2019-2020 Annual Action Plan Substantial
Amendment 2019-08
U.S. Department of Housing and Urban Development
Community Planning and Development Programs
Planning and Development Department
Housing and Community Development Division
2600 Fresno Street, Room 3065
Fresno, CA 93721
559-621-8300
[email protected]
December 9, 2022
2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 2 of 7
Summary
The City of Fresno (City) is a federal entitlement community that receives annual allocations of Community Development Block Grant (CDBG) funds from the U.S. Department of Housing and Urban Development (HUD). The City is required to prepare an Annual Action Plan detailing the uses of entitlement funds to meet its affordable housing and community development goals as outlined in its Consolidated Plan.
For program year 2019-2020, the City is proposing to make a substantial amendment to its submitted plan.
The purpose of the substantial amendment is to reprogram CDBG-CV funds for the operations of mobile medical clinics.
On February 18, 2021, City Council approved Substantial Amendment 2019-06 to the 2019-2020 Annual Action Plan allocating CDBG-CV funds to be used to support new medical clinics in underserved neighborhoods through the provision of acquisition and/or improvements and operating costs. Since that time, the City has determined there is a greater need for a mobile medical clinic that serves unsheltered and sheltered homeless individuals in underserved neighborhoods.
As part of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) passed by the U.S. Congress and signed into law by the President on March 27, 2020, HUD has issued guidance modifying citizen participation requirements for supplemental coronavirus relief funds (CV funds) for substantial amendments during the coronavirus (COVID-19) pandemic. In order to reprogram the funds from medical clinic acquisition and/or improvements and operating costs to the operating costs of a mobile medical clinic, a substantial amendment is required. On December 9, 2022, the City published Substantial Amendment 2019-08 to the 2019-2020 Annual Action Plan for the required five-day public comment period.
2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 3 of 7
Sources of Funds
Table 1 - Source of Funds
Entitlement
Grant
Program
Year
Action
Plan
Project
IDIS
Activity
ID
Number
Activity Name Source Funding
CDBG-CV 2019 27 27 Medical Clinics/Facility Investments $671,300 CDBG-CV 2019 28 28 Medical Clinic Operations $671,300
Total Sources to Be Reprogrammed $1,342,600
2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 4 of 7
Uses of Reprogrammed Funds
The City is proposing to redirect CDBG-CV funding that would have been used for acquisition and/or improvements and operations of medical clinics to the operations of mobile medical clinics. The mobile medical clinics would serve unsheltered or sheltered homeless residents in underserved neighborhoods.
Table 2 - Uses of Funds
Entitlement
Grant
Program
Year
Action
Plan
Project
IDIS
Activity
ID
Number
Activity Name Proposed Funding
CDBG-CV 2019 28 28 Mobile Medical Clinic Operations $1,342,600 Total Uses of Reprogrammed Funds $1,342,600
2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 5 of 7
Integrated Data and Information System (IDIS) Project Information Table 3 - IDIS Project Information
IDIS Field IDIS Entry
Program Year 2019
Project ID No. 28
Project Name Mobile Medical Clinic Operations
Target Area Citywide
Goals Supported Homelessness and the Prevention of Homelessness Needs Addressed Homelessness / Prevent, Prepare for, and Respond to the coronavirus (COVID-19) Funding CDBG-CV: $1,342,600
Description
Operating costs of mobile medical clinics for unsheltered or sheltered homeless residents in underserved neighborhoods to prevent, prepare for, and respond to Coronavirus.
Target Date 02/2023
Goal 1,000 persons assisted
Location Description Citywide
Planned Activity 05M: Health Services
2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 6 of 7
Substantial Amendment 2019-08 – Public
Comments and City Responses
Public Comments Received – December 9, 2022, and December 15, 2022 The City received seven public comments. Comments in italics are direct quotes from comments. All others are summaries of comments given.
• Vicki via survey: Seems like last minute to request comments on something in the works since 2019 and set to take effect early in 2023. Isn’t this kind of after the fact?
[City Response: In March 2020, President Joe Biden signed the CARES Act into law which made funds available to the City to prevent, prepare for, and respond to COVID-19. The funds were made part of the Annual Action Plan for 2019-2020 by the Department of Housing and Urban Development (HUD). Although the City adopted its 2019-2020 Annual Action Plan on May 2, 2019, it was required by HUD to make an amendment to determine how it would spend the funds. On February 18, 2021, the City adopted Substantial Amendment 2019-06 which outlined the City’s desire to fund a medical facility.
After consultation with the community and the people who work directly with people who are experiencing homelessness, the City determined that the most effective use of the funds would be for a mobile medical clinic.
The public comment has been considered and accepted.]
• Rosario Parras Jr. via survey: Me and my family are proof that the system is flawed we are homeless , and the safety nets put in place failed.we have section 8 voucher and still we’re evicted we were at home 11 years no problems and just like that are lives flipped upside down. No one will rent to us. I have a large family. Work 2 jobs one for city of Fresno still no enough.excellent rental history good credit. My family was rooted in that home that neighborhood. These owners and city leaders involved with these loop holes must be help accountable.me and my wife worked hard to become middle class now we are black below poverty level and instead of help we are repeatedly told what we are not doing.
Jump through all the hoop jump over all hurdles and still nothing we’re are not the only family there are many more. And with all that said, please change is need. Rent was 1400 we paid 1300 of that section 8 payment 100 dollars. City families are in dyer need.
[City Response: The public comment has been considered and accepted.]
• Ericka Kruse via survey: Yes, please direct these medical resources to help the homeless with mobile clinics!
[City Response: The public comment has been considered and accepted.] • Gloria Hernandez via survey: Why duplicate services? United health centers, Sierra vista and CRMC and EOc all run low Clinics in the service area. Help them get an mobile clinic. Concrete on the housing First model. If people have safe homes they won’t need a movie clinic. 2019-2020 Annual Action Substantial Amendment 2019-08
December 9, 2022 Page 7 of 7
[City Response: The funds made available through Substantial Amendment 2019-08 will be made available to any organization that can provide the mobile medical services we need to prevent and respond to COVID-19.
The public comment has been considered and accepted.]
• Josefa Vega via survey: Create and provide infrastructure to support Fresno’s unhoused population and their health by providing purified water stations throughout the city for all of those that need it.
Create and maintain public showers for all of those that need it as this contributes to the health and wellbeing of our community. Create mobile health clinics that prioritize and treat Fresno’s unhouse population’s health. All of these mechanisms in tandem will lead to an increase in participation from and recovery and healing of Fresno’s most vulnerable populations. The unhoused aren’t a monolith, they each have stories and valid reasons as to why they’ve become unhoused and continue to be. By the city and our communities investing in all residents, together we can heal. [City Response: Through Substantial Amendment 2019-08, the City will be able to fund an organization to provide mobile medical services to prevent, prepare for, and respond to COVID-19 to people who are experiencing homelessness throughout the city limits.
The public comment has been considered and accepted.]
• Ginny Barnes via survey: Create and provide an infrastructure to support Fresno’s unhoused residents through the installation of purified drinking water stations throughout the city, public showers, and mobile medical clinics.
[City Response: Through Substantial Amendment 2019-08, the City will be able to fund an organization to provide mobile medical services to prevent, prepare for, and respond to COVID-19 to people who are experiencing homelessness throughout the city limits.
The public comment has been considered and accepted.]
• Latanya Beamon via survey: Yes to mobile medical businesses. [City Response: The public comment has been considered and accepted.]