FTF CCHC TA GRA-STATE-19-0971-01 YR 5.PDF

Maricopa County — Formal (2022-06-22)

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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  
GRA-STATE-19-0971-01-Y5 
Cochise,Coconino,Colorado River Indian Tribes,East Maricopa,Gila,Gila 
River Indian Community,Graham/Greenlee,Hualapai Tribe,La 
Paz/Mohave,Navajo Nation,Navajo/Apache,Northwest 
Maricopa,Phoenix North,Phoenix South,Pima North,Pima 
South,Pinal,San Carlos Apache Regional Partnership Council, Child Care 
& Development Block Grant 
QF Child Care Health Consultation 
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 $184,240  
 
3. Contracted Service Units: N/A 
Lead Strategy: 
QF Child Care Health Consultation 
 
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. For auditing purposes, we are required to supply the following information related to the Child Care and Development 
Block Grant funding: 
Federal Award ID Number – 2101AZCDC6 
CFDA # - 93.575 
Total Federal Amount Awarded - $73,680 
 
6. 
All other terms and conditions remain unchanged and are according to the original award documents, clarification 
documents and renewal submission documents.

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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

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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  
$107,542 
Salaries 
 
 
107,542 
 
EMPLOYEE RELATED EXPENSES 
Employee Related Expenses Sub Total 
$45,429 
 
Fringe Benefits or Other ERE 
Variable @20.04% 
Fixed at $13632. X2 FTEs 
 
21,573 
23,856 
 
PROFESSIONAL AND OUTSIDE SERVICES 
 
Professional & Outside Services Sub 
Total 
$ 
Contracted Services 
 
 
 
 
TRAVEL 
Travel Sub Total 
$1000 
In-State Travel  
Out-of-State Travel 
Mileage 
 
1000 
 
AID TO ORGANIZATIONS OR INDIVIDUALS 
Aid to Organizations or Individuals Sub Total 
$ 
Subgrants or Subcontracts to 
organizations/agencies/entities 
 
 
 
 
 
OTHER OPERATING EXPENSES 
Other Operating Expenses Sub Total 
$13,520 
• 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 
 
 
624 
 
2,396 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10,500 
 
NON-CAPITAL EQUIPMENT 
Non-Capital Sub Total 
$ 
Equipment $4,999 or less in value 
 
 
 
 
Subtotal Direct Program Costs: 
 
 
$167,491 
ADMINISTRATIVE/INDIRECT COSTS 
Total Admin/Indirect 
$16,749 
Indirect/Admin Costs 
 
 
$16,749 
$ 
Total 
 
$ 
$184,240 
 
 
 
Authorized Signature __________________________________________  Date  ____________________

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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: $ 107,542 
Maricopa County Department of Public Health will manage this program operation with the following 
personnel. Full hourly rate of $37.63(Wendi Ayers Lead Nurse) to be paid at 1.0 FTE. Partial rate of 
$13.88(Claudia Corral Administrative Assistant) to be paid at 75% to assist with management of this program.  
Maricopa County uses placement in range system to determine salaries using an average rounded salary. 
Salaries are determined on amount of experience. There is always a chance for salary increase sometime during 
the year, however that fact is not known yet and cannot be estimated at this time.  
 
 
 
 
 
 
 
Employee Related Expenses: $45,429   
Fringe benefits variable is calculated at 20.04% ( for Medicare, Social Security, Worker’s Compensation, Long 
Term Disability, Life Insurance, and Arizona State Retirement System.) Medical, Dental, Prescription Drug 
Coverage Benefits are fixed @ 13632. X1.75 FTEs. These benefits have been calculated using the Maricopa 
County projected rates for the contract period of July1, 2022 -June 30, 2023.  
 
 
 
 
Professional and Outside Services 
 
 
 
 
 
Travel: $1,000  
Used for state mileage compensation to travel to events and/or childcare centers related to job description. 
When applying for mileage compensation the State of AZ  Travel Policy https://gao.az.gov/travel/welcome-gao-
travel to determine rates. 
 
 
 
 
 
 
Aid to Organizations or Individuals:

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Other Operating Expenses: $13,520 
Phone expenses are for one person and are budgeted for $624 to cover cell, hot spot, and VPN services. General 
office supplies are budgeted for 2,396 dollars and program supplies are budgeted for 10,500 dollars to purchase 
items need to conduct mandated Child Care Health Consultant Training throughout the state of AZ and the 
Health and Safety Specialist Training. Items that could be purchased are binders, notebooks copy paper, Post It 
poster paper, markers, software, books, postage, flash drives, envelopes, maintenance of equipment, end of 
year symposium items, room fees, etc.  
 
 
 
 
Non-Capital Equipment 
 
 
Administrative/Indirect Costs: $16,749 
Maricopa County utilizes a cost allocation system which is comprised of two components. The county wide 
portion includes, those costs allocated entirely to administration, the department cost pool consists of costs 
that benefited all Public Health planning services , finance procurement, human resources, grants/contracts, 
and agent liability insurance.  The indirect rate is derived annually and is based on the expenditures from the 
previous year. The indirect rate for MCDPH is budgeted for 10%  which is 16,749. Indirect costs are costs of an 
organization that are not really assignable to a particular program, but are necessary to the operation of the 
organization and the performance of a program. The cost of op 
 
 
 
 
Applicants must list either Option A or Option B and provide proper justification for expenses included: 
 
XOption 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  ____________________

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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 
Wendi Ayers RN  
Lead Nurse CCHC 
Wendi has been a CCHC since 2016. Her experience in 
nursing prior to public health nursing has been school 
nursing. She has a Bachelors in Nursing and a Masters 
in Education.  She has completed the required CCHC 
course. 
Mentors and supervises timecards for 5-6 staff 
members. Provide assessment, consultation, and 
technical assistance to childcare providers. Provide 
education, training, and guidance on a variety of 
health and safety topics for childcare staff and 
parents. Documents data and activities conducted 
with childcare providers, children, and families 
following charting and reporting requirements. 
Provide resources and support for families and 
childcare providers on up-to-date immunizations, 
health, dental, developmental screenings, and 
mental health services. Creates curriculum for ECE 
providers that is based on Health and Safety both 
online and in-person. Manages the CCHC training 
working alongside supervisor and lead nurse 
updating and creating new curriculum as needed.  
Yes 
1.0 FTE 
Claudia Corral 
Administrative 
Assistant 
 
Experience with the CCHC program as a hearing 
screening assistant for the Hearing Screening Program 
2011-2014. During this time, she assisted with the 
CCHC program as well as with administrative duties 
which is her position at the present time. Completed 
the Train the Trainer for the Hearing Screening 
Program. Completed a Medical Translation course in 
2015 and completed a Community Worker program.  
Provides administrative and clerical support to the 
Child Care Health Consultant Program (CCHC), 
supervisors and staff. Documents and sends 
certificates for all the Online Continuing Education 
Classes. Assists with administrative tasks of setting 
up and running CCHC Community Education courses 
and Health and Safety Specialist Trainings. Provides 
support as a trained child safety seat expert to 
CCHC program and otherwise assists with a myriad 
of administrative tasks as needed.  
 
 
 
 
Yes 
0.75 FTE

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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: 
 
 
  * 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. 
 
 
 
 
Name/Title  
 
 
 
 
 
 
 
 
 
Date