Public Hearing on Needs, Goals, and Funding Priorities for the 2024-2025 Community Development Block Grant (CDBG) Program

Agenda Item B.1

CPMS PUBLIC HEARING
Meeting Date: March 19, 2024
TO: Mayor and Councilmembers
SUBMITTED BY: Jaime A. Valdez, Neighborhood Services Director PREPARED BY: Melissa Cure, Acting Management Analyst
Cassidy Le Air, Senior Management Analyst
SUBJECT: Public Hearing on Needs, Goals, and Funding Priorities for the 2024- 2025 Community Development Block Grant (CDBG) Program
RECOMMENDATION:

A. Conduct a public hearing to receive public input on the needs, goals , and objectives of the City’s CDBG Program and funding recommendations for the 2024-2025 Action Plan; and
B. Approve the recommendations of the Human Services Standing Committee for 2024-2025 CDBG funding to be included in the draft Action Plan.

BACKGROUND:

Since 2004, t he City of Goleta has received an annual allocation of Community Development Block Grant (CDBG) funding from the U.S. Department of Housing and Urban Development (HUD). The primary objective of the CDBG program is the development of viable communities, decent and affordable housing, an d expanded economic development opportunities for persons of very low, low, and moderate incomes.

As a CDBG entitlement community, the City of Goleta is required to submi t an Annual Action Plan to HUD. The Annual Action Plan articulates the City’s proposed CDBG projects for the upcoming program year, sets annual goals, and indicates how the CDBG funding will be allocated.

Following the input and recommendations provided at this meeting, staff will complete the draft 2024-2025 CDBG Action Plan. This draft Action Plan will then be released for a 30- day public review period prior to returning to the City Council for final approval. The Action Plan must be submitted to HUD by May 15th annually.

At this time, the federal CDBG allocations for FY 2024-2025 have not been finalized and HUD has not released the FY 2024 -2025 entitlement allocations. As a result, staff has proceeded under a status quo estimate that the total amount will be approximately the 1 Meeting Date: March 19, 2024

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same as the current year ($276,047). Fifteen percent (15%) or approximately $41,400 of this amount can be allocated to Public Services to assist low- to moderate-income people.

On December 15, 2023, the City published Notice s of Funding Availability in English in the Independent and in Spanish in El Latino, inviting applications for FY 2024-2025 funding through both the Goleta City Grant program and the CDBG program. Outreach for FY 2024-2025 grant funding availability was provided via the newspaper ads, the City’s website, social media, and by press release. City staff also notified current and past applicants about the funding availability. For the sixth year , the City utilized an online application process through ZoomGrants, a popular online application program used by many other jurisdictions. The deadline for submittal of grant applications was January 26, 2024.

On January 9, 2024, Staff held the first annual grant workshop at the request of City Council to inform public non-profits on the grant process. The workshop was well attended by approximately 40 people representing local non-profits. Staff gave a presentation that covered the basics of the application process, requirements, key dates, and the awarding of grants for applicants to be aware of. Staff plan to hold this workshop annually.

Of the 88 applications received altogether, seven (7) eligible applicants were considered for CDBG funding. The funding requests of all seven (7) CDBG applications total $137,500 with requests ranging from $10,000 to $25,000 . These seven (7) CDBG applications were reviewed by the Human Services Standing Committee (Committee) on February 12, 2024. This Committee is comprised of Councilmember Kyle Richards and Councilmember Stuart Kasdin. The purpose of the Committee is to investigate, consider, evaluate, and advise the Council regarding grant funding opportunities, including CDBG funding and Goleta City Grant Program funding.

DISCUSSION:

This public hearing provides an opportunity for the public and City Council to discuss the City’s needs, priorities, and potential projects that should receive CDBG grant funding for FY 2024-2025. Consideration for CDBG funding should be given to the goals that were established in the 2020-2024 Five -Year Consolidated Plan . These include providing CDBG support for services to the homeless, those with disabilities or special needs, services for low- to moderate-income youth and seniors, and general services for low- to- moderate income people. Other goals of the Consolidated Plan include promoting a suitable living environment through street, sidewalk, drainage, park and other infrastructure improvements in areas with high concentrations of low- to moderate- income populations, namely Old Town Goleta. A summary of the goals from the CDBG Five-Year Consolidated Plan and the annual target for the number of people to be assisted is provided in Table 1 below.

2 Meeting Date: March 19, 2024

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Table 1: CDBG Five-Year Consolidated Plan Goals

Goal and Description Needs Addressed Annual Goal
Public Services: Services for
seniors, youth, homeless
persons/families, persons with special
needs, and other services for low- to
moderate- income people.
 Homelessness
 Non-Housing
Community
Development
 Affordable Housing
 Public services:
• 3,000 persons assisted
 Homeless persons given
shelter/housing:
• 10 persons assisted
 Homelessness prevention:
• 10 persons assisted
Public Facilities & Infrastructure:

Streets, sidewalks, flood control, parks,
bike paths, drainage, open space, etc.
 Non-Housing Community
Development

 1,013 persons assisted
(5-year period)

The Human Services Standing Committee meeting was held on February 12, 2024 to review the City’s use of CDBG grant funding. This included review of applications for sub- recipient grants for public services (15% of CDBG funding), including programs providing general services to low -income people, youth, seniors , and the homeless. After deliberation, the Committee recommended CDBG awards to three (3) of the seven (7) applicants (summarized in Table 2 below). The remaining four (4) applicants not funded for CDBG funding were moved to the City Grant Program for consideration. It is the Committees recommendation to div ide the amount awarded from HUD evenly between the three (3) CDBG Sub-recipients.

Table 2: 2024-2025 CDBG Public Service Recommendations

Recommended
CDBG
Sub-Recipient
Amount Description
Isla Vista Youth
Projects, Inc. (IVYP)
Approximately
$11,000
Funding will support IVYP’s Family Resource
Center to end the cycle of poverty, build a healthy
community and promote parental resilience. This
includes case management, food assistance,
parenting classes, and health screenings.

People’s Self-Help
Housing
Corporation
Approximately
$11,000
Funding would support free clinical case
management & homelessness prevention services
to all households and residents utilizing PSHH
services located within the City of Goleta.

Santa Barbara
Neighborhood
Clinics
Approximately
$11,000
Funding would support the Goleta Neighborhood
Clinic’s and Goleta Dental Clinic’s comprehensive
health and dental care services including medical
and dental care, mental health and counseling
services.

The City is allowed to use up to 20% of its annual allocation for planning and administration of the CDBG program, or approximately $55,000. The remaining 65% of the City’s CDBG allocation is typically directed to one or more capital improvement 3 Meeting Date: March 19, 2024

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projects primarily benefiting low - to moderate-income people or people with disabilities (see below discussion).

CDBG Capital Improvement Project for Program Year 2024-2025

Staff estimates the City will receive approximately $140,000 in CDBG funds for the 2024- 2025 program year that will be available for capital projects. Based on discussions with the Public Works Department, staff recommend the CIP portion of the CDBG allocation be directed to improvements at the Goleta Valley Community Center. Foundational issues have been discovered during the seismic and ADA improvements, which were funded with previous CDBG CIP funds. Improvements and repairs to the Community Center are eligible under the category of public facilities and improvements serving eligible low - income areas. The Committee agree d with the recommendation that the FY 2024 -2025 CDBG funding again go towards the Community Center improvements. The City Council has placed a high priority on completing the Community Center improvements in the most expeditious manner possible.

FISCAL IMPACTS:

The costs for staff time spent on administration of the CDBG program are funded by the CDBG award received by the City. For the current fiscal year (20 23-2024), the City received $55,209.40 for administrative costs, which will be sufficient to cov er the City’s costs of preparing the 2024-2025 Action Plan and required outreach and advertising.

CDBG funding for staff time is transferred to the City’s General Fund via account number 402-60-6300-59000 to cover program-related costs.

As described above, HUD has not yet published the entitlement funding allocation formula for FY 2024-2025, and, thus, the City is using a status quo estimate of $276,047 for FY 2024-2025. In the event the U.S. Congress significantly modifies funding for the CDBG program when the federal budget is approved , staff will inform Council and adjustments can be made prior to adoption of the Final Action Plan for 2024-2025.

ALTERNATIVES:

Council may elect to modify any or all Committee recommendations, in which c ase staff would incorporate the revised allocations into the Draft 2024-2025 Action Plan. If Council opts to take no action, it would be difficult to make HUD’s deadline for submittal of the Action Plan, which could in turn put the City’s CDBG funding allocation in jeopardy.

LEGAL REVIEW BY: Megan Garibaldi, City Attorney

APPROVED BY: Robert Nisbet, City Manager

ATTACHMENTS:

1. 2024-2025 CDBG Applications and Human Services Standing Committee Funding Recommendations
4 ATTACHMENT 1

2024-2025 CDBG Applications and
Human Services Standing Committee Funding Recommendations 5 Applicant Project/Program FY23-24 Grant
Award
FY24-25 Amount
Requested
FY24-25
Recommendation
1 American Indian Health & Services Healthcare for Underserved Goleta Residents Did not apply 15,000$ M ove to CG 3 BCACSB Youth Cultural Arts Program Youth Cultural Arts Program Did not apply 25,500$ M ove to CG 2 Hospice of Santa Barbara Support for Goleta Patients with Life-Threatening Illness Did not apply 10,000$ mov e to CG 4 Isla Vista Youth Project Support for the Family Resource Center 13,803.00$ 25, 000$ Di vide amt equally 7 Mosaic Therapy Collective Therapy Services for Low-Income Children and Adults with Disabilities Did not apply 25,000$ M ove to CG 6 New Beginnings Safe Parking Shelter and Rapid Rehousing Program (received City Grant Funding FY 23-24) 10,000.00$ 20, 000$ Di vide amt equally 5 People's Self Help Supportive Housing for Low-Income and Farmworker Households 13,803.00$ 17, 000$ Di vide amt equally Total 137,500.00$
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1. What is your organization's mission statement?
The mission of American Indian Health & Services Corporation is to promote and provide quality services to improve the health and well-being of American Indians/Alaska Natives and other community members.

Program Information

2. Describe the proposed program, activity, or event for which you are asking for funding. Please share how it will operate (days, hours, eligibility, etc.), how it will be monitored, and the people you intend to serve (target population).

Please be speciﬁc about the hours and total days that people will be served by the program and exactly Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
American Indian Health & Services
Quality Healthcare for Underserved Goleta Residents
Jump to: Application Questions Budget Documents
USD$ 15,000.00 Requested
Submitted: 1/25/2024 12:36:06 PM
(Paciﬁc)
Project Contact
Thalya Zapata
[email protected]
Tel: (805) 694-6981
Additional Contacts
[email protected]
American Indian Health &
Services
3227 State St
Santa Barbara, CA 93105
United States
Chief Executive Oﬃcer
Scott Black
[email protected]
Telephone(805) 681-7144
Fax (805) 681-7358
Web www.aihscorp.org
Application Questions top
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AIH&S provides aﬀordable high quality medical, dental, pediatric, optometry and behavioral health services to the low-income, underserved, uninsured, homeless children, adults, and families with a speciﬁc focus on the American Indians/Alaska Natives communities; though, the organization aims to help all those in need.

Additional services, including enabling services and connections to community resources for issues with housing, food in security, transportation, health insurance coverage, etc. are also oﬀered.

AIH&S is asking for grant funding to be able to provide free or low-cost medical, dental, pediatric, optometry and behavioral health services to low-income, underserved, uninsured, underinsured, homeless children, adults and families who reside in the City of Goleta.

Our main clinic is located at 4141 State Street, Santa Barbara, CA 93105.

Our Carpinteria Dental Clinic is located at 5412 Carpinteria Ave., Carpinteria, CA 93013.

We are open Monday - Friday.

The Medical Department, which includes pediatric and optometry) is open between the hours of 7:45 am - 6:00 pm.

The Dental Department is open between the hours of 7:45 am - 6:00 pm.

The Behavioral Health Department is open between the hours of 8:00 am - 6:00 pm.

Our healthcare professionals provide medical, dental, pediatric and behavioral health services to all members of our community.

Our Native American community members may be eligible for certain programs supported by the Indian Health Service and our non-Native community members may be eligible for programs supported by the Health Resources and Services Administration and the State of California which our certiﬁed enrollment staﬀ are able to assist with to ensure that our patients are connected with resources that they qualify for including food assistance, healthcare insurance and other public programs.

Furthermore, AIH&S provides healthcare services to all members of our community regardless of tribal aﬃliation or ability pay. We also oﬀer a sliding fee discount scale for those who qualify. Uninsured or underinsured patients are charged based on their income ability to pay and pay an inclusive nominal fee (discounted rate) which does not cover the organization’s costs. We will never turn away a patient for inability to pay for services.

AIH&S utilizes NextGen: Enterprise Practice Management (EPM), Electronic Health Record (EHR) and Electronic Dental Record (EDR) and i2i Tracks to generate statistical Population health reports. There are two key positions that help ensure the organization's overall evaluation and eﬀectiveness, the Quality Assurance Analyst, and the Data Analyst. Both play a signiﬁcant role in monitoring and evaluating statistical data and assuring that the highest level of quality is met. They report to the Chief Administration Oﬃcer who then engages the Board of Directors and Leadership Team in the overall program evaluation to identify areas for improvement. Monthly meetings are held to evaluate program eﬃciencies, eﬀectiveness, discuss needs and challenges, and review speciﬁc quality of care data. The Board of Directors are also provided with a quarterly Performance Monitoring Workbook which details the organization’s performance data compared to previous years. The Board of Directors are a key group of volunteers who provide governance, strategic direction, and ﬁduciary oversight of the organization. Together, the Leadership Team and Board of Directors play an essential function in the organization's success.

We intend to serve residents of the City of Goleta who are low-income, underserved, uninsured, underinsured children, adults and families.
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3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

About 1,680 Goleta residents will be served and about 5,508 non-Goleta resident patients will be served through our program totaling 7,188 unique patients.

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

AIH&S addresses the need of providing comprehensive, aﬀordable, and quality healthcare (medical, dental, specialty dental (orthodontics, endodontics, and prosthodontics), optometric, behavioral health and enabling services to the most medically underserved populations. AIH&S is the medical home for over 7,188 unique patients. Over 94% of patients are low-income. Some patients ﬁnd it diﬃcult to navigate a complicated health care system, thereby overlooking acuities that can become serious chronic life- threatening health conditions when unmanaged. AIH&S addresses poor access to healthcare.

Additionally, a population of focus for AIH&S is the American Indian/Alaska Native community which experiences a large health disparity compared to the general U.S. population, speciﬁcally social determinants that negatively impact their health, including poverty, geographic isolation, and historical trauma. This population is at substantial risk of poor overall health outcomes. Having a culturally responsive workforce and programs are crucial to reducing health inequity in underserved communities.

6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

For the low-income population, health is often not attended to until it becomes an urgent matter, resulting in expensive and needless emergency room visits which drain the resources of both the patients and hospital. AIH&S plays a vital role in the Santa Barbara healthcare delivery system by reducing burdens on the local emergency rooms by providing same-day access to primary care physicians, specialists and counselors and after-hours telephone access to a provider 24/7. AIH&S is proud of the work we do in reducing non-critical visits to the local hospital emergency rooms by providing same-day access to quality care.

AIH&S follows the guidelines and metrics in achieving health equity and improving health outcomes for patients of the United States Department of Health and Human Services (HHS) and its subsidiaries: Indian Health Service (IHS), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Medicare & Medicaid Services (CMS), and Centers for 9 1/25/24, 1:15 PM Print/Preview
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The need for services in the area is substantial and the organization aims to address barriers to healthcare access. AIH&S’ goal for this year is to capture as many of those individuals and provide a medical home to them.

The organization is also recognized by the National Committee for Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH). The organization's patient-centered medical home model organizes primary care in a manner that emphasizes care coordination and communication between the patient and provider and outside specialists. As a patient centered medical home, AIH&S is leading the way in providing higher quality care at lower costs and improving overall experience of primary care. The goal is to promote improved health at lower costs by focusing on the structure and delivery of integrated healthcare which is why AIH&S has gone through Patient-Centered Medical Home (PCMH) certiﬁcation and has recently embarked in the process of becoming a national accredited health care facility through the Accreditation Association for Ambulatory Health Care (AAAHC). This accreditation will make AIH&S part of an elite force of organizations that prioritize quality for patients and staﬀ and meet high patient-safety standards.

Furthermore, the clinic is helping to ﬁll a healthcare provider shortage in its service area. AIH&S is a designated Health Professional Shortage Areas (HPSAs) facility because it provides comprehensive primary care services to our underserved populations in the Central Coast, oﬀers a sliding-fee scale discount based on income, maintains a quality assurance program, and is governed by an independent Board of Directors.

It also serves a designated HPSA since AIH&S is an Urban Indian Health Program providing healthcare to the American Indian/Alaska Natives (AI/AN) population in our community.

We envision a community health care center that provides the care, education, and resources enabling clients to sustain a lifetime of health and wellness.

Physical access at AIH&S includes accessible routes, curb ramps, parking and passenger loading zones, signage, entrances, and restroom accommodations. All clinics are on ground level; therefore, no elevators are used by staﬀ or patients. The clinic also has Braille signs for those who are visually impaired.

Additionally, as required by law, AIH&S allows a service animal to accompany a person with a disability to areas such as patient waiting rooms, clinic, or examination rooms. AIH&S also oﬀers telehealth services for those patients wishing to be seen remotely by means of telecommunications technology.

AIH&S is prohibited from discriminating on the basis of race, color, national origin, disability, age, sex, religion or political beliefs. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), can request it from program staﬀ. Additionally, program information may be made available in languages other than English/Spanish. AIH&S has agreements in place with CenCal Health and Certiﬁed Languages to provide translation services to patients.

Funding
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Please include other grant sources either received or for which you are applying.

N/A

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful?
Government reimbursements like Medi-Cal/Medicare and grant funding will continue to be an important source of funds for AIH&S. Providing services to all people, regardless of tribal aﬃliation or ability to pay, will always create a gap in funding that can only be ﬁlled through philanthropic support, which is a critical component to ensure that everyone has access to quality healthcare in our community.

Fundraising is an integral and ongoing function of our Team. The organization relies on philanthropic support to fulﬁll its mission of promoting and providing quality services to improve the health and well- being of American Indians/Alaska Natives and other community members. We continually look for avenues to maximize our revenues through eﬃcient operations and ways to improve organizational substantiality. If full funding is not available, we will continue to seek grant funding through other foundations and opportunities. The goal is to continue to provide aﬀordable healthcare to patients without having to reduce services or pass on the costs to them. To do that, the organization has a responsibility to its patients by fulﬁlling our ﬁnancial goals this ﬁscal year and not making changes to the budget through reducing services or the number of patients served.

We are grateful to the City of Goleta for your consideration and hope you can directly support us in improving the health of those that need it the most in our community.

Individuals applying for the Sliding Fee Discount Program are required to complete a ﬁnancial discount application which is given to those who identify having a household income below 200% of the FPG. A completed application, including required documentation of the home address, household income, and insurance coverage (if any), must be on ﬁle and approved by the business oﬃce before a discount is granted. Adolescent patients seeking conﬁdential care are exempt from the application process, and services are provided at the nominal rate or free of charge.

Patients are asked to update the information annually and must provide written veriﬁcation of monthly income and family size. Examples of written veriﬁcation include the prior year’s W-2 forms, prior year tax return, the two most recent pay stubs, written veriﬁcation from their employer, or a letter from someone caretaking the patient. Consumers providing this level of income documentation must have their income veriﬁed no less than once each year, and patient services staﬀ are trained in eligibility requirements for the sliding fee discount program and review eligibility at each visit. The health center requires that the patient bring in their proof of income within 30 days from the date of service. Based on the information that is provided in the ﬁnancial discount application, a discount is applied. Patients on Medicaid (Medi-Cal in California) do not need to complete this form.

A self-declaration (attestation) may be used in special circumstances. Patients who are unable to provide written veriﬁcation of income must provide a signed statement of income and why they are unable to 11 1/25/24, 1:15 PM Print/Preview
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11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

The organization's ﬁscal year begins September 1 and ends August 31.

Our last audit was completed for the year ending August 31, 2022. There were no ﬁndings or concerns.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? The Board of Directors meets on a monthly basis during the Board of Directors meeting. During this meeting, they review and approve the ﬁnancial statements.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

AIH&S oﬀers a Sliding Fee Discount Program which is reviewed annually to establish a nominal fee and schedule of discounts based on patient family sizes and income up to 200% of the Federal Poverty Level (FPL) that ensures all individuals have access to healthcare services regardless of their ability to pay. No patient will be denied service due to an individual’s inability to pay, including waiver or reduction of payments on individualized determinations. This program is designed to provide care at discounted rates to those who have no means, or limited means, to pay for services (uninsured or underinsured).

The Board of Directors set fees once each year upon release of the updated Federal Poverty Guideline (FPG) scale as published in the Federal Register, with input from its consumer members. The FY 2023 sliding fee schedule was updated in 2023 upon the release of the new Federal Poverty Guidelines that year. The FY 2024 guidelines were released in January 2024 and will be presented to the Board in the coming month. The policy and schedules are updated and approved bi-annually by the Board. The policy was last updated in March 2022.

A nominal ﬂat fee of $55 is requested for medical and behavioral healthcare services for those who have incomes below 100% of FPG. Nominal fees based on Current Dental Terminology (CDT) code are requested of patients seeking dental care who are below 100% of the FPG. Nominal fees for specialist ENT services are established.

The nominal charge’s eﬀectiveness in reducing ﬁnancial barriers to care from the perspective of the patient is evaluated at least annually using patient survey and focus group discussion and by comparison to local Medicare/Medicaid rates. The fees for medical, behavioral healthcare, and dental services do not reﬂect the actual cost of the services being provided. Staﬀ are instructed to administratively waive the fee if patients indicate that it is too much to pay, and no one is denied care due to an inability to pay for services.

A copy of our Sliding Fee Discount Program fees is attached.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials).
15195308 Total Assets ($)
7224885 Total Liabilities ($)
7970423 Total Net Assets ($)
15195308 TOTAL LIABILITIES AND NET ASSETS ($)
45,585,924.00 TOTAL

15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain. 12 1/25/24, 1:15 PM Print/Preview
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No.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

David Selberg, Chief Executive Oﬃcer, Hospice of Santa Barbara, (805) 563-8820 Cole Kinney, Senior Vice President of Development, CalNonproﬁts Insurance Services, (415) 906-5057 CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

Name
Address or City last resided in
Number of family members
Total family (household) income
Race and ethnicity
Proof of age
My organization does not obtain any of the above information from clients.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
5164 Extremely low income (0-30% MFI)
1086 Very low income (30-50% MFI)
491 Low-moderate income (50-80% MFI)
447 Above moderate income (Above 80% MFI)
7,188.00 TOTAL

20. If your program or activity takes place on school grounds, have you received permission and approval from the appropriate school?
Please list the name and position of the person from whom permission was obtained. If the program or activity is not on school grounds, please put N/A.

N/A
Budget top
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for Current Fiscal Year
Projected Program
Revenue for Next Fiscal
Year
City of Goleta Funds USD$ 0.00 USD$ 15,000.00
Federal USD$ 0.00 USD$ 0.00
State USD$ 0.00 USD$ 0.00
County USD$ 0.00 USD$ 0.00
Municipal USD$ 0.00 USD$ 0.00
Investment Income USD$ 74,692.00 USD$ 50,000.00
Grant and Contract
Revenue USD$ 5,077,813.00 USD$ 6,485,000.00
Contributions USD$ 92,440.00 USD$ 10,000.00
Program Service Revenue USD$ 9,192,184.00 USD$ 9,600,000.00 Other Income USD$ 67,540.00 USD$ 0.00
Total USD$ 14,504,669.00 USD$ 16,160,000.00
Funding
Uses/Expenses
Expenditures for Current
Year
Expected Expenditures for
Next Year
Goleta Grant Funds:

Proposed Uses for Next
FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 11,174,838.00 USD$ 12,610,000.00 USD$ 0.00
Consultants and
Contracts USD$ 253,259.00 USD$ 261,000.00 USD$ 0.00
Facility, Rent, Utilities,
Maintenance USD$ 738,787.00 USD$ 760,000.00 USD$ 0.00
Supplies - medical/dental USD$ 833,644.00 USD$ 872,000.00 USD$ 15,000.00 Marketing (Printing,
Advertising) USD$ 48,070.00 USD$ 49,000.00 USD$ 0.00
Travel, Mileage, Training USD$ 212,704.00 USD$ 249,000.00 USD$ 0.00 Equipment
(Rental/Maintenance) USD$ 0.00 USD$ 0.00 USD$ 0.00
Insurance USD$ 331,233.00 USD$ 341,000.00 USD$ 0.00
Other - Miscellaneous USD$ 7,462.00 USD$ 8,000.00 USD$ 0.00 Information Technology
Costs USD$ 772,633.00 USD$ 839,000.00 USD$ 0.00
Laboratory Services USD$ 106,137.00 USD$ 112,000.00 USD$ 0.00 Community Events USD$ 46,175.00 USD$ 49,000.00 USD$ 0.00 Total USD$ 14,524,942.00 USD$ 16,150,000.00 USD$ 15,000.00 Budget Narrative
City of Goleta funds will be utilized for the purchase of medical supplies. Examples include, gauze, bandages, syringes, thermometers, tweezers, cotton applicators, dressings, etc.

Documents top
Documents Requested * Required?Attached Documents *
Nonproﬁt Tax Exemption Status
AIH&S Nonproﬁt Tax Exemption Status
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AIH&S List of Board Members
Financial statements from the most recently
completed ﬁscal or calendar year
AIH&S Financial Statements ending

8.31.2022
Organizational Budget
AIH&S Organizational Budget
Organizational Chart AIH&S Organizational Chart
Supplemental or Additional Information AIH&S Supplemental - Sliding Fee Discount Program Schedule 2023
* ZoomGrants™ is not responsible for the content of uploaded documents.

Application ID: 458765
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1. What is your organization's mission statement?
The Brazilian Cultural Arts Center of Santa Barbara (BCACSB) empowers community members through cultural arts education, inspiring creative forms of self-expression to move beyond physical, mental, and emotional challenges. We encourage community members to embrace diversity and embody self- conﬁdence through community events and classes in dance, martial arts, drumming, yoga, language, music and more for all ages and levels.

Program Information
Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
The Brazilian Cultural Arts Center of Santa Barbara
BCACSB Youth Cultural Arts Program
Jump to: Application Questions Budget Documents
USD$ 25,500.00 Requested
Submitted: 1/26/2024 1:24:58 PM (Paciﬁc)
Project Contact
Zoe Carlson
[email protected]
Tel: 831-332-1573
Additional Contacts
none entered
The Brazilian Cultural Arts
Center of Santa Barbara
5370 Hollister Ave Ste 2
Goleta, CA 93111
United States
CEO
Mariano Silva
ﬁ[email protected]
Telephone805.229.6080
Fax
Web www.BCACSB.com
Application Questions top
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Please be speciﬁc about the hours and total days that people will be served by the program and exactly how/for what City of Goleta funds will be used to support the program.

The BCACSB Youth Cultural Arts Program will provide classes for free to extremely low-income and very low- income youth in the City of Goleta. BCACSB will give priority enrollment to youth who live within census tract

30.01 or are currently unhoused. Each participant will need to provide documentation of income status and current residence within the City of Goleta. BCACSB has established relationships with teachers and administrators at local schools and will distribute information about the program through schools, the library, and throughout Old Town Goleta.

Program activities will include three full programs:

1. Fall program: The fall program will run for 12 weeks from August to November and will include 5 classes per week with 20 students per class, serving a total of 100 students.

2. Winter program: The winter program will run for 12 weeks from December to March and will include 5 classes per week with 20 students per class, serving a total of 100 students.

3. Spring program: The spring program will run for 10 weeks from March to June and will include 5 classes per week with 20 students per class, serving a total of 100 students.

Each program will culminate in a performance where youth will be able to demonstrate their new skills in front of their families, peers, and the broader community.

Classes will be held on weekday afternoons (Monday through Friday). Each class will combine music and movement through the cultural art form of Capoeira. Students will develop together and build leadership skills as they support each other in overcoming physical, mental and emotional challenges. BCACSB's Capoeira instructors have decades of experience teaching Capoeira to youth, adjusting each class to meet the youth where they are and support them in growing and developing with their peers. Each class will provide exercises for students to work with a partner as well as a group.

Grant funds will be used to pay the two primary instructors for the 170 hours of instruction time. Each class will also have assistant instructors who will volunteer their time.

BCACSB will pay for administrative costs and supplies associated with the program including creating and distributing information about the program, instructor lesson planning and preparation time, musical instruments, completing and retaining necessary paperwork, facility rental and overhead costs.

3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

The program will serve 300 extremely low and very low income youth residing within the City of Goleta

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

One-time or annual community event (concert, creek cleanups, festival, etc.) Youth programs
Senior programs (food/nutrition, education programs, day activities, etc.) Environmental/wildlife/animal welfare programs
Public services for low-income residents/homeless
Educational programs
Arts (music, dance, theater, art)
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Recreational activities
Other:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

Yes, the program will be held at the BCACSB, located in Census Tract 30.01. Tract 30.01 is the only tract within the City that is predominantly low-income and the one tract within the City that has a concentration of racial or ethnic minorities according the City of Goleta Community Development Block Grant 2020-2024 Consolidated Plan. Youth who reside within this City tract need access to low and no-cost, culturally rich, recreational activities that are led by teachers who look like them. The program provides a comprehensive cultural arts education that combines music, movement, art, dance and theatre in a fun and safe environment where youth can overcome physical, mental and emotional challenges while developing leadership skills and self-conﬁdence.

This program provides a unique experience for youth to cultivate mental, emotional and physical wellness.

BCACSB's teachers recognize the tremendous therapeutic aspects of music and movement and provide a safe space to facilitate personal growth and transformation. BCACSB recognizes that students naturally model themselves after their teachers and is careful to hire body-positive teachers who are comfortable in their own skin and express joy and enthusiasm as they express themselves and teach. Because each BCACSB teacher experiences dance as a therapy they are able to pass along that same experience to their students.

6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

Yes, youth who participate in the arts are more likely to succeed in school and advance in careers. This program speciﬁcally empowers the most socio-economically disadvantaged youth in our community with tools to manage stress and move beyond both physical and emotional challenges. Youth in the program can use the tools they learn in class to combat bullying and overcome obstacles they face at home and at school.

In Capoeira classes students learn to speak and sing in Brazilian Portuguese. BCACSB has discovered that learning this new language can bring together both native English and Spanish speaking students as they connect through learning a new common language and understand the deep cultural roots of the artform through language. This connection fosters tolerance and curiosity for individuals and cultures that are unfamiliar to youth. Youth who participate in BCACSB programs are more adept at embracing new challenges, unfamiliar environments, and people of diﬀerent cultural backgrounds. In this way, BCACSB's programs combat xenophobia and foster a cohesive community where everyone feels welcome.

Funding

8. Would the City's grant funding leverage other resources, such as supporting joint partnerships, matching funds, or cost sharing, or otherwise serve to catalyze other initiatives? If yes, please 18 1/26/24, 1:29 PM Print/Preview
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Please include other grant sources either received or for which you are applying.

Since BCACSB is located within the City of Goleta, grant funding is extremely limited for programs that are focused on local low-income youth.

BCACSB had an established youth program prior to the COVID 19 pandemic that was supported by private donors and foundations. This grant will allow BCACSB to re-establish the program and re-engage with private donors and foundations as well as apply for state and federal grants to extend and expand the program after the grant period.

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful?
Funding from the City is vital to the success of the program and making it accessible to as many students as possible. Partial funding would result in a scaled back program that would not serve as many low-income youth.

10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes?
If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)?
Yes, the grant funds will support BCACSB in providing the program for free for 300 youth from extremely low-income and very low-income households. BCACSB obtains income documentation from families who wish to participate in programs at a reduced cost or at no cost.

BCACSB also has a successful youth Capoeira program where families from across the region pay for classes. This grant will make these successful classes available to all youth residing within the City of Goleta including extremely low-income and very low-income households.

11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

Not applicable, BCACSB is not required to have an audit performed.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? BCACSB's Board of Directors reviews and approves ﬁnancial statements on a quarterly basis.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

Yes, BCACSB reviews fees on an annual basis and last reviewed fees in January 2024. Grant funds, however, will be used to oﬀset program costs for extremely low-income and very low-income residents of Goleta.

Youth who live in Goleta in households that are in the extremely low-income and very low-income categories will not pay any fees for the program.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials).
47652 Total Assets ($)
39352 Total Liabilities ($)
8300 Total Net Assets ($)
47652 TOTAL LIABILITIES AND NET ASSETS ($)
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15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

No, BCACSB does not have any past due obligations or IRS or state levee.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

Mariano Silva, 805-259-7874
Annalisa Zaccardelli, 707-921-9258
CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
20 Extremely low income (0-30% MFI)
17 Very low income (30-50% MFI)
124 Low-moderate income (50-80% MFI)
48 Above moderate income (Above 80% MFI)
209.00 TOTAL

N/A
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Revenue Sources Total Program Revenue
for Current Fiscal Year
Projected Program
Revenue for Next Fiscal
Year
City of Goleta Funds USD$ 0.00 USD$ 25,500.00
Federal USD$ 0.00 USD$ 0.00
State USD$ 0.00 USD$ 0.00
County USD$ 0.00 USD$ 0.00
Municipal USD$ 0.00 USD$ 0.00
School District USD$ 0.00 USD$ 0.00
Foundations/Trusts USD$ 0.00 USD$ 0.00
Donations/Fundraising USD$ 5,300.00 USD$ 2,700.00
Fees USD$ 0.00 USD$ 680.00
Other USD$ 0.00 USD$ 0.00
Total USD$ 5,300.00 USD$ 28,880.00
Funding Uses/Expenses Expenditures for Current
Year
Expected Expenditures
for Next Year
Goleta Grant Funds:

Proposed Uses for Next
FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 1,530.00 USD$ 25,500.00 USD$ 25,500.00
Consultants and Contracts USD$ 0.00 USD$ 0.00 USD$ 0.00 Facility, Rent, Utilities,
Maintenance USD$ 0.00 USD$ 5,950.00 USD$ 0.00
Supplies USD$ 0.00 USD$ 0.00 USD$ 0.00
Marketing (Printing,
Advertising) USD$ 1,200.00 USD$ 0.00 USD$ 0.00
Travel, Mileage, Training USD$ 0.00 USD$ 0.00 USD$ 0.00 Equipment
(Rental/Maintenance) USD$ 0.00 USD$ 0.00 USD$ 0.00
Insurance USD$ 0.00 USD$ 0.00 USD$ 0.00
Other USD$ 0.00 USD$ 0.00 USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
USD$ 0.00
Total USD$ 2,730.00 USD$ 31,450.00 USD$ 25,500.00
Budget Narrative
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BCACSB will pay for the primary instructor lesson planning and prep time in the current Fiscal Year ($1,530 total for 18 hours of program development, planning and preparation).

BCACSB will also develop, and distribute the information about the program and register participants in this FY. A total of $1,200 will be spent on producing and distributing information about the program.

BCACSB will also pay for the rent, utilities, and maintenance for the program ($35/hour for 170 hours).

BCACSB will use supplies and materials for the program that have already been acquired in previous ﬁscal years including musical instruments.

The program will be supported by BCACSB volunteer staﬀ including two volunteer teachers and volunteer administrative staﬀ. An estimated total of 220 hours of volunteer time will be required for the program.

Documents top
Documents Requested * Required?Attached Documents *
Nonproﬁt Tax Exemption Status
IRS Letter BCACSB
List of Board Members
BCACSB Board
Financial statements from the most recently
completed ﬁscal or calendar year
Most recent tax return
2023 Quarterly Financials
Organizational Budget
BCACSB Budget 2024
Organizational Chart
Supplemental or Additional Information BCACSB Beneﬁts of Capoeira for Youth * ZoomGrants™ is not responsible for the content of uploaded documents.

Application ID: 459727
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1. What is your organization's mission statement?
Hospice of Santa Barbara’s mission is to care for anyone experiencing the impact of life-threatening illness or grieving the death of a loved one. We oﬀer patient support, volunteers, grief counseling, crisis support, and education about end of life issues. HSB was founded in 1974, and is the second oldest hospice organization in the country. Each year, we serve 2,500 people with counseling and patient care, plus an additional 1,500 with community education. All services are free of charge, which is important considering that 58% of those we serve organization-wide are low- or very low-income. Our programs are summarized below:

Patient Care Services (PCS)
HSB staﬀ and volunteers support those with a life-threatening illness with medical care management, Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
Hospice of Santa Barbara
Support for Goleta Patients with a Life-Threatening Illness Jump to: Application Questions Budget Documents
USD$ 10,000.00 Requested
Submitted: 1/25/2024 3:30:19 PM
(Paciﬁc)
Project Contact
Heather Stevenson
[email protected]
Tel: 805-453-4570
Additional Contacts
none entered
Hospice of Santa Barbara
2050 Alameda Padre Serra,
Suite 100
Santa Barbara, CA 93103
Chief Executive Oﬃcer
David Selberg
[email protected]
Telephone805-563-8820
Fax 805-563-8821
Web hospiceofsantabarbara.org
Application Questions top
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Volunteer Services
115 trained volunteers provide practical help, respite care, and companionship through PCS, Beloved Bears, and group bereavement counseling.

Bereavement Services for Children and Their Families
We provide grief counseling in our oﬃce and in 18 schools to children, teens, and young adults ages 4-24. In 2022, we served 293 grieving children and their immediate family members.

Bereavement Services for Adults
HSB’s therapists oﬀer individual and group counseling to help adults who have lost a loved one. In 2022, we served 885 people.

Crisis Support
In the wake of community tragedies, HSB is a key resource for scared and grieving community members who want to heal. We provide services onsite during the crisis, and oﬀer ongoing counseling afterward for those impacted by the crisis.

Resource Distribution to the Latinx Community
Through a partnership with Mi Vida, Mi Voz, we began distributing critical pandemic information in Spanish during COVID. As the pandemic has shifted, we are now promoting all resources that impact the Latinx community, with an emphasis on mental health.

Advance Care Planning
We are working to increase the number of people who complete the MyCare Advance Directive document, with an emphasis on the Latinx community. In 2022, we helped 347 people complete their MyCare document.

Community Education
To make conversations about death easier, we oﬀer free education to the community. In 2022, we trained 988 community members and professionals. Our virtual Illuminate Speaker Series reached 3,500 people.

Program Information

Please be speciﬁc about the hours and total days that people will be served by the program and exactly how/for what City of Goleta funds will be used to support the program.

OUR VISION
Our ultimate vision for Patient Care Services (PCS) is to fundamentally change an important social structure of society: the medical care system. Since 2014, PCS has led the ﬁeld of “integrative patient care management” (sometimes called enhanced care management) by focusing on whole-patient care, coordinating interdisciplinary teams, and including family members/caregivers in our scope of service. Our model program is replicable and scalable throughout the state and beyond. PCS addresses a number of social determinants of health that ultimately make a positive impact on the outcomes and experiences of patients who have been diagnosed with a life-threatening illness. We speciﬁcally focus on marginalized groups, including the Latino community (43% of client base), seniors (62% of client base), and low-income communities (80% of client base).
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USE OF FUNDS
Any awarded funding would be used to support the salary of our bilingual/bicultural Patient Care Services Care Coordinator. Approximately 43% of our client base is Latino. The vast majority of these patients and their family members prefer to communicate in Spanish; 65% are monolingual in Spanish. This illustrates the critical importance of our bilingual/bicultural staﬀ in serving this community.

PROGRAM OPERATION
Generally, we serve patients and their families during normal business hours, but when needed we will help patients outside of these hours. Though we have physical oﬃces in Santa Barbara and Carpinteria, ill patients and their family members are not expected to come to our oﬃces. Instead, we frequently meet patients at home or in medical settings, such as doctors’ oﬃces or treatment centers. We also see patients via telehealth when it’s easier or safer for them. The main geographic range of our services is Gaviota through Carpinteria.

Because we do not accept insurance reimbursements or fees of any kind, we are free to serve patients for as long as they need us. Some patients are with us for a few weeks or months, but some have been with us for a few years as they grapple with a longer illness such as ALS.

SERVICES
Anyone with a life-threatening illness (even if they are expected to recover) are eligible for services, regardless of income. (However, as mentioned, 80% of clients are lower income.) Patients have diseases such as cancer, Parkinson’s, ALS, or dementia. Our services are described below.

Medical Care Management
HSB care managers help patients and caregivers understand their illness and empower them to make decisions that work for them. We help families keep on top of appointments, ﬁgure out transportation, navigate insurance, coordinate services among multiple care providers, prepare advance directives, and make end of life decisions. Care managers go with patients to appointments to take notes, explain what the doctor is saying, advocate for the patient, and translate when language barriers need to be overcome. This is critical for people who may have a hard time remembering information, are in a state of anxiety, or do not speak English. Those who don't speak English are often marginalized as they try to navigate their health care with inadequate services to translate, sometimes leaving them unclear about key aspects of their illness.

Cultural barriers can result in folks not asking clarifying questions of their physicians in deference to their authority. This highlights the importance of our bilingual/bicultural PCS staﬀ.

Volunteer Support
Volunteer support has been shown to have a positive impact on the quality of life of patients with terminal illnesses and their families (McClain et al., 2017). Patients who receive volunteer support report higher levels of satisfaction with their care and a greater sense of control over their illness (Kamal et al., 2018).

Approximately 60 HSB volunteers oﬀer friendly visits, respite for caregivers, light housekeeping, pet care, grocery shopping, transportation to appointments, and many other things. After a death, volunteers also can help with things like funeral planning, packing up the belongings of the deceased relative, and emotional support for family members.

Spiritual Care
Spiritual care can provide a sense of meaning, purpose, and peace during times of uncertainty, both for patients facing their own death and their family members. This type of support can help people cope with the challenges of a terminal illness (McSherry & Cash, 2004; Van Leeuwen et al., 2006). When working with someone who is dying, our spiritual care counselor provides an open forum for life review and reconciliation, and helps address life’s last questions, such as, “What matters most?” “How will I die?” and “Why is this happening to me?”
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Anticipatory Grief Counseling
PCS’s professional staﬀ provide grief counseling to support those experiencing the fear, anxiety, numbness, or fatigue that can occur before a loss, or when facing one’s own death. For the ill person, counseling can be critical in their ability to come to terms with the end of their own life, and face it with a sense of peace.

Family members may worry about what life will be like after a loved one is gone, or be preoccupied by imagining what the person’s death will be like. These emotions can be just as intense as the grief felt after a death. Several studies have found that anticipatory grief counseling helps people prepare for the loss of a loved one, cope better with grief, and improve their overall mental health. It also increased their ability to communicate with doctors, and was linked with a higher probability of individuals seeking out additional support after the loss (Journal of Palliative Medicine; American Journal of Hospice and Palliative Medicine).

Bereavement Care Management
Our program oﬀers grief counseling and practical support (from staﬀ and volunteers) to loved ones after the death of a patient. For example, some people need help learning how to manage their household after a spouse who has handled those things has died. Research has shown that bereavement care can have numerous beneﬁts, including reducing symptoms of depression, anxiety, and stress, improving overall well- being, and increasing coping skills. A study published in the Journal of Palliative Medicine found that bereavement care improved the overall mental health of individuals who had lost a loved one to cancer, and reduced the risk of developing complicated grief, a severe form of grief that can interfere with daily life. This story is a good illustration of this service:

Diego lost his wife to metastatic breast cancer. In the wake of her death, Diego struggled as a single father of a preschooler and a toddler, feeling lost about how to take care of the practical logistics that his wife always handled. We helped get his children into subsidized child care so Diego could go back to work. We supported Diego in navigating Social Security so that his children could get the beneﬁts they were entitled to after their mother’s death. Our approach was to empower Diego to take care of life’s details on his own.

With each day, he became better able to care for his children as a single dad.

Quality of Life Stipends
We award cash stipends to individuals and families when monetary hardships are uncovered during their journey. Grants have paid for groceries, gas, wheelchair ramps, mortgage or rent, school supplies, transportation, and funerals. Here’s a recent example:

Yesenia was a 39-year-old mother of two daughters. She was diagnosed with thyroid cancer which had metastasized. Last holiday season, she was in a lot of pain from her treatment and illness. Our stipends allowed her to buy gifts for her girls without having to sacriﬁce basic needs. Unfortunately, this was Yesenia’s last Christmas with her family, but we were glad to help make it as special as possible.

PROGRAM MONITORING
HSB evaluates the Patient Care Services program by tracking patient improvement through quarterly “impact markers,” in-person conversations, and input from staﬀ and volunteers. Staﬀ anticipates seeing improvements in the following areas:
* Patients feel less isolated and more connected to community resources * Patients are better able to manage the illness and deal with anticipated loss * Families have discussions of health care preferences based on the ill person’s wishes 26 1/25/24, 3:31 PM Print/Preview
https://www.zoomgrants.com/printprop.asp?rfpidu=B780BED09BE249B9B8B0C9193DAAE07D&propidu=666407302DCE4967B816494788CF7B0E 5/10 * Patients and caregivers are able to discuss death anxiety and fear of suﬀering The following will give you a sense of the impact of our staﬀ and volunteers on patients and their families:
“Hospice support was outstanding in managing my dying husband's last few months and supporting both of us through the end of life journey. We experienced their amazing care and support when he passed at home. It was always his wish to die at home and hospice made it possible. ~ PCS Client

3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

Out of 1,030 people served by PCS, we estimate that 220 will be from Goleta. This includes 90 patients with a life-threatening illness and their estimated 130 immediate family members.

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

Medical care oftentimes focuses almost exclusively on the physical health of patients, largely ignoring the social, spiritual, practical, and end-of-life planning needs that have a major impact on well-being for patients and families. Our services help ﬁll the gap by providing those other crucial services to many underserved people in our community, including the Latino/Spanish-speaking community, low-income people, and seniors.

Those who have been diagnosed with a life-threatening illness can face a diﬃcult and painful journey that can negatively aﬀect a person’s mental health as well as their physical health (Cleeland et al., 2013). Patients often have anxiety about dying alone, leaving family members without a provider, loss of independence, and being a burden (Parker SM, Clayton JM, Hancock K, et al., 2007; Block, 2006). Up to 48 percent of cancer patients fulﬁll criteria for clinical depression, and up to 25 percent meet criteria for clinical anxiety (Block, 2000). Patients can also experience anger, denial, insomnia, and substance abuse. Family members can face burnout, depression, anxiety, and ﬁnancial struggles, as well as physical health consequences.

Patients can have diﬃculty understanding all aspects of their illness and treatment. Sometimes doctors use hard-to-understand language, or patients aren’t comfortable asking questions. Further, patients tend to remember only about 50 percent of the information discussed by their doctors (Girgis A, Sanson-Fisher RW, 1995). But understanding their illness is a critical factor in patients’ mental and physical health outcomes.

Patients with low understanding are at higher risk for inadequate management of end stage care, unnecessary hospitalizations, poorer symptom control, and late referrals to palliative care (Innes S, Payne S, 27 1/25/24, 3:31 PM Print/Preview
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Language barriers can have serious consequences for patients. When patients are unable to communicate with their doctors, they struggle to understand their illness, treatment plans, and medication instructions.

This can lead to misdiagnosis, inappropriate treatment, and medication errors, all of which can have negative impacts on patient health. A study published in the Journal of General Internal Medicine found that Spanish-speaking patients with limited English proﬁciency had longer hospital stays and were more likely to experience adverse events than English-speaking patients. The following story illustrates this point very well:

Our team was working with “Lina,” a monolingual Spanish-speaking woman, who had been diagnosed with intestinal cancer. When the team became involved, she had already undergone surgery and was in the process of follow-up treatment. When the team asked her to explain what was happening, Lina said she wasn’t completely sure, but that the surgery had cured her. After speaking with the medical team, we found out that it was stage four cancer that was very likely terminal. Lina didn’t understand this very basic and important fact about her illness until our team helped clarify the unfortunate situation.

6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

Yes. Many people—especially those from marginalized communities—have negative experiences with their medical care. We recently began documenting diﬃculties that our patients have experienced within the medical care system, many of which can cause poorer medical outcomes. Our ﬁrst four months of data identiﬁed 27 patients showing a minimum of one instance of a healthcare diﬃculty related to:
* an institutional shortcoming in service provision
* a signiﬁcant delay in Medi-Cal referrals
* gaps in access to transportation
* language barriers
* cultural misunderstandings
By providing medical care navigation, interpretation, and all the other types of support we oﬀer, we can help patients avoid the negative outcomes mentioned previously, including:
* depression
* anxiety
* misdiagnosis
* inappropriate treatment
* medication errors
* longer hospital stays
* late referral to palliative care

Funding
28 1/25/24, 3:31 PM Print/Preview
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Please include other grant sources either received or for which you are applying.

Any funding awarded through the City of Goleta would be helpful in identifying our Patient Care Services program as an important and worthwhile investment to other potential funders. Patient Care Services grants received in 2023 for are as follows:

Santa Barbara Foundation Behavioral Health: $15,000
Brittingham Family Foundation: $5,000
Bull Foundation: $5,000
Chumash Foundation: $5,000
City of Santa Barbara CDBG Grant: $16,000
Ann Jackson Family Foundation: $5,000
Lambert Foundation: $10,000
Smart & Final: $250
Mark and Dorothy Smith Foundation: $10,000
Spungen Foundation: $10,000
St. Francis Foundation: $24,000
Thomson Foundation:$30,000

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful?
Hospice of Santa Barbara, like many nonproﬁt organizations, has been faced with signiﬁcantly higher costs as well as a growing need for our services. Between 2020 and 2023, our organizational budget increased by 16 percent, mostly due to rising costs of things like rent, utilities, insurance, personnel, and transportation.

Even so, we have managed to stay below the national compounded inﬂation rate of 18 percent over this time by carefully managing our expenses even in the face of skyrocketing community needs post-pandemic.

Our wait list for grief counseling ranges from two to six weeks, and our Patient Care Services team is over capacity, with approximately 140 patients enrolled currently.

We anticipate continued increases in expenses and community needs for 2024, which is requiring us to reach out to new funding sources such as the City of Goleta. If we do not receive all requested funding we will continue to reach out to new foundation, corporate, and individual funders.

10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes?
If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)?
Yes, 70% of our patients are low-income, and 80% are low- or moderate-income. When low-income patients are referred to us, they usually have MediCal, which will have already identiﬁed their income as being below the necessary threshold. Once they are enrolled in our program, we have further access to income documentation. As patients apply for other beneﬁts, they share income information with us since we help them complete their entitlement applications, most of which require them to be low-income.

11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

We have an audit conducted every year, and our most recent audit is from 2022. There were no ﬁndings or 29 1/25/24, 3:31 PM Print/Preview
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12. How often does your organization's Board of Directors review and approve ﬁnancial statements? Each month, our board ﬁnance committee reviews ﬁnancial statements. Our full board of directors reviews and approves our ﬁnancial statements at board meetings, which take place every other month.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

No fees are charged and there are no suggested donations requested. As a volunteer hospice organization, all our services are free.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials).
6,982,487 Total Assets ($)
1,564,067 Total Liabilities ($)
5,418,420 Total Net Assets ($)
6,982,487 TOTAL LIABILITIES AND NET ASSETS ($)
20,947,461.00 TOTAL

15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

No to all questions.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

Lori Mendez, RN, Palliative Care Consultation Service at Cottage Health: 805-722-9127 Dana VanderMey, Hospice of Santa Barbara Board President: 805-895-5081 CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

Name
Address or City last resided in
Number of family members
Total family (household) income
Race and ethnicity
Proof of age
30 1/25/24, 3:31 PM Print/Preview
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19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
545 Extremely low income (0-30% MFI)
165 Very low income (30-50% MFI)
117 Low-moderate income (50-80% MFI)
202 Above moderate income (Above 80% MFI)
1,029.00 TOTAL

N/A
Budget top
Revenue Sources Total Program Revenue
for Current Fiscal Year
Projected Program
Revenue for Next Fiscal
Year
City of Goleta Funds USD$ 10,000.00
Federal USD$ 0.00 USD$ 0.00
State USD$ 0.00 USD$ 0.00
County USD$ 0.00 USD$ 0.00
Municipal: City of Santa
Barbara CDBG USD$ 16,000.00 USD$ 16,000.00
School District USD$ 0.00 USD$ 0.00
Foundations/Trusts USD$ 228,935.00 USD$ 218,936.00
Donations/Fundraising USD$ 192,563.00 USD$ 195,549.00
Fees
SB Hospice Foundation,
bequests, reserves USD$ 476,456.00 USD$ 473,040.00
Total USD$ 913,954.00 USD$ 913,525.00
Funding Uses/Expenses Expenditures for
Current Year
Expected Expenditures
for Next Year
Goleta Grant Funds:

Proposed Uses for
Next FY
Salaries, Beneﬁts, Payroll Taxes USD$ 733,129.00 USD$ 734,200.00 USD$ 10,000.00 Consultants and Contracts USD$ 68,503.00 USD$ 67,722.00 USD$ 0.00 Facility, Rent, Utilities,
Maintenance USD$ 61,068.00 USD$ 58,163.00 USD$ 0.00
Supplies/Oﬃce Expenses USD$ 25,799.00 USD$ 26,890.00 USD$ 0.00 Marketing (Printing,
Advertising) USD$ 0.00
Travel, Meals, Training USD$ 14,350.00 USD$ 15,850.00 USD$ 0.00 31 1/25/24, 3:31 PM Print/Preview
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(Rental/Maintenance) USD$ 0.00 USD$ 0.00 USD$ 0.00
Insurance/Licenses USD$ 3,105.00 USD$ 3,200.00 USD$ 0.00 Other: Quality of Life Grants USD$ 8,000.00 USD$ 7,500.00 USD$ 0.00 Total USD$ 913,954.00 USD$ 913,525.00 USD$ 10,000.00
Budget Narrative
Any awarded funding would be used to support the salary of our bilingual/bicultural Patient Care Services Care Coordinator. Approximately 43% of our client base is Latino. The vast majority of these patients and their family members prefer to communicate in Spanish; 65% are monolingual in Spanish.

This illustrates the critical importance of our bilingual/bicultural staﬀ in serving this community.

Documents top
Documents Requested * Required?Attached Documents *
Nonproﬁt Tax Exemption Status
IRS Tax Letter
List of Board Members
Board List
Financial statements from the most recently
completed ﬁscal or calendar year
2022 Audited Financials
2023 In-House Financials
Organizational Budget
Org Budget
Organizational Chart Org Chart
Supplemental or Additional Information 2022 Annual Report * ZoomGrants™ is not responsible for the content of uploaded documents.

Application ID: 460985
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32 1/26/24, 2:28 PM Print/Preview
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1. What is your organization's mission statement?
By building a resilient and connected community, LEAP: Learn. Engage. Advocate. Partner (formerly Isla Vista Youth Projects) seeks to mitigate the eﬀects of poverty, racism, and trauma so that all children and families can prosper and thrive. We do so by providing high-quality, trauma informed child care, comprehensive, culturally sensitive family support, and visionary community leadership. At LEAP, we envision a community where children are loved, valued, and respected and families are supported to reach their highest potential.

Program Information

Please be speciﬁc about the hours and total days that people will be served by the program and exactly how/for what City of Goleta funds will be used to support the program.

The focus for these funds will be in support of the work of our Family Resource Center (FRC) and our FRC Family Advocates in all the work they do in the Goleta Valley to end the cycle of poverty, build a healthy community, and promote parental resilience. The key activities of the FRC include a monthly food distribution; diaper and wipe distribution; resource and referrals for housing, childcare, and unemployment; assistance with enrollment in programs such as WIC, CalFresh, and Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
Isla Vista Youth Projects, Inc. dba LEAP
IVYP dba LEAP Family Resource Center
Jump to: Application Questions Budget Documents
USD$ 25,000.00 Requested
Submitted: 1/26/2024 2:06:06 PM (Paciﬁc)
Project Contact
Lori Goodman
[email protected]
Tel: 805-705-6998
Additional Contacts
[email protected],[email protected]
Isla Vista Youth Projects,
Inc. dba LEAP
PO Box 1332
Goleta, CA 93116
United States
Executive Director
Lori Goodman
[email protected]
Telephone805-845-0730
Fax 805-968-1771
Web www.leapcentralcoast.org
Application Questions top
33 1/26/24, 2:28 PM Print/Preview
https://www.zoomgrants.com/printprop.asp?rfpidu=B780BED09BE249B9B8B0C9193DAAE07D&propidu=83CE41DE417B4EB1ABFF93376F6E3E87 2/6 Medi-Cal; and educational workshops that develop long lasting skills covering topics such as child development and parenting. Due to the COVID-19 pandemic, we transitioned to serving our clients primarily over the phone, Monday through Friday, 8:00am-6:30pm. Beginning in July 2024, we will once again open our doors to clients during business hours while continuing to be available via phone.

In response to the challenges posed by the pandemic, we successfully implemented streamlined monthly food distribution events, providing essential support to those facing food insecurity during challenging times. Beginning in January 2024, we returned to our pre-pandemic initiatives and are now holding monthly events on the third Thursday each month at Isla Vista Elementary School. This means oﬀering a comprehensive range of resources directly at these events, including nutrition and physical education, fun activities, healthy recipes, and in-person support from partners like the SBC Foodbank. In so doing, we are not only distributing free food, but also promoting overall well-being and fostering a sense of joy and connection.

This return to our previous activities reﬂects our dedication to comprehensive community support and underscores our ongoing commitment to enhancing the lives of those we serve. We also continue to distribute free diapers by appointment at our FRC. Most mothers come to receive their diapers and wipes twice per month and we distribute over 4,000 diapers and wipes each month. Finally, we continue to facilitate online parenting classes and workshops on topics such as housing and immigration rights. We make sure to oﬀer these opportunities at times that work best for the families we serve, typically in the evening.

The FRC is staﬀed by bi-lingual (Spanish/English), bi-cultural Family Advocates who are highly trained to provide services.

Target population is the ethnically, culturally, and linguistically diverse children and families living in Goleta and Isla Vista (93117 zip code). There are no eligibility requirements, and services are provided free of charge. However, intake forms, including income and residence veriﬁcation, are completed for all resource and referral/case managed clients.

CDBG funds will be used to pay rent which enables us to leverage other funds to support our Family Advocates as they execute key service delivery. The key service elements include: a) Resource & Referral (including Medi-Cal, WIC and Cal-Fresh enrollment); b) Workshops covering topics such as child development and parenting, health, couples support, immigration, and housing rights; c) Case Management for community families who are unable to address their needs without enriched support. Quarterly program and ﬁnancial reports are reviewed by the Executive Director and presented to the Board of Directors.

3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

LEAP plans to provide services to 200 Goleta households annually which represents approximately 600 unique individuals.

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

LEAP is a longstanding, trusted community partner that provides social support to the Goleta Valley’s most vulnerable children and families. Because of our work, low-income Goleta children and families are safer and healthier. We strengthen families by linking them to the services they need, providing concrete support, and facilitating educational workshops that develop long lasting skills. Poor nutrition and food insecurity are associated with poorer physical and mental health in all age groups, but in young children they can deeply aﬀect well-being and development in ways that can endure for a lifetime.

Conversely, access to adequate and nutritious food helps children to grow, learn, and thrive. At LEAP, we provide free, healthy food to children and families through our monthly food distribution events and emergency food pantry. When parents are unable to aﬀord suﬃcient diapering supplies, they are forced to extend diaper wearing periods and/or reuse soiled diapers. This puts their children at risk of urinary tract infections, severe diaper rash, and even hospitalization. We 34 1/26/24, 2:28 PM Print/Preview
https://www.zoomgrants.com/printprop.asp?rfpidu=B780BED09BE249B9B8B0C9193DAAE07D&propidu=83CE41DE417B4EB1ABFF93376F6E3E87 3/6 opened Santa Barbara County’s ﬁrst, and only, diaper bank in 2021, and now distribute over 50,000 diapers per year. The strength of this program lies not just in ﬁlling a gap. We provide 100% of our new diaper bank clients additional comprehensive, culturally sensitive family support including serving as an essential link to services such as WIC, CalFresh, and Medi-Cal. Finally, through our parenting workshops, we help parents to build on their inner strengths and resources to manage stress and function well even when facing challenges, adversity, stress, and trauma, thus reducing the likelihood of child abuse and neglect. Taken as a whole, our organization ensures that parents are able to work, attend school, access community resources, and build upon family strengths in order to end the cycle of poverty.

6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

Families typically come to us in need of help with basic necessities such as food, clothing, childcare, health insurance, and unemployment assistance. Each time we successfully respond to a family in need, we build trust. This trust enables us to support them more proactively and strategically with parenting support, mental health services, ACEs, and trauma awareness. Through cultivating these trusted relationships, we are able to extend our eﬀorts beyond merely addressing basic needs. Ultimately, we foster resilience by assisting families in leveraging their strengths and enhancing their capabilities so that they can thrive.

Funding

Please include other grant sources either received or for which you are applying.

LEAP’s continued funding from the City of Goleta shows the community and other funders that we have a strong and lasting partnership. Funding from the City of Goleta provides legitimacy to private donors and funders who want to know that our local city government is a partner in meeting the needs of our City's most vulnerable families. By allocating these CDBG funds towards this rent we are then able to leverage other funds towards other core program needs such as staﬀ time and direct program support.

Current core funding: Santa Barbara County Human Services (received), Santa Barbara County Department of Social Services (received), The Bower Foundation (received), and CalFresh subcontract (received).

LEAP participates in several partnerships involving our Family Resource Center, including partnerships with DSS, CALM, Santa Ynez Valley People Helping People, The Foodbank of Santa Barbara County, CommUnify, and Family Service Agency.

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful? Funds from the City of Goleta are more vital than ever to the continued work of our Family Resource Center. The highest priority for our grant request is the rent of our Family Resource Center oﬃce building. LEAP utilizes a variety of income generators including individual donations and events, as well as foundation, business, and government grants. In addition, we participate in collaborative grant projects as subcontractors. While we are extremely grateful for this support, all of them include extremely limiting restrictions as to where the funds can be applied. None of these funding sources can be applied to rent for our Old Town Goleta Oﬃce space, which is vital to meeting the needs of our families and lowering barriers to access. If we are not awarded funding or are awarded partial funding from the City of Goleta, it is possible that we may need to scale back on the services we provide.

10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes? If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)? Yes, the majority of those we serve through our Family Resource Center qualify as low income or extremely low income based on federal guidelines. All case managed clients provide income documentation.

Please note: The numbers served listed below in Question 20 reﬂect “unduplicated income veriﬁed Goleta residents” served by our FRC only. These are the numbers reported from our previous CDBG grant. If you would like expanded numbers inclusive of all LEAP’s other core programs we are happy to provide those as well. It should be noted that our agency serves well beyond these numbers throughout the community; however we do not complete income veriﬁcation for every program 35 1/26/24, 2:28 PM Print/Preview
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11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

LEAP is audited annually. Our most recent audit was completed for the ﬁscal year July 2022 - June 2023. There were no ﬁndings. The full audit is included with our attachments to this grant.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? Our board of directors holds 9 meetings annually. Each meeting includes a ﬁnance report for review and approval. The ﬁnance committee reviews ﬁnance reports monthly.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

No, there is no fee charged for our FRC services.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials). 3511157 Total Assets ($)
990180 Total Liabilities ($)
2520977 Total Net Assets ($)
3511157 TOTAL LIABILITIES AND NET ASSETS ($)
10,533,471.00 TOTAL

15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

No.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

Danny Fitzgibbons 805.722.8233 and Eileen Monahan 805.968.3047 CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
151 Extremely low income (0-30% MFI)
36 1/26/24, 2:28 PM Print/Preview
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14 Low-moderate income (50-80% MFI)
0 Above moderate income (Above 80% MFI)
242.00 TOTAL

Beginning in January 2024, we are again holding our monthly food distribution events on the Isla Vista Elementary campus.

We have received permission from the Principal, Lorena Reyes, and approval from GUSD.

Budget top
Revenue Sources Total Program Revenue for
Current Fiscal Year
Projected Program Revenue
for Next Fiscal Year
City of Goleta Funds USD$ 11,989.00 USD$ 15,000.00
Federal USD$ 22,400.00 USD$ 24,000.00
State USD$ 181,490.00 USD$ 190,000.00
County USD$ 25,000.00 USD$ 25,000.00
Municipal
School District USD$ 42,000.00 USD$ 42,000.00
Foundations/Trusts USD$ 175,000.00 USD$ 203,885.00
Donations/Fundraising USD$ 46,806.00 USD$ 60,000.00
Fees
Other
Total USD$ 504,685.00 USD$ 559,885.00
Funding Uses/Expenses Expenditures for Current
Year
Expected Expenditures for
Next Year
Goleta Grant Funds:

Proposed Uses for Next FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 402,748.00 USD$ 452,885.00
Consultants and Contracts
Facility, Rent, Utilities,
Maintenance USD$ 54,445.00 USD$ 58,000.00 USD$ 15,000.00 Supplies USD$ 15,500.00 USD$ 16,000.00
Marketing (Printing,
Advertising) USD$ 2,000.00 USD$ 2,000.00
Travel, Mileage, Training USD$ 1,000.00 USD$ 1,000.00
Equipment
(Rental/Maintenance) USD$ 1,000.00 USD$ 1,000.00
Client Database (Vertical
Change) USD$ 9,000.00 USD$ 9,000.00
Indirect (Insurance, HR, IT,
Finance) USD$ 18,992.00 USD$ 20,000.00
Total USD$ 504,685.00 USD$ 559,885.00 USD$ 15,000.00
Budget Narrative
Funds from the City of Goleta will be directed toward our rental costs for our Family Resource Center located in Old Town Goleta.

Documents top
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Nonproﬁt Tax Exemption Status
LEAP Tax Exemption
List of Board Members
LEAP List of Board Members
Financial statements from the most recently
completed ﬁscal or calendar year
LEAP Financial Statements
Organizational Budget
LEAP Budget
Organizational Chart Leap Org Chart
Supplemental or Additional Information LEAP Annual Report 22-23 * ZoomGrants™ is not responsible for the content of uploaded documents.

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1. What is your organization's mission statement?
Mosaic Therapy Collective is a non-proﬁt 501(c)(3) organization whose mission is to make exceptional therapy accessible to all by breaking down barriers to aﬀordable, high-quality coworking solutions. We believe every therapist deserves a supportive, collaborative environment that fosters growth, creativity, and wellness. By providing innovative, accessible spaces, we aim to enhance the well-being of both therapists and the families they serve. Mosaic Therapy Collective is committed to inclusivity, accessibility, and equity to create a vibrant, diverse community that drives positive change.

Program Information

Please be speciﬁc about the hours and total days that people will be served by the program and exactly how/for what City of Goleta funds will be used to support the program.

Mosaic Therapy Collective is on a mission to expand access to quality health care. Our programs service low-income children and adults with diagnosed disabilities with quality and holistic therapeutic services for Santa Barbara County, including Goleta residents.

However, our rent recently increased and we are facing a deﬁcit in operating funds. With the awarded funding, we could continue serving our most marginalized and vulnerable community members in our specialized therapeutic clinic.

Our programs are carried out In Mosaic’s specialized clinic by Mosaic Therapy Collective’s licensed and credentialed therapists in the areas of Speech-Language Therapy, Occupational Therapy, Physical Therapy, and Licensed Marriage and Family Therapy. As Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
533 E Micheltorena St. #103, Santa Barbara, CA, 93103
City of Goleta- Mosaic Therapy Collective 501(c)(3) Grant Jump to: Application Questions Budget Documents
USD$ 25,000.00 Requested
Submitted: 1/26/2024 12:27:39 PM
(Paciﬁc)
Project Contact
Sharon MacDonald
[email protected]
Tel: (805) 617-1115
Additional Contacts
none entered
533 E Micheltorena St. #103,
Santa Barbara, CA, 93103
533 E Micheltorena St Ste 103
Santa Barbara, CA 93103
United States
Executive Director
Sharon MacDonald
[email protected]
Telephone(805) 617-1115
Fax
Web https://mosaictherapycollective.com/contact
Application Questions top
39 1/26/24, 12:44 PM Print/Preview
https://www.zoomgrants.com/printprop.asp?rfpidu=B780BED09BE249B9B8B0C9193DAAE07D&propidu=874CD23A3717428798F14AE86AE72615 2/6 independent entities, our therapists would not be able to aﬀord private practice therapy oﬃce space without driving the cost of service provision up astronomically, creating a barrier for our low-income families seeking private therapy services. The solution to this inequity was creating a therapy co-working space where therapists could thrive in a fully-furnished, specially equipped therapy clinic for an aﬀordable monthly fee, ultimately driving the cost of services down, and creating more equitable services. Our therapists are committed to equity, and inclusiveness and operate on a sliding scale to ensure accessibility to services.

Many of our therapists can deliver services 6 days per week and our clinic serves families from 8 am to 7:00 pm to accommodate working parents schedules. Our clinic is a fully equipped, sensory-friendly, inclusive environment suited for working with individuals with complex needs and disabilities.

All funds awarded will go towards rent and operational costs, these will be regulated and monitored by Mosaic Therapy Collective’s Board of Trustees, Treasurer, CPA, Bookkeeper, and Executive Director to maintain transparency and ensure that funds are allocated appropriately. The funds are much needed to continue to increase access to care for underserved communities.

3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

We have served approximately 60 families of children with disabilities and hope to double that number in the next year.

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

One-time or annual community event (concert, creek cleanups, festival, etc.) Youth programs
Senior programs (food/nutrition, education programs, day activities, etc.) Environmental/wildlife/animal welfare programs
Public services for low-income residents/homeless
Educational programs
Arts (music, dance, theater, art)
Economic development
Recreational activities
Other: Operational Costs

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

Yes. Our programs satisfy an unmet need in the community, as we oﬀer families the unique opportunity to access equitable private multi-disciplinary services and participate in our free community programs. Many of our clients report the frustration they've experienced in the past at acquiring quality services and Mosaic is often praised on how beneﬁcial its programs have been for their loved ones and the whole family.

Our team of therapists has served the majority of moderate to low-income families by implementing a sliding scale to create equity.

Additionally, our organization oﬀers community initiative programs that are fully inclusive and completely free for all. These programs include but are not limited to: Santa Barbara Autism Resource Group, Family Support Groups, Mommy & Me, Music & Movement, Mentorships, Scholarships, and more.

One of our mentorship programs is in partnership with the University of California Santa Barbara. To date we have had over 20 students participate in our mentorship programs. Students who are interested in pursuing careers in Health and Human Services participate in our mentorship program to obtain hands-on experience through our internships, and volunteer opportunities.

6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

Yes, Our therapeutic programs enhance individuals with disabilities, improving their overall quality of life by increasing their communicative skills, social-emotional skills, physical skills, and overall well-being, which prevents future problems or conditions and increases their access to participate in the community in meaningful ways.

The impact of therapies such as Speech and Language Therapy, Occupational Therapy, Physical Therapy, and Mental Health Therapies have huge impacts on the trajectory of a child’s development. Our holistic approach has positive impacts on overall family units, as we support parents and siblings with our resources and programs In addition to our therapeutic programs, our organization provides inclusive community classes and education workshops facilitated by our credentialed therapist. At Mosaic, we do everything in our power to provide enriching therapeutic services at a community-wide level so that we do not have to turn anyone away, despite their ability to pay for services. 40 1/26/24, 12:44 PM Print/Preview
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We serve persons with disabilities and their families, ultimately increasing their quality of life and enhancing their access to participate in the community.

Funding

Please include other grant sources either received or for which you are applying.

Yes. The City of Goleta’s funding leverages other resources. We leverage other resources and support partnerships with our 7 in- house therapists, increasing access to services for individuals with disabilities who need multi-disciplinary services. Our partner therapists can accommodate and implement sliding scales because Mosaic oﬀers them aﬀordable therapy space.

Mosaic Therapy Collective has forged partnerships with established non-proﬁt organizations in the Santa Barbara area on some speciﬁc programs to share costs to catalyze initiatives and expand its reach to increase access to programs for low-income families.

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful? Yes, These funds are vital for our model to be sustainable and allow us to continue to serve our most vulnerable and marginalized community members and increase our reach in expanding access to care.

We are the only multi-disciplinary clinic that doesn't have a waitlist or age restrictions. We have ample therapists accepting new clients every day to ensure that nobody is put on a waitlist. Mosaic doesn't turn families away, we ﬁnd a way to serve everyone.

Our negotiated rent for 2024 will be approximately $40,000 not including operational costs. All funds awarded will go directly towards the rent. The diﬀerence in cost will be made up by community sponsorships. donations and contributions from our therapist's dues. Without additional funding, we run the risk of running a revenue deﬁcit. These funds are vital for Mosaic Therapy Collective to continue our mission of increasing access to care for Goleta families with disabilities.

10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes? If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)? Yes. We serve a combination of moderate to low-income populations and utilize a sliding scale and then free programs service primarily low-income. Our programs primarily serve those with low incomes with quality therapeutic services in our multi- disciplinary clinic.

Yes. Our intake process involves clients with the option of disclosing their income brackets so that we can implement a sliding scale for services.

11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

No audits have been done to date. We are in good standing.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? Our ﬁnancial reports are shared, reviewed and approved every quarter by the Executive Director, bookkeeper, CPA, Board of Directors and Treasurer.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

Yes, Our therapists pay an aﬀordable monthly fee to the organization that contributes to its overhead costs. Fees were last updated in June of 2023.
41 1/26/24, 12:44 PM Print/Preview
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Our therapists have paid a total of $33,015.00 in 2023. We received approximately $15,600.00 in donations in 2023.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials). $3,933 Total Assets ($)
$20,968 Total Liabilities ($)
$-17,035 Total Net Assets ($)
$-17,035 TOTAL LIABILITIES AND NET ASSETS ($)
-9,169.00 TOTAL

15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

Mosaic Therapy Collective has not received any grants to date, since opening in February 2023. Our Founders loaned the organization $30,000 to fund the opening of the clinic which is still being paid oﬀ with small $500 monthly installments. In the past 3 years, our organization has not had an IRS or State levee.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

James Enyart - Commercial Real Estate Broker & Board Treasurer 831-247-4602 Ajay Mittal - Board of Director member, and Treasurer 323-496-4800 CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories.

PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
16% Extremely low income (0-30% MFI)

24.60% Very low income (30-50% MFI)

14.29% Low-moderate income (50-80% MFI)

44.10% Above moderate income (Above 80% MFI)

0.00 TOTAL
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Our program does not take place on school grounds. We have permission from the ownership of our property to operate our organization.

Budget top
Revenue Sources Total Program Revenue for
Current Fiscal Year
Projected Program Revenue for
Next Fiscal Year
City of Goleta Funds USD$ 0.00 USD$ 25,000.00
Federal USD$ 0.00 USD$ 15,000.00
State USD$ 0.00 USD$ 4,000.00
County USD$ 0.00 USD$ 5,000.00
Municipal USD$ 0.00 USD$ 0.00
School District USD$ 0.00 USD$ 0.00
Foundations/Trusts USD$ 2,000.00 USD$ 6,000.00
Donations/Fundraising USD$ 15,600.00 USD$ 20,000.00
Fees USD$ 0.00 USD$ 0.00
Other (Therapist Rent) USD$ 33,015.00 USD$ 40,000.00
Total USD$ 50,615.00 USD$ 115,000.00
Funding Uses/Expenses Expenditures for Current Year Expected Expenditures for Next Year
Goleta Grant Funds: Proposed
Uses for Next FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 2,500.00 USD$ 36,000.00
Consultants and Contracts USD$ 1,500.00 USD$ 5,000.00
Facility, Rent, Utilities,
Maintenance USD$ 34,000.00 USD$ 48,000.00 USD$ 10,000.00 Supplies USD$ 6,000.00 USD$ 7,000.00
Marketing (Printing,
Advertising) USD$ 1,000.00 USD$ 2,000.00
Travel, Mileage, Training USD$ 0.00 USD$ 0.00
Equipment
(Rental/Maintenance) USD$ 3,000.00 USD$ 3,000.00
Insurance USD$ 800.00 USD$ 1,200.00
Other
Total USD$ 48,800.00 USD$ 102,200.00 USD$ 10,000.00
Budget Narrative
These funds will be used for indirect services and go directly towards the cost of rent and operation of clinic space and are vital for the organization to continue servicing low-income families with disabilities.

Documents top
Documents Requested * Required? Attached Documents *
Nonproﬁt Tax Exemption Status
Determination Letter
List of Board Members
Board of Directors
Financial statements from the most recently completed
ﬁscal or calendar year
Financial Statements 2023 (1)
Financial Statements 2023 (2)
Financial Statements 2023 (3)
Organizational Budget
Mosaic Budget
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Supplemental or Additional Information
* ZoomGrants™ is not responsible for the content of uploaded documents.

Application ID: 461412
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1. What is your organization's mission statement?
Since being founded in 2000, New Beginnings Counseling Center’s mission has been to provide quality, aﬀordable counseling, shelter, case management, and education that strengthens our community and provides our clients with the ability to lead healthy and productive lives. The wraparound services oﬀered through our four core programs allow our clients to receive multi-faceted and tailored care, enabling them to make meaningful changes in their own lives and in the lives of those around them. In the ﬁscal year ending June 30, 2023, our agency served a total of 1,844 unduplicated clients, representing a 17% increase from the previous year and an all-time high for our agency.

Program Information
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City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
NBCC, dba New Beginnings
Safe Parking Shelter and Rapid Rehousing Program
Jump to: Application Questions Budget Documents
USD$ 20,000.00 Requested
Submitted: 1/26/2024 4:00:26 PM (Paciﬁc)
Project Contact
Kristine Schwarz
[email protected]
Tel: 805-963-7777 x144
Additional Contacts
vgarﬁ[email protected]
NBCC, dba New Beginnings
530 E Montecito St Ste 101
Santa Barbara, CA 93103
United States
Executive Director
Kristine Schwarz
[email protected]
Telephone805-963-7777
Fax 805-963-8135
Web www.sbnbcc.org
Application Questions top
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Please be speciﬁc about the hours and total days that people will be served by the program and exactly how/for what City of Goleta funds will be used to support the program.

The Safe Parking Shelter and Rapid Re-Housing Program provides safe overnight shelter for vehicular homeless persons county-wide. Safe Parking also provides case management, street outreach, housing navigation and retention services, and ﬁnancial assistance to shelter program clients and homeless individuals referred to our agency through the Coordinated Entry System, to help them transition into and maintain permanent secure housing. The program operates year-round as a no-barrier shelter and rapid re- housing program, and there is no cost for clients to participate. We remain the only agency in Santa Barbara County dedicated to serving the vehicular homeless and continue to increase the area and scope of our services yearly, to eﬀectively serve our clients and our community.

The South County operations and staﬀ for our Safe Parking Program are housed at our new Collaborative Center. The Center, which also houses our administrative oﬃce, Community Counseling Clinic Program, Supportive Services for Veteran Families Program's south county operations, and our Life Skills Parenting Education Program is located at 530 E. Montecito Street, Suite 101, Santa Barbara, CA 93103. Our North County program oﬃce is located at 3769 Constellation Rd., Suite B, Lompoc, CA 93436. Both oﬃces are open Monday-Friday from 9am-6pm and the program lots are open for nighttime shelter from 7pm to 7am and for daytime shelter for oversized vehicles from 7am to 7pm 365 days/year. We also have a 24/7 emergency hotline for client and program emergencies.

The program currently oversees and monitors 196 spaces (a 26% increase in the number of program spaces when compared to last year) in 27 parking lots in South County area churches, business, and city and county oﬃces, sheltering over 150 families and individuals nightly. Additionally, we maintain a North County lot in Lompoc, which provides 10 out of the program's total 196 spaces for our clients. As well, we are in the process of expanding the program in the City of Carpinteria, and last ﬁscal year we were able to open one program lot in the city with six total spaces. Currently in the city of Goleta, the Program maintains 5 parking lots with a total of 36 spaces. We continue to work towards expanding the number of lots throughout the county as the number of people living in their vehicles continues to rise. Clients county-wide are referred to the rapid rehousing portion of the program through Coordinated Entry and are housed throughout the county. We continue to actively perform street outreach in cities county-wide including those that do not currently allow the shelter aspect of the program such as Santa Maria, while also providing rapid rehousing services in these areas.

The services provided with the requested City of Goleta CDBG funding include providing homeless case management services to the vehicular homeless in our Goleta shelters and on the streets in Goleta, and comprehensive rapid rehousing services to these clients, with the ultimate goal of helping individuals and families transition back into permanent and traditional housing. Speciﬁc vehicle shelter outreach case management includes connection to healthcare, supplemental food, and provision of other basic needs.

Rapid rehousing services include all aspects of housing navigation to help individuals ﬁnd and successfully gain access to housing, as well as housing retention services to assist them in maintaining their housing.

Additionally, ﬁnancial assistance would be available through matching funds, to assist with security deposits, short-term rental assistance, and other housing stability ﬁnancial needs such as utility deposits. Staﬀ work with clients from a progressive engagement perspective to help clients become self-sustaining in their housing so that they do not return to homelessness. The program also utilizes the Housing First approach in reducing barriers to service.

The Safe Parking Program continues to be monitored and evaluated according to federal best-practice standards. HMIS is utilized by program staﬀ to document and track performance and program outcomes, and reports are routinely generated and reviewed for quality control. Additionally, all programs at New Beginnings are evaluated using the CSQ-8, a normed and validated client satisfaction survey. This tool is administered twice annually and upon program exit. Survey results are reviewed by executive leadership 46 1/29/24, 7:29 AM Print/Preview
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3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.

If funded, we project that we will serve 50 unduplicated Goleta residents during the grant year. In total, we project that the Safe Parking Shelter and Rapid Rehousing Program will serve 500 people countywide, with 50 of those people being in Goleta.

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

The vehicular homeless represent one of our county's most signiﬁcant homeless subpopulations. Safe Parking is the only program speciﬁcally experienced in and dedicated to serving this increasing and underserved subset of the homeless population. In the 2022 Santa Barbara County Point in Time Count, 35% of all individuals counted were sleeping in vehicles (686 individuals in total), representing a 10% increase from the previous year. The size of this population was the same as the number of individuals living unsheltered on the street – representing more than 50% of the unsheltered population - and exceeded the number of individuals residing in a shelter during the count. There was also a 12% overall increase in the number of homeless individuals compared to 2020, and unsheltered homeless individuals accounted for 70% of the county's total homeless population. This data indicates a signiﬁcant community need to serve this population that is uniquely met by our program. The more recent 2023 Point in Time Count yielded similar numbers to 2022, with 32% of all individuals counted sleeping in vehicles, and unsheltered homeless individuals accounted for 64% of the county’s total homeless population. In Goleta, there was a staggering

49.45% increase in the total number of individuals experiencing homelessness from the 2022 count to the 2023 count, and the increase has been “largely attributed to a rise in persons residing in vehicles in that area”, showing a clear need for increased program operations in Goleta. Overall, this data indicates a signiﬁcant community need to serve this population that is uniquely met by our evidence-supported program.

Need for the program in Goleta has also been outlined by the 2021 Goleta Homelessness Strategic Plan, which reported that the total count for homelessness has risen from 2017 to 2020, with people living in their vehicles more than doubling during this time.

Last year, New Beginnings served 49 homeless individuals in Goleta and housed 17. 47 1/29/24, 7:29 AM Print/Preview
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6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

The Safe Parking Program actively works to aid in the prevention of future problems for the individuals we serve as well as for our community. Although we predominantly work with clients who are already homeless, the services we provide prevent our clients from going through even worse hardships that they would be forced to face without our assistance, such as being forced to live on the street, parking in unsafe or illegal conditions overnight, a return to substance abuse, increased severity of mental illness, and many others. Additionally, we work with our available funds to prevent housed individuals from becoming homeless through housing retention assistance with rental arrears and referral for clients to other agencies that have additional prevention funds. By placing our clients in safe and monitored program lots, we can keep them oﬀ of the streets with the eventual goal of transitioning them to housing.

For the rapid rehousing aspect of our program, we employ Housing First to ensure that clients can obtain housing as quickly as possible. After housing is achieved, clients work with our Housing Retention staﬀ and Case Managers to prevent a return to homelessness. Our Homeless Services Director works with program staﬀ to assist staﬀ in obtaining wraparound services in the community for those clients who need more intensive services in order to remain stable. This model allows clients to obtain the housing they need to prevent future problems associated with returns to homelessness.

Our new Collaborative Center has made it possible for us to house new additional staﬀ positions that will serve both our SSVF and Safe Parking Programs including a Nurse Practitioner Healthcare Navigator, Behavioral Health Clinician, Substance Use Counselor, Employment and Beneﬁts Specialist, and a Senior/Aging Services Case Manager. The addition of these new positions have allowed us to begin to develop a multi-disciplinary agency-wide team, housed at both our North County oﬃce and our new collaborative center, that allows our clients to receive multi-faceted and targeted care, as well as wrapround services through our other core programs. We believe that the continued strengthening of our program services are essential to meet the steady demand for our program services, and overall, better serve the needs of our clients. As well, these new positions have further strengthened our programs and allow for more interconnection between programs. This initiative will allow us to prevent future problems for our clients more eﬃciently than ever before since clients will be have access to staﬀ that are speciﬁcally tailored to address their emergent needs related to physical health, mental health, substance abuse issues, and access to employment and beneﬁts and will overall aid clients in retaining housing and improving their overall wellbeing.

In Goleta speciﬁcally in the last ﬁscal year, we were able to serve 49 residents, connect 3 residents to beneﬁts, help 10 additional residents retain beneﬁts, help 8 residents obtain/retain employment, and house 17 individuals. Our program provides essential services to Goleta residents, that help them to obtain and retain shelter, housing, and income, all of which help to prevent a return to homelessness.

We always do our best to anticipate the needs of our clients and collaborate with community partners to address these emergent needs before they become a crisis.

Our oﬃces, website, documents, job postings and services are accessible to those with hearing and visual impairments and physical disability. We are an equal opportunity employer and all applicants are considered without regard to physical or mental disability. Our agency has recently moved into a new Collaborative Center that consolidates all of our South County program operations into one oﬃce location.

This new Collaborative Center will improve client access to our services due to its centralized location, parking and additional space; allow us to serve more clients at one time; and allow our clients to more easily access the wraparound services oﬀered by all of our agency programs. The new center will also expand our ability to connect clients to community resources since it houses a center for clients to have computer access, and community partners will be able to host oﬃce hours onsite. This oﬃce as well as our North County oﬃce are ADA compliant.

Staﬀ members from our Safe Parking and SSVF programs often drive clients to important meetings, medical appointments, and lease signings. We are in the process of purchasing a passenger van to transport clients from our homeless services programs when needed, as many clients are elderly and or disabled.

Additionally, many of our clients are homeless and do not have access to transportation so our Case Managers will often meet with them in public spaces such as parks and coﬀee shops to eliminate barriers to service. Additionally, both programs perform outreach county-wide in encampments, on the street, in parking lots, and similar locations. Both of these programs have also been able to provide clients with bus passes and gift cards for gas as funding permits. Our Counseling Clinic provides telehealth counseling through Zoom Communications to all clients as requested. This allows our clients with disabilities to receive counseling services from the comfort of their home.

Funding

Please include other grant sources either received or for which you are applying.

City of Goleta grant funding would leverage many other resources. We currently receive other CDBG funding from the City of Santa Barbara for program support as well as funding from the county and State including Human Service and ARPA funding to support our program and expansion eﬀorts. In addition we receive State ESG, CoC, ESG-CV, HHAP, Whole Person Care, and HOME TBRA funding to cover client ﬁnancial assistance and program operations.

We have also recently commenced and integrated our CalAIM ECM and Community Supports contracts and activities and will be able to braid the income from these supports in addition to recent HHIP and IPP funding with our other government funding sources to increase our staﬃng and program capacity in preparation for serving clients through CalAIM.

Other sources of program funding include donations, foundation grants, and Safe Parking Program manual sales. We also have a services contract with the City of Santa Barbara to operate the shelter and provide case management and lot monitor services. Additionally, we maintain over 30 MOUs with various city, county, faith-based, non-proﬁt, and for-proﬁt organizations that provide parking lots for the program at no cost to our agency or to clients.

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful?
49 1/29/24, 7:29 AM Print/Preview
https://www.zoomgrants.com/printprop.asp?rfpidu=B780BED09BE249B9B8B0C9193DAAE07D&propidu=D9D72934A35F4E0E925C52DEE558B410 6/9 The requested City of Goleta funds are necessary in carrying out the Safe Parking Program’s operations in Goleta. The program remains diﬃcult to secure funding for due to its unique nature and due to the fact that the vehicular homeless remain unrecognized by HUD as a homeless sub-population. In addition, we continue to house clients referred to us by Coordinated Entry which puts a strain on our capacity and resources as we provide rapid rehousing services to clients that are not living out of their vehicles in addition to our own clients enrolled in the program.

The continued impact of the Coronavirus pandemic, even years later, has resulted in an overall loss of earned and unrestricted income for our agency, in addition to a continued increase in a need for our services. Funding from the City of Goleta is essential to ensure that we are able to continue our shelter and rapid rehousing operations while also attending to the needs of our clients that continue to be impacted by the lasting eﬀects of COVID.

If full funding is not awarded, existing unrestricted funding will need to be reallocated to continue program operations. This will leave less funding available for essential areas such as administrative and operations staﬃng, training, and ﬂexible rental and ﬁnancial assistance for clients, which will ultimately reduce our capacity and the number of individuals we can house.

10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes?
If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)?
The Safe Parking primarily serves those that are low or no-income. In the past ﬁscal year, the income of 99% of all people served through Safe Parking was below 50% AMI, and 93% were below 30% AMI. Of these in Goleta, 84% of clients served fell below the 50% AMI, and 100% fell below the 30% AMI.

Income is documented at in-take and at re-certiﬁcation intervals. Clients are required to provide income documentation in the form of payroll stubs, beneﬁt determination letters, and bank statements, etc. All of this information is documented in HMIS.

11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

Every year, we conduct an agency audit through an external accounting ﬁrm. We are currently ﬁnalizing our single audit for the 2022-2023 ﬁscal year. Our most recently completed ﬁscal year 2021-2022 agency audit did have some minor ﬁndings include three small-dollar-amount oﬃce supply purchases that lacked written approval documentation and three employees hired during the height of COVID who lacked completed I-9 documentation. Both items were resolved immediately after being identiﬁed. Overall, there have not been any unresolved ﬁndings with any of our external ﬁnancial audits.

We are also routinely audited by all of our city, county, state, and federal funding sources.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? Our Board of Directors reviews and approves ﬁnancial statements bi-monthly.

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

No fee is charged for the Safe Parking Shelter and Rapid Rehousing Program.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials).
345522 Total Assets ($)
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318294 Total Net Assets ($)
345522 TOTAL LIABILITIES AND NET ASSETS ($)
1,036,566.00 TOTAL

15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

No, our organization does not have any past due obligations with any funding source or an IRS or State levee.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

Sarah Clark, Parking Programs Supervisor CITY OF SANTA BARBARA, Public Works (805) 564-5656 x 4611 | [email protected]
Scott Hosking, Facilities Manager, County of Santa Barbara at (805) 568-2533 / [email protected] CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
1266 Extremely low income (0-30% MFI)
316 Very low income (30-50% MFI)
211 Low-moderate income (50-80% MFI)
51 Above moderate income (Above 80% MFI)
1,844.00 TOTAL
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N/A. Our program does not perform any activities on school grounds.

Budget top
Revenue Sources Total Program Revenue
for Current Fiscal Year
Projected Program
Revenue for Next Fiscal
Year
City of Goleta Funds USD$ 10,000.00 USD$ 20,000.00
Federal USD$ 644,130.00 USD$ 644,130.00
State USD$ 1,297,031.00 USD$ 1,297,031.00
County USD$ 304,250.00 USD$ 304,250.00
Municipal USD$ 114,856.00 USD$ 114,856.00
School District USD$ 0.00 USD$ 0.00
Foundations/Trusts USD$ 28,500.00 USD$ 28,500.00
Donations/Fundraising USD$ 116,000.00 USD$ 116,000.00
Fees USD$ 0.00 USD$ 0.00
Other USD$ 4,000.00 USD$ 4,000.00
Total USD$ 2,518,767.00 USD$ 2,528,767.00
Funding Uses/Expenses Expenditures for Current
Year
Expected Expenditures
for Next Year
Goleta Grant Funds:

Proposed Uses for
Next FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 1,569,508.00 USD$ 1,579,508.00 USD$ 20,000.00 Consultants and Contracts USD$ 87,300.00 USD$ 87,300.00 Facility, Rent, Utilities,
Maintenance USD$ 176,076.00 USD$ 176,076.00
Supplies USD$ 10,000.00
Marketing (Printing,
Advertising) USD$ 17,500.00 USD$ 17,500.00
Travel, Mileage, Training USD$ 70,400.00 USD$ 70,400.00 Equipment
(Rental/Maintenance) USD$ 63,000.00 USD$ 63,000.00
Insurance USD$ 30,700.00 USD$ 30,700.00
Other: Administration
Expense USD$ 16,550.00 USD$ 16,550.00
Program Assistance to
Clients USD$ 477,021.00 USD$ 477,021.00
Total USD$ 2,508,055.00 USD$ 2,528,055.00 USD$ 20,000.00 Budget Narrative
52 1/29/24, 7:29 AM Print/Preview
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Revenue category "other" includes program manual sales. Expense category "other" includes administration expense such as: staﬀ & other local meetings, books & publications, memberships & dues, professional development, and postage & shipping.

City of Goleta funds would be used to pay for a portion of the Safe Parking Program Manager and South County Case Manager's wages for their hours spent on working with City of Goleta clients. These are direct services.

Documents top
Documents Requested * Required?Attached Documents *
Nonproﬁt Tax Exemption Status
NBCC_IRS Determination Letter
List of Board Members
NBCC_Board of Directors Roster
Financial statements from the most recently
completed ﬁscal or calendar year
NBCC Most Recent Audited Financials & Audit
in Progress Letter
Organizational Budget
NBCC_2023-2024 Annual Agency Budget
Organizational Chart NBCC_Organizational Chart Safe Parking Highlighted
Supplemental or Additional Information NBCC_Promotional Materials * ZoomGrants™ is not responsible for the content of uploaded documents.

Application ID: 461302
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53 1/29/24, 7:23 AM Print/Preview
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1. What is your organization's mission statement?
We build aﬀordable homes with site-based services that oﬀer opportunities to change lives and strengthen communities on the Central Coast of California.

Program Information

Powered by ZoomGrants™ and
City of Goleta
2024-2025 Combined CDBG & Goleta City Grant Application Deadline: 1/26/2024
People's Self-Help Housing Corporation
Supportive Housing Program for Low-Income and Farmworker Households
Jump to: Application Questions Budget Documents
USD$ 17,000.00 Requested
Submitted: 1/26/2024 3:04:35 PM (Paciﬁc)
Project Contact
Forrest Eastham
[email protected]
Tel: 8055482345
Additional Contacts
none entered
People's Self-Help Housing
Corporation
1060 Kendall Road
San Luis Obispo, CA 93401
United States
CEO & President
Kenneth Trigueiro
[email protected]
Telephone(805) 781-3088
Fax (805) 544-1901
Web www.pshhc.org
Application Questions top
54 1/29/24, 7:23 AM Print/Preview
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City of Goleta funds will be used to support the program. PSHH's Supportive Housing Program (SHP) will provide free dinical case management & homelessness prevention services to any the 224 households and 687 residents currently residing at PSHH's ﬁve aﬀordable, sliding-scale rental properties located within the City of Goleta. Assisted households will include:

Villa la Esperanza Apartments, 155 S. Kellogg Ave. (83 units) Casas de Los Carneros, 10 Longshore Pl. (70 units)
Storke Ranch Apartments, 6822 Phelps Rd (36 units)
Isla Vista Apartments, 6660 Abrego Rd (56 units)
Ellwood Apartments, 360 Ellwood Beach Dr (8 units)
Most households are certiﬁed as very-low-income at time of move-in, which typically means they earn 50% or less of Area Median Income. Most services are provided weekdays between 9 am & 6 pm, always by a licensed clinical social worker. Social workers are based on site where residents live, building trust and long- term relationships with households served. Program staﬀ coordinate services to connect residents to a broad network of organizational and community resources, including: preventive health screenings, primary care physicians & specialists, food assistance, mobile vaccination clinics, behavioral health counseling & referrals, wellness checks for seniors and housebound residents, medical transportation, eviction prevention, ﬁnancial literacy coaching & critical administrative assistance, such as securing disability accommodations, medical insurance, and adaptive technology support. SHP also helps residents experiencing temporary challenges in accessing emergency rental, utility, and transportation assistance when no other resources are available.

Services are multilingually accessible, provided in English & Spanish to any of the 1,127 households and 3,594 individuals in residence at PSHH properties in the county. Telephone translation services are available in all other language through a contracting vendor. Social workers provide conﬁdential assistance with coordinating and securing transportation to medical appointments, building personal ﬁnancial literacy, job placement and retention, behavioral health needs, and crisis intervention. Social workers maintain records of all dient services, outcomes, and resources utilized in the HIPPA-compliant SHP client database.

The project and activities will serve seniors, veterans, persons living with disabilities, farmworker families, those transitioning out of homelessness, and individuals from historically under- resourced racial and ethnic demographics, the vast majority of whom are low-income. Most of our households are also dassiﬁed as English Language Learners, which can often pose the greatest barrier to service at other agencies. Within the county's geographic footprint, 55% of our residents are female, 89% of our residents are Latine, 12% of heads of household are living with a disability, and 10% were previously homeless. Many of our properties are also dedicated to serving seniors, veterans, low-income and farmworker families, and persons with disabilities.

SHP program staﬀ are certiﬁed in trauma-informed care, a treatment framework that allows providers to understand, recognize, and respond to the eﬀects of all types of trauma while emphasizing physical, psychological and emotional safety for both residents and service providers. These practices assist survivors in rebuilding control and empowerment, and are essential to caring for our more vulnerable populations, including those who recently made the transition out of homelessness. After two years living under the eﬀects of the pandemic and prolonged social isolation, residents' need for our behavioral health services is at an all-time high, and the scope of our social workers' role has broadened vastly in response. In addition to continuing our ongoing eﬀorts to reverse the eﬀects of deferred medical care for seniors and housebound residents, program objectives this year include assisting residents with navigating mental health challenges, social reintegration, and emotional regulation, especially in children.

Under the leadership of Director of Resident Services Rick Gulino, MSW, LCSW, SHP's clinical case managers work with residents of PSHH's 5 Goleta properties at intake to complete a needs assessment and co-develop 55 1/29/24, 7:23 AM Print/Preview
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3. Please provide the approximate number of Goleta residents your program, activity, or event will serve (or beneﬁt) in the following year if funded.

Please be speciﬁc about the number Goleta residents who will be served. If your project serves more than only Goleta residents, please specify that breakdown.
360

4. Please check the box(es) that most accurately reﬂect the program, activity, or event for which you are seeking funding:

5. Does the program, activity, or event satisfy an unmet or under-met need in the community? If yes, please explain.

According to the County of Santa Barbara's most recent homeless point-in-time census, there were 1,897 homeless persons living within the County The transition out of homelessness is, in itself, full of obstacles that disrupt stability and often result in recidivism. Housing aﬀordability in the County remains among the lowest in the state, and renters currently need to earn more than 3 times the the state minimum wage to aﬀord the average monthly asking rent of $2,759 for a 1BR apartment in the City of Goleta, via rental ad aggregators. According to the 2021 Santa Barbara County Aﬀordable Housing Needs Report, 65% of extremely low-income households are severely rent-burdened, paying over half their income on housing costs, leaving little left for food, medical care, utilities, and basic necessities. Often, the most common precursors to homelessness are unexpected ﬁnancial diﬃculties such as utility shutoﬀs and medical emergencies. These events place residents under direct threat of homelessness, further highlighting the importance of case management services as an essential component of promoting housing stability and resiliency.

The supportive housing model has been demonstrated by countless studies to be an eﬀective means of stabilizing low- to extremely-low income individuals, but also preventing homelessness recidivism in the long term. Upon move-in at a PSHH property, a new resident's housing costs typically drop to 30% of their income or lower, relieving them of rent burden and creating greater budget elasticity for the household to meet its basic needs. PSHH's Supportive Housing Program works to stabilize residents and help foster long- term resiliency by increasing access to essential health services, clinical case management, and homelessness prevention resources. By vertically integrating SHP services into the aﬀordable housing model, PSHH takes an evidence-based approach to establishing household stability and building long-term resiliency.

Santa Barbara County also suﬀers from one of the State's lowest rates of access to physicians, medical care 56 1/29/24, 7:23 AM Print/Preview
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6. Does the program, activity, or event aid in the prevention of future problems or conditions? If yes, please explain.

The Supportive Housing Program contributes to prevention of homelessness recidivism within the City by ensuring residents have access to essential health and social services. Agency- wide, over 98% of PSHH residents maintain stable housing for six months after initiating SHP services, satisfying HUD's requirements for housing stability. With 54 aﬀordable rental properties receiving SHP services in Santa Barbara, San Luis Obispo, and Ventura counties, and currently housing 5,050 residents across its rental properties, PSHH has a demonstrated capacity to help low-income and underserved households build resiliency and ﬂourish.

SHP also contributes to preventing strain on public health and social systems within the City and County resulting from deferred medical and behavioral health care, poverty persistence, and homelessness. Social workers provide free and conﬁdential assistance with coordinating and arranging transportation to medical appointments, increasing access to vaccination and PPE resources, career access, ﬁnancial literacy coaching, access to behavioral health counseling and family therapy, and crisis intervention. SHP also helps residents access PSHH's resident emergency assistance fund when no other resources are available, providing ﬁnancial assistance paid on behalf of residents for critical needs. Social workers maintain records of all client services, outcomes, and resources utilized in PSHH's HIPPA-compliant SHP client database. Anticipated reporting metrics by the end of the grant period include improved health outcomes and insurance coverage status, number of referrals provided, and hours of face-to-face case management provided.

7. Does your facility or program have any barriers that would prevent a person with a disability (verbal, visual, physical, cognitive, etc.) from gaining employment, attending meetings, or obtaining services?
If so, what measures do you take to provide persons with disabilities alternative access to your facility or program?
SHP services are free and made available to residents without barrier or restriction. PSHH residents may initiate SHP services at any time. Services are conﬁdential, completely optional, and open to all PSHH residents. Residents are never placed on a waiting list, and are provided immediate assistance to ensure that those at risk of homelessness remain stably housed. Services are inclusive, accessible, and completely adaptable to meet individualized needs. Social workers are trained and equipped to assist residents with physical, cognitive, and invisible disabilities in securing necessary resources, such as assistive mobility devices and technology such as low-vision telephones, hearing aids, or closed captioning services. If a barrier to service is identiﬁed, program staﬀ work to secure any and all necessary accommodations to ensure and enhance access for the resident. PSHH continuously works to ensure fair and equitable access for all individuals who seek services and employment. All PSHH housing, oﬃces, and facilities are also fully ADA-accessible, with many properties being speciﬁcally dedicated to serving persons with disabilities and seniors.

Of the program's ten clinical staﬀ, most are also bilingual in English and Spanish, providing language- accessible services as needed. Some staﬀ are also ﬂuent in Mixtec languages, commonly spoken among some of our service population, and often the greatest area of need is buﬀering services such as translation and administrative assistance for this underserved demographic. Social workers regularly assist residents with navigating paperwork to help them secure medical care or insurance, assistive devices and accommodations, and counseling services. Staﬀ typically accompany residents to appointments to help 57 1/29/24, 7:23 AM Print/Preview
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Funding

Please include other grant sources either received or for which you are applying.

While this request would not be divided among other collaborating entities or community partners, SHP leverages resources and funding by forging new, and deepening existing, community partnerships to augment service provision for our residents. Current collaboration includes a wide array of public and private agencies, with whom we work closely to ensure the highest quality of care. Our clinical case managers and social workers routinely coordinate appointments for our residents, assist them with intake processes, and accompany them to appointments as necessary. SHP staﬀ remain apprised of emerging regulations, updates to income restrictions, and eligibility requirements at these public agencies. Our program also complements DHHS services by helping PSHH residents anticipate and mitigate challenges before they occur, thereby reducing staﬀ time and program resources invested by DHHS.

An integral component of our service provision is establishing partnerships with a diverse range of public and private agencies to ensure that residents have access to a range of community resources that improve their health, safety, and resiliency. Within the County, additional agencies we work with include:
• Housing Authority of the City of Santa Barbara for Housing Choice Vouchers and Rental and Security Deposit Assistance
• The Department of Housing and Urban Development's Veterans Aﬀairs Supportive Housing for vouchers for homeless veterans, who in turn are prioritized on our waiting lists and receive a waived background check fee
• Noor Clinic for senior dental care and preventive health screenings •SB County Social Service Administration enhancing access to beneﬁts such as Cal Fresh, Cash Assistance and In-Home Supportive Services
• SB Food Bank and the Salvation Army for food distribution • Catholic Charities for emergency assistance with rental and utility payments • Transitions Mental Health and County Behavioral Health for behavioral health support • Community Health Centers for resident health care
• Ride-On for medical and critical transportation
• Santa Barbara County Food Bank for nutrition assistance programming • Cottage Health for staﬀ professional development in the area of childhood trauma recognition and prevention strategies

9. Are the requested funds necessary or vital in carrying out the program, activity, or event? Please specify how you will make up for any partial funding received from the City of Goleta.

If you are not awarded funding or are awarded partial funding from the City of Goleta, are there other potential funding sources your organization could pursue to ensure the program, activity, or event is successful?
PSHH's fundraising strategies utilize regional and national funders, as well as corporate and individual donations. The requested funds are vital to continuity of services within the City of Goleta. If funding needs are unmet, alternate sources of funding will be sought to sustain the program within the City of Goleta. If 58 1/29/24, 7:23 AM Print/Preview
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10. Does the program, activity, or event for which you are seeking funding primarily serve those with low-incomes?
If yes, does your organization obtain documentation from clients on their income (e.g. tax returns, pay stubs)?
Over 90% of clients assisted through this program reside in households that are classiﬁed as low-income, very-low-income, or extremely-low-income. Receiving HUD and USDA funds to build housing for low-income households, PSHH collects and veriﬁes information on family size, income, disability, and senior status in accordance with federal HUD and USDA regulations as part of a household's application process prior to move in at a PSHH property. Once residing at a PSHH rental property, every household's income and size is recertiﬁed annually. PSHH retains data on the size and annual income of all families and households living at our properties, including those receiving services through Supportive Housing Program (SHP), for which grant funding is sought. In most cases, household income may not exceed 50% of the Area Median Income (AMI) at move-in. Household size, income, disability, and senior status information is stored in PSHH's resident database, which is easily cross referenced with the client database maintained by the Supportive Housing Program, the program for which funds are sought.

11. When was your organization last audited? Were there any ﬁndings or concerns? If yes, please explain below.

If your organization is not required to have an audit performed, please explain that below.

PSHH is required to have an independent ﬁnancial audit referred to as a "Single Audit." While an audit for ﬁscal year ending in 2023 is underway, it has not yet been ﬁnalized. The most recent audit was completed in August 2022 with no ﬁndings or items of concern. PSHH's annual ﬁnancials are audited by a third-party CPA ﬁrm according to OMB uniform practice. The independent Auditor reports annually to the Executive Management Team and the Board's four member Audit Committee on the results of their audit. With a licensed CPA serving as CEO and President, and as a steward of HUD, USDA, and VA funds, PSHH has built a comprehensive and robust ﬁscal oversight system. The PSHH accounting manual governs the policies and procedures of our Account and Finance Department to ensure appropriate segregation of duties and handling of the organization's accounting transactions.

12. How often does your organization's Board of Directors review and approve ﬁnancial statements? Every two months

13. Is there a fee charged or donation suggested for your services, event, etc? If yes, please include when the last time fee amounts were evaluated and/or updated.

Please attach a copy of the fee schedule in the Documents Tab of this application.

As with all supportive services PSHH provides, there is no fee charged nor donation suggested.

14. Please provide a summary of your organization's ﬁnancial position (from the most recent ﬁscal year's ﬁnancials).
120860400 Total Assets ($)
48249552 Total Liabilities ($)
72610847 Total Net Assets ($)
120860400 TOTAL LIABILITIES AND NET ASSETS ($)
362,581,199.00 TOTAL
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15. Does your organization have any past due obligations with any funding source (e.g. disallowed costs or unearned grants from a previous contract)? If yes, please explain.

In the past 3 years, has your organization had an IRS or State levee? If yes, are you on a repayment schedule? How was the matter resolved? Explain below.

No.

16. Please list two references who we may contact regarding the proposed program, service, or activity.

Include the reference's name, organization (as appropriate), and a phone number where the reference can be reached.

Rick Gulino, MSW, Director of Resident Services and Neighborhood Development, PSHH, (805) 540-2498 Catherine Manning, LCSW, Clinical Supervisor/Bilingual Social Worker, PSHH, (805) 540-2497 CDBG Eligibility

17. Are you applying for CDBG funding?
To be eligible for CDBG funding, you MUST obtain clients' race and ethnicity, and total family income.

Yes
No

18. Please indicate whether your organization's client intake sheet or process includes obtaining any of the following information. Check all boxes that apply.

19. Please report the number of unduplicated clients your organization served in the following income categories from July 1, 2022 through June 30, 2023 (or for calendar year 2023).

Refer to the Library section of the main page to view a link to the FY 2022 Federal Income Limits for each of the below categories. PLEASE ENTER N/A IF YOUR ORGANIZATION DOES NOT COLLECT INCOME INFORMATION ON CLIENTS IN THE FOLLOWING CATEGORIES.
177 Extremely low income (0-30% MFI)
114 Very low income (30-50% MFI)
60 Low-moderate income (50-80% MFI)
27 Above moderate income (Above 80% MFI)
378.00 TOTAL

N/A
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Revenue Sources Total Program Revenue
for Current Fiscal Year
Projected Program
Revenue for Next Fiscal
Year
City of Goleta Funds USD$ 7,100.00 USD$ 17,000.00
Federal USD$ 4,065.00
State
County
Municipal
School District
Foundations/Trusts USD$ 4,011.00 USD$ 17,320.00
Donations/Fundraising USD$ 11,131.00
Fees USD$ 98,478.00
PSHH USD$ 13,917.00 USD$ 115,302.00
Total USD$ 138,702.00 USD$ 149,622.00
Funding Uses/Expenses Expenditures for Current
Year
Expected Expenditures
for Next Year
Goleta Grant Funds:

Proposed Uses for
Next FY
Salaries, Beneﬁts, Payroll
Taxes USD$ 90,415.00 USD$ 108,530.00 USD$ 17,000.00
Consultants and Contracts USD$ 278.00 USD$ 235.00
Facility, Rent, Utilities,
Maintenance USD$ 728.00
Supplies USD$ 329.00
Marketing (Printing,
Advertising) USD$ 901.00
Travel, Mileage, Training USD$ 1,900.00 USD$ 2,265.00
Equipment
(Rental/Maintenance) USD$ 927.00 USD$ 172.00
Insurance USD$ 350.00 USD$ 368.00
Other USD$ 43,931.00 USD$ 525.00
Indirect USD$ 36,470.00
Total USD$ 138,702.00 USD$ 149,622.00 USD$ 17,000.00
Budget Narrative
Goleta CDBG funds will be utilized for the salary, beneﬁts, and taxes related to the clinical Social Worker who provides direct services, as well as for the Social Worker Supervisor's time in providing supervision directly related to Goleta services provided by the clinical Social Worker.

Documents top
Documents Requested * Required?Attached Documents *
Nonproﬁt Tax Exemption Status
501c3 letter
List of Board Members
Board of Directors
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completed ﬁscal or calendar year
Audit
Organizational Budget
Operating Budget
Organizational Chart Org Chart
Supplemental or Additional Information
* ZoomGrants™ is not responsible for the content of uploaded documents.

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62

Goleta City CouncilMarch 19, 2024

Goleta City Council
March 19, 2024