Attachment 3 — Burbank City Council, June 13, 2023

FY 2023-24 CDBG

APPLICATIONS
ATTACHMENT 3 - 1
F
ISCAL YEAR 2023-24

CDBG PUBLIC SERVICE

PROPOSALS
ATTACHMENT 3 - 2
FY 23/24 CDBG PUBLIC SERVICE

PROJECTS

1. Armenian Relief Society

2.Boys and Girls Club

3.Burbank Coordinating Council

4.Burbank Noon Lions

5.Burbank Temporary Aid Center

6.Family Service Agency

7.Home Again LA

8.Jacaranda Housing
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CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Armenian Relief Society of Western USA, Social Services Project/Program Name: Community Social Services Program Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization Total Amount Requested for FY 2023/24: $49,392

1. Project/Program Description:

Briefly describe the primary objective of the project/program y ou intend to operate including all major activities to be undertaken:

The ARS Community Social Services Program will provide public services to low-income residents of the City of Burbank. The target population will consist of a vulnerable population of adults, senior citizens, disabled adults, immigrants/refugees, unemployed/underemployed individuals, primarily with limited English language capability, as well as individuals on the brink of homelessness or experiencing homelessness. Program activities will be directed at improving the community's public services by providing employment services, intensive case management services, access/linkages with public benefits (i.e. CalFresh, CAPI, Medi-Cal, etc.), senior services, services for individuals at risk of homelessness or experiencing homelessness, assistance with housing and telecommunications issues, needs assistance and complaint resolutions with regards to telecommunications and utilities, completion of forms, etc. The overall goal of the program is to help improve the general welfare of the target population. Given the demand for services received from low-income Burbank residents, our funding request would allow for a case manager to be staffed at the Burbank Youth Center, located at 75 E. Santa Anita Ave., Burbank, CA 91502, in order to be able to provide direct services within the community. Currently, over 25% of clients served through our organization’s main office in Glendale, CA are low-income Burbank residents and this funding opportunity would allow us to expand our scope of services by working directly in the Burbank community rather than through our Glendale office. Further, with organizational experience as a partner of the City of Glendale's Continuum of Care Services for homelessness, major activities of the program will also focus on supportive services for homeless populations and/or to prevent homelessness, including but not limited to screening and assessment; housing navigation and searches; employment services; linkages with public benefits and facilitating access to mainstream social public benefits; assistance with completion of forms; access to food pantry services; assistance with transportation needs; referrals to counseling, mental health providers, and substance abuse treatment centers, free legal aid services; housing stability case management, landlord-tenant mediation, and other such supportive services. As part of the Burbank Homelessness Plan, our organization would like to extend its services to the Burbank community in pursuit of Goal 6.2 (Partner with Mainstream Partners to Create a Strong Referral System) and Goal 6.3 (Support to Non-Profits that Provide Homeless Services) through general social services. Since 2019, our organization has received funding from the Emergency Solutions Grant - Coronavirus Phase 2 (ESG-CV2), California Emergency Solutions and Housing (CESH), and Homeless Housing, Assistance and Prevention (HHAP) grant programs for homelessness prevention and rapid re-housing services.

The activities and services provided through these programs provide us with the organizational experience to effectively deliver services to the target population and be able to be a partner in the City of Burbank's referral system.

2. Project/Program
Activities:

Describe the activities you intend to provide using the CDBG funds:

ARS Social Services will concentrate its program activities on public services focusing on the following: 1) employment services to help low-income individuals attain the skills, knowledge and motivation necessary to increase their income, achieve self-sufficiency and economic security. Employment services will include job search, referrals, assistance with resume-building and interviewing skills, developing soft skills and job readiness, individual guidance, overcoming employment barriers, and job placement; 2) Services to seniors and disabled adults will focus on the case management needs of this vulnerable population to help them continue to live safely and independently, including developing an individualized plan to address their public service needs related to accessing public benefits, assistance with low-income housing, transportation needs, assistance with utilities and telecommunications issues, In-Home Supportive Services, food security, and general social services; 3) Supportive services to address the needs for people experiencing homelessness or on the brink of homelessness, including intensive case management, completion of forms for public benefits assistance, referrals to counseling, mental ATTACHMENT 3 - 4
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3. Project/Program T
ime of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

The program will operate from July 1, 2023 through June 30, 2024. Public services to eligible individuals will be provided throughout the contract period. A full-time staff member will be designated to the program at the start of the fiscal year to provide direct service delivery to clients and outreach regarding the availability of services through the program will also begin in July 2023. ARS Social Services will provide a complete year of services in the areas of employment services; senior services; assistance with public benefits, transportation, housing, utility issues; homelessness prevention services detailed above. Activities will also include participation in community meetings and outreach events throughout the program year. In the current fiscal year, the organization brought its participation to a Community Resource Fair with Home Again Los Angeles, in partnership with the City of Burbank, on February 18, 2023 at George Izay Park, as well as had collaboration with the City of Burbank to outreach about our resources and services to libraries and senior centers in Burbank. The Community Social Services Program will adhere to its operation schedule without experiencing any delays and will meet outcomes prior to the end of the fiscal year.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households
using CDBG funds:

Of the 90 individuals who receive employment services, at least 80% (72 individuals) will secure employment within three months.

Of the 30 individuals who receive services for homelessness, at least 70% (21 individuals) will be able to overcome barriers in accessing mainstream supportive services.

Of the 140 individuals who receive services for seniors and disabled adults, at least 90% (126 individuals) will have their public service needs met.

5. Staff and Program/Project Location
Executive Director
Executive Director: Talar Aintablian Title: Director of Operations Phone: (818) 241-7533 x101 Email: [email protected] Program Manager
Program Manager: Helen Aikazian Title: Case Manager
Phone: 8182417533 x110 Email: [email protected] Application Contact
Application Contact: Talar Aintablian Title: Director of Operations Phone: (818) 241-7533 x101 Email: [email protected] Project Addresses
Project Address: 517 W. Glenoaks Blvd.

City, State Zip: Glendale, CA 91202
Phone: 8182417533
Website: www.arswestusa.org
Mailing Address: 517 W. Glenoaks Blvd.

City, State Zip: Glendale, CA 91202
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided?
No
Program Address: 75 E. Santa Anita Ave.

City, State Zip: Burbank, CA 91502
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
DUNS Number: 605113570 Unique Entity ID: 95-3928295 SAM Number: MZPTCACTJ6X1
City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):75 E. Santa Anita Ave., Burbank, CA 91502 ATTACHMENT 3 - 5
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7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families , or individuals your program or project intends to
target.

At-risk of homelessness
Seniors (55 years of age and older)
Unemployed/underemployed
Disabled persons
Chronically homeless individuals
Victims of Domestic Violence
Distressed neighborhoods
Veterans
Families with children
Youth or young adults
Immigrant individuals/families
Distressed homeowners/renters
Formerly incarcerated
Other

8. Does your organization have the system structure to collect and maintain demographic information for purposes
of quarterly reporting? Yes No
Please describe your system of collecting the data (i.e. intake applications, web-based applications, etc) Intake is conducted with each client at the first appointment and involves determining client eligibility in the program (i.e. income verification and address verification), completion of an intake form, creating an individual case management file wherein supporting documentation and information, such as case management notes, are maintained, and service delivery is detailed. Supporting documentation for income and residency is collected from clients (i.e. driver’s license, utility bills, proof of income, public benefit award letters, etc.). Clients must also meet low-income limits in adherence with the City of Burbank Gross Income Limits published by the U.S. Department of Housing and Urban Development. The following documents will be acceptable to verify income eligibility requirements for the program: Current pay stubs; Eligibility letters for public assistance programs (i.e. General Relief, etc.); Award letters for Social Security Administration (SSA); Retirement, Survivors or Disability income or an award letter for Supplemental Security Income (SSI); Unemployment Insurance benefits check stubs; etc. The case manager will be responsible for conducting intake, determining client eligibility, maintaining client files, direct service delivery, compiling data for quarterly reporting purposes, etc. All client files are kept confidential and in locked cabinets. Quality control is performed by the Director of Operations to ensure compliance.

9. Project/Program Delivery Area:

This program will specifically serve Burbank residents. 100% of all clients served through the program will be Burbank residents.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for y our proposed project/program. Please provide
a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal
260 Total unduplicated low to moderate income clients to be served. 260 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
Increase in
Economic
Opportunity and
Security
Number of Clients Placed in
Employment
Clients will receive employment services to gain or regain employment and increase their income. Services will be tracked to capture data regarding job searches, referrals, placement.

Services to
Seniors and
Disabled Adults
to Live
Independently
Number of Clients Served Clients will be provided with services to help meet their public service needs.

Access to
Mainstream
Supportive
Services and
Number of Clients Served Provision of supportive services to address the needs of the population through intensive case management services
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Homeless
Persons

The organization will leverage $8,400 of its own funds to cover the expenses of renting the office space, as well as its share of utility expenses, at the Burbank Youth Center.

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

Our organization will continue to apply for grants through priv ate foundations and other funding opportunities, which
would also us to expand our services to the Burbank community. Given the demand by low-income Burbank residents served by our organization, expanded funding opportunities would allow us to reach a greater potential.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’
s homelessness strategies (see below)?
Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention
For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 230
Very Low: 30% to <50% 30
50% to <60%
Low: 60% to <80%
Total Low Income Served: 260
Budget
Budget Line Item Burbank
Personnel Lines needed: 3
Case Manager (1 FTE) $36,000
Director of Operations (.05 FTE) $3,060
Financial Controller (.05 FTE) $2,220
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A726&prop=156 5/6 Benefits (11%) $236
Taxes $3,756
Subtotal Personnel $45,272
Non-Personnel
Move-In Assistance $0
Supplies & Materials $300
Equipment $0
Communications $1,200
Meetings & Convenings $0
Travel & Transportation $0
Training $0
Consulting $0
Evaluation $0
Other Lines needed: 5
Printing $180
Liability Insurance $750
Professional Services (Accounting,
Audit) $1,370
Equipment Maintenance $200
Misc. (Courier Services,
Dues/Subsc.) $120
Subtotal Non-Personnel $4,120
Total Personnel & Non-Personnel $49,392
Indirect Costs
TOTAL $49,392
Number of Persons Served: 260
Cost per Individual $190
Attachments
(Upload Instructions)
Checked attachments below are REQUIRED in order to submit your application, and your application WILL NOT be able to be submitted with missing attachments! Please take this into consideration when timing your submission of this application. The documents you need to upload are checked below. If you have other attachments you would like to include, please check the box and, if Other, identify the Attachment in the box. If you are unable to upload any of the attachments, contact Marcos Gonzalez at 818-238-5212 or [email protected] at least one day
prior to the deadline.

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and Bylaws ARS_Articles_of_Incorporation.pdf Organization Chart ARS_Organizational_Chart.pdf
Non-Profit Determination Letters, IRS & State
(501.3.c)
ARS_IRS_Tax_Determination_Letter.PDF
Most Recent Financial Statements _OTKL1WI001F.PDF
Most Recent Audit & Findings, if any ARS_final_audit_22.pdf Program Intake Policies
Client Intake Form ARS_Client_Intake_Form.PDF
Other -
Other -
Submitted By: Talar Aintablian
Date Signed 03/23/2023
Approved By: Marcos Gonzalez
Date Signed 03/23/2023
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CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Boys and Girls Club
Project/Program Name: After school and summer program scholarships for extremely low income members
Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization Total Amount Requested for FY 2023/24: $14,600

1. Project/Program Description:

Briefly describe the primary objective of the project/program y ou intend to operate including all major activities to be undertaken:

The Boys & Girls Club currently has 23 locations, of which, 18 are located in the City of Burbank. Our After School Enrichment and Summer Day camp programs are offered to all children ages 5-18. Funding from CDBG will be used to provide scholarships for extremely low income members to attend the Boys & Girls Club after school and full day during spring, winter and summer breaks when parents need to work. The Boys & Girls Club of Burbank is committed to providing safe, positive programs to our homeless and in danger on homelessness population in Burbank. For 28 years, the Club has helped parents by providing a fun, safe, affordable after-school and day camp environment for over 3,800 children a year ages 5-18. Our programs are a great alternative for many young people who may otherwise be alone during the day. Our staff are trained, friendly, and dedicated to serving the children’s needs, and each child is encouraged to participate in a variety of enriching artistic and educational activities and programs such as STEM, performing arts, athletics, homework assistance & tutoring, college and career readiness, community service and our DHH program. Fifteen percent of children in the United States participate in an after school program but an additional 18.5 million or an additional 30 percent of extremely low income and homeless families would participate if a quality program if it was available to them. The Boys & Girls Club of Burbank seeks to fill this gap in our community.

2. Project/Program
Activities:

Describe the activities you intend to provide using the CDBG funds:

Our programs range in scope from Power Hour/Project Learn, a homework and tutoring program to Triple Play which incorporates healthy living and active learning. We offer a Creative Arts program which encourages artistic expression among Club members through drawing, painting, printmaking, collage, mixed media and sculpture.

Drama Matters is a hands on program focused on building self-confidence and sparking creativity. Club Tech focuses on digital literacy and technology. College Bound and Career Launch concentrates on helping teens and their parents prepare for college and career readiness. Activities include: SAT prep, completing high school requirements, applying for financial aid and learning to navigate applications.

3. Project/Program T
ime of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

Our programs are offered Monday - Friday from school release until 6pm during the school year and 19 weeks a year, we offer a full day camp program during winter, spring and summer and are open 11 hours a day and provide free meals and we offer a specialized programming for deaf and hard of hearing children ages 5-18. All programs from STEM, College and Career Readiness, Creative Arts and Athletics are offered year round.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households
using CDBG funds:
1- Provide financial aid to low income Club members (Burbank re sidents only). Funds would allow us to scholarship
37 members for school year and summer.
2-
The Club will serve a minimum of 37 youth who qualify as extremely low income using HUD guidelines. 3- 100% of Club members (Burbank residents only) who receive a scholarship for during the school year will
ATTACHMENT 3 - 10
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4.- 100% of Club members who receive a summer scholarship will benefit from outcome driven summer learning loss prevention programs for for a minimum period of 6 weeks. 85% of these members will show zero learning loss or slight academic gain.

The Boys & Girls Club of Burbank and Greater East Valley gathers membership data through its membership tracking system. Annually, the Club also reports out in an Annual Reporting System, fed by membership data tracking. In addition to this, the Club surveys parents, teachers and youth annually. Our membership data and youth surveys are matched to provide a wide variety of specialized information options. More on our youth surveys and the National Youth Outcomes initiative is explained below. The Club fully implements the Boys & Girls Club of America’s Formula for Impact. This is the theory of change that describes how individual Clubs can increase our impact. It creates a commonly understood vision of the goals, how they will be reached, and what will be used to measure progress along the way. Two key parts of this formula include the Five Key Elements for Positive Youth Development and Three Priority Outcomes. The Five Key Elements include a (1) safe, positive environment, (2) fun, (3) supportive relationships, (4) opportunities and expectations and (5) recognition and the Priority Outcomes include Academic Success, Good Character and Citizenship and Healthy Lifestyles. In order to assess how well the Boys & Girls Club of Burbank and Greater East Valley meets the three Priority Outcomes and to evaluate the Club experience, the Club participates in the National Youth Outcomes Initiative. The National Youth Outcomes Initiative (NYOI) helps us measure the Formula for Impact and demonstrate our collective impact on youth. The vision of our Movement’s Great Futures Impact Plan is to provide a world-class Club experience that assures success is within reach of every young person who enters our doors, with all members on track to graduate from high school with a plan for the future, demonstrating good character and citizenship, and living a healthy lifestyle. NYOI uses common, research-informed indicators and is compatible with local data collection systems.

5. Staff and Program/Project Location
Executive Director
Executive Director: Shanna Warren Title: CEO
Phone: 8184827898 Email: [email protected]
Program Manager
Program Manager: Lupe Herrera Title: Vice President
Phone: 8184827898 Email: [email protected]
Application Contact
Application Contact: Shanna Warren Title: CEO
Phone: 8184827898 Email: [email protected]
Project Addresses
Project Address: 300 E Angeleno Ave
City, State Zip: Burbank
Phone: 8184827898
Website:

Mailing Address: 300 E Angeleno Ave
City, State Zip: Burbank
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided?
Yes
Program Address: all elementary and middle school sites in Burbank City, State Zip: Burbank, CA 91502
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
DUNS Number: Unique Entity ID: GWFSHNA13487
SAM Number:

City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):all elementary and middle schools in Burbank ATTACHMENT 3 - 11
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7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families , or individuals your program or project intends to
target.

8. Does your organization have the system structure to collect and maintain demographic information for purposes
of quarterly reporting? Yes No
Please describe your system of collecting the data (i.e. intake applications, web-based applications, etc) The Boys & Girls Club of Burbank and Greater East Valley gathers membership data through its membership tracking system. Annually, the Club also reports out in an Annual Reporting System, fed by membership data tracking. In addition to this, the Club surveys parents, teachers and youth annually. Our membership data and youth surveys are matched to provide a wide variety of specialized information options. More on our youth surveys and the National Youth Outcomes initiative is explained below. The Club fully implements the Boys & Girls Club of America’s Formula for Impact. This is the theory of change that describes how individual Clubs can increase our impact. It creates a commonly understood vision of the goals, how they will be reached, and what will be used to measure progress along the way. Two key parts of this formula include the Five Key Elements for Positive Youth Development and Three Priority Outcomes. The Five Key Elements include a (1) safe, positive environment, (2) fun, (3) supportive relationships, (4) opportunities and expectations and (5) recognition and the Priority Outcomes include Academic Success, Good Character and Citizenship and Healthy Lifestyles. In order to assess how well the Boys & Girls Club of Burbank and Greater East Valley meets the three Priority Outcomes and to evaluate the Club experience, the Club participates in the National Youth Outcomes Initiative. The National Youth Outcomes Initiative (NYOI) helps us measure the Formula for Impact and demonstrate our collective impact on youth. The vision of our Movement’s Great Futures Impact Plan is to provide a world-class Club experience that assures success is within reach of every young person who enters our doors, with all members on track to graduate from high school with a plan for the future, demonstrating good character and citizenship, and living a healthy lifestyle. NYOI uses common, research-informed indicators and is compatible with local data collection systems.

9. Project/Program Delivery Area:

Funding will be used for Burbank residents only.

10. Measurable Outcomes:

Goal
37 Total unduplicated low to moderate income clients to be served. 37 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
1 Financial Aid
Provide financial aid to low income Club members (Burbank residents only). Funds would allow us to scholarship 37 members for school year and summer.
2 Programming The Club will serve a minimum of 37 youth who qualify as extremely low income using HUD guidelines.
3 Academic Success
100% of Club members (Burbank residents only) who receive a scholarship for during the school year will achieve academic success, measured by on time grade progression and a GPA above 2.5.

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100% of Club members who receive a summer scholarship will benefit from outcome driven summer learning loss prevention programs for a minimum period of 6 weeks. 85% of these
members will show zero learning loss or slight academic gain.

11. Based on the CDBG funding requested, include the amount of private/public funds that will be leveraged to administer the program/project. Do not include any funds that a re committed to other programs/projects or in-kind
services, or volunteer hours.
$49,210 from a foundation will be used to supplement the additional cost for those 37 members.

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

W
e have an incredibly strong, well-informed and experienced Board and a Resource Development Director who assists the Chief Executive Officer and the Resource Development Committee (comprised of board members) in securing funds and support for the organization. Our board meets once a month and operate Task Forces which change year to year depending on our Strategic Plan for the year. In addition to coming up with a strategic plan our board assures that our budget aligns with the plan. A big part of this process is confirming the fundraising events for the upcoming year. In addition to submitting grant applications to both public and private foundations, we currently have six fundraising events throughout the year. Our funding comes from corporate, individuals, private foundations, government grants and from fundraisers. We do not rely heavily on any one source of income.

Extremely Low: under 30% 7
Very Low: 30% to <50% 30
50% to <60%
Low: 60% to <80%
Total Low Income Served: 37
Budget
Budget Line Item Burbank
Personnel Lines needed:

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Taxes
Subtotal Personnel $0
Non-Personnel
Move-In Assistance
Supplies & Materials
Equipment
Communications
Meetings & Convenings
Travel & Transportation
Training
Consulting
Evaluation
Other Lines needed: 1
Scholarships for 37 club members $14,600
Subtotal Non-Personnel $14,600
Total Personnel & Non-Personnel $14,600
Indirect Costs
TOTAL $14,600
Number of Persons Served: 37
Cost per Individual $395

Attachments
(Upload Instructions)
Checked attachments below are REQUIRED in order to submit your application, and your application WILL NOT be able to be submitted with missing attachments! Please take this into consideration when timing your submission of this application. The documents you need to upload are checked below. If you have other attachments you would like to include, please check the box and, if Other, identify the Attachment in the box. If you are unable to upload any of the attachments, contact Marcos Gonzalez at 818-238-5212 or [email protected] at least one day
prior to the deadline.

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and
Bylaws
Bylaws_Revised_March2021_final_with_Jorges_comments.doc Certificate_of_Amended_Articles_of_Incorporation_2008.pdf Organization Chart Org_Chart_January_2023_revised_1-11-23.docx Non-Profit Determination Letters,
IRS & State (501.3.c)
IRS_Penalty_Letter.doc
Most Recent Financial
Statements
Boys_and_Girls_Club_of_Burbank_Financial_Statements_06302022.pdf Most Recent Audit & Findings, if
any
BGCB_2020_Non_Profit_Tax_Return.pdf
Program Intake Policies PIG_2022-20234.pdf
Client Intake Form Membership_registration_form_2022-23.pdf Other - Annual Report BG_AnnualReport_202247.pdf
Other -
Submitted By: Shanna Warren
Date Signed 03/08/2023
Approved By: Marcos Gonzalez
Date Signed 03/21/2023

Initially submitted: Mar 8, 2023 - 10:02:11
ATTACHMENT 3 - 14
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CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Burbank Coordinating Council Dba Bcc Project/Program Name: Camperships
Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization Total Amount Requested for FY 2023/24: $6,500

1. Project/Program Description:

Briefly describe the primary objective of the project/program y ou intend to operate including all major activities to be undertaken:

Burbank Coordinating Council Camperships is a scholarship program for low to extremely low income children between the ages of 6 and 18 to experience a week at a resident camp or day camp that will provide both respite from home situations and a sense of normalcy. This year we are using Brave Trails a designated LGBTQ camp for gay and trans teens in a leadership program and continuing to use Camp Edwards for our low income and borderline at risk homeless. The LGBTQ campers are identified through PFLAG and the BUSD. Homeless children are referred from HALA, Family Service Agency, Kids Community Dental Clinic and BUSD Intervention Specialists and Special Education Department. For our homeless campers we also provide sleeping bags and duffle bags and assist with the family co-pay. A variety of other camps both in town and away are utilized for the program.

2. Project/Program
Activities:

Describe the activities you intend to provide using the CDBG funds:

We provide Camperships (camp scholarships) in the summer to children in low income families so they can attend a week at a resident camp or day camp. New applicants are given priority and homeless families will receive preference. Allowing them a learning experience and respite from home, they are able to participate in healthy outdoor activities, leadership and team building that otherwise would be impossible due to the high cost of camps.

The average week of resident camp costs between $550 and $950 per week. Day camps run from $350 to $550 per week. For these programs, each family contributes $10 to $25 per child attending camps and that money is included with our payment to the camp. The Campership Program provides the camp funding only, (transportation to only one camp, YMCA Camp Edwards). The resident camps or their contractor (ie. the church), and day camps hold their own liability insurance. The parents provide their own transportation to and from camp sites We are only the match/payment agency with no office to insure. We will continue to utilize virtual or online programs until the pandemic sanctions are lifted.

3. Project/Program T
ime of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

Schedule and send 40 low income children attending BUSD to camp. Of those children we plan to send 40 children in person camps using CDBG funds. We will review to see where we obtained most participants to plan our outreach for future years. We want to offer this opportunity to all children at risk. Priority will be given to new applicants.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households
using CDBG funds:

Providing the opportunity for children ages 6-18 to experience a camping experience in a positive and outdoor setting, is a basis for building better adults. The children learn about leadership, cooperative living, nature, self reliance and self confidence. They come home with a feeling of self worth that perhaps their homes and schools did not provide. In later years, many come back and tell us that the one week away made such a major difference in their lives that things changed for them. Life took a different turn, from a negative one, to a more “I can do anything” one. In providing this assistance, the whole family benefits, as does the neighborhood and community as a whole.

More positive residents provide a lower crime rate, less homelessness, better work ethic, and more positive life for all. It encourages the extremely low income families to better themselves.

ATTACHMENT 3 - 15
4/6/23, 10:15 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A719&prop=106 2/5 Since there has been a rise in the number of teen suicides, we need to focus on mental health and care for our teenagers. This is one way to support them. We are hoping more teens will apply this year.

5. Staff and Program/Project Location
Executive Director
Executive Director: Mary Anne Been Title: President
Phone: 818-266-9766 Email: [email protected]
Program Manager
Program Manager: Mary Anne Been Title: President
Phone: 818-266-9766 Email: [email protected]
Application Contact
Application Contact: Muskan Lalwani Title: Treasurer
Phone: 818-692-5553 Email: [email protected]
Project Addresses
Project Address: PO BOX 10126
City, State Zip: BURBANK, CA 91510
Phone: 818-266-9766
Website: burbankcc.org
Mailing Address: PO BOX 10126
City, State Zip: BURBANK, CA 91510
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? No
Program Address:

City, State Zip:

If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
We are located in Burbank and only serve Burbank residents or children who attend school in Burbank; however, some of the resident camp programs are located outside of Burbank area. Most of the day camps are located within the City of Burbank. We purchase insurance and provide transportation to the out of Burbank resident camps.

DUNS Number:
067436407 Unique Entity ID: 95-6116051
SAM Number: R9NLJMN2KUJ5
City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):The services will be performed at various camps. These would include day camps, away camps and virtual camps.

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

8. Does your organization have the system structure to collect and maintain demographic information for purposes of quarterly reporting? Yes No
Please describe your system of collecting the data (i.e. intake applications, web-based applications, etc) Families are targeted by their inclusion in the free and reduced price lunch program at Burbank Unified Schools, meaning that they meet guidelines and qualify for federal lunch fund for extremely low income families. They are requested to provide proof of participation in the lunch program by obtaining a letter from the food services department at the Burbank Unified School District main office. We also review tax statements, paychecks, Calfresh, ATTACHMENT 3 - 16
4/6/23, 10:15 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A719&prop=106 3/5 welfare documentation or whatever other income information the family can produce to prove their financial status.

The information is provided by the family directly to us so as not to violate HIPPA laws. 100% of the recipients meet the 50% or below median income 'poverty' level for low to extremely low income. We identify the homeless population through sources of referral from Family Promise, Family Service Agency, School District, and through the interview process.

9. Project/Program Delivery Area:

This is a City wide program. Applications are available to all children attending schools in Burbank, whether they live within city boundaries or not. We distribute applications to the focus neighborhoods (at risk of homelessness, and lowest income) in Burbank. We distribute applications to our partner agencies including Family Promise, Family Service Agency, Kids Community Dental Clinic, Boys and Girls Club, BTAC, PFLAG, and Burbank Housing Corp. Forms may be filled out online at our website Burbankcc.org or printed out, completed and returned to the school district office, who sends them to BCC, mailed directly to Coordinating Council, or emailed to the BCC email address ([email protected]). Applications are also available in English, Spanish, and Armenian, from our website at www.burbankcc.org. Announcements and applications are shared with all BCC member organizations, City Council and School Board to distribute as well. Contact information is on social media and newspaper websites.

10. Measurable Outcomes:

Goal
40 Total unduplicated low to moderate income clients to be served.

Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
40 children
ages 6-18
various income
levels to attend
day and resident
camps.
100% low or extremely low
income. Number of participants
must equal number on camp
contract.

Children will attend day camps and resident camps and
experience out of doors, leadership skills, peer cooperation and a sense of self confidence to carry them on through their home, school and neighborhood. We review letters from campers to see what they gained from the camp experience.

Schedule and send 40 low-income children attending BUSD to camp. Of those children we plan to send 40 children to in person camps using CDBG funds. We will review to see where we obtained most participants to plan our outreach for future years. We want to offer this opportunity to all children at risk.

Priority will be given to new applicants.

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

W
e have applied for grants, and engage on Facebook and GoFundMe campaigns. We post donation information (in English, Spanish and Armenian), on our website, in local newsletters, and both hard-copy and online ATTACHMENT 3 - 17
4/6/23, 10:15 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A719&prop=106 4/5 newspapers. Announcements are made at School Board, City Council meetings, organization meetings, and donor forms are distributed at Chamber of Commerce events and throughout the city.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 20
Very Low: 30% to <50% 8
50% to <60% 7
Low: 60% to <80% 5
Total Low Income Served: 40

Budget
Budget Line Item Burbank
Personnel Lines needed:

Benefits (11%)
Taxes
Subtotal Personnel $0
Non-Personnel
Move-In Assistance
Supplies & Materials $200
Equipment
Communications
Meetings & Convenings
Travel & Transportation $0
Training
Consulting
Evaluation
Other Lines needed: 2
Day Camps $4,000
Residential Camps $2,300
Subtotal Non-Personnel $6,500
Total Personnel & Non-Personnel $6,500
Indirect Costs $0
TOTAL $6,500
Number of Persons Served: 40
Cost per Individual $163

Attachments
(Upload Instructions)
ATTACHMENT 3 - 18
4/6/23, 10:15 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A719&prop=106 5/5 Checked attachments below are REQUIRED in order to submit your application, and your application WILL NOT be able to be submitted with missing attachments! Please take this into consideration when timing your submission of this application. The documents you need to upload are checked below. If you have other attachments you would like to include, please check the box and, if Other, identify the Attachment in the box. If you are unable to upload any of the attachments, contact Marcos Gonzalez at 818-238-5212 or [email protected] at least one day
prior to the deadline.

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and
Bylaws
2021_BYLAWS_OF_THE_BURBANK_COORDINATING_COUNCIL_09-08-
2021_-_CLEAN.pdf
Organization Chart BCC_Org_Chart_2021.pptx
Non-Profit Determination Letters,
IRS & State (501.3.c)
BCC.irs.990Nproof.2018.docx
Tax_Status.pdf
BCC.franchisetax.entityletter.2.2020.pdf
Most Recent Financial StatementsTreasurer_Report_Feb_28_2023.xlsx Most Recent Audit & Findings, if
any
BCC_2021-2022_Audit_Report_Form.xlsx
Program Intake Policies BCC.CDBGintake.policies.2020_1.docx Client Intake Form BCC.camper.wksheet_intake.docx
Other - Organization Insurance bcc_do_policy.PDF
BCC_GL_policy.PDF
bcc_GL_endt_adding_BUSD_adult_school_WITH_NOTES.pdf
Other - Workers Comp Waiver BCC.CDBG.workers.compwaiver.2022-3_1.doc Submitted By: Muskan Lalwani
Date Signed 03/14/2023
Approved By: Marcos Gonzalez
Date Signed 03/21/2023
Approval Modified By CDS for Melania K.

Date Signed 03/21/2023

Initially submitted: Mar 21, 2023 - 11:25:55
ATTACHMENT 3 - 19
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A723&prop=107 1/4

CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Burbank Noon Lions Charity Foundation Project/Program Name: Indigent Eye Care & Ear of the Lion Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $4,983

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

Burbank Noon Lions is a Non-profit, all volunteer service organization, serving Burbank for over 50 years with NO paid staff. For the INDIGENT EYE CARE program, we provide free, comprehensive eye exams and prescription glasses for low-income/homeless in Burbank in coordination with local eye care professionals. Burbank Temporary Aid Center (BTAC) is serving as our screening center to determine eligibility for eye care services. During COVID, we coordinated with other non-profits in the community that could verify the eligibility of clients they were referring and will continue this process. Applications for EAR OF THE LION are received/reviewed for completeness by a Lion volunteer and forwarded to the Lions Hearing Foundation in central CA. Ear of the Lion committee members/audiologists review the application, determining financial eligibility (using Federal guidelines) and hearing needs of the applicant. If approved, audiology services are often provided by the Burbank applicant's personal audiologist in conjunction with the Ear of the Lion program.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

After eligibility is verified by referring agency and client statistical data is recorded by volunteer Lions, the client receives a Burbank Noon Lions Club REFERRAL form, which instructs the client to call our vendors for an appointment to have a comprehensive eye exam. Should the client need prescription glasses, the client is given the option to select their choice of frames (does not include designer brands). Essentially, once the client receives the Referral, all activity takes place at our vendor's place of business. A Memorandum of Understanding was established between the Burbank Noon Lions and Eye Care Optics to provide all services necessary, including exams and prescription glasses, at a reduced fee,

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

Our providing vendors send invoices for several Referrals (usually every 6 months or so) which allows volunteer Lions to process payment and determine which clients, receiving Referrals, contacted our vendors for service and received a pair of Rx glasses. When the invoices are received, we are made aware of the numbers served. As an ongoing project, the process to provide service continues throughout the fiscal year of funding.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Our target clients are mainly homeless, very low and low income level individuals and families. The gift of sight is the benefit to our clients. Being able to see clearly enough to read and complete a form (for instance: applying for local, state and Federal government assistance) read warning labels on food or medicine, watch a movie, read a book for enjoyment or educational purposes, obtain information from the Internet, communicate electronically and even to walk, take a bus or drive safely are all part of the benefits. The goal is to provide 32-34 people with needed vision services, based on the final allocation (if awarded funding).

5. Staff and Program/Project Location
Executive Director
Executive Director:

N/A Title:

Phone: Email:

Program Manager
ATTACHMENT 3 - 20
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A723&prop=107 2/4 Program Manager: N/A Title:

Phone: Email:

Application Contact
Application Contact: Marva Murphy Title: Project Volunteer Chair Phone: 8189558018 Email: [email protected]
Project Addresses
Project Address: 911 E CYPRESS AVE
City, State Zip: BURBANK, CA 91501
Phone: 818-955-8018
Website: www.BurbankNoonLions.org (pending launch)
Mailing Address: 911 E CYPRESS AVE
City, State Zip: BURBANK, CA 91501
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? No
Program Address: 804 S. Victory Blvd.

City, State Zip: Burbank CA 91502
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community

DUNS Number: 020671694 Unique Entity ID: 98AKO
SAM Number: MJC2BJ1T9BR3
City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

9. Project/Program Delivery Area:

We limit our free vision services to Burbank residents only.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

ATTACHMENT 3 - 21
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A723&prop=107 3/4 33 Total unduplicated low to moderate income clients to be served. 33 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
33 Invoices documenting service
provided
Clients will receive eye exams and prescription glasses as needed

N/A

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

N/A

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 23
Very Low: 30% to <50% 10
50% to <60%
Low: 60% to <80%
Total Low Income Served: 33

Budget
Budget Line Item Burbank
Personnel Lines needed:

Benefits (11%) $0
Taxes $0
Subtotal Personnel $0
Non-Personnel
ATTACHMENT 3 - 22
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A723&prop=107 4/4 Move-In Assistance $0
Supplies & Materials $0
Equipment $0
Communications $0
Meetings & Convenings $0
Travel & Transportation $0
Training $0
Consulting $0
Evaluation $0
Other Lines needed: 2
Dr. Lilit $2,310
Eye Care Optics $2,673
Subtotal Non-Personnel $4,983
Total Personnel & Non-Personnel $4,983
Indirect Costs $0
TOTAL $4,983
Number of Persons Served: 33
Cost per Individual $151

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and Bylaws
Organization Chart
Non-Profit Determination Letters, IRS & State
(501.3.c)

Most Recent Financial Statements Balance_Sheet_as_of_2-28-2023.docx Most Recent Audit & Findings, if any AUDIT_-_Not_Available_letter.docx Program Intake Policies
Client Intake Form
Other -
Other -
Submitted By: Marva Murphy
Date Signed 03/27/2023
Approved By: Marcos Gonzalez
Date Signed 03/27/2023

Initially submitted: Mar 27, 2023 - 14:45:55
ATTACHMENT 3 - 23
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A728&prop=175 1/5

CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Burbank Temporary Aid Center
Project/Program Name: General Services
Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $55,000

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

The services provided by BTAC are meant to help individuals and families who find themselves in difficult time.

Through the grocery program, households can save significant funds, which can be put toward other household bills. BTAC's rental assistance program can help those who are in between jobs, are on fixed incomes or impacted by health care expenses to catch up on or have a reprieve from monthly rent.. Working with Burbank Water and Power, BTAC assists with utility bills.

BTAC also plans to expand the hours for services, hoping to offer more convenient hours for those in need, as well as increase the number of showers available for homeless individuals.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

BTAC will continue to provide two grocery orders each month. These orders include canned and packaged goods, as well as perishables. Having perishables available allows BTAC to offer more healthful food options to those who receive groceries.

The free use of laundry and shower facilities will continue, and expand, as we expand our hours.

Rental assistance will also continue, awarded on a case by case basis.

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

These programs are offered on a year-round basis.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Families and individuals will have BTAC resources to ensure their families don't have to worry about food. Through the grocery program can offset expenses, while the utility and rental assistance programs can provide direct relief for specific household bills.

5. Staff and Program/Project Location
Executive Director
Executive Director:

Barbara Howell Title: Executive Director
Phone: 818-848-2822 ext. 1010 Email: [email protected] Program Manager
Program Manager: NA Title:

Phone: 818-848-2822 Email: [email protected]
Application Contact
Application Contact: Barbara Howell Title: Executive Director Phone: 8188482822 ext 1010 Email: bhowe
Project Addresses
Project Address: 1304 W. Burbank Blvd.

ATTACHMENT 3 - 24
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A728&prop=175 2/5 City, State Zip: Burbank, CA
Phone: 818-848-2822
Website: www.theBTAC.org
Mailing Address: 1304 W. Burbank Blvd.

City, State Zip: Burbank, CA
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? Yes
Program Address: 1304 West Burbank Blvd.

City, State Zip: Burbank, CA 91506
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community

DUNS Number: 786773408 Unique Entity ID:

SAM Number: MQF5-2SMZ-VR7X-RQH2
City of Burbank Business License Number: BT-90340

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

9. Project/Program Delivery Area:

City of Burbank

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

300 Total unduplicated low to moderate income clients to be served. 300 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
1` Utility and/or Rental assistance 8 households will receive financial assistance to help maintain housing
2 Maintain reliable pick-up vehicle The vehicle is necessary to pick up donations of perishables from local grocers.

ATTACHMENT 3 - 25
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A728&prop=175 3/5 3 Maintain health standards Meet LA County Health Dept. requirements by appropriate maintenance
4 Meet the requirements of SB
1383 Add organics collection to BTAC
5 Offer more healthful food options All households will receive produce, dairy, meats, etc. in their grocery orders.

Approximately $200,000 of funds will be leveraged.

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

BTAC continues to look for opportunities to apply for funding, including various foundations and granting organizations.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 410
Very Low: 30% to <50% 290
50% to <60% 100
Low: 60% to <80% 75
Total Low Income Served: 875

Budget
Budget Line Item Burbank
Personnel Lines needed: 0
Benefits (11%) $0
ATTACHMENT 3 - 26
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A728&prop=175 4/5 Taxes $0
Subtotal Personnel $0
Non-Personnel
Move-In Assistance $0
Supplies & Materials $1,000
Equipment
Communications
Meetings & Convenings
Travel & Transportation
Training
Consulting
Evaluation
Other Lines needed: 5
Utilities (for showers, laundry,
refrigeration, etc.) $15,000
Trash removal (including SB 1383 $7,500
Janitorial & Pest Control $15,000
Rental/Utility Assistance $15,000
Vehicle gas & maintenance $1,500
Subtotal Non-Personnel $55,000
Total Personnel & Non-Personnel $55,000
Indirect Costs
TOTAL $55,000
Number of Persons Served: 875
Cost per Individual $63

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and
Bylaws

Organization Chart
Non-Profit Determination
Letters, IRS & State (501.3.c)

Most Recent Financial
Statements
Burbank_Temporary_Aid_Center_Inc._Financial_Statements_06302022.pdf Most Recent Audit & Findings, if
any
Burbank_Temporary_Aid_Center_Inc._Financial_Statements_06302022.pdf Program Intake Policies
Client Intake Form
Other -
Other -
Submitted By: Barbara Howell
Date Signed 03/27/2023
Approved By: Marcos Gonzalez
Date Signed 03/27/2023
ATTACHMENT 3 - 27
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A728&prop=175 5/5

Initially submitted: Mar 27, 2023 - 12:39:17
ATTACHMENT 3 - 28
4/6/23, 11:33 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 1/7

CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Family Service Agency Of Burbank
Project/Program Name: FSA- Residential Therapeutic Care for Special Homeless Populations
Type of Program/Project Public Service
Duration of Program/Project Multi-year Program
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $45,000

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

PRIMARY OBJECTIVE for FSA’s Homeless Prevention Programs:

To end the threat of homelessness and violence in the lives of vulnerable families and individuals and to ensure their transition to safe, stable, permanent housing, allowing them to live happy, healthy, meaningful lives.

Due to the ever-increasing number of homeless in our state, homelessness has erupted onto the political and social scene as a public health and safety challenge which requires a community-coordinated/multi-disciplinary response. Los Angeles County has spent billions of dollars over the past several years with little enduring success and homeless populations continuing to rise. While many programs offer temporary assistance, most have extremely high rates of recidivism, often because they house families and individuals yet do not provide the holistic, well-coordinate, specialized interventions and supports necessary for long-term success. Two especially vulnerable groups in Burbank are families who are experiencing domestic violence and transitional aged youth (TAY).

Domestic Violence
As you are certainly already aware, domestic violence is the primary cause of homelessness for women and children in the United States. According to the National Network to End Domestic Violence, between 22 and 57 percent of women and children are homeless due to domestic violence, and 38 percent of victims experience homelessness in their lives due to domestic violence. Victims leaving abusers often experience homeless events multiple times. Each time they are forced to return to a batterer the violence intensifies.

When a victim of domestic violence makes the very brave decision to leave their abusive partner, safe and affordable housing is one of the primary barriers they will face. In a one-day survey conducted in 2018, more than 56,000 adults and children fleeing violence found refuge in shelters. Out of 18,771 unmet requests for domestic violence services, 68 percent were for housing and shelter. In another nationwide study, more than half of victims needing housing did not receive them. Additionally, victims and their children often have limited resources, limited employment skills, lack of family support, trauma symptoms, and a loss of 70% of their income, among other barriers, which makes their ability to find stability without assistance impossible. Though emergency and short-term shelter can be a source of immediate temporary safety, long-term transitional housing programs offer victims a stable housing option and supportive services from which long-term safety and stability can be built, and healing can take place for both families as well as other fragile populations, such as transitional aged youth, another exceptionally challenged homeless group.

Transitional Aged Youth
In addition to the trauma already suffered by loss of family and lack of care and support in earlier years while in foster care, transitional aged youth experience extremely high rates of homelessness when “aging out” of that system. Every year about 4,000 youth age out of care in California. According to Walden Family Services, 65% leave foster care at age 18 with no place to call home. About 1400 age out in Los Angeles annually and of those, at least 400 become instantly homeless. In a representative sample of foster youth in California, over one-third of aged-out 19-year-olds experience homelessness, and over 40% couch-surf (Courtney et al., 2016). A young adult who ages out is less likely to graduate high school, attend college, or get a degree. This also increases the cost to ATTACHMENT 3 - 29
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 2/7 society. According to the Annie E Casey Foundation, if aged out foster youth had the same outcomes as youth who didn’t age out, the US taxpayers would save $4.1 billion. According to the Los Angeles Homeless Services Authority’s (LAHSA), there was a near 30% increase in the number of TAY who were homeless from 2019-2020.

This sets these youth up for exploitation, as well as other life-long effects.

In a 2013 FBI 70-city nationwide raid, 60 percent of trafficking victims came from foster care or group homes. In 2014, New York authorities estimated that 85 percent of sex trafficking victims were previously in the child welfare system”. As for human trafficking in California, the statistics vary based on what the raid & rescue organizations report. It appears between 60-90% of those rescued come from the foster care system. For those attempting to attend college- 81% experience food insecurity, 76% experience housing insecurity, and 38% experienced homelessness in the last 12 months, based on the Los Angeles Community College District Report on their Survey of Student Basic Needs (2020). While most intact families spend nearly $50,000 towards educating children, most Transition-Aged Foster Youth receive virtually no financial help as they struggle toward adulthood. The vulnerability of homeless youth and young adults cannot be understated, lack of stable work, housing, and caring support will leave them vulnerable to further trauma and unable to successfully secure happy, healthy lives for themselves.

In response, Family Service Agency of Burbank (FSA), founded in 1953, has been providing holistic, multi- disciplinary, therapeutically supported, long-term transitional housing to families and individuals for over 16 years.

This began as a very natural, and needed, outgrowth of our long-established domestic violence services. Our first program, the CARE Cottages at Puerta Nueva (Est. 2006), developed in partnership, shelters 5 families with a unmatched 3-year stay. This allows families the time necessary to heal and work on self-sufficiency goals vital to their long-term success. Homefront, established by FSA in 2009, serves homeless and families facing homelessness. Then in 2011, FSA established Linden House, a specialized residential community for Burbank’s transitional aged youth, yet another population in need of focused care provided by FSA.

For these fragile and traumatized TAY, and families experiencing domestic violence, FSA’s residential housing programs offer a safe and supportive option that empowers them to begin to build/rebuild their lives. All of our programs provide not only housing, but also services vital to achieving their goals for long-term health, safety, and stability, AND prevent future episodes of traumatic homelessness. FSA believes that all individuals and families should live a life that is safe, healthy, and meaningful and that is what we strive to accomplish through our residential programs.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

FSA believes that all individuals and families should live a life that is safe, healthy, and meaningful and that is what we strive to accomplish through our residential programs. All of our programs provide not only housing, but also; holistic, multi-disciplinary, comprehensive and individualized, counseling, advocacy, intervention and preventions services, all of which are vital to positive outcomes.

With the growing need for therapeutic treatment and services revealed and exacerbated by the pandemic, and subsequent instability felt by many, FSA stands uniquely poised to continue to provide vital, relevant, support to both TAY and families expiring violence. Our greatest need, at this time is a specially trained, bicultural/bilingual advocate. It is well known that a culturally compatible approach to services is most effective in increasing positive outcomes. Additionally, an advocate with experience in housing, and relationships in the community, will be a great asset with the cost of rents increasing 20-30% over the past few years, with only a nominal rise in incomes. We know that continuing to broaden and deepen the agency’s expertise in culturally sensitive service and advocacy delivery via a specialized bilingual bicultural advocate with demonstrated experience in housing and service delivery will enhance the transitional housing experience and efficacy for residents who have been left vulnerable/traumatized by life experiences beyond their control.

We hold great appreciation for our continued partnership and the City of Burbank’s visionary leadership, and we hope that this will be yet another service area that we can agree is vital to the continued development of Burbank’s transitional housing programs and the families we all serve. With that, we are humbly requesting $55,000 in funding to address the ever-increasing need for bilingual, culturally compatible service provision.

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

FSA’s CARE Cottages (est. 2006) and Linden House (est. 2011) programs are on-going, multi-year programs, which will be performed on a continuing basis.

MAJOR ACTIVITIES: Treatment, Intervention, Advocacy
ATTACHMENT 3 - 30
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 3/7 Prior to and throughout our client’s residency, Burbank’s Family Service Agency currently relies on 13 major activities/strength indicators (see Attachment I) as a focus of care/intervention/advocacy widely found to increase the probability of positive outcomes for traumatized individuals and families residing in therapeutically supported long-term transitional housing.

Of course, these are “just indicators” and therefore cannot account for all that is human – but we have found them to be a highly reliable general assessment/guidance tool.

Implementation – Treatment Plan (TP)
All Burbank Family Service Agency clients work with a multi-disciplinary therapeutic team to create their Individualized Mental Health Treatment Plan (TP). Currently, all entering one of FSA’s three long-term therapeutic residential communities will also work with their team to design an Autonomy Plan (AP). This plan serves as an additional focus for specific care/intervention/advocacy and as a measurement of progress towards their desired autonomy – self-sufficiency – towards a trauma/violence-free future – new personal healthy empowerment! Autonomy Plan (AP)
The AP is utilized as a daily guide and is formally reviewed monthly. Each adult resident and age-appropriate minor meets with their assigned Program Director and/or Lead Advocate to review and reflect on their individual and/or family’s current strengths and/or challenges. It is time spent honoring growth while identifying existing or emerging challenges.

All homeless prevention program clients are provided with the following:

Long-term, up to 3 years, safe, confidential housing
Financial Planning and Education (long and short-term goals) Mental Health Services- Individual, Family, and Group
Legal Advocacy/ Coordination
Restraining order preparation
Financial Planning and Education (long and short-term goals) Career and Education Planning
Transitional life coaching
Life skills education
Clinical Case Management
Peer Support- DV Program and TAY
Social Service Advocacy
as well as individualized interventions, and supports

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Appropriate supports allow for the greatest possibility of success. Through Linden House and the CARE Cottages, households are provided with treatment, intervention, and advocacy supports, which will allow them the best opportunity for success in the future. date, FSA's programs have seen NO RETURN TO A BATTERER after successful completion from our CARE residential program. And all residents have exited these programs with increased job skills, education, stability, and goals for the future well developed, and FSA’s continued support as needed.

5. Staff and Program/Project Location
Executive Director
Executive Director:

Laurie Bleick Title: Executive Director
Phone: 818-845-7671 Email: [email protected]
Program Manager
Program Manager: Christine Ramos Title: Director of Operations Phone: 818-845-7671 Email: [email protected] Application Contact
Application Contact: Christine Ramos Title: Director of Operations Phone: 818-845-7671 Email: [email protected] Project Addresses
Project Address: 2721 W. Burbank Blvd
City, State Zip: Burbank, CA 91505
ATTACHMENT 3 - 31
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 4/7 Phone: 818-845-7671
Website: familyserviceagencyofburbank.org
Mailing Address: 2721 W. Burbank Blvd
City, State Zip: Burbank, CA 91505
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? No
Program Address: Held in confidence
City, State Zip: Held In confidence
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
The program operates in the city of Burbank
DUNS Number: 806766143 Unique Entity ID: NU9HF3FV19A7 SAM Number: NU9HF3FV19A7
City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

9. Project/Program Delivery Area:

Please include any other communities or residents living outside of Burbank that will be eligible to receive services from your program/project. Provide the overall percentage of resident vs. non-resident. 100% of program residents will live in the city of Burbank within our residential communities.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

11 Total unduplicated low to moderate income clients to be served. 11 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
11 # of households working toward
goals Adults working toward successful attainment of goals ATTACHMENT 3 - 32
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 5/7 5 # of graduating households All graduating households moving to traditional housing 4000 Units of support services
provided
Support Services provided to households to assist with goal achievment

State Grant- $133,333.00
Private Grant- $25,000.00
Batterer's Intervention Program $20,000.00

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

FSA continually seeks both public and private funding to support the needs of Burbank's transitional housing communities. FSA strives to keep a diverse funding stream to ensure financial solvency for this ad all of its community supporting work. This year FSA received 1 private grant, one state grant, and has applied for 2 additional grants. Additionally, FSA seeks to collaborate with other organizations, and assess for activities that can build further partnerships as is appropriate for each program.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 5
Very Low: 30% to <50% 5
50% to <60% 1
Low: 60% to <80%
Total Low Income Served: 11

Budget
Budget Line Item Burbank
Personnel Lines needed: 6
Director, Trainer $25,000
ATTACHMENT 3 - 33
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A722&prop=172 6/7 Bilingual/Bicultural Advocate $20,000
Clinical Supervisor $0
Lead Therapist $0
Psycho Ed. Coordinator $0
Support Staff $0
Benefits (11%) $0
Taxes
Subtotal Personnel $45,000
Non-Personnel
Move-In Assistance
Supplies & Materials $0
Equipment $0
Communications $0
Meetings & Convenings
Travel & Transportation $0
Training $0
Consulting
Evaluation
Other Lines needed:

Subtotal Non-Personnel $0
Total Personnel & Non-Personnel $45,000
Indirect Costs
TOTAL $45,000
Number of Persons Served: 11
Cost per Individual $4,091

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and Bylaws FSA_articles_of_inc.pdf Organization Chart FSA_ORG_CHART.pdf
Non-Profit Determination Letters, IRS & State
(501.3.c)
501_c3.pdf
Most Recent Financial Statements Jan_2023_Income_Statement.pdf Most Recent Audit & Findings, if any AUDIT_2020.pdf
Program Intake Policies
Client Intake Form
Other -
Other -
Submitted By: Christine Ramos
Date Signed 03/27/2023
Approved By: Marcos Gonzalez
Date Signed 03/27/2023
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Initially submitted: Mar 27, 2023 - 16:39:59
ATTACHMENT 3 - 35
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CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Home Again Los Angeles
Project/Program Name: Homeless Outreach Services
Type of Program/Project Public Service
Duration of Program/Project New Program
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $50,000

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

Home Again L.A. intends to implement a Street Outreach program that focuses on families with children experiencing homelessness. Since July 1, 2022, Home Again L.A. has been able to implement a Street Outreach program in partnership with the City of Burbank and the CDBG Committee. We created this program to respond to the needs we've heard from our partners and residents in Burbank. The need has been to create an outreach team that focuses on families with children who need support to secure housing. Those we've hear from include the Burbank Unified School District and the Burbank Police Department who also have been our primary referring agencies for the past year. By offering this program we will be able to respond to community partners whenever they come across a family with children in need of resources to lift the family out of homelessness. Our Street Outreach team will respond to the referral by going out into the community and connecting with the family. We will conduct an intake and assessment on the field, identify the households needs and what they are willing to accept as far as resources. In addition to the intakes and assessment we will also provide hygiene kits, blankets, clothing and any other client needs. However, the main objective would be to provide immediate shelter to the household.

We will leverage our resources with motel vouchers from the Department of Social Services, utilize our own Home Again L.A. motel vouchers or if Home Again L.A. has space in our own Shelter we will enroll them into the shelter.

The primary objective would be to transition the family into a form of housing. Home Again L.A. has various rapid rehousing programs and a transitional housing program that families may transition into until the family achieves housing, employment and financial stability. Through all these activities case management and advocacy is key.

Meaning provide ongoing counseling to the family to make certain they understand the process and don't feel left out as we work together with the family to achieve their goals. Advocacy is also crucial because with so many different city, county and state departments families get confused on who to connect with and ask for resources.

Thus, our staff will advocate on the family's behalf to secure assistance.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

If funded with CDBG funds we intend to utilize the funds to support 50% of the Street Outreach Coordinator's salary. This position is a critical need for the program to operate as this position leads our outreach efforts by responding to referrals, building trust with the families we come in contact with, completed the intake and assessments and makes referrals to our housing programs.

Home Again L.A. will fund the remaining 50% of the salary utilizing our general funds which we fundraise for throughout the year. In addition, CDBG funds will support the cost of transportation, office supplies, and client needs such as clothing, blankets, meals, hygiene products. We will create kits that include these items and have them placed in our Street Outreach vehicle, so we have available when responding to referrals.

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

If funded, we will ramp up our program in July 2023 by updating our marketing materials and reaching out to our local partners to raise awareness about our services. In July we will update all client related documents to make certain we are capturing all data of our households so we are reporting back to the City of Burbank critical information that will help us continue to develop and strengthen our program. Throughout the year we will report to calls and track the outcomes in hopes to get all families we come in contact with the resources needed to achieve housing. Our hope is to get each unhoused family into housing within initial contact but no later than seven days.

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4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Outcome #1 - Assist up to 50 unhoused families in attaining immediate shelter within seven days of initial contact.

Outcome #2 - Assist up to 50 unhoused families in attaining permanent housing within 90 days of initial contact.

These proposed outcomes will decrease the episode of homelessness for our Burbank families while increasing their likelihood of securing housing and achieving stability.

5. Staff and Program/Project Location
Executive Director
Executive Director:

Albert Hernandez Title: Chief Executive Officer
Phone: 8185627778 Email: [email protected]
Program Manager
Program Manager: Carrie Prado Title: Program Director Phone: 8188471547 Email: [email protected]
Application Contact
Application Contact: Albert Hernandez Title: Chief Executive Officer Phone: 8185627778 Email: [email protected]
Project Addresses
Project Address: 2406 N NAOMI STREET Unit A
City, State Zip: BURBANK, CA 91504
Phone: 8188471547
Website: www.HomeAgainLA.org
Mailing Address: P.O. Box 7151
City, State Zip: BURBANK, CA 91510
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? Yes
Program Address: 2406 N NAOMI STREET Unit A
City, State Zip: BURBANK, CA 91504
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
Not Applicable
DUNS Number: 965118560 Unique Entity ID: Z4G6KSKHLBZ6 SAM Number: 7NX20
City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

9. Project/Program Delivery Area:

For the purpose of this specific project, we will only serve residents living within the city of Burbank boundaries.

Thus a 100% of clients served are Burbank residents.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

50 Total unduplicated low to moderate income clients to be served. 50 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
50 Attain shelter Mobilize up to 50 unhoused families in securing shelter within 7 days of contact
50 Attain permanent housing Mobilize up to 50 unhoused families into permanent housing within 90 days of contact.

Leveraged resources will come from private foundation, other government funded programs, and from our Home Again L.A. general fund.

Salary
Street Outreach Coordinator - $52,416 - Home Again LA will pay $13,104 from general fund Intake Specialist - $52,416 - Home Again LA will pay 100% of this expense from general fund.

Direct Services
Rental Assistance - Home Again LA will leverage other resources such as security deposits, rental assistance, food, Street Outreach vehicle/fuel/insurance to be able to fully implement this program.

12. On a level of sustainability (program longevity),
has your organization or Board approved applying,
collaborating, or accepted any State, Federal,
County, or philanthropic grants, benefits, or other
non-CDBG funding in 2023?
Yes No
Fund/Grant Name Amount
Edelstein Family Foundation $25,000
Permanent Local Housing Assistance $190,000
Walt Disney Foundation $20,000
Cusumano Family Foundation $25,000
Rose Hills Foundation $50,000
Open Hearts Foundation $10,000

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

Home Again L.A. constantly is in search of funding that will enhance our services and expand the depth of our efforts. We are actively applying to private foundations for funding. Those in our radar include Weingart Foundation, ATTACHMENT 3 - 38
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A721&prop=171 4/5 Ahmanson Foundation, & Bank of America Foundation. By securing these funds we can remove the need of support from government funds and remove any restrictions that government put into place.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 50
Very Low: 30% to <50%
50% to <60%
Low: 60% to <80%
Total Low Income Served: 50

Budget
Budget Line Item Burbank
Personnel Lines needed: 2
Street Outreach Coordinator $39,312
Benefits (11%)
Taxes
Subtotal Personnel $39,312
Non-Personnel
Move-In Assistance $0
Supplies & Materials $2,500
Equipment $0
Communications $600
Meetings & Convenings $0
Travel & Transportation $1,200
Training $0
Consulting $0
Evaluation $0
Other Lines needed: 1
Client Needs: Blankets, Hygiene
Kits, Food $6,388
Subtotal Non-Personnel $10,688
Total Personnel & Non-Personnel $50,000
Indirect Costs $0
TOTAL $50,000
Number of Persons Served: 50
Cost per Individual $1,000

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(Upload Instructions)
Checked attachments below are REQUIRED in order to submit your application, and your application WILL NOT be able to be submitted with missing attachments! Please take this into consideration when timing your submission of this application. The documents you need to upload are checked below. If you have other attachments you would like to include, please check the box and, if Other, identify the Attachment in the box. If you are unable to upload any of the attachments, contact Marcos Gonzalez at 818-238-5212 or [email protected] at least one day
prior to the deadline.

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and
Bylaws
HALA_Articles_of_Incorporation_Amendments_Included.pdf
Organization Chart HALA_Organizational_Chart_1.2023.pptx Non-Profit Determination Letters,
IRS & State (501.3.c)
HomeAgainLA_501C3Determination_4168.pdf
Most Recent Financial
Statements
Family_Promise_06-30-2021_Financial_Statements.pdf
Most Recent Audit & Findings, if
any
Family_Promise_06-30-2021_Financial_Statements.pdf
Program Intake Policies HALA_Operational_Policies_and_Procedures_Revised_June_2022.docx Client Intake Form
Other -
Other -
Submitted By: Albert G Hernandez
Date Signed 03/20/2023
Approved By: Marcos Gonzalez
Date Signed 03/21/2023

Initially submitted: Mar 20, 2023 - 11:25:55
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CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Jacaranda Housing
Project/Program Name: Residential
Type of Program/Project Public Service
Duration of Program/Project Choose
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $30,000

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

Jacaranda Housing exists to come alongside at-risk, transition-age young women and equip them with the tools and support they need to thrive. We assist in breaking the cycle of poverty that at-risk transitional-age young women face as they enter adulthood through a stable and empowering environment. Up until this time, we have offered outreach services within the city of Burbank. These included providing birthday boxes for at-risk Burbank youth, as well as community events where we shared life skills and financial literacy skills with youth. This year, alongside these outreach activities, we are excited to be starting our residential program in Burbank, as we have recently acquired a building which will serve as a home for at-risk female youth. Our approach is specialized so that we can give each participant the attention and guidance they need to succeed and to sustain success for the long term. Our residential program provides a creative and innovative model of housing through which we encourage up to six young women at a time to complete their educational goals, learn financial literacy, job readiness, conflict resolution skills, and critical life skills, and set goals for following a career path. We anticipate being up and running midway through 2023. In order to do this, we need funding for salaries, particularly for our house manager and house monitors. The money we are requesting through this block grant would go towards the house manager's salary. Congruently, we are actively pursuing other options for salary funding for this and other positions who will work directly with our TAY program participants, as we will illustrate below.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

We will be teaching our residents practical life skills, conflict resolution skills, financial literacy, and job readiness training, as well as assisting them with pursuing their high school diploma and/or continuing education. We have just acquired our residential building in Burbank. In addition, each of our residents will be offered free therapy from a licensed provider via a community partner in Burbank. Finally, we will be encouraging our residents to take part in group volunteering opportunities in Burbank in order to develop a healthy community perspective.

Examples of the above activities include, but are not limited to:
budgeting, saving money for independent living, interview skills, appropriate work attire, conflict resolution in the workplace and at home, effective goal-setting, housekeeping, meal planning, cooking, strategies for completing school assignments on time, transportation planning, job searching, and career exploration. In order to open and start inviting our residents, we will also need to hire and pay our staff.

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

The objectives of our housing and sustainability program are as follows:

In the beginning of the project, TAY individuals who have been admitted into our program will be unhoused, unemployed, unenrolled in school, and/or financially insecure.

At the end of six months in Jacaranda Housing’s program, each of our housing participants will have completed resumes and acquired employment. We will track this through data collection spreadsheets of completed resumes and employment offer letters received during onboarding, as well as staff progress notes.

At the end of twelve months in Jacaranda Housing’s program, each of our housing participants will have completed their GED and/or high school diploma as well as Jacaranda Housing’s career exploration program. We will track this through data collection spreadsheets of GED/diploma completion and career exploration program completion certificates, as well as staff progress notes.

ATTACHMENT 3 - 41
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https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A718&prop=153 2/6 At the end of 18 months, each of our housing participants will have set aside six months of living expenses in a savings account. We will track this through banking statements and a data collection spreadsheet. In addition, each of our housing participants will be enrolled in a career program. We will track this through notice of enrollment letters, completion of a signed individualized goals and objectives plan for each individual for successfully completing their school program, and a data collection spreadsheet.

Thus we will spend the remaining six months reinforcing the concepts learned, and also assisting them in planning their relocation to stable housing and continued education. We will record these plans in staff progress notes.

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Data collection is essential to Jacaranda Housing as it helps us measure the progress of program participants and staff, recognize areas of strength, help participants to create and pursue personalized objectives and goals, and identify areas in which we can grow. In our residential program, our staff will keep daily progress notes, as well as records of various applications, exams, self-assessments, and achievements that participants complete or experience.

We will also teach clients how to monitor their own data in terms of goals and objectives they have achieved, any roadblocks experienced, and effective strategies going forward. Thus, we believe that these CDBG funds, coupled with our specialized approach at Jacaranda Housing, would enable us to make a positive difference in the community to low-to-moderate income households because we will be setting these youth up for longstanding stability, rather than merely housing them for a time. This will improve their lives not only as individuals, but also as positive community members with the potential and the skills to mentor others in the Burbank area.

5. Staff and Program/Project Location
Executive Director
Executive Director:

Alison Bodager Title: Executive Director
Phone: 818-934-0778 Email: [email protected]
Program Manager
Program Manager: Title:

Phone: Email:

Application Contact
Application Contact: Violet (Lisa) Rymshaw Title: Grant Writing and Nonprofit Support
Phone: 747-677-9898 Email: [email protected] Project Addresses
Project Address: 1320 N Catalina Street
City, State Zip: Burbank, CA 91505
Phone: 330-907-3616
Website: www.jacarandahousing.org
Mailing Address: 263 W Olive Ave #177
City, State Zip: Burbank, CA 91502
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? Yes
Program Address: 1320 N Catalina Street
City, State Zip: Burbank, CA 91505
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
n/a
DUNS Number: Unique Entity ID: V3AAKUZ5KMN3
SAM Number:

City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

ATTACHMENT 3 - 42
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A718&prop=153 3/6

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

9. Project/Program Delivery Area:

Last year, the total of the individuals we served via our outreach activities who were Burbank residents was 78%.

For our residential program, we will serve homeless TAY women in the city of Burbank as well as the remaining San Fernando Valley area. We anticipate the percentage to be 67% residents of the city of Burbank.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

6 Total unduplicated low to moderate income clients to be served. 4 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
1 Data collection spreadsheets
showing task comprehension;
staff progress notes
● Residential participants will have learned basic frugal grocery shopping tactics, food preparation skills, and
housekeeping skills at the end of 6 months in the program. 2 Data collection spreadsheets
tallying completed resumes and
offer of employment letters; staff
progress notes
● Residential participants will have created a resume and secured their first job experience and at the end of 6 months in the program.
3 Data collection spreadsheets of
GED/diploma completion and
career exploration program
completion certificates; staff
progress notes
● Residential participants will have achieved their GED or high school diploma and/or Jacaranda Housing’s career exploration program at the end of 12 months in the program.
4 Data collection spreadsheets
showing notice of enrollment
letters and completed/signed
individualized goals and
objectives plans for successfully
completing their school program,
staff progress notes
● Residential participants will have set aside six months of living expenses in a savings account.

11. Based on the CDBG funding requested, include the amount of private/public funds that will be leveraged to administer the program/project. Do not include any funds that are committed to other programs/projects or in-kind ATTACHMENT 3 - 43
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A718&prop=153 4/6 services, or volunteer hours.

We currently have $75,100 in monetary assets to be used specifically for the residential program. We anticipate this number to increase throughout the year as we have fundraisers, receive donations, and pursue grants.

12. On a level of sustainability (program longevity),
has your organization or Board approved applying,
collaborating, or accepted any State, Federal,
County, or philanthropic grants, benefits, or other
non-CDBG funding in 2023?
Yes No
Fund/Grant Name Amount
LB Charitable Foundation (accepted) $30,000
Dept of Economic Opportunity LA County $20,000
Commission on the Status of Women $100,000
LA County Food Resource Grants: $100,000
Bath and Body Works $20,000
Chick-Fil-A $30,000
Stephen and Mary Birch Foundation $40,000
Ferguson Cares $20,000
Walmart Foundation $5,000
Watson Family Foundation $5,000

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

We have already received a $30,000 grant from LB Charitable Foundation.

We are pursuing the following grants: LA County Food Resource Grants: $100,000; Bath and Body Works, $20,000; Walmart Foundation, $5,000; Chick-Fil-A, $30,000; W O-Neill Foundation: $10,000; Watson Family Foundation, $5,000; Commission on the Status of Women, $100,000; Dept of Economic Opportunity LA County, $20,000.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 6
Very Low: 30% to <50%
50% to <60%
Low: 60% to <80%
Total Low Income Served: 6

Budget
Budget Line Item Burbank
ATTACHMENT 3 - 44
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A718&prop=153 5/6 Personnel Lines needed: 1
House Manager $30,000
Benefits (11%) $0
Taxes $0
Subtotal Personnel $30,000
Non-Personnel
Move-In Assistance $0
Supplies & Materials $0
Equipment $0
Communications $0
Meetings & Convenings $0
Travel & Transportation $0
Training $0
Consulting $0
Evaluation $0
Other Lines needed: 0
Subtotal Non-Personnel $0
Total Personnel & Non-Personnel $30,000
Indirect Costs
TOTAL $30,000
Number of Persons Served: 6
Cost per Individual $5,000

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and Bylaws
Organization Chart
Non-Profit Determination Letters, IRS & State
(501.3.c)

Most Recent Financial Statements 2022_990-EZ_Only.pdf
Most Recent Audit & Findings, if any Jacaranda-Housing-2022-Annual-Report_1.pdf Program Intake Policies JH_Intake__-_Part_2.pdf
Client Intake Form Client_Intake_Form.pdf
Other -
Other -
Submitted By: Violet (Lisa) Rymshaw
Date Signed 03/21/2023
Approved By: Marcos Gonzalez
Date Signed 03/21/2023
Approval Modified By Marcos Gonzalez
Date Signed 03/27/2023

ATTACHMENT 3 - 45
4/6/23, 10:16 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A718&prop=153 6/6 Initially submitted: Mar 21, 2023 - 10:01:05
ATTACHMENT 3 - 46

FISCAL YEAR 2023-24

CDBG CAPITAL PROJECT

PROPOSALS

ATTACHMENT 3 - 47
FY 23/24 CDBG CAPITAL PROJECTS

1.Community Development Department

2.Karis Family Day Care – Infant & Toddler Center
ATTACHMENT 3 - 48
4/6/23, 10:17 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A725&prop=173 1/5

CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: City of Burbank, Community Development Dept.

Project/Program Name: 2244 Buena Vista Infrastructure Improvements - Year Two Type of Program/Project Capital Project
Duration of Program/Project Multi-year Project
Type of Operating Agency: City Department/Public Agency

Total Amount Requested: $766,634 Project Duration: 12 months

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

This project is located at 2244 N. Buena Vista Street (former Boys and Girls Clubhouse). The property is owned by the City of Burbank and it's currently vacant due to the physical condition of the property. However, Home Again Los Angeles was selected as the new occupant as part of a Request for Proposal competition. Home Again Los Angeles may not occupy the property until it is brought up to building code standards. The purpose of the $766,634 funding request from the Community Development Block Grant Program is to combine these funds with the $413,756 allocated for this project in Fiscal Year 2022-23. The additional funding is needed in order to rehabilitate and modernize the property based on a structural assessment conducted by the City.

The condition of the existing structural, electrical, mechanical, plumbing, roofing, and other safety aspects of the property require, at a minimum, to be brought up to code. The modernization will help overcome any apparent deficiencies with regard to safety, functionality, efficiency, and ADA accessibility. The main building is a one-story structure, approximately 4,500 SF with a 3 stall parking lot, and adjacent to an alley way on the north and single- family residence on the south. The exterior walls are concrete, with an aluminum storefront entry. The main building has a flat roof with a parapet. The site also includes two temporary structures; one structure of approximately 850 SF and the other of approximately 280 SF. The temporary structures are not part of the modernization. The estimated costs is roughly $1.8 million.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

In accordance with federal guidelines, the City will utilize the CDBG funds for development and construction costs of 2244 Buena Vista. The activities will include an initial environment review, mitigation measures, demolition, and improvements as described in the structural assessment that will bring the building up to code. CDBG will be utilized for improvement, ADA accessibility, materials, and labor. Tenant improvements such as new structures will be funded by Home Again Los Angeles.

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:

The funding requests for Fiscal Year 2023-24 are tentatively scheduled for City Council consideration on May 9, 2023. Should the funding requested be allocated by Council, the schedule of performance shall tentatively include:
1st quarter - initiate an environmental review
2nd quarter - Prepare a schedule for bidding of the construction and release inviting bids 3rd quarter - Select a contractor
4th quarter - Begin construction

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

Upon the completion of the project renovations, Home Again Los Angeles will provide the following services.

ATTACHMENT 3 - 49
4/6/23, 10:17 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A725&prop=173 2/5 • Provide shelter to homeless families
• Help families and individuals to obtain housing through the Rapid Rehousing Program • Provide Homeless Prevention for eligible households who are in jeopardy of losing their homes • Provide transitional housing for chronically homeless families • Offer financial literacy and self-sufficiency workshops • Operate a drop-in center for families experiencing homelessness

5. Staff and Program/Project Location
Executive Director
Executive Director:

Justin Hess Title: City Manager
Phone: 818-238-5800 Email: [email protected]
Program Manager
Program Manager: Marcos Gonzalez Title: Housing Development Manager Phone: 818-238-5212 Email: [email protected]
Application Contact
Application Contact: Marcos Gonzalez Title: Housing Development Manager Phone: 818-238-5212 Email: [email protected]
Project Addresses
Project Address: 2244 N. Buena Vista
City, State Zip: Burbank, CA 91504
Phone: 818-238-5212
Website:

Mailing Address: 150 North Third Street
City, State Zip: Burbank, CA 91502
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? Yes
Program Address: 2244 N. Buena Vista
City, State Zip: Burbank, CA 91504
If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
Yes. The subject property is owned by the City of Burbank and is located at 2244 N. Buena Vista Street, in a low- income census tract 310501.

DUNS Number: 113670967 Unique Entity ID: N9Q5C7NS3JS5 SAM Number: R2ABP7NMRUG7
City of Burbank Business License Number: N/A

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families, or individuals your program or project intends to target.

ATTACHMENT 3 - 50
4/6/23, 10:17 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A725&prop=173 3/5 The City will collect information from Home Again Los Angeles on people served as part of their programs. The information collected will be collected from intakes, program enrollments, and participant rosters.

9. Project/Program Delivery Area:

The service delivery area by Home Again Los Angeles is primarily Burbank, in addition to surrounding jurisdictions.

People experiencing homelessness or at-risk of homelessness will not be limited to Burbank. However, Home Again Los Angeles will be required to serve at least 51% of Burbank residents. Currently, Home Again Los Angeles has met these conditions through City funded programs such as Rapid Rehousing, Transitional Housing, Homeless Outreach, and Lifting People Up.

10. Measurable Outcomes:

Please provide proposed outcomes and performance measures for your proposed project/program. Please provide a quantifiable/measurable outcome that can be evaluated by staff. In addition, describe how your organization will achieve successful outcomes.

Goal

264 Total unduplicated low to moderate income clients to be served. 264 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
1 Negotiate and execute a lease Home Again Los Angeles and the City 2 Environmental Review Initiate studies and mitigation plans 3 Release a Notice Inviting Bids Public Works, Community Development, Home Again Los Angeles to develop a scope and budget
4 Council Award Project Request Council to approve City to enter into a contract

Home Again Los Angeles will fund the tenant improvements for 2244 Buena Vista utilizing private and public funds estimated at $550k. The tenant improvements include the construction of Tiny Homes among other site improvements.

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

The City may consider additional funding from non-General funds for the modernization of 2244 Buena Vista if additional costs are borne during the demolition, environmental assessments, and structural improvements.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
ATTACHMENT 3 - 51
4/6/23, 10:17 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A725&prop=173 4/5 Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 0
Very Low: 30% to <50%
50% to <60% 0
Low: 60% to <80% 264
Total Low Income Served: 264

Budget
Budget Line Item Burbank
Personnel Lines needed: 3
Benefits (11%)
Taxes
Subtotal Personnel $0
Non-Personnel
Move-In Assistance
Supplies & Materials
Equipment
Communications
Meetings & Convenings
Travel & Transportation
Training
Consulting
Evaluation
Other Lines needed: 1
Construction $766,634
Subtotal Non-Personnel $766,634
Total Personnel & Non-Personnel $766,634
Indirect Costs
TOTAL $766,634
Number of Persons Served: 264
Cost per Individual $2,904

Attachment Link or Explanation for Missing Attachments
Attachments 1-6 not required for Public Agencies
Submitted By: Marcos Gonzalez
ATTACHMENT 3 - 52
4/6/23, 10:17 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A725&prop=173 5/5 Date Signed 03/27/2023
Approved By: Marcos Gonzalez
Date Signed 03/27/2023

Initially submitted: Mar 27, 2023 - 12:17:58
ATTACHMENT 3 - 53
4/6/23, 10:21 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A715&prop=169 1/4

CITY OF BURBANK
FISCAL YEAR 2023-24

COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

REQUEST FOR FUNDING PROPOSALS
Project/Program Summary
Operating Agency: Karis Family Daycare LLC
Project/Program Name: Karis Family Infant and Toddler Center Type of Program/Project Public Service
Duration of Program/Project New Program
Type of Operating Agency: Non-Profit or For-Profit Organization

Total Amount Requested for FY 2023/24: $432,664

1. Project/Program Description:

Briefly describe the primary objective of the project/program you intend to operate including all major activities to be undertaken:

I plan to build an infant and toddler daycare center serving 40 children ages 2 mo-3 yrs. The project includes development of the whole lot (currently an empty lot for last 20 years) including: demolition of small structure on lot, paving, infrastructure (electric, sewage, etc), landscaping, construction of new buildings.

2. Project/Program Activities:

Describe the activities you intend to provide using the CDBG funds:

Full-day care for infants and toddlers M-F 8am-6pm

3. Project/Program Time of Performance:

Describe your proposed schedule of performance and associated activities using CDBG funds:
06/01/2023 - permits acquired and construction begins
10/01/2023 - construction finished, begin licensing
3//01/2024 - begin operations

4. Project/Program Outcomes:

Describe your proposed outcomes that will result in a community benefit to low-to moderate income households using CDBG funds:

I plan to offer services to low income families in Burbank and the surrounding communities.

5. Staff and Program/Project Location
Executive Director
Executive Director:

Brenna Karis Title: owner
Phone: 6175292742 Email: [email protected]
Program Manager
Program Manager: Brenna Karis Title: owner
Phone: 6175292742 Email: [email protected]
Application Contact
Application Contact: Brenna Karis Title: owner
Phone: 6175292742 Email: [email protected]
Project Addresses
Project Address: 4201 W Magnolia Blvd
City, State Zip: Burbank
Phone: 6175292742
Website: www.karisfamilydaycare.com
Mailing Address: 1713 W Alameda Ave
City, State Zip: Burbank, CA 91506
For Public Service or Economic Development activities, please identify if the project address is the same location where program services will be provided? Yes
Program Address: 4201 W Magnolia Blvd
City, State Zip: Burbank, CA 91506
ATTACHMENT 3 - 54
4/6/23, 10:21 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A715&prop=169 2/4 If your program is not located in the City of Burbank, please describe how you intend to provide services in the Burbank community
DUNS Number: 099344818 Unique Entity ID:

SAM Number:

City of Burbank Business License Number:

6. If awarded CDBG funding, describe the location(s) of where the services will be provided:

Same as above
Other(address/areas/clubs/associations, etcs.):

7. Project/Program Beneficiaries:

Please specify the Primary Beneficiary group, persons, families , or individuals your program or project intends to
target.

9. Project/Program Delivery Area:

I do not limit my services to only Burbank and many families come from all over LA to seek out infant and toddler daycare, a very undersupplied industry. Many families do live close by, however, and currently about 50% of enrolled families are Burbank residents.

10. Measurable Outcomes:

Goal
20 Total unduplicated low to moderate income clients to be served. 10 Unduplicated City of Burbank low to moderate income clients to be served.

Please list between 1 and 5 additional Measurable Goals that your program/project will deliver.

Goal Measure of Service Description
enroll to
capacity sorry, I don
I hope to enroll at least 50% low income families and will register with various state and local agencies to have families placed

11. Based on the CDBG funding requested, include the amount of private/public funds that will be leveraged to administer the program/project. Do not include any funds that a re committed to other programs/projects or in-kind
services, or volunteer hours.
$160,000 already invested in project
ATTACHMENT 3 - 55
4/6/23, 10:21 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A715&prop=169 3/4

13. Please indicate the funds your organization will consider or pursue, if applicable (Do not include fundraising campaigns).

I am currently pursuing funds from CA for the construction of new daycare centers.

14. Does your project or program provide a direct service as an operator, service provider, developer, or owner in supporting the City’s homelessness strategies (see below)? Yes No N/A
Please indicate the primary delivery area.

Capacity Building
Advocacy
Access, Outreach, and Engagement
Shelter and Housing Accessibility
Health and Stabilization
Homeless Prevention

For Public Service or Economic Development
activities, please indicate the number of persons of
each income level that your program will assist:

Extremely Low: under 30% 2
Very Low: 30% to <50% 4
50% to <60% 6
Low: 60% to <80% 8
Total Low Income Served: 20

Budget
Budget Line Item Burbank
Personnel Lines needed: 1
Salaries $272,214
Benefits (11%) $29,943
Taxes $16,332
Subtotal Personnel $318,489
Non-Personnel
Move-In Assistance
Supplies & Materials $21,000
Equipment $9,000
Communications $375
Meetings & Convenings
Travel & Transportation
Training $7,000
Consulting
Evaluation
Other Lines needed: 2
utilities $4,800
lease $72,000
Subtotal Non-Personnel $114,175
ATTACHMENT 3 - 56
4/6/23, 10:21 AM City Data Services - Burbank
https://www.citydataservices.net/cities/burca/app2023arc.pl?rpt=A715&prop=169 4/4 Total Personnel & Non-Personnel $432,664
Indirect Costs
TOTAL $432,664
Number of Persons Served: 20
Cost per Individual $21,633
Attachments
(Upload Instructions)
Checked attachments below are REQUIRED in order to submit your application, and your application WILL NOT be able to be submitted with missing attachments! Please take this into consideration when timing your submission of this application. The documents you need to upload are checked below. If you have other attachments you would like to include, please check the box and, if Other, identify the Attachment in the box. If you are unable to upload any of the attachments, contact Marcos Gonzalez at 818-238-5212 or [email protected] at least one day
prior to the deadline.

Attachment Link or Explanation for Missing Attachments
Articles of Incorporation and Bylaws articles_of_organization.pdf Organization Chart
Non-Profit Determination Letters, IRS & State
(501.3.c)
Most Recent Financial Statements brightwheel_sales.pdf
Most Recent Audit & Findings, if any explanation_of_missing_form.docx Program Intake Policies
Client Intake Form
Other -
Other -
Submitted By: Brenna Karis
Date Signed 03/01/2023
Approved By: Marcos Gonzalez
Date Signed 03/21/2023
Initially submitted: Mar 1, 2023 - 19:47:07
ATTACHMENT 3 - 57

Burbank City CouncilJune 13, 2023

Burbank City Council
June 13, 2023