personnel, program forms (e.g. sign in sheets, evaluations) and educational
materials (e.g. brochures and referral materials) will be provided in both English and Spanish
languages.
d) How the target population will be identified, recruited, and retained in the
program.
First Things First funding has created a network of programs aligned by the common goal of
ensuring children enter kindergarten ready to succeed. The proposed program addresses the
First Things First Goal development domains of social-emotional, language, and literacy,
cognitive, and motor and physical for children through age five. MCDPH Office of Health
Promotion and Education has already established strong partnerships with other First Things
First grantees and agencies in the Southwest region including: Readiness Basket, Teen Outreach
Pregnancy Services (TOPS), First Teeth First, FindHelpPhx, Kidz Watch, WIC, Adelante
Healthcare, Phoenix Children's hospital, Nurse Family Partnerships, Avondalelst Resource
Center, Gila Bend Carelst Resource Center, Gila Bend Unified School District, Buckeye
Resource Center, Kith and Kin, Younker High School Cooperative Extension (CO-OP), Quality
First Child care centers, and Catholic Charities-West Sector. In addition, the proposed program
leadership staff has met with local grocery store chains (e.g., Fry's and Walmart) in Avondale,
Buckeye, Goodyear and Tolleson that have committed partnership with the program and
facilities usage for education purposes. More partnerships are anticipated with retail food store
chains throughout the grant year. These partnerships allow child care providers, parents and
children to receive multiple services in a single location and understand the connectivity
between the school readiness strategies supported by First Things First. This program network
provides an ideal opportunity for collaboration.
6. Describe specific initial and ongoing professional development opportunities that will
be provided to existing and/or new staff, including how it will be provided, a timeline
FTF-RC007-16-0553-00 Page 24

for when it will be delivered and how it will enhance skills necessary for effective
program implementation.
MCDPH Office of Health Promotion and Education will provide ongoing staff development
opportunities from sources including: American Academy of Pediatrics, Center for Disease Control
(CDC) and Prevention: Strategies to Increase Physical Activity in the Community, Guide to
Community Preventative Services, Maricopa County Community Health Improvement Plan,
Maricopa County Community Health Assessment, Arizona Nutrition Network SNAP—Ed, First
Things First Scope of Practice Resources, First Things First Needs and Assets Report, Color Me
Healthy resources, Spark PE resources and the Let's Move campaign. Health educator will
participate in ongoing continuing education covering early childhood nutrition, obesity and
physical activity, general health, and education techniques.
A bilingual Child Care Nutrition and Physical Activity Health Educator will be re-assigned by
MCDPH Office of Health Promotion and Education who will be responsible for outreach and
education and overall program success. MCDPH Office of Health Promotion and Education will
integrate its professional development programs through staff participation in trainings and
educational opportunities to ensure competence, calibration and aligned service delivery.
Initial and continuous education ensures that staff is providing up-to-date, proven prevention
information in a manner that is culturally sensitive and appropriate for target audiences. Staff
training ensures that staff provides quality outreach in the community. All trainees will be
asked to complete a post training evaluation in order to provide feedback for quality
improvement. Additionally, all staff is required to complete learning modules regarding
Cultural Competence, General Workplace Safety, Confidentiality, HIPAA and Public Health
Essentials. This training ensures that staff is providing up-to-date, evidence-based health
information in a manner that is culturally sensitive and appropriate.
Past continuing education has included:
Webinars:
• SPARK PE webinar series
• American Public Health Association (APHA) webinar series
• National Association of Counties (NACo) webinar series
• How Storytelling Can Power Your Presentation, Training Industry
• Southwest Interdisciplinary Research Center webinar series
Trainings/Seminars/Lectures
• Color Me Healthy Train the Trainer, Carol Dunn
• Physical Activity for Young Children, Dr. Diane Craft
• Spark Early Childhood Institute
7. Describe the program data collection process, including what resources will be
needed; who will be responsible for data collection and data submission; what
procedures will be in place to ensure timely, accurate, and secure collection and
F1T-RC007-16-0553-00 Page 25

submission; and how data will be used to inform and improve programming. If
applicable, also include the anticipated approval process to collect, submit, and report
data from tribal government programs.
All MCDPH computers and tablets are protected with a network log-on and substantial
network security protocols. The data collection for the train the trainer component and
surveys of parents/caregivers educated will be entered into a simple database and reported in
FTF Quarterly reports on the PGMS system.
Grassroots, grocery store tour, efforts will incentivize the participant by offering a gift
certificate to complete the MCDPH survey on knowledge change, participation in the program
(i.e., hosting tours) and intentions three months after the initial training. Parents/caregivers
taking nutrition and physical activity classes will complete a pre-post survey measuring
knowledge change and intentions. For agencies/providers completing trainings the evidence-
based train the trainer curricula (CMH and SPARK EC) the Health Educator contact providers
three months post training, via phone or email, to discuss progress with implementing the
program, answer questions, discuss issues, and solve any problems which may have arisen.
The health educator will make site visits to FFN or childcare centers at the end of the program
year (May/June) using a quick observation tool to see if the curricula are being implemented,
technical assistance is offered on an ongoing basis and these visits may initiate further
technical assistance.
1. Developmental/Needs Assessment: Nutrition, Obesity, Physical Activity trainings
will be modified and targeted to meet the particular needs. MCDPH Office of Health
Promotion and Education staff will conduct a phone interview to understand the
vision and direction of the participating schools, childcare centers, resource centers,
community centers and in-home providers. The interview will consist of a series of
questions on nutrition, obesity and physical activity quantity and quality are also
modeled. Proposed program will also distribute a survey to each participant to
analyze current offerings, determine program strengths/successes and what they
would like to focus on during the training. Results will determine the training that
will be presented in scheduled training which is essential in order to meet the needs
of that community.
2. Post Evaluation: Health Educator is to have each participant complete a post
evaluation on the training provided. By providing a post evaluation the proposed
program will have the ability to measure the efficiency of the training that was
provided. Post Evaluations will be collected and reviewed to determine if
participants received appropriate information and understanding of educational
material that is provided as resources.
3. Program Evaluation: MCDPH Office of Health Promotion and Education staff will
provide a final evaluation a year after initial training to all training participants. This
survey is already developed by the SNACK Color Me Healthy team and asks
questions regarding the implementation of the curriculum and observed behavior
FTF-RC007-16-0553-00 Page 26

changes. This questionnaire will be accompanied by an on-site observation by the
Health Educator using a simple tool to observe wither implementation is happening
or not.
8. Describe any anticipated barriers to implementation and your plans to overcome
those barriers.
We anticipate there will be a number of providers in rural areas who will be unable to attend
trainings due to transportation limitations, For these providers, efforts to provide in-home
education or training in apartment complex facilities and training will be pursued to meet their
needs.
FTF-RC007-16-0553-00 Page 27

Section D - Personnel
Program Personnel Table
In the following table, provide a list of all personnel or positions that will be fully or partially funded
through the 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 .clirectlyTeSponsible for program imPlementation,
partially funded through the proposed program
Background/Expertise*
Name/
(include qualifications that align with the Key Roles and Responsibilities
Position Title
Standards of Practice)
Health Educator will provide Responsible for outreaching to and
health and nutrition education implementing approaches with
to child care providers, pre- children (age's birth to five), families,
school and Head Start teachers
and other caregivers on healthy
Denise Avitia / as well as children and their
Child Care Nutrition families, and educate on the nutrition and physical activity and the
& Physical Activity prevention of obesity. Health benefits of achieving and maintaining a 1.0
Health Educator {SVV) Educator will have a background healthy weight. Health Educators
in nutrition and be specialized in coordinate all services with the child
health education including care centers, community agencies, and
physical activity promotion. schools.
. . .
Additional Personnel - those individuals full', or partially funded through the proposed program but
do not directly implement Or have direct program oversight of the program.
Program Total: 1.0
* 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.
FTF-RC007-16-0553-00 Page 28

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.
Dr. Bob England
MCDPH Director
Toby Urvater
Division Administrator
Community Health Action
Crick 811...r,
Acct. Sp vie list
I FTE
Charitie Wince this ttilasaltas
Denise Avitia RW Insurance Manarter Tracy Pedrotti Youth Development
Child Care Nutrition & Youth ClivelopMent SopriiiitorI FrE
Physical Activity Health Supervisor 1 FTE
Educator (SW)
1 FIE
Angl tVlantutto
R.E1 1,.A11111.3hos. Office. Asalstant
Youth Health Educator 1 FIT
Nevi Hire 1 ATE
ADHS Child Care
Nutrition & Physical
Activity health Tara tautly
Educator °mar Hat-1Ft Or Youth HP,alth Educdtoy
1 FTF _ 1 FTE
Daniel Valladee
Youth Hpalth Educator
Carla Pelletier
Youth Health Educator
1 FTE
FTF-RC007-16-0553-00 Page 29

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and as deliver families of # relevant children receiving social visits CMH
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Nutrition for locations Create

Section 1;
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 Description Requested Funds
PERSONNEL SERVICES Personnel Serukes Sub TOtal
Salaries 1 FTE x 2096 hours x 2120 44,435
EMPLOYEE RELATED,:tpxN.m ErnplOV.0,0 :Relate:if 0044 :OOP $19,020
Fringe Benefits or Other ERE Fixed Benefits lx 10,440 10,440
Variables Benefits @ 19.31% 8,580
...FRoEssiONAL.A0p:titrrsi.pcsmvICs Professional & Outside Ser vices Sub Total
Contracted Services
TRAVEL. Travel 5ub Total: $2,415
In-State Travel 350@375"12 months 2,415
Out-of-State Travel
:AID TO ORGANIZATIONS ORINDIV1OUAL$ : :::: , Ai cl...:0::.ft04:411.04 Pf.:014414.40itSubTotal
Subgrants or Subcontracts to
organizations/agencies/entities
OTHER OPERATING EXPENSES Other Operating Expenses Sub Total: jj$Z5,038:::
• Telephones/Communications Services Smart Phone $66/month +$200 992
• General Office Supplies Offie Supplies @$50/month 600
• Food 2,446
• Education and Training 1,000
• Program Supplies 20,000
NON-CAPITAL EQUIPMENT Non-Capital Sub Total
Equipment $4,999 or less in value
Subtotal :Direc-t Progra rri COst5: $90,909
ADMINISTRATIVE/INDIRECT COSTS TOtal AdMiii/Indi(ect:
Indirect/Admin 7nls $9,091 $9,091
Total $100,000
_A _
Authorized Signatur e \ Date 14 - )0
FTF-RC007-16-0553-00 Page 33

Budget Narrative
Personnel $44,43S
MCDPH will manage program operations with the following personnel:
Nutritionist 1.0 FTE: will have managerial oversight of all aspects of the project, both
operational and strategic. Responsibilities will focus on creating sustainable partnerships with
community-based organizations, oversight of CBA, and building systems capacity for long-
term sustainability.
Fringe Benefits . $19 020
Fringe Benefits are calculated for a fixed benefit of $10,044.00 per FTE for medical and
dental coverage and a variable benefit of 19.31% of total salaries for Medicare, social
security, unemployment, worker's compensation, long term disability, life insurance, and
Arizona State Retirement System. These benefits have been calculated using Maricopa
County rates for the contract period July 1, 2015 through June 30, 2016.
Travel $ 2415
Local Travel- Mileage
Local travel is necessary for the successful implementation of the program in the largest
and most rural region of Maricopa County for activities that include: training community
members, attending meetings and events, and delivering the program. Mileage has been
estimated for 1 FTE at the current MCDPH rate of $0.575/mile. The following anticipated
expenses are:
1 staff x approx. 350 miles per month x 12 months x $0.575/mile
Subtotal $ 2,415
P.r.ogr.a"m.:SUpplies $25,038
Office supplies: Office supplies are general items needed to support all the positions and
will be approximately $50/month for 12 months.
General Program supplies include: Portable speaker for cardo classes ($200), purchase of
evidence based curricula SPARK EC ($9,988), gift cards for community champions (100 @ $50
= 5,000), pedometers (300 @ $6.$1,800), physical activity books for homeplay for centers
(25@ $50 = $1,250), food demon kits (2 @ $500 = $1,000) = $20,000.
FTF-RC007-16-0553-00 Page 34

Printing: Printing is done in-house through our County reprographics department for cost
savings. It is anticipated that this project will need printing to create materials for recipes and
nutrition and physical activity information for parents.
Food: Food purchases will follow County and federal procurement guidelines. Food
demonstrations are a major part of the program delivery strategy.
Utilities: The Nutritionist will have a smart phone due to the amount of time they will
spend in the field in the SW Region away from our central Phoenix office. The County
receives a discounted rate with its telecommunications provider of $66/per month for data
and cell phone use, the purchase of the device is $200.
Education and Training — Staff: Staff can receive training in a variety topics from
Microsoft Office training to facilitation techniques, nutrition and physical and child
development topics, Zumba ® certification as well as the annual FTF Conference
FOOD 2,446
OFFICE SUPPLIES 600
GENERAL PROGRAM SUPPLIES 20,000
EDUCATION AND TRAINING - STAFF 1,000
UTILITIES (Cell Phones) 992
SUBTOTAL 25,038
Option B - Federally Approved Indirect Costs: The approved indirect rate for Maricopa County
Department of Public Health is 15.80% from July 1, 2015 through June 30, 2016; however,
First Things First requires a 10% cap on indirect costs. (See Appendix A)
Total -Annual Budget: 100,0001
Authorized Signature ' . -NM cl.\\,•.\ Date
FTF-RC007-16-0553-00 Page 35

Section G Fun ing Sources and Financial on ro s
Funding Sources and Financial Controls
A. Funding Sources: In the following table, identify other funding/resources (including federal, state,
local and private funding) that the agency/organization 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, 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
SO $0
$0
B. Financial Controls: Describe the financial controls and accountability measures the
agency/organization will employ for the use of FTF funding for the proposed program.
Maricopa County Department of Public Health (MCDPH) will use a centralized accounting
system to maintain its fiscal integrity through several levels
(Program/Division/Department/County) of financial controls and accountability measures.
MCDPH's Finance and Budget process starts at the program level, using the Maricopa County
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 Ilk \ 5
FTF-RC007-16-0553-00 Page 36

PHI
A. Agency/Organization:
Program Name Maricopa County Department of Public Health — Office of Health Promotion and Education
Agency Maricopa County Department of Public Health Contact Person Siman Qaasim
Address 4041 N. Central Avenue Position Office Administrator
Address Suite 700 Email SimanQaasim@mail.maricopa.gov
City, State, Zip Phoenix, AZ. 85012 Phone 602-372-8409 Ext
County Maricopa Fax 602-506-6683
Employer Identification Number: 86-6000472
Agency Classification: State Agency X County Government Local Government Schools
Tribal Faith Based Non Profit Charitable 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 E1N changes, please go to https://aao.az.aov/afis/vendor-information
And download the State of Arizona Substitute W-9 Form, and submit with your application
Congressional district (federal) in which agency provides most services: District # 4
Legislative district (state) in which agency provides most services: District # 15
Go to http://www.azredistrictina.ora and click on Final Maps to
identify your congressional and legislative district.
Approximate federal funding (from a federal source) to be received in current fiscal year? $29 million
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 Y N
Contact information for firm conducting agency audit:
Audit firm: State of Arizona, Office of the Auditor General
Address: 2910 N 44th Street, Ste 410, Phoenix, AZ 85018
Phone: 1602) 553-0333
FTF-RC007-16-0553-00 Page 37

B. Proposed Program Information/Description:
Amount requested: $100,000
Service area of proposed program: Southwest Maricopa Region
Target population of proposed program: Parenting adults of children 0-5, and professionals providing services to
children 0-5
Number of participating adults: 375
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.
Recognizing that the Southwest Region is the largest region in the county and is predominately rural
MCDPH OHPE has a multi-pronged strategy to reach parents and caregivers associated with institutions
such as a childcare facility or a family resource center as well as a grassroots approach that will deliver
outreach and nutrition and physical activity education in settings such as grocery stores, in-home and
apartment complexes. Education will consist of primarily three types: 1) Cooking Matters grocery store
tour and food demos in rural grocery stores and food retails, 2) tailored evidence-based nutrition and
physical activity education classes for parents/caregivers at childcare centers, family resource centers, or
in-home and at apartment complexes and 3) Color Me Healthy (CMH) and SPARK Early Childhood (EC)
evidence based train-the-trainer sessions targeting the 116 licensed childcare centers, Family Friend and
Neighbor providers and Headstarts in the region to create healthy environments for children ages zero to
five being cared for. The total number of adults to be served is conservatively estimated at 375 at
minimum.
FTF-RC007-16-0553-00 Page 38

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 the data reports in PGMS.
PGMS Contacts
Name: Siman Qaasim Email: SimanQaasim@mail.maricopa.gov
.Main Contact -
Title/Position: Office of Health Promotion and Phone: 602 -372 -8409
Education Administrator
Physical Address (if different than the agency address):
Name: Richard Sandoval Email: RichardSandoval@mall.maricopa.gov
Finance Contact
Title/Position: Accountant Phone: 602-506-9318
Physical Address (if different than the agency address):
Name: Simi) Qaasim Email: SimanQaasim@mail.maricopa.gov
Program Contact
• •
Title/Position: Office of Health Promotion and Phone: 602-372-8409
Education Administrator
Physical Address (if different than the agency address):
- Name: Siman Qaasim Email: SimanQaasim@mail.maricopa.gov
Evaluation . - Contact.- .
Title/Position: Office of Health Promotion and Phone: 602-372-8409
Education Administrator
Physical Address (if different than the agency address):
FTF-RC007-16-0553-00 Page 39

ATTACHMENT A
LETTERS OF SUPPORT
TITLE Page No.s
Rio Salado 41
Arizona Department of Health Services — Empower Program 42
Arizona Department of Health Services — Bureau of Nutrition and
Physical Activity 43
First Thing First — Northwest Maricopa Region 44
First Thing First — Gila Bend Unified School District 45
Garden City 46
Carelst Avondale Resource Center 47
Child & Family Resources Inc 48
Teen Outreach Pregnancy Services 49
Page 40

Rio Salado
College
April 1, 2015
First Things First
4000North Central Avenue, Suite 800
Phoenix, AZ 85012
To Whom it May Concern,
Rio Salado College, the largest of the ten Maricopa County Community Colleges with an early childhood student base of 3000+
unduplicated students, is committed to increasing and sustaining educational opportunities for Arizona's early childhood
practitioners. In support of Maricopa Department of Public Health (MDPH) and your commitment to our shared goals and
values, Rio Salado College will provide Credit for Prior Learning college credit(s) for your Office of Health Promotion and
Education community-based training, Credit for Prior Learning arrangements demonstrate Rio Salado College's commitment
to a close working collaboration with MDPH by where MDPH will provide the Office of Health Promotion and Education
training.
The Credit for Prior Learning collaboration provides assurances that articulation of the Office of Health Promotion and
Education training has been accomplished between our college and MDPH. Additionally, Credit for Prior Learning will provide
Office of Health Promotion and Education participants with six transcripted college credits upon successful completion of the
Office of Health Promotion and Education training, at a cost of current tuition per credit hour per person. Specifically, Credit
for Prior Learning will be awarded to Office of Health Promotion and Education participants who will receive a total of 1.
college credit for CFS123 Health & Nutrition in Early Childhood Settings. As the administration and staff of MDPH have come
to understand, Rio Salado College's approach to educational pathways for early childhood practitioners allows for seamless
transition from coursework through certificate/Associate degree completion, with matriculation opportunities into Bachelor
degree programs with colleges and universities who accept Credit for Prior Learning in their partnerships with Rio Salado
College.
The collaboration between MDPI-I and Rio Salado College has been a testimony to our shared goals: supporting the
educational needs of early childhood practitioners through valuing the work of community-based training organizations. Rio
Salado College is committed to assisting current and/or potential early childhood practitioners in their pursuit of college-level
coursework that leads to a CDA credential and/or college degrees/certificates. We are also committed to supporting
organizations, like MDPH, who are relentless in their pursuit of improving the educational opportunities for the early
childhood practitioner.
Sincerely,
xiLt_i
„
• '74-----k-die
( • • • .
Diana L. Abel, Ed.D.
Faculty Chair & Program Director
Early Childhood & Human Development Program
diana.abelPriosalado.edu
2323 W. 14th Street Tempe, AZ 85281 (480)517-8269 (480)377-4710 fax www,riosalado.edu/earlychildhood

Division of Public Health Services
Office of the Assistant Director
Arizona Public Health Prevention Services
Department of 150 N. 18th Avenue, Suite 310 DOUGLAS A. DUCEY, GOVERNOR
Phoenix, Arizona 85007 CORY NELSON, INTERIM DIRECTOR
Health Services (602) 542-1886
(602) 542-1890 FAX
www.azdhs.gov
April 7, 2015
First Things First
4000 North Central Avenue, Suite 800
Phoenix, AZ 85012
To Whom It May Concern,
The Arizona Department of Health, Empower is pleased to offer this letter of support for the
Maricopa County Department of Public Health (MCDPH) through its Office of Health Promotion
and Education (OHPE) in their grant application to the Southwest Maricopa Regional
Partnership Council for Nutrition, Obesity and Physical Activity services.
The Office of Health Promotion and Education (OHPE) provide nutrition education and technical
support, among others, to child care facilities in the Northwest and Southwest valley. These
efforts are also supportive of the Empower Program, which requires over 2,400 licensed
Empower Child Care facilities to attain three training hours annually, in various topics including
nutrition. With such high demand for trainings, The Empower Program collaborates with
agencies, such as MCDPH Office of Health Promotion and Education, to help meet.the demand,
The Empower Program strongly supports to this partnership and collaboration with the Office
of Health Promotion and Education (OHPE) to continue the strengthen access training for Early
Care and Education professional and raise awareness of available resources for the families.
We look forward to this continued collaboration with the MCDPH Office of Health Promotion
and Education.
Sawsan Macianat, MA
Empower Program Specialist
Arizona Department of Health Services
Bureau of Nutrition and Physical Activity
Health and Wellness for all Arizonans

.Divm ion olPtiblie Health Services
Cillicv of the A.ssistant Director
Arizona Public Health Peovention Services
Department of 150 N. 1W Aventid, Suite 310 DOUCILAS A', DUCEY, OOVERNOlt
Phoerik, Arizona •85007 CORY NELSON, INTERIM DIRECTOR
health Services (602) 542-1886-
(692) 542-) 890FAX
• www,azclkis.gov
April 7, 2015
First Things First
4000 -North -Central. Avenue Suite 800
Phoenix, Arizona 85012:
To Whom It May Concerti:
1 am pleased to ,offer this letter of support for the Maricopa County Department of Public Health
(MCDPH) through its Office of Health Promotion and Education (OHPE) in their grant
application to the Southwest Maricopa Regional Partnership Council for, Nutrition, Obesity and
Physical Activity Services. The .ongoing Collaboration between MCDPH and the Arizona
Department of Health Services (ADM) has been a testimony to our shared goals: to improve
health and well-bin g through nutrition education and promotion of physical activity.
The Arizona Department of Health Services and .Maricopa-County Department of Public Health
have partnered hy providing nutritional and physical education to support licensed early care and
•education.facilities,, specifically around the Empower Pack. program and its: principles. I support
MCDPH' s proposed strategy of implementing a grassroots approach to educating . parents of
Children age five (5) and under btl nutritiOn:;and physical : actiVity. We:believe this approach is
most appropriate for that population ,because it utilizes evidence-based interventions and an
innovative outreach strategy. I have great eipeetalitid that MCDPH will continue implementing
quality programingusing best practiees. Our organization supports maintaining the infrastructure
and networks that MQDPH and, its talented Staff, have built in this region.
In support of MCDPH and the conunitment to our shared goals and values ADI-IS is committed
to continuous collaboration with MCDPH to improve the health outcomes of our community
members.
Sincerely,
0>e-ele) ,Y,
Karen I. Sell, RD
Chief
Bureau of Nutrition and Physical Activity
KS:GR:or
Health ana Well ,br all ,4i.itonatis

;II FIRST THINGS FIRST
4000 North Central Avenue, Suite 800, Phoenix, Arizona 85012
602,771.5100 877.803.7234 I azftf.gov
April 10, 2015
To whom it may concern:
Lt is with great pleasure that I write this letter of recommendation on behalf of the Maricopa
Department of Public Health Office of Health Promotion and Education as they are an exceptional
organization with a deep commitment to helping families in our community.
I have had the pleasure of working with the Maricopa Department of Public Health Office of
Health Promotion and Education for over 3 and a half years and in that time, I have come to respect and
admire their dedication in providing parents and caregivers the tools and resources they need to ensure
healthy outcomes for their young children. I have seen the team in action numerous times and I am
amazed at their level of professionalism and knowledge in their field of work. It can be said that when it
comes to safety and nutrition for young children, the Maricopa Department of Public Health Office of
Health Promotion and Education is a trusted and respected authority in the field.
This level of expertise and passion for the work they do is exemplified by each of the team
members. I have seen it, first hand, in the way they interact with the families they serve; whether at a
community event or a formal training, the team provides meaningful information and resources in an
enthusiastic and engaging manner which makes it that much more relevant and useful. The team is
always willing to help out when asked. I have had the honor of working with the them several times over
the years and I never had to ask them twice if they would be interested in collaborating; they are always
willing to lend a hand and provide their support. Their spirit of collaboration is admirable and I always
look forward to any and all opportunities to work with them. Their enthusiasm and passion for the work
they do is inspiring and it is demonstrated in their efforts. I hope to continue my collaboration with the
Maricopa Department of Public Health Office of Health Promotion and Education for years to come.
I offer my recommendation for the Maricopa Department of Public Health Office of Health
Promotion and Education without hesitation. I strongly believe that any organization that is fortunate
enough to partner with them will see just how dynamic, professional, knowledgeable and dedicated this
group is to the work they do on behalf of young children and families in Arizona.
Please feel free to contact me for more information as I would be happy to provide further
detail.
Sincerely,
Juan Marquez
First Things First
Community Outreach Coordinator - Northwest Maricopa Region
602.771.4965 Office
jmarquez@azftf.gov
READY FOR SCHOOL. SET FOR LIFE.

April 2, 2015
First Things First
4000 North Central Ave. Suite 800
Phoenix, Arizona 85012
To Whom It May Concern:
This letter is in regards to our participation for the past two years with the Maricopa County
Department of Public Health Office of Health Promotion and Education (OHPE). Gila Bend
Unified School District Preschool has enjoyed this partnership. Health educator Kamilah
Johnson is an exceptional lady, and the OHPE team is amazing. The events were well-
organized, appropriate with the teaching geared towards younger learners and the resources
and teaching provided were highly needed for the population of students we serve.
Prior to participating in the programs OHPE offers, our parents were not very interested in
visiting our program. After the first event, parents began to become more involved and saw
our program and partnership as a resource for help. Our gardens are thriving and we share/eat
the veggies we've grown. Families are now more confident with knowing that they are armed
with the information needed to keep their kids healthy, and the nutritional guidance was eye
opening for them.
The preschool also benefitted from the Color Me Healthy curriculum, utilization of the music
and supplemental items daily, as well as the additional available resources provided in the
training or at events. It has been an awesome experience.
We are committed to participating with MCDPH Office of Health Promotion and Education in
the future. They are an invaluable service with the curriculum and teaching they provide. Our
community, students and staff LOVE this program and look forward to many more years.
Thank you for your time and consideration.
Yours in education,
Wendy Buchberger, Pre-School Teacher
Gila Bend Unified School District #24

Garden C7tY
April 5, 2015
To Whom It May Concern:
I am writing in support of the Office of Health Promotion and Education (OHPE) that
has, in the past, been funded by First Things First in the Southwest Maricopa region.
In the last year, this program has been extremely helpful in our region in at least two
ways. The first is the Color Me Healthy program. We scheduled training for all of the
local early childhood programs that could attend on a Saturday morning. The materials
they distributed were professional and helpful. They included pictures, posters, and CDs.
The children in our preschool program still begin each morning with creative dance to the
Color Me Healthy CD.
The second is the Family Fun Day event that we scheduled for the early part of March
this year. This event was well attended by our families and included a demonstration of a
health snack, physical activities, an inflatable and garden soil and seeds. Before the
event, we had peas growing. Today, we also have zucchini, carrots, watermelon, and
spinach. The children are doing the weeding and watering. And their excitement when
they see something else green peeking out of the soil is infectious. The zucchini has been
so successful that we have had to thin it out and send plants home with families in our
program.
In our opinion, OHPE has definitely been a successful addition to the far west valley. It
has been great to know that they have been willing to travel to us and their program was
covered in our zip code! That isn't always true.
If you have any questions, please feel free to call.
Blessings,
Susan Laurita
Director
623.386.2246 garden.citycox.net www.gardencitycdc.com

.>:1:011C
'March:81i 70.1s
TO whom it.may concern,
This letterlS:written on behalfof the Careist Avondale Retotirce Center to
extend our support to the Office Of Health Promotion and'EdUcation-within the
Maricopa CourityDepartment Of Public Healthr as they seek funding from First
Things First for the Nutrition, Obesity and Physical Activity strategy.
The Carelst Avondale Resource Center has been proud to partner with the -Office of Health
Promotion And Education (OHRE) since 2011 We have provided OHRE with space for their
:monthly parent education events at the Carelst Avondale Resource Center and partnered
Orfevents such as ourPre-sthool Qardeh and the Family Fun Fair., The Careist Avondale
'Resource Center, and its various programs and services ) is used as a community resource
for OHRE participants, as well The'City:of Avondale is committed to continuing this
collaboration as OHPEprepares to provide on- going services throughout' the Southwest
Maric.opo First Things -First Region.
The City ofAvondale is very gratefult&The.Office of Health Promotion and Education for
the extensive services they provide to Southwest Valley residents We are proud to
support their -efforts to extend their impact on our communities by applying for this grant.
Sincerely,
sheryl Steele.
Nd.r.)0,ge
Neighborhood 1 1., Fdrhiiy Serylces Deportment
1007 S. Third Street 1 'Avoridale, AZ 85323:
Phone (623) 333-2700 1 Fax (623) 33,0270 I T1- )Q (623)1333-0010 I www.avandole:orci

Child... s.. Family
RESOURCES
INC
2830 MG endale Aver Ste,28 phoenix, AZ 85061 • (604 234-3941 4 (602) 234-3043 • WWW,ChildFamiTyResources:org
April .2„.20_15
To Whom It Ivlay-COncern,
I have the pleasure of partnering with the Office of Health Promotion and Education over
the past two years, specifically with the S.N.A.C.K. Program. The staff was always very
accommodating and willing to offer services to the families we have enrolled in our Building
Bright Futures Program at Child & Family Resources, Inc. Four classes were offered exclusively
Fm our families and were a great help to educating them on the health and safety of their
children. Our agency has also had guest speakers from the Office of Health Promotion and
Education come out to our facility and discuss how we can better help our faMilies search for
resources around IVIaricopa County, The services offered were always easy to ,finct,and staff was
always willing to cooperate, I am confident Child. :& Family Resources, Inc. will continue to
partner with the Office of Health Promotion and Education for many rnore years to tome.
'Sin rely,
aLQ: 0_661-
Valerie HOrtado
Parent Educator
Build Bright Futures Program-SW
Child & Family Resources, Inc.
Headquartered . intticson With offices in:
Apache Junalon • Rullhead City # Casa"Grande* Douglas« Kingman • Nogales • Phoenix Safford. Sierra Vista« Yuma

Teen\ Outreach
Pregnancy Services
April 1, 2015
To whom it may sconCern,
This letter is written on behalf of Teen Outreach Pregnancy Services (TOPS) to exten6oue - SuppOrt
to the Maricopa County Department of Public Health Office Of Heaith Promotion and Education
aSth.ey seek funding fromthe First Things First NOtritEon, Obesity and physical Activity strategy in
the Southwest Maricopa County region.
TOPS provides pregnancy ; childbirth, parenting, and fath'erhood edEicatiOnal sUpport to teens 21
years and younger. Collaborating with partners like the Office of Health Promotion and
Education over the lastseveral years has helped agencies iike ours positively impact the
community.-
The-grant the Office of Health Prombtibn arid Education Isseeking Will allow their team to
continue making kidshealthier and happier, The education and resources related to healthy, well-
rounded diets and regular physical activity are vital to the health and well-heing of Arizona's
children. TOPS clients and their children have benefited from nutrition and physical ,a ctivity
education and in turn have made monumental_ strides in establishing healthier lifestyles and
healthy habits within their famines.
We are prOud to support the Office of Health Promotion and EdutatiOn in their efforts to extend
their impact on our communities by applying for this grant.
Sara Wild enborg
Regional Manager -
‘vw‘v teenoLiti.eaolla.z.ai OffIce 623 334 ISO! 1ii 623 334 1503