Public Services Program Application Fiscal Year –
San Bernardino County
Fiscal Year -
PublicServices ProgramApplication
The following documents must be submitted in the order listed, please be sure to submit all attachments with your application.
Exhibit 1: Organization Information
Exhibit 2: Project Information
Exhibit 3: Community Needs and Target Population
Exhibit 4: Project Budget & Sources
Exhibit 5: Performance & Outcomes
Exhibit 6: Agency Capacity Narrative
Exhibit 7: Civil Rights Laws Compliance and HUD Good Standing Exhibit 8: Signature and Assurances
Application Checklist
_______________
Log Number
(Office Use Only)
1 ✔
2023 ✔
✔
2024 ✔
✔
2024 ✔
BARS23PS-010 2023 ✔
✔
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Public Services Program Application Fiscal Year –
Exhibit 1: Organization Information
Organization Name:
Organization Address:
City/State/Zip:
Phone:
Fax:
Email:
Applicant Type:
Authorized Person Name:
Authorized Person’s Title:
Address:
City/State/Zip:
Phone:
Fax:
Email:
Application Contact Person’s Name:
Application Contact Person’s Title:
Explain the Agency’s 1) Mission, 2) Purpose, 3) Population Served, 4) Number of years serving population, 5) Supportive Services, their Funding Sources, and Start/End Dates. 2 7602563733 Peggi Fries 703 E. Main703 E. Main Barstow / CA / 92311 7602563733 7602563793 Executive Director Desert Sanctuary Inc. 2023 Peggi Fries [email protected] [email protected] 760-256-3793Non-ProfitExecutive Director Our mission: To provide for people in need, including-but not limited to individuals and families affected by domestic abuse, and to provide a haven safe from violence, a place of temporary refuge. Our case management program has been developed by our top advocates using tools acquired through First 5, Strategies and many trainings and classes. The program is incentive based and client driven. This program has truly turned lives around. We serve the northern Mojave Desert, (population approx. 60,000). We have been providing for 40 years. Supportive services include; emergency and extended stay shelter, assistance with restraining orders, court support, peer support groups, professional counseling, parenting classes, job readiness, relaxation and stress management, financial management and life skills and emergency food and clothing.
2024 Barstow / CA / 92311
Public Services Program Application Fiscal Year –
Exhibit 2: Project Information
Project Title:
Project Address:
County Supervisorial District where project will be located:
1 st District 2nd District 3
rd District 4th District 5th District
If you are requesting funds for an existing CDBG project, provide prior CDBG project number.
Will this project provide an opportunity to hire minority-owned and women owned businesses? If YES, describe what actions will be completed to implement such subcontracting plans to monitor this component of the proposed project. If NO, discuss why and what actions are being taken to encourage minority-women businesses to apply for this project. 3 If this is an Expansion of Service to previously funded CDBG project, please explain how this is an expansion of service?. (i.e For 2015 we proposed 60 units of service, this year the agency is planning to serve 100 units of service)
Is this a New Public Service Project, or request to expand services to an existing CDBG project? Case Management Services - Desert Sanctuary Inc. BARS-22-01-05L/2435 Expansions of Service to an Existing Project 2023 No703 E. Main Street, Barstow, Ca. 92311 X 2024
Our case management program is now a referral for some county agencies and our community college. The program has experienced great success and has a proven record of client satisfaction. The program is incentive based and client driven. Clients receive incentives for achieving goal they have set. We began with a ½time case manager. We now have 3 and are in process of training an additional ½time case manager.
Public Services Program Application Fiscal Year –
EXHIBIT 2A: Countywide Vision
Indicate Yes/No in the table below if any of these countywide vision goals are pertinent to the proposed project.
Countywide Vision
Countywide Vision Yes/ No
Implement the Countywide Vision.
Create, Maintain and Grow Jobs and
Economic Value in the County.
Improve County Government Operations.
Operate in a Fiscally-Responsible and
Business-Like Manner.
Ensure Development of a Well-Planned,
Balanced, and Sustainable County.
Maintain Public Safety.
Provide for the Health and Social Services
Needs of County Residents.
Pursue County Goals and Objectives by
Working with Other Governmental
Agencies.
Provide a brief narrative of how your project meets the Countywide Vision:
4 Yes NoYes 2023 Yes
Through prevention, intervention, awareness education and direct services to victims of domestic violence, Desert Sanctuary Inc. contributes to the Countywide Vision through our efforts to maintain public safety, promote personal and family health and assist with social service provision, referral and advocacy. These services will result in family stabilization including encouraging and preparing clients to become self-sufficient. This includes access to education, job skills, community resources, job preparation and all supportive services. In addition, we provide Case Management for victims of domestic violence as well as community members experiencing crisis, need for change or are referred by county agencies of our local college. Our Case Management services are strengths centered, client driven and incentive based.
2024 Yes Yes NoYes
Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population
Community Needs Target Population
Public Service
Needs:
Yes/No Proposed Community: Yes/No
Senior Services Low and Moderate Persons
Handicapped
Services
Low and Moderate
Households
Youth Services Abused Children
Child Care
Services
Handicapped Persons
Transportation
Services
Illiterate Persons
Substance Abuse
Services
Homeless Persons
Employment
Training
Migrant Farm Workers
Health Services Elderly People
Lead Hazard
Screening
Crime
Awareness
5 City/Target Area of Project Beneficiaries
Participating Cities: (i.e Redlands, Colton, Yucaipa)
No Yes Yes Yes No Yes NoYes Yes No Yes2023 Yes NoYes Yes I don't believe Barstow is a "participating City", but our target population would be victims of domestic violence and their children, members of the community who are asking for assistance with emerging or emergency needs, low-income families in need of resource and referral services and our outreach services to the most remote areas of the northern Mojave desert. (Cima, Nipton, Baker, Trona to name a few). Our area is quite large although the population is small. Our area need is huge.
2024 Yes Yes Yes
Public Services Program Application Fiscal Year –
Exhibit 3: Community Needs and Target Population (continued) Describe the geographic boundaries of the neighborhood, community or area in which clients of the proposed program reside (attach a map if needed):
HUD Demographics: (Yes/No)
Does this project help prevent homelessness?
Does this project help the homeless?
Does this project help those with HIV or AIDS?
Does this project primarily help persons with disabilities? Summarize the description of your project to include 1) priority, 2) sub-activity, 3) population(s) to be served, and 4) accomplishment level, and 5) services to be provided. 6 Yes NoYes
Desert Sanctuary Inc. provides Case Management services to victims of domestic violence and their children. Our program was developed using tools from First 5, Strategies and many trainings and classes. We have seen this program truly change lives. Building on client strengths we can help and guide them to access many resources and opportunities. We can assist with supportive services and access while they attend school, acquire employment and develop a safe and stable home for themselves and their children. The Case Management program works with participants to achieve goals they have set for themselves. Through a beginning self-assessment, they define areas of their lives, (safe housing, parenting connection, finances, education, employment, health and well-being ect.) and they prioritize which area they would like to begin with. We work hard to gather the resources needed to celebrate and reward accomplishment. (incentive). One of the best qualities is the ability to adapt and change to every new and emerging need. We have even more confidence in this ability to adapt and change after surviving the Covid-19 pandemic and finding ways throughout to continue to provide direct and vital services. 2023 No
Barstow, Yermo, Hinkley, Daggett, Newberry springs, Baker, Trona. From Stateline to Hodge.
From Lucerne Valley to Kramer Junction including Trona. 2024
Public Services Program Application Fiscal Year –
Describe how this project meets the priority population and activities selected.
Explain why this project is needed and what evidence can you substantiate the need.
Describe what gaps of service in the county this project fills.
What are the critical factors for the success of your project (include both financial and human resources)? For instance, is this the only funding for this project? What happens if funding decreases? Does this project rely on only one source of leveraging? Is there adequate staff involved with the project if there is project turnover? Please address any factor that is critical to project success.
7 Domestic violence is a national problem and services and resources for victims are too few.
The incidents and severity of Domestic Violence in San Bernardino County and in the City of Barstow's service area, have increased due to the stress of Covid-19, jobs going away and the rising costs of housing and all needed products. We work closely with the Police, County, schools including the college and hospital for referrals. 2023
Desert Sanctuary Inc. is the community's Domestic Violence provider. We serve victims of domestic violence and their children through an organized, well designed and comprehensive program that fosters healing, self-awareness, development of parenting skills, support system building, integration with the community and establishment of a stable and violence- free home. This program strives to strengthen the family unit. 2024
Case Management services are crucial to the core goals of our clients. We strive to guide them as they set goals and decide what success looks like for them. Because our program is "client" driven (they set their own priorities and goals) and incentive based (when they achieve their goals we can provide incentives, rewards and encouragement to continue.) This program is funded through many sources. (San Manuel, CDBG, Cal-WORKs, Presley, Cal-OES and DVPO.) and the Valenzuela Foundation. The program is far too successful to not find a way to continue to provide it.
Our proven Case Management program builds on the strengths of the family and guides families through the of establishing relationships with agencies, entities, resources, referrals and people who can assist clients to achieved their personal goals. Because our program does not tell any client what we thing "they" need, but rather assists them with achieving the goals or needs "they" have prioritized. The impact is the history of client success with setting a course to self-sufficiency.
Public Services Program Application Fiscal Year –
Exhibit 4: Project Budget & Sources
Project Budget
SB County Share: ($) Other Source: ($)
Personnel
Equipment (Rental, Lease or Purchase)
Consultant Services
(Auditing, Accounting or Payroll)
Space Rent
Insurance
Consumable Supplies
Other
Total Costs
Total Project Budget Cost: (CDBG Share + Other Source)
8 $15,000.00 $218,500.00 $203,500.00 $203,500.00 2023 2024 $15,000.00 Public Services Program Application Fiscal Year –
Exhibit 4A: CDBG Funds Requested and Leveraging Information Indicate the amount being requested by the city.
City Amount Requested ($):
(This amount should match the grand
total requested from CDBG Share)
9 Leveraging items may include any written commitments that will be used towards your cash match requirements in the project, as well as any written commitments for building, equipment, materials, services and volunteer time.
Source of
Funding:
Type of Funding: (Grant Name,
EFSP Money)
Amount ($): Date
Available:
(11/22/2016)
Federal
Funding
State
Funding
County
Funding
Private
Funding
Other:
Total Leveraging Funds
VOCA, FVPSA, CAL-WORKs, EFSP Barstow $15,000.00 $86,500.00 $15,000.00 $46,000.00 2023 Presley/CFS/Cal-OES DVP0 Foundation/donations 10/01/2022 2024 United Way/Thrift store income 10/01/2022 10/01/2022 07/01/2022 $203,500.00 $56,000.00 Public Services Program Application Fiscal Year –
Exhibit 5: Performance and Outcomes
Definitions:
Unduplicated Clients: The number clients/persons projected to be served during the program year (e.g. 25 clients, 50 seniors):
Duplicated Clients: The estimated yearly units of service (duplicated, e.g. 25 clients x 10 visits=250 units of service):
Complete the chart below with the number of Duplicated and Unduplicated Clients to be served.
• In column 1 identify activities that will be completed (e.g. intervention, counseling, and case management).
• In column 2 indicate the number of Unduplicated Clients to be served. • In column 3 identify the number of Duplicated Clients to be served.
Activities to be Completed (1) Unduplicated
Clients to be
Served (2)
Duplicated Clients
projected to be
served (3)
Performance and Outcomes, answer the following narrative questions using minimum funds request.
Indicate a timeline of services provided to client(s) in order to meet project outcome(s).
Describe how your agency determines client(s) success.
Describe your methodology to evaluate project outcomes. 10 60
Case Management clients achieve success when they complete goals that they have set for themselves. They develop a network of support.
During the 2022/2023 year, 60 unduplicated households will receive quality Case Management services. We will provide approximately 1600 hours of Case Management services including educational sessions.
Case Management Services
We use a system of evaluation that measures all life impacts. This tool is used to develop a management plan. Pre, mid and post.
2023 700 2024
Public Services Program Application Fiscal Year –
Exhibit 5A: Proposed Goals & Milestones
Explain how the project will meet contract goals and milestones and be completed within 12 months (July 1, – June 30, ). For example, project expenditures and performance/ accomplishment goals of 40% by November 30th, 50% by December 31st, 80% by March 31st, and 100% by June 30th.
Fill-in the table below with dates for submission of reimbursement claims and the estimated amount of each.
Date of Reimbursement: Amount ($):
Total Reimbursement:
($)
11 $15,000.00 11/01/2023 $1,250.00 08/01/2023 $1,250.00 The goals and milestones will be accomplished through on-going sessions and evaluations between the case manager and the client. Numbers are important, however, of more importance is the outcome of establishing lives, homes and families that are violence-free and self-sustaining. We use assessment tools from many years of training and experience.
We re-address these tools often and work with licensed social workers who provide input and opinion of the need to adjust or alter them. Using a Pre-Mid and post testing evaluation keeps us, and the clients updated.
$1,250.00 $1,250.00 $1,250.00 07/01/2024 02/01/2024 $1,250.00 09/01/2023 2023 2023 $1,250.00 12/01/2023 $1,250.00 $1,250.00 05/01/2024 03/01/2024 10/01/2023 $1,250.00 01/01/2024 2024 2024 $1,250.00 $1,250.00 06/01/2024 04/01/2024 Public Services Program Application Fiscal Year –
Exhibit 6: Agency Capacity Narrative
(Non-Profit Organizations Only)
Describe the roles of key administrators, staff members, and volunteers within your agency that will implement the proposed project. In your description include experience, education, and licensing qualifications.
Describe your agency’s experience in administering government and/or public funds.
Describe your method to sustain project viability over the multi-year process if funding decreases.
Instructions: Complete the table below by marking “YES” or “NO” to the questions listed below.
Question:
Example: Have you received federal funds in the past
five years? Yes
In the past ten years, has your organization ever had its nonprofit status revoked or withheld by the IRS, the
Secretary of State, the State Attorney General, or the
Franchise Tax Board?
Has your organization been sued in the last five years? Are any of your managers or staff with fiscal
responsibilities involved in litigation presently that has any bearing on fiduciary trust or employee relations?
Have any unfavorable rulings been handed down by any
court against your organization or Executive Director the last five years?
Does your organization currently have any unresolved
fiscal, reporting, or program issues with any of its funding sources?
YES/ NO
12 No
All staff have completed 40-hour training required by State and Federal Government. Other trainings are on-going and constant.
No No
Our agency has been appropriately and transparently administering government and public funding for 40 years.
2023 2024 No
Each program is protected by funding through multiple sources. We may face a need to lower frequency or numbers we can serve, but it is unlikely we would eliminate any successful program.
No
Public Services Program Application Fiscal Year –
EXHIBIT 7: Civil Rights Laws Compliance and HUD Good Standing Answer the following questions.
Has your organization been a past recipient of assistance under a HUD McKinney Act program or the HUD Single Family Property Disposition Homeless Program? If you have been a recipient under either of these programs, has your agency experienced any project or construction delay, HUD finding or outstanding audit that HUD deems serious regarding the administration of HUD McKinney Act programs or the HUD Single Family Property Disposition Homeless Program?
If you answered “Yes”, please explain the circumstances and outcome below.
Applicants must be in compliance with applicable civil rights laws and Executive Orders. Applications will be rejected if your agency has any of the following: (1) Any pending civil rights lawsuit instituted by the U.S. Department of Justice; (2) Any noncompliance with civil rights statutes, Executive Orders or regulations as a result of formal administrative proceedings, unless the applicant is operating under a HUD-approved compliance agreement designed to correct the area of noncompliance or is currently negotiating such an agreement; (3) Any unresolved Secretarial charge of discrimination issues under Section 810(g) of the Fair Housing Act, as implemented by 24 CFR 103:400; (4) Any adjudication of a civil rights violation in a civil action brought against the Organization by a private individual, unless the applicant is operating in compliance with a court order designed to correct the area of noncompliance or the applicant has discharged any responsibility arising from such litigation; (5) Any deferral of the processing of applications from the sponsor imposed by HUD under Title VI of the Civil Rights Act of 1964, the Attorney General’s Guidelines (28 CFR 50.3) or the HUD Title VI regulations (24 CFR 1.8) and procedures, or under Section 504 of the Rehabilitation Act of 1973 and HUD Section 504 regulations (24 CFR 8.57). If one or more of these situations exists with your Organization, please attach a brief description.
13 No 2023 2024 No
E-Signature Authorization
San Bernardino County
Community Development and Housing Departmemt
Community Development Block Grant
Martha Zepeda
Deputy Executive Officer
- Application
In order to comply with all applicable federal grant regulations, a hard-copy of this E-Signature Authorization containing an original wet signature must be filed with the San Bernardino County Community Development and Housing (CDH) in order for the applicant to electronically sign the Community Development Block Grant (CDBG) application documents online. This authorization may only be completed by a registered owner, partner, executive officer, or authorized employee (with proof of authorization) of the applicant submitting this form and must contain an original signature to be submitted to the CDH.
Authorization Agreement
I am an owner, partner, executive officer, or duly authorized employee of the below-listed applicant and have authority to enter into agreements on behalf of the below-listed applicant. CDH may rely on the receipt of such agreements executed and delivered by facsimile or other electronic means as if the original had been received. The undersigned agrees that the electronic signatures appearing on documents submitted from the below-listed applicant are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing this Electronic Signature Authorization Agreement, I authorize the CDH to accept, via electronic submission, documents submitted from the below-listed applicant as required by the CDH's CDBG - Funding Application.
I understand that CDH may change the CDBG application system from time to time. I agree that the below-listed applicant will electronically sign all documents requiring a signature related to the CDBG funding application.
My signature on this form certifies that:
I agree that entering my name in the CDBG funding application system constitutes my electronic signature. I understand that any information and documents submitted using my name is electronically certifying my signature. I understand that I am legally bound, obligated, and responsible by use of my electronic signature as much as I would be by my handwritten signature. I agree that I will protect my signature from unauthorized use, and that I will contact CDH immediately, upon discovery that my electronic signature has been compromised. I certify that my electronic signature is for my own use, and that I will not delegate it or share it with any individual.
This request is effective immediately upon receipt by the CDH and will remain in effect until the end of the - CDBG funding cycle or I choose to cancel this request via written notification to the CDH. I understand that it is my responsibility to update and/or cancel this request under all circumstances, including my departure or terminated association with the below-listed applicant.
By signing the E- Signature Authorization Form we certify that this agency will also comply with the following:
Non-discrimination
This organization will, through all possible means, ensure equal opportunity for all persons to receive services, to participate in the volunteer structure, and to be employed regardless of age, handicap, national background, race, religion, or sex. An existing sectarian nature of the agency shall not suffer impairment under this agreement, but participation in religious observances, rituals or services will not be required as a condition of receiving food, services, or shelter paid for by this grant.
Accountability
We commit this organization, if a grant is received, to provide all reports to the County as required; to expend monies only on eligible costs; to keep complete documentation (copies of all canceled checks, invoices, receipts, etc.) on all expenditures for a minimum of three years; to spend all funds and close out the program on the required date; to return any unused funds to the County to cooperate with monitoring or site visits, and; to provide complete documentation of expenses to the County, if requested, by the required date.
We affirm that all information in this application is true and correct to the best of our knowledge and that the applicant under our authority will execute its responsibility under the proposed contract and adhere to all other applicable rules and regulations to the fullest extent possible.
Non-collusion
This proposal is genuine, and not sham or collusive, nor made in the interest or in behalf of any person not herein named; the proposer has not directly induced or solicited any other proposer to put in a sham proposal, or any other person, firm or corporation to refrain from submitting a proposal; the proposer has not in any manner sought by collusion to secure for him/herself an advantage over any other proposer.
Applicant Information
Agency Name: Federal Tax ID No.:
Mailing Address: Phone No.:
Email Address: Fax No:
Authorized Signature
Print Name: Print Title:
Signature: Date:
Please send the signed copy of this one page agreement to:
San Bernardino County Community Development and Housing Department 215 North D Street, Suite 302, San Bernardino, CA 94215-0043 Attn: CDBG Application
14 95-3837425 [email protected] Desert Sanctuary Inc. 2023 2023 2023 Executive Director Executive Director (760) 256-3793 (760) 256-3793 703 E. Main Street, Barstow, Ca. 92311 11/17/2022 Peggi Fries 2024 2024 2024 Peggi Fries / Executive Director (760) 256-3733 (760) 256-3733 Public Services Program Application Fiscal Year –
CDBG Application Checklist
(Non-Profit Organizations Only)
Community-based organizations are required to include one copy of the items listed below. If you are not submitting these items at this time, please notify Community Development and Housing at (909) 387-4705 to make other arrangements. The following information is required before any contract or reimbursement can be completed.
o Summary of agency’s current year General Operating Budget o List of agency’s Board of Directors, including names and addresses o Proof of existing non-profit/tax-exempt status (Letters from the Federal Internal Revenue Service and State Franchise Tax Board) o Current certificate of insurance and amounts covered
o Organizational chart
o Minutes of last Board meeting
o Non- Profit agencies must be Registered in the System of Award Management (SAM) website.
Agency cannot be funded if they have been debarred in the past. o Provide board minutes/letter that authorizes the executive director or program manager to run the project.
If your application is funded you will be required to provide a copy of your last audit and your Articles of Incorporation and Bylaws must be on file. 15 2023 2024