DATE: August 19, 2025
TO: Board of Supervisors
SUBMITTED BY: Joe Prado, Interim Director, Department of Public Health
SUBJECT: Retroactive Revenue Agreement with Fresno County Superintendent of Schools
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute a retroactive revenue Agreement with Fresno County Superintendent of Schools for the participation in the organized Home Visitation Network, effective July 1, 2025, through June 30, 2026, total not to exceed $20,000.
REPORT
There is no Net County Cost associated with the recommended action. Approval of the recommended action will provide the Department of Public Health (Department) with $20,000 from the Fresno County Superintendent of Schools (FCSS) to participate in the organized Home Visitation Network (HVN) under the FCSS Cradle to Career (C2C). The proposed Agreement will support cross-program services coordination and integration utilizing the HVN. The work will further support integrated information data sharing activities that will serve to evaluate the benefits of home visitation services and the outcomes across service sectors. This item has a countywide impact.
ALTERNATIVE ACTION(S):
There are no viable alternative actions. Should your Board not approve the recommended action, the Department would be unable to accept the funds and participate in the integrated information data sharing activities of the HVN, which evaluates the benefits of home visitation services and service outcomes across service sectors.
RETROACTIVE AGREEMENT:
The recommended agreement is retroactive to July 1, 2025. The recommended agreement was received from FCSS on May 30, 2025. The time required to prepare and review the recommended agreement did not allow presentation to your Board at an earlier date.
FISCAL IMPACT:
There is no increase in Net County Cost associated with the recommended action. The maximum amount of funding from FCSS for the County’s participation is $20,000. The payment will be made through two invoices of 50% ($10,000) each. Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2025-26 Recommended Budget.
DISCUSSION:
On November 29, 2022, the Board approved a retroactive revenue agreement with FCSS for the Home Visitation Support and Referral System Screener for assessing incoming referrals for network dissemination and care coordination. On November 28, 2023, the Board approved a retroactive revenue agreement with FCSS for the participation in the organized Home Visitation Network. On January 28, 2025, your Board approved a retroactive revenue agreement with FCSS to continue the County’s participation in the organized Home Visitation Network. Over the last four years, the Department and Exceptional Parents Unlimited (EPU) have worked together with FCSS to successfully build a foundation of coordinated work and established a baseline of data outcomes. While most communities across California are struggling to track data beyond activity, the County has been able to report on the connection of work completed, reducing pre-term births, maternal depression, and sharing a more exact percentage of necessary developmental screening referrals.
The agreement is funded by FCSS C2C for the County’s participation in the organized HVN, which includes monthly meetings, trainings, building on the data baseline established between 2021 through March 2025, and impact results at a de-identified person level. The Agreement will support cross-program services coordination and integration utilizing the HVN.
Approval of the recommended agreement will allow the Department to accept the funds from FCSS to participate in the HVN and further support cross-program services coordination and integration. The recommended agreement deviates from the County’s standard service agreement as the recommended agreement contains mutual indemnification language.
REFERENCE MATERIAL:
BAI #52, January 28, 2025
BAI #67, November 28, 2023
BAI #48, November 29, 2022
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Agreement with FCSS
CAO ANALYST:
Ron Alexander