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4000 North Central Avenue, Suite 800, Phoenix, Arizona 85012
602.771.5100 | 877.803.7234 | firstthingsfirst.org
Notice of Renewal Consideration
DATE:
March 17, 2022
TO:
Maricopa County Department of Public Health
Attn: Elizabeth Nobles
Elizabeth.nobles@maricopa.gov
FROM:
Michelle Neitch, Fiscal Specialist
Rudy Navarro, Fiscal Specialist
RE:
Grant Renewal Information for State Fiscal Year 2023 (SFY23)
In 2020, the First Things First Board approved the extension of the SFY19-SFY22 regional strategic plans
by one year to allow for the extension of related grants by one year to include SFY23. Due to this
extension, the following First Things First grant is eligible for renewal consideration. Receipt of this
packet does not guarantee renewal of the grant award but if renewed, the award period for the SFY23
grant will be July 1, 2022 through June 30, 2023.
Grantee Name:
Maricopa County Department of Public
Health
SFY22 FTF Grant Number:
FTF-RC011-19-0612-04-Y4
Lead Strategy:
Home Visitation
Non-Lead Strategies:
Developmental and Sensory Screening
Eligible Renewal Amount for SFY23:
$ 217,830
The renewal packet includes the following documents:
1. Grant Renewal Amendment
Confirm the eligible award amount and contracted service units on the form.
2. Line-Item Budget and Budget Narrative
The SFY23 Line-Item Budget and Budget Narrative should continue to align with the approved SFY22
Line-Item Budget and Budget Narrative and the scope of the approved programming.
3. Program Personnel Table
Complete the table with the personnel that align with the SFY23 Line-Item Budget and Budget
Narrative.
Follow Up Action Necessary
Please complete all documents; have your designated signatory sign the amendment, line-item budget,
and budget narrative; and then scan/email all items back to me by April 15, 2022. Electronic submission
to mneitch@firstthingsfirst.org or rnavarro@firstthingsfirst.org is preferred, but if sending by standard
4000 North Central Avenue, Suite 800, Phoenix, Arizona 85012
602.771.5100 | 877.803.7234 | firstthingsfirst.org
mail, please send to my attention, First Things First, 4000 N. Central Avenue, Suite 800, Phoenix, AZ
85012.
If the renewal is approved by the Board of First Things First at the June 2022 meeting, First Things First
will countersign the amendment document and scan/email it back for your records.
Reminders
Grantees must always adhere to the latest version of the Standards of Practice which can be located in
the Strategy Toolkit, www.firstthingsfirst.org/grants/strategy-toolkit and related policy documents that
apply to this grant. Additional policy/grant-related documents (FTF Grants Uniform Terms and
Conditions, FTF Data Security Policy and Procedures, and the FTF Tribal Data Policy) are located under
Grantee Resources, www.firstthingsfirst.org/grants/grantee-resources.
SFY23 Data Template Training
If refresher data template training is needed for SFY23, please contact the FTF Evaluation team to
schedule, ftfevaluation@firstthingsfirst.org.
Closing out SFY22
Your current grant ends June 30, 2022. Final narrative and data reports must be submitted on or before
July 20, 2022 and your final request for reimbursement must be submitted no later than August 15,
2022 (45 days from the grant end date.) Unexpended funds from SFY22 do not carry over to SFY23.
If you have any questions, please contact Michelle Neitch at mneitch@firstthingsfirst.org or Rudy
Navarro at rnavarro@firstthingsfirst.org.
Thank you.
Page | 1
Grant Renewal Amendment
Early Childhood
Development and Health
Board
(First Things First)
4000 North Central Avenue,
Suite 800
Phoenix, Arizona 85012
(602) 771-5100
Grant Renewal/2023 Grant Award
FTF-RC011-19-0612-04-Y5
Southeast Maricopa Regional Partnership Council
Home Visitation
GRANTEE:
Maricopa County Department of Public Health
PURPOSE OF AMENDMENT:
The parties amend the Grant Agreement as follows:
1.
The Agreement is extended for the period of July 1, 2022 through June 30, 2023.
2.
Total award amount for the grant period is $ 217,830
3.
Contracted Service Units:
Lead Strategy:
Home Visitation
Number of children served (DSS): 25
Number of families served: 25
4.
The grantee is responsible for all updated Standards of Practice located in the First Things First Partner and Grant Management System
(PGMS) under Grantee Resources/Standards of Practice.
5.
All other terms and conditions remain unchanged and are according to the original award documents, clarification documents and
renewal submission documents.
Page | 2
Contractor hereby acknowledges receipt and understanding of the
contract amendment
For and on behalf of Maricopa County:
Signature
Date
Name
Title
Attest:
Signature
Date
Name
Title
Approved as to form:
Signature
Date
Name
Title
The above referenced amendment is hereby executed
effective July 1, 2022 once signed and dated below:
Josh Allen
CFO/COO
Date
Bill Gates
Chairman, Board of Supervisors
Juanita Garza
Clerk of the Board
Anne Longo
Attorney for Maricopa County
Page | 3
Line-Item Budget and Budget Narrative
SFY23 Line-Item Budget
Budget period: July 1, 2022 – June 30, 2023
Budget Category
Line Item Description
Requested Funds
Total Cost
PERSONNEL SERVICES
Personnel Services Sub Total
$131,206
Salaries
0.25 FTE Supervisor
1 FTE Nurse Home Visitor
0.125 Administrative Assistant
0.25 FTE Outreach/Health Educator
$25,523
$88,800
$4,721
$12,162
EMPLOYEE RELATED EXPENSES
Employee Related Expenses Sub Total
$48,157
Fringe Benefits or Other ERE
Variable 19.82%
Fixed $13,632/FTE (1.625 FTE’S)
$26,005
$22,152
PROFESSIONAL AND OUTSIDE SERVICES
Professional & Outside Services Sub
Total
$10,860
Contracted Services
NSO Annual Fees
Infant Mental Health Consultant
$9,360
$1,500
TRAVEL
Travel Sub Total
$1,148
In-State Travel
Out-of-State Travel
Mileage
$1,148
AID TO ORGANIZATIONS OR INDIVIDUALS
Aid to Organizations or Individuals Sub Total
$0
Subgrants or Subcontracts to
organizations/agencies/entities
OTHER OPERATING EXPENSES
Other Operating Expenses Sub Total
$6,656
• Telephones/Communications Services
• Internet Access
• General Office Supplies
• Food
• Rent/Occupancy
• Utilities
• Furniture
• Postage
• Software (including IT supplies)
• Dues/Subscriptions
• Advertising
• Printing/Copying
• Equipment Maintenance
• Professional Development (Staff
Training, Conferences, Workshops,
Training Fees for Staff)
• Insurance
• Program Materials
• Program Supplies
• Scholarships
• Program Incentives
$1,100
$292
$3,014
$100
$850
$1,000
$300
NON-CAPITAL EQUIPMENT
Non-Capital Sub Total
$0
Equipment $4,999 or less in value
Subtotal Direct Program Costs:
$198,027
$198,027
ADMINISTRATIVE/INDIRECT COSTS
Total Admin/Indirect
$19,803
Indirect/Admin Costs
19,803
Total
$217,830
$217,830
Authorized Signature __________________________________________ Date ____________________
Max Porter/Deputy Director
Page | 4
SFY23 Budget Narrative
The budget narrative should provide a clear and concise description of how amounts were determined, including
calculations, for each proposed line item in the Line-Item Budget. If a budget category does not apply, either leave
blank or delete the category.
Personnel Services: $131,206
The salary rate for each position was determined according to MCDPH market range levels. Nurse salaries are
determined by years of nursing experience.
Nurse Supervisor: Elizabeth Nobles
The nurse supervisor will ensure effective program management and provide clinical supervision of the MCDPH
nurse home visitors and data entry staff. She is responsible for all FTF reporting. With an hourly rate of $48.90 x
2088 annual hours, 25% of which will be charged to this grant for the 12-month grant cycle, or $25,523.
Nurse Home Visitor (NHV): Angela Tann
The NHV will provide home-based preventive intervention with 25 young families/year. The NHV will assess
status, teach, make referrals, and nurture the development of young parents across several domains of
functioning, by developing a therapeutic relationship. With an hourly rate of $42.53 x 2088 annual hours 100% of
which will be charged to this grant for the 12-month grant cycle, or $88,800.
Data Entry/Admin Assistant: Channon Wroten
The data entry staff will provide efficient, accurate, and thorough entry of program and home visit data into the
national web-based Penelope and will support the nursing staff by organizing and storing NFP materials and client
files. With an hourly rate of $18.09 x 2088 annual hours, 12.5% of which will be charged to this grant for the 12-
month grant cycle, or $4,721.
Outreach/Health Educator Specialist: Ashley Bello
The Outreach/Educator Specialist will provide referral sources and assistance to families needing resources for
education, legal, child support, housing, food, and career issues. Services will include coordination of client
socializations and graduations, participation in the bi-weekly NFP team meeting and the bi-weekly case
conference, and outreach and collaboration with other agencies serving pregnant women and young mothers in
the East Maricopa Region. With an hourly rate of $23.30 x 2088 annual hours, 25% of which will be charged to
this grant for the 12-month grant cycle, or $12,162.
Nurse Manager: Bonnie Drenth
The Nurse Manger is responsible for all FTF financial, and grant compliance. In kind
Employee Related Expenses: $48,157
Variable of 19.82% of total salaries for Medicare, social security, unemployment, worker’s compensation, long
term disability, life insurance, and Arizona State Retirement System.
Annual Cost $26,005
Fixed Benefits are calculated @ $13,632 per 1 FTE x 1.625 FTE’s for medical and dental coverage.
Annual Cost $22,152
Professional and Outside Services: $10,860
NFP NSO Annual Program Support & Nurse Consultation Fee
Nurse-Family Partnership National Service Office contributes to covering costs associated with the following
resources and services: Data system (ETO) operation and use; Reporting - NFP routinely provides reports to
agencies through (ETO) and the NFP Reporting Portal via the NFP Community; Ongoing Nurse-Family Partnership
nurse home visitor, supervisor, and administrator education; resource library; conference calls; web forums;
Nurse-Family Partnership Community resources; and maintenance of Visit-to-Visit Guidelines and supporting
Page | 5
materials; Community outreach materials. Also provided are the NFP marketing and communications resources
and guidance and a copy of the NFP Public Awareness Video, as well as updates and regular monthly
communications from the NFP National Service Office; Policy and Government Affairs, including advocacy and
educational work at federal and state levels. A Nurse-Family Partnership Nurse Consultant providing the following
support to supervisors: Monitoring reports based on the supervisor and her/his team’s activity and performance
and providing support with quality improvement initiatives; Structured, routine support for the supervisor in
operations and clinical issues; Periodic visits to the supervisor and NFP team. Clinical and supervisory coaching
and consultation with the supervisor. $18,720 of which 50% will be charged to this budget. $9,360/12-month
grant cycle.
Infant Mental Health Consultation
Contract services for 1 hour per month. The consultant will support the supervisor in reflective practice, attend
case conference staffing’s weekly, and consult on complex infant/mother dyads with nurse home visitors.
1 hr/month @ $125/hour $1,500/12-month grant cycle.
Travel: $1,148
In State Mileage
This line item covers the nurse home visitors’, outreach health educator, and nurse supervisor’s travel related to
client visits and community outreach. The cost is calculated as:
$0.445 per mile x 125 miles/month x 1 NHV = $668/12-month grant cycle
$0.445 per mile x 15 miles/month x 1 Nurse Supervisor = $80/12-month grant cycle
$0.445 per mile x 75 miles/month x 1 Outreach Health Educator = $400/12-month grant cycle
Other Operating Expenses: $6,656
Telephone/Communication Services
Includes phones, adaptors, and chargers. Cell phones are an essential element of home visiting program to ensure
the safety of the nurse home visitor and outreach worker. $90.51/month x 12 months for 1.5 FTE’s: $1,100
annually.
Office Supplies
Essential supplies such as materials for organizing and storing files, as well as client file folders, paper, pens, clips:
$292 annually.
Rent
Nurse Home Visitors and Outreach Worker will have access to cubicles at MCDPH as a primary workspace:
1 cubicle @ $251.17 mo. $3,014 annually.
Printing/Copying
Cost of printing handouts and program facilitators for clients.
25 families x $4/12-month grant cycle = $100 annually.
Professional Development
Costs include: Annual conference costs (Infant Mental Health or Prevent Child Abuse Az,) for NHV, Outreach
Worker and Supervisor = $850/12-month grant cycle.
Program Educational Materials
Support materials for families and for nurse home visitors to assist in the work they are doing with families beyond
NFP and PIPE handouts. The NFP program uses educational materials to improve health education. Our program
strategy is to pair an appropriate item with a home visit theme. It is also important for nurses to demonstrate
how to nurture a relationship by acknowledging births, birthdays, successes, NFP graduation, etc. with cards,
photos, books, and developmental toys. Program Educational Materials will also include education materials used
Page | 6
and distributed at socialization events. Home Visitation Education Materials: $40 x 25 families: $1,000/12-month
grant cycle.
Program and Medical Supplies
Items needed for home visiting nursing activities such as growth charts, disposable measuring tapes, scale cloths,
hand sanitizer, gloves, surfaces wipes, thermometer covers, nursing bags, face masks, and other supplies for
developmental activities: $300/12-month grant cycle.
Non-Capital Equipment: $0
Administrative/Indirect Costs: $19,803
Indirect costs are costs of an organization that are not readily assignable to a particular program but are
necessary to the operation of the organization and the performance of the program. The cost of operating and
maintaining facilities, depreciation, and administrative salaries are examples of the types of costs that are
usually treated as indirect.
Applicants must list either Option A or Option B and provide proper justification for expenses included:
X Option A - Administrative Costs: with proper justification, applicants may include an allocation for
administrative costs for up to 10% of the total direct costs requested of the grant request.
Administrative costs may include allocable direct charges for: costs of financial, accounting, auditing,
contracting or general legal services; costs of internal evaluation, including overall management
improvement costs; and costs of general liability insurance that protects the agency/organization(s)
responsible for operating a program, other than insurance costs solely attributable to the program.
Administrative costs may also include that portion of salaries and benefits of the program’s director and
other administrative staff not attributable to the time spent in support of a specific program.
OR
Option B - Federally Approved Indirect Costs: If your agency/organization has a federally approved
indirect cost rate agreement in place, applicants may include an allocation for indirect costs for up to
10% of the direct costs. Applicants must provide a copy of their federally approved indirect cost rate
agreement.
Authorized Signature __________________________________________ Date ____________________
Max Porter/Deputy Director
Page | 7
Program Personnel Table
Key Personnel - those individuals directly responsible for program implementation/services and are fully or partially funded through the proposed program.
Name/
Position Title
Background/Expertise*
Must include qualifications that align with the Standards of
Practice (SOP)
Key Roles and Responsibilities
Meets the
SOP Staffing
Qualifications
Yes/No**
FTEs funded
through the
program
Elizabeth Nobles/Nurse
Supervisor
BSN, Registered Nurse licensed in Arizona. 10 years’
experience working with NFP. 39 years RN experience
in Maternal Child Health, and 10 years of supervisory
experience.
Provide program oversight, primary support and
supervision of NFP staff, data analyzing and
reporting, quality improvement, ensure program
fidelity to the NFP model and the FTF SOP.
Responsibilities include NHV observation in the
home quarterly, reflective supervision weekly,
development of professional development plan with
staff annually.
Yes
.25
Angela Tann/Nurse
Home Visitor
BSN, Registered Nurse licensed in Arizona, 18 years’
Maternal Child Nursing experience including 5 years’
experience as an NFP Nurse Home Visitor
Provide home visits with fidelity to the NFP Model,
and the FTF SOP. Recruitment and management of
a caseload of up to 30 clients, develop therapeutic
relationships with high risk pregnant and parenting
women and families, assess physical, emotional,
social and environmental needs of families, assists
in establishing goals and outcomes, Provide
education, support and referral sources to families,
maintain timely and accurate data collection and
documentation, maintain community relationships
to support client referrals.
Yes
1.0
Ashley Bello/Outreach
Health Educator
BS Community Health. Behavioral Health Specialist -3
yrs., Homeless Outreach Case Manager, Mental Health
Medical Liaison-5 yrs. School Health Assistant, Health
Educator-5 yrs.
Outreach, marketing, educational activities and
relationship building with community partners to
facilitate referrals, coordinate client health
education and socialization events
Yes
.25
Channon Wroten/Office
Assistant
Associates degree. Experience in inventory
management, customer service, sales, data entry and
management
Daily data entry, monthly report compilations, data
quality monitoring and assist with administrative
tasks as needed
Yes
.125
Page | 8
Bonnie Drenth/Nursing
Manager
BSN, Registered Nurse licensed in Arizona, 15 years
management experience at SWHD and MCDPH,36
years’ experience in Maternal Child Nursing including
working in NICU, HRPP and NFP.
Responsible for FTF budgeting, program oversight,
supervisor supervision, assist with reporting, grant
writing and grant compliance
Yes
In Kind
Additional Personnel - those individuals partially funded through the proposed program but who do not directly implement or have direct program oversight of the
program.
Program Total:
1.625
* 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.
** By signing this document, I assure that all key personnel meet the Personnel/Staff Qualifications outlined in the FTF Standards of Practice or if any
personnel do not meet the Staff Qualification standards, they have been approved through the FTF Request for Exemption from Staff Qualification
process prior to hire.
Max Porter/Deputy Director
Page | 9