DATE: June 21, 2022
TO: Board of Supervisors
SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health
SUBJECT: Third Amendment to Agreement with Fresno County Economic Opportunities Commission
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment III to Agreement with Fresno County Economic Opportunities Commission for implementing evidence-based programs that improve the oral health of school-aged children in grades K-6, extending the term by one year from July 1, 2022 through June 30, 2023 and increasing the maximum by $195,000 to a total of $715,000.
REPORT
There is no additional Net County Cost associated with the recommended action which will approve a one-year extension for Fresno County Economic Opportunities Commission (Fresno EOC) to continue providing services for implementing an evidence-based program to improve the oral health of elementary school aged children through preventative oral health services with the Local Oral Health Program (LOHP) funds received from the California Department of Public Health (CDPH). This item is countywide.
ALTERNATIVE ACTION(S):
Should your Board not approve the recommended action, the Fresno EOC agreement will end on June 30, 2022 and the LOHP will look for alternate ways to provide preventative oral health services to school aged children in grades K-6. This can result in a disruption in services and the fulfillment of grant deliverables.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. Funding for the recommended 12-month extension period beginning July 1, 2022 through June 30, 2023 is $195,000, funded with CDPH LOHP grant funds. Fresno EOC’s budget maximum will increase from $520,000 to $715,000. Sufficient appropriations and estimated revenues will be included in the Department’s Org 5620 FY 2022-23 Recommended Budget.
DISCUSSION:
On January 7, 2020, your Board approved a three-year agreement (No. A-20-025) with Fresno EOC to implement a school-based sealant program (SBSP) for children in grades K-6 to receive dental sealants and/or fluoride varnishes. On January 26, 2021, your Board approved a first amendment (No. A-20-025-1) to revise budget years one and two due to COVID -19 disruptions and school closures. On October 5, 2021, your Board approved a second amendment (No. A-21-401) to shift unspent funds from year two to year three’s budget and extended the timeline to complete all activities into year three.
Approval of the recommended action will extend the agreement to provide continued preventative oral health services for these children for an additional year. Fresno EOC has been able to complete 405 dental sealants and/or fluoride varnishes to date and estimates a 25% increase in the total number of treatments provided during the 12-month extension given the re-opening of schools.
The Department expects to return to your Board next year to provide updates on new oral health agreements related to the next five-year County LOHP grant that begins July 1, 2022 through June 30, 2027.
REFERENCE MATERIAL:
BAI #33, January 7, 2020
BAI #28, January 26, 2021
BAI #32, October 5, 2021
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Third Amendment to Agreement No. A- 21-401 with Fresno EOC
CAO ANALYST:
Ron Alexander