DATE: January 26, 2021
TO: Board of Supervisors
SUBMITTED BY: David Pomaville, Director, Department of Public Health
SUBJECT: Retroactive First Amendment to Agreement with Fresno County
Economic Opportunities Commission
RECOMMENDED ACTION(S):
TITLE
Approve and Authorize the Chairman to execute retroactive First Amendment to Agreement No. 20-025 with the Fresno County Economic Opportunities Commission for the implementation of a school-based sealant program to revise the budget, effective upon execution with no change in the term of January 7, 2020 through June 30, 2022, or compensation maximum of $520,000.
REPORT
There is no additional Net County Cost associated with the recommended action. Approval of the recommended Amendment will reallocate the first year’s cost savings due to COVID-19 disruptions to the public-school system, to the second-year’s budget to add a new position.
ALTERNATIVE ACTION(S):
If your Board does not approve the recommended amendment, Fresno Economic Opportunities Commission (Fresno EOC) would not be able to fulfill the scope of work outlined in the California Department of Public Health (CDPH) Local Oral Health Plan (LOHP) grant due to under staffing. The Department may risk possible denial or reduction in future Prop 56 funding.
RETROACTIVE AGREEMENT:
The recommended Amendment is retroactive to January 7, 2020, in order to adjust year one and year two budgets.
FISCAL IMPACT:
There is no Net County Cost associated with the recommended action. The recommended Amendment is fully funded with the CDPH’s LOHP grant award for the duration of the term. If approved, the recommended Amendment will revise year one and year two budgets with no change to the maximum compensation ($520,000) as follows:
Year I (Jan. 7, 2020-June 30, 2020) $81,643 (decreased $48,357)
Year II (July 1, 2020-June 30, 2021) $243,357 (increased $48,357)
Year III (July 1, 2021-June 30, 2022) $195,000 (no changes)
Sufficient appropriations and estimated revenues are included in the Department’s Org 5620 FY 2020-21 Adopted Budget and will be included in future budget requests.
DISCUSSION:
On January 7, 2020 your Board approved a two year six-month agreement with Fresno EOC for services to implement a school-based sealant program to improve the oral health of elementary school aged children through preventative oral health services by providing dental sealants and fluoride varnishes to low-income, elementary school-aged children in grades K-6.
In January 2020, Fresno EOC began working with four different school districts in the County, and by March 2020 had provided fluoride varnishes or dental sealants to students in Fowler Unified, Kings Canyon Unified and Washington Unified. COVID-19 disruptions in March 2020 led to the closure of all public schools and disrupted Fresno EOC’s ability to connect with students in-person and continue to provide oral health preventative services. Fresno EOC changed its platform in April 2020 and began delivering oral health education services through a virtual platform.
Approval of the recommended Amendment will allow Fresno EOC to shift the unspent funds from year one to fund a new Outreach Health Educator (OHE) position in year two. The position is necessary for the completion of activities. The OHE will provide support to the current Dental Assistant assigned to this program by taking over the case management of clients, assisting with the coordination of educational services such as providing dental presentations to teachers, students, and parents. The OHE will assist dental hygienists with services such as set-up, clean-up, and documenting all services provided to students, and entering all data into the dental software program database FUSE. Lastly, the OHE will be responsible for following up with parents whose youth requires "urgent" dental care to refer them to Free Medi-Cal Dental Youth Services to link them to a local dental care provider. If additional funding is made available, Fresno EOC will return to your Board at a future date to request extending the OHE position to years three through five of the contract.
REFERENCE MATERIAL:
BAI #33, January 7, 2020
ATTACHMENTS INCLUDED AND/OR ON FILE:
On file with Clerk - Retroactive First Amendment to Agreement with Fresno EOC
CAO ANALYST:
Raul Guerra