City Council and Concurrent Authorities
May 3, 2022

Attachment A
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K. Required Documents
Completed by [email protected] on 1/18/2022 9:05 PM Case Id: 48564
Name: CoS ESG (Fed) HMIS - 2022-23 - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
HMIS project budget.xlsx
 Organization Operational Budgets *Required
CVLIHC agency budget.xlsx
 Organization Financial Statements *Required
2020 Completed audit - signed.pdf
 Tax Status *Required
Nonprofit Status - CVLIHC.pdf
 Board of Directors Roster *Required
CVLIHC Board of Directors bios 11-01-2021.docx
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 Articles of Incorporation/Bylaws *Required
Bylaws - CVLIHC - Amended 11-29-21.pdf
 Conflict of Interest Statement *Required
Conflict of Interest - 08-20-2020.doc
 Organization chart *Required
CVLIHC org and responsibilities chart.xlsx
 Board of Directors’ authorization to request CDBG/ESG funding *Required Funding Application Authorization - Resolution.pdf
 Business License Number *Required
Stockton Business License 2022.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Insurance Certificate - City of Stockton.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Policies and Procedures Handbook.doc
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
 Evidence of Site Control
**No files uploaded
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 SAM.gov - screen shot of sam.gov registration *Required SAM screen shot.docx
 Key Program Staff Resume *Required
RESUME - 2014.doc
 Title Report
**No files uploaded
 Optional Documents
**No files uploaded
Attachment A
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Submit
Completed by [email protected] on 1/20/2022 4:15 PM Case Id: 48564
Name: CoS ESG (Fed) HMIS - 2022-23 - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Jon Mendelson
Title
Executive Director
Date
01/20/2022
Signature
Jon Mendelson
Electronically signed by [email protected] on 1/20/2022 4:15 PM Please download and upload the Certification page here.  Certification Page *Required
Certification.pdf
Attachment A
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Program Overview
Completed by [email protected] on 1/3/2022 8:31 AM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 1/7/2022 1:20 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 1/5/2022 2:13 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Downtown Stockton Alliance
B.2. Mailing Address
PO Box 2375 Stockton, CA 95201

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Michael
B.4. Last Name
Huber
B.5. Email
[email protected]
B.6. Phone Number
(209) 464-5246

POINT OF CONTACT INFORMATION
B.7. First Name
Courtney
B.8. Last Name
Wood
B.9. Email
[email protected]
B.10. Phone
(209) 464-5246

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.downtownstockton.org
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B.12. DUNS Number
9,285,516
B.13. EIN Number
680,374,511
B.14. Business License Number and Expiration Date
22-00117534 March 31, 2022
B.15. Type of Agency
Other
B.16. Number of Paid Staff
30 B.17. Number of Volunteers
2 Attachment A
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C. Funding Request
Completed by [email protected] on 1/10/2022 1:24 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Downtown Stockton Portable Bathroom & Shower Unit (PBSU) Program C.2. Project Site Location
316 N. El Dorado Street Stockton , CA 95202
C.3. Funding Requested in this application
$51,752.00
C.4. Other funds already secured for the project
$110,000.00
C.5. Total Cost to Complete Project
$161,752.00
C.6. Other funds not yet secured
$0.00
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D. Organization Information
Completed by [email protected] on 1/6/2022 3:06 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

As a PBID, the DSA’s mission is to promote business, housing, arts and entertainment to help create a vibrant, sustainable, urban
community in Downtown Stockton. We have served our community for 24 years. The Downtown Stockton Alliance supports the downtown community via clean and safe services, such as sidewalk maintenance, safety ambassadors, and the Portable Bathroom and Shower Program; economic development support, which entails connecting property owners and business owners with key resources; business and event marketing support; public policy advocacy on behalf of Downtown’s stakeholders; and hospitality services, such as providing directions, offering tours, and serving as safety escorts.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 278
Low Income (50%-80%) 50
Very Low Income (30%-50%) 50
Extremely Low Income (Less than 30%) 937
1,315
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 557 78
Black/African American 332 4
Asian 55 4
Am. Indian/Alaskan Native 94 69
Native Hawaiian/Other Pacific Islander 14 1
Am. Indian/Alaskan Native & White 2 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 261 64
1,315 220
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

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Category Clients Served
Disabled 173
Female Headed Households 312
Seniors 158
Youth 59
Homeless 937
1,639
Attachment A
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E. Project Funds
Completed by [email protected] on 1/12/2022 2:32 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 of one for CDBG (our organization will also be submitting an application for ESG - we are planning to submit 1 application in each funding category for the PBSU)
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

This is not a request for one time or "seed funding." N/A E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
B&M
Entrepreneur
Workshops
City CDBG $10,000.00 Project
cancelled due
to
organizational
transition
$2,392.37
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
$0.00 $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
Portable
Bathroom &
Shower Unit
(PBSU)
City CDBG $93,422.00 Have
requested
funds to be
rolled into
2021/2022.
$4,732.20
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FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
$0.00 $0.00
FY2021/22 ESG Portable
Bathroom &
Shower Unit
City ESG-CV;
SJC ESG-CV; SJC
ESG
$228,809.00 Spending
underway - will
be spent by
Summer 2022
$156,481.14
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

In the 2021/2022 funding year, we received $8,809 from SJC ESG which is on track to be spent by the end of June 2022.

In the 2021/2022 funding year, we received $110,000 of SJC ESG-CV funding, which is on track to be spent by the end of June 2022.

In the 2021/2022 funding year, we received $110,000 of City of Stockton ESG-CV funding, which is on track to be spent by the end of June 2022.

For the 2022/2023 funding year, we have secured $110,000 of funding from SJC ESG-CV funding, thus far. We will begin spending this in July of 2022.

In this application, we are seeking funding of $51,752 of City of Stockton CDBG to complement the SJC ESG-CV funding we already have for the 2022 - 2023 FY, and to allow us to run the PBSU for the full year.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds The DSA as an organization will be able to sustain itself regardless of funding, but the PBSU Program that we are seeking funding for would not be able to execute for the full 2022/2023 fiscal year without COS CDBG (or ESG) funds to complement the $110,000 that we have secured from SJC ESG-CV for 2022/2023.

The DSA is seeking $51,752 of COS CDBG funding in this application to fill in a gap between the existing SJC ESG-CV $110,000 and the $161,752 total project cost for 2022/2023.

The $51,752 of COS CDBG funding requested in this application will cover $35,000 of PBSU supply costs (towels, toilet paper, cleaning supplies, masks, soap, sandwich lunches, clean undergarments or other clothing items, etc.), $8,000 of PBSU maintenance costs, and $8,752 of the PBSU supervisor's salary.

We are requesting the same amount from both the COS CDBG and COS ESG programs in the hope that if one denies funding, we may still receive funding from the other, or that if one gives partially, the other may be able to award the remaining balance.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

The PBSU service area is Downtown Stockton and the intended beneficiaries are unsheltered homeless individuals who live in or near Downtown Stockton. The majority of beneficiaries will be homeless individuals who reside in Stockton, though we also expect that a few beneficiaries might be homeless individuals who live in other San Joaquin cities but travel to Downtown Stockton to receive various homeless services.

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E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents Yes
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Unsheltered homeless persons.

Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

Yes
We utilize a survey on our tablet through the Fulcrum App, and then ask participants to sign/self-certify using a stylus.

An example of this digital form is attached in the required attachments section.

E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

The CDBG funds requested will be used for 12 months of operation (July 2022 – June 2023) of the Portable Bathroom and Shower Unit (PBSU) Program – which encompasses the maintenance and operation of 1 mobile bathroom unit (with 3 toilets and 3 showers) for homeless individuals which is open from 8:00 AM – 4:30 PM, Monday – Friday, at the parking lot of St. John’s Church (316 N. El Dorado Street in Downtown Stockton). The PBSU is supervised by a DSA ambassador and 2 Ready-to-Work attendants who gather homeless user information for the Homeless Management Information System (HMIS); monitor and remove users if they exceed permitted usage time limit (15 - 20 min.

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depending on whether they are using the toilet or the shower); purchase and serve sandwich lunches 3 times each week; track restroom usage frequency; provide clean undergarments and other clothing to clients; coordinate homeless service site visits; and provide mental health, physical health, and housing service brochures/information.

The DSA is seeking $51,752 in CDBG funding for the PBSU program FY 2022/2023, which costs $161,752 in total. The CDBG funding will cover PBSU supply (toilet paper, cleaning supplies, masks, towels, soap, sandwich lunches, clothing items, etc.) costs of $35,000; PBSU maintenance costs of $8,000; and $8,752 of the PBSU supervisor's salary.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

Number of PBSU uses throughout the year.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 800
Households 0
Other 7,000
7,800
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

In regards to service delivery for the PBSU program, the Portable Bathroom and Shower Unit, which has 3 shower/toilet stalls, will be open and operated Monday – Friday from 8:00 AM – 4:30 PM in the parking lot of St John’s Church located at 316 N. El Dorado Street. Each unit has toilets, sinks, toilet paper, a shower stall, paper towels, seat covers, waste bins, and towels.

The PBSU is supervised by one DSA hospitality ambassador and 2 Ready-to-Work participants, who gather homeless client user information for the HMIS (name, birthday, SSN, housing status, ethnicity, preferred language, length of time homeless, mental health status, and physical health status) prior to bathroom use; monitor and remove users if they exceed permitted usage time limit (15 - 20 min., depending on whether they are using the toilet or shower); track restroom usage frequency; serve sandwich lunches 3 times a week; provide clean undergarments and other clothing to clients; coordinate homeless service site visits; and provide mental health, physical health, and housing service brochures/information.

Clients can use the PBSU at no cost and with no advanced notice - they need only arrive at the PBSU location, answer our questionnaire, and provide their signature in order to access the bathrooms. Additionally, 1 of our bathroom/shower stalls is ADA compliant.

In addition to providing brochures, the DSA coordinates site visits with services agencies to link the homeless directly to homeless support service providers.

In terms of outreach or communicating the existence of the PBSU to the homeless community (the majority of whom Attachment A
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are low income), the program has been shared with members of the Continuum of Care; has been shared on the DSA's Facebook page; has been shared with homeless service providers; and has been shared via posters near known homeless camps. Our safety ambassador team also distribute cards that have the location of the PBSU on them to homeless individuals they encounter during their shifts. The marketing materials use bathroom symbols in addition to words in order to reach individuals who may not speak English or who may not be literate.

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F. Project Impact
Completed by [email protected] on 1/21/2022 4:14 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 800
800
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 372 70
Black/African American 242 4
Asian 20 4
Am. Indian/Alaskan Native 85 62
Native Hawaiian/Other Pacific Islander 13 1
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 68 58
800
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 156
Female Headed Households 281
Seniors 115
Youth 35
Homeless 800
1,387
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
0 0 0
2020-2021 (Anticipated) 4 887 886
2021-2022 4 800 799
8 1,687 1,685
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

The PBSU Program encompasses the maintenance and operation of 1 mobile bathroom unit (with 3 toilets and 3 showers) for homeless individuals which is open from 8:00 AM – 4:30 PM, Monday – Friday, at the parking lot of St.

John’s Church (316 N. El Dorado Street in Downtown Stockton).

The PBSU is supervised by a DSA ambassador and 2 Ready-to-Work attendants who gather homeless user information for the Homeless Management Information System (HMIS); monitor and remove users if they exceed permitted usage time limit (15 - 20 min. depending on whether they are using the toilet or the shower); track restroom usage frequency; provide clean undergarments and other clothing to clients; and provide mental health, physical health, and housing service brochures/information.

In addition to operating the PBSU, the DSA serves lunches 3 times a week and coordinates site visits with service agencies (public health, covid-19 vaccine and test providers, laundry services, donated clothing providers, etc.) to link the homeless directly to housing and other services they need, thus enabling the PBSU to meet the immediate public lavatory needs of unsheltered homeless individuals; connect said individuals with food, housing, mental health, and medical resources; reduce the general public’s exposure to human waste health hazards; and provide employment/experience to low-income individuals.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

The need for the PBSU Program initially arose from a chronic public health issue in the form of public urination and defecation in Downtown Stockton primarily caused by the unsheltered homeless population as a result of a public restroom shortage. As the gateway to our city and the seat of our county, the DSA considered it of paramount importance to address this problem, which endangers the general public – workers and visitors alike – by exposing them to infectious diseases, and is disenfranchising for unsheltered homeless individuals who have nowhere to defecate, urinate, shower, or wash their hands with dignity. Prior to the creation of the PBSU program, the DSA received calls to our maintenance team to pick up 2,000 instances of human waste from public sidewalks and parking lots a year.

The implementation of this Portable Bathroom and Shower Unit at the start of 2021 has begun to address a combination of need gaps in our community. These need gaps and the PBSU's role in addressing them are outlined below.

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1. A)Need Gap 1: Lack of Accessibility and Availability of Facilities to Address Hygiene Needs of Unsheltered Homeless The 2019 PITC reports 1,558 unsheltered homeless in San Joaquin; 921 (59%) of those were found in the Stockton area, specifically. This demonstrates Stockton’s position as the primary hub for the county’s unsheltered homeless.

Being unsheltered, these individuals have limited access to restrooms – especially since COS Public Works has closed many public ones; they are also frequently turned away by businesses/private restroom owners. The PITC asserts that 72% of the unsheltered homeless have been so for over a year; this long-term lack of restroom access reduces the quality of living conditions for homeless individuals and contributes to public health hazards, which is evidenced by the 2,000 instances of human waste that the Downtown Stockton Alliance (DSA) removed from sidewalks the year before PBSU installation. With the onset of COVID-19, this need gap has become even more critical to address - without a way to clean themselves while living on the streets, the unsheltered homeless are now also facing a greater risk of contracting and spreading COVID-19 within their communities.

B) PBSU As a Solution to Need Gap 1: Improving Accessibility and Availability of Hygiene/Sanitary Needs of Unsheltered Homeless
The PBSU offers the unsheltered homeless much-needed access to restroom facilities 5 days a week, 8.5 hours per day. Because of the PBSU, the unsheltered homeless have an available, secure place to relieve themselves and wash their hands/faces. This helps them retain their dignity; shields them from street dangers while relieving themselves; reduces incidents of indecent exposure/public urination; improves their living conditions; helps reduce the chance of COVID-19 spreading within the unsheltered homeless community; and reduces the general public’s exposure to infectious diseases (including COVID-19). Additionally, we now have COVID vaccinations on site through SJ Public Health, which is helping the homeless community get easy access to COVID-19 protection. Since the launch of the program in January 2021, the PBSU has provided 7,444 total bathroom/shower uses to 887 unique users! In 2021, 46 vaccines were administered by Public Health on site, and 19 COVID-19 tests were administered. We certainly have been filling in these gaps for the homeless community.

2. A) Need Gap 2: HMIS Data Collection Gaps
As discussed in the SJ County Point in Time Count 2019 (PITC), there is an ongoing struggle to collect accurate data about homeless individuals; it is also difficult to establish connections with homeless individuals via typical street outreach programs. This causes a knowledge gap in Stockton and in SJ County at large - the amount of homeless individuals reported does not necessarily mirror the actual amount of homeless in the area. Furthermore, data collected on individuals who are interacted with only once for the purpose of a count may be incomplete, thus hindering aid.

B) PBSU As a Solution to Need Gap 2: Helping with HMIS Data Collection The DSA collaborates with the county via the PBSU to improve the collection of data entered into the HMIS. PBSU monitors engage with homeless individuals using the bathrooms in order to learn about them, including but not limited to SSN, birthdate, housing status, ethnicity, preferred language, length of time on the streets, mental health status, and physical health status. The very nature of the PBSU attracts individuals who are most difficult to track in typical counts - unsheltered individuals. Since bodily functions are daily occurrences - and unsheltered individuals are the most common PBSU
users – the PBSU can build more robust files on unsheltered homeless who live in Downtown Stockton and surrounding areas. Repeat users such as those who use the PBSU contribute to a more detailed HMIS. Since the launch of the program in 2021, DSA has reported all 887 users into the HMIS; of those users, 183 individuals were NEW entries into the HMIS/they were not previously accounted for in the county's system. This proves that our program is contributing to increasing the accuracy of our county's homeless count.

3. A) Need Gap 3: Barriers to Housing – Mental Health and Substance Abuse The 2019 PITC mentions mental illness and drug or alcohol addiction as barriers to housing for the unsheltered homeless population. The 2019 PITC asserts that 63% of the County’s unsheltered homeless struggle with substance Attachment A
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abuse, and 37% of unsheltered homeless suffer from mental health problems. Having these issues makes it difficult for individuals to successfully enter into or remain in a shelter, without appropriate services. While this data is County-wide, it applies to all SJ cities, including Stockton.

B) PBSU As a Solution to Need Gap 3: Serving as a Hub for Information and Access to Homeless Resources for Mental Health and Substance Abuse
In addition to collecting information about users, the PBSU serves as a hub of information for homeless resources, like mental health services, substance abuse services, medical services, and housing for the unsheltered homeless in the Downtown Stockton area. Literature about these programs is available at the PBSU site; monitors recommend resources; and DSA collaborates with agencies to plan site visits to directly connect individuals with mental health, substance abuse, veteran, and housing programs. 3 PBSU clients have acquired jobs and entered shelters; 5 others have enrolled in the Ready to Work program; and several have accessed medical, drug, or mental health services through referrals from SJ Public Health.

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G. Project Narrative
Completed by [email protected] on 1/21/2022 4:16 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Transition
The PBSU Program helps clients move toward a better situation by giving them a dignified place to use the restroom and also giving them the means to keep their bodies clean. Without the PBSU program, the unsheltered homeless have to try to find a secluded place to relieve themselves and may have no way to bathe apart from trying to wade in the Delta water.

Self-Sufficiency
The PBSU program helps clients gain more control of their lives by giving them the ability to fulfill the very basic needs of personal hygiene. By keeping themselves clean, they are able to better integrate into society, and may even be able to obtain a job. The information we share regarding other homeless service programs also moves clients towards self- sufficiency or a lower level of need by giving them access to mental health, physical health, substance abuse, or housing services, which can help lift them out of their unsheltered state.

Stabilization
The PBSU program provides stabilization for clients by offering them a consistent place to have their hygienic needs met. By having a regular location, M - F, from 8:00 AM - 4:30 PM, clients know they can count on being able to use the toilet or to shower on a regular basis. This consistency offers a way to stabilize their lives on the streets; instead of wondering when or how they will be able to use the restroom or to shower, they can arrange their schedule to have a clean shower and a safe place to use the restroom 5 days a week. This is one small step toward reducing the stress and unpredictable
nature of living on the streets. Having a dependable way to stay clean can lead them closer to the possibility of Attachment A
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wanting to receive other services and can also make it much easier for them to obtain and hold a job. 3 PBSU clients have entered shelters and found jobs, and 5 others have enrolled in the Ready to Work program.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

Timeline
The requested CDBG funding will contribute to the operations of the PBSU from July 1, 2022 to June 30, 2023. An average of $4,313 CDBG funds will be spent on a monthly basis during this 12 month period. The program will continue to operate beyond the requested CDBG funding time period, provided DSA can secure additional funding to do so, or provided that DSA finds a partner who can take over operations at that point in time.

Detailed Description
As mentioned earlier in the application, the PBSU program encompasses the maintenance and operation of 1 mobile bathroom unit (with 3 toilets and 3 showers) for homeless individuals which is open from 8:00 AM – 4:30 PM, Monday –Friday, at the parking lot of St. John’s Church (316 N. El Dorado Street in Downtown Stockton). The PBSU is in operation year round.

The PBSU is supervised by a DSA ambassador and 2 Ready-to-Work attendants who gather homeless user information for the Homeless Management Information System (HMIS); monitor users (who have a 15 - 20 min. time limit depending on whether they are using the toilet or the shower); track restroom usage frequency; distribute sandwich lunches 3 times a week; provide clean undergarments and other clothing to clients; and provide mental health, physical health, and housing service brochures/information. Users can return as often as they want to use the toilet and/or shower.

In addition to operating the PBSU, the DSA coordinates site visits with service agencies to link the homeless directly to housing and service providers, thus enabling the PBSU to meet the immediate public lavatory needs of unsheltered homeless individuals; connect said individuals with food, housing, mental health, COVID-19 vaccinations/testing, and medical resources; reduce the general public’s exposure to human waste health hazards; and provide employment/experience to low-income individuals. This project is a continuation of the PBSU project, which launched at the start of 2021. The project will continue year-round, as long as DSA is able to secure funding or until the DSA finds a partner who is willing to take on operation of the unit.

Activities
The specific tasks/activities which will be undertaken to accomplish our objectives will be:

1. Operation of the portable shower and bathroom unit M – F, 8:00 AM – 4:30 PM, using a supervisor and two bathroom
attendants to interact with users and gather user information; clean the bathrooms; order PBSU supplies; and share information about other homeless services to clients.

2. Provision of lunch 3 times a week to homeless individuals.

3. Entry of collected client information into the HMIS by office staff.

4. Staff review of PBSU data to ensure goals/benchmarks are being met.

5. Coordination with homeless service providers to obtain program marketing materials and to arrange for providers to be on site.

6. Keeping in regular contact with homeless service providers to track whether clients are gaining access to other homeless services.

7. Promotion of the PBSU through social media, posters, and sharing information with strategic organizations to Attachment A
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increase
the number of users/clients.

All of these activities will help us achieve our aims of providing more available and accessible hygienic services to the unsheltered homeless, of connecting unsheltered homeless with other homeless service providers, and helping to add information/data about our county’s unsheltered homeless population to the HMIS.

PBSU Goals/Benchmarks

1. DSA has set a goal for 30 uses a day on average as a measure of success for the program, with a goal of serving 800 unique clients yearly, and of those we expect 799 of them to be Stockton residents. We also have set a goal for 7,000 total uses. To achieve this goal, we are planning to conduct over 2,000 hours of PBSU operation.

2. DSA has set a goal of helping at least 10% of total PBSU clients (80 individuals) yearly to receive mental health, physical health, or substance abuse services and/or transition into housing.

3. DSA aims for accurate entry of 95% of client user data to be collected and then entered into the HMIS.

For us, success would mean meeting or exceeding our goals for PBSU usage, users, and number of clients getting access to services that can help them transition out of life on the streets; and successful data entry into the HMIS.

Project Activity or Program
Service #
Describe the Deliverable
1 DSA has set a goal for 30 uses a day on average as a measure of success for the program, with a goal of serving 800 unique clients yearly, and of those we expect 799 of them to be Stockton residents.

We also have set a goal for 7,000 total uses. To achieve this goal, we are planning to conduct over 2,000 hours of PBSU operation. 2 DSA has set a goal of helping at least 10% of total PBSU clients (80 individuals) yearly to receive mental health, physical health, or substance abuse services and/or transition into housing. To achieve this goal, we are continuing our coordination with SJ Public Health and other homeless service providers to provide information and/or on site services to our homeless clients.
3 DSA aims for accurate entry of 95% of client user data to be collected and entered into the HMIS. To achieve this, daily, the PBSU supervisor checks her written client records with those the attendants have entered into the Fulcrum app to be sure that 95 – 100% of data is properly recorded. If she notices a mistake or that a client is missing, she coordinates with the attendants to correct a mistake or add the client immediately, if possible. A second ambassador enters this data into the HMIS.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

The DSA has sufficient organizational capacity to implement the PBSU program, as evidenced not only by our current management of the PBSU program itself, but also by various teams, programs, grants, and other projects DSA has managed. Our current programs and success are outlined below and demonstrate the capabilities of our organization:

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1. Downtown Maintenance Team & Equipment
For over 24 years, the Downtown Stockton Alliance has managed a maintenance team within our 123 square block district; they are responsible for picking up trash/human waste/litter on sidewalks, removing graffiti from street- facing buildings, removing weeds on sidewalks, and emptying trash cans within the Downtown area. We also manage a pressure washing team. In our operation of this program, we successfully manage capital equipment in the form of 7 mules, an EV, two trucks, pressure washers, etc., which we keep in our maintenance garage. We currently manage over 20 maintenance crew members. As a part of providing these services, we track the amount of trash they pick up each day, the number of service calls they address, and the number of graffiti instances they remove; this is all compiled in our annual report and demonstrates our ability to effectively manage a team, to collect and report data, and to execute services.

2. Safety Ambassador Program
Since February 2020, DSA has managed the Downtown Safety Ambassador Program, which involves the supervision, training, and hiring of an ambassador team which patrols the Downtown district. These safety ambassadors monitor the district 20 hours a day, 7 days a week and are required to report all incidents using the Fulcrum app. This again demonstrates our ability to manage teams. to track/collect data, and to execute services.

3. Grants Managed
The DSA has also managed several grants in recent years. Grants which were managed in the last few years included a CDBG grant from the City of Stockton for the PBSU in 2020 ($93,442), a CDBG grant for entrepreneur workshops in partnership with Centro Community Partners, a tech incubator grant from PG&E, a SJC ESG-CV grant ($220,000 for 2021 - 2023), a SJC ESG grant ($8,809 for 2021 - 2022) and a 2020/2021 COS ESG-CV grant ($110,000) for the PBSU.

Through the Downtown Stockton Enterprise Loan Fund (DSELF) – a 501(c)3 nonprofit under the DSA’s umbrella - we received over $100,000 from banks in 2006-2007 specifically to use for microlending to small downtown businesses, and have grown that fund to over $200,000. We have effectively managed and submitted reporting for all grants which we have received in the past.

4. PBSU Program
Last year, we began operating the PBSU program. We have one supervisor and 2 attendants managing the program M - F, 8:00 AM - 4:30 PM, and we have been able to successfully gather and track data for 887 unique users and have also collected usage data for 7,444 total uses, using an app called Fulcrum. We have cleaned and maintained the unit, served and ordered lunches 3 times a week, partnered with laundry service providers, coordinated with donated clothing providers, and partnered with SJ Public Health to have COVID-19 vaccinations/testing administered on site.

We have entered our user data into the county's HMIS. Our successful execution and management of this program in 2021 demonstrates our capability to continue managing this program in 2022 and beyond.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
Our agency implements the program as described previously. Our staff (an ambassador/PBSU supervisor and 2 PBSU attendants) operate the mobile bathroom unit (with 3 toilets and 3 showers) for homeless individuals from 8:00 AM – 4:30 PM, Monday – Friday, at the parking lot of St. John’s Church (316 N. El Dorado Street in Downtown Stockton).

The PBSU is in operation year round.

Clients access the unit simply by walking into the parking lot, asking the attendants to use it, and answering our survey/questionnaire.

The PBSU is supervised by a DSA ambassador/PBSU supervisor and 2 Ready-to-Work attendants who gather homeless user information and enter it into the Fulcrum app; monitor and remove users if they exceed permitted usage time limit (15 - 20 min. depending on whether they are using the toilet or the shower); track restroom usage frequency; Attachment A
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serve sandwich lunches 3 times a week; provide clean undergarments and other clothing to clients; and provide mental health, physical health, and housing service brochures/information.

The DSA ambassador/PBSU supervisor coordinates site visits with service agencies to link the homeless directly to housing and service providers, thus enabling the PBSU to meet the immediate public lavatory needs of unsheltered homeless individuals; connect said individuals with housing, mental health, and medical resources; reduce the general public’s exposure to human waste health hazards; and provide employment/experience to low-income individuals.

A second DSA ambassador takes the collected user data in Fulcrum and enters it into the HMIS system.

The DSA CEO conducts the ordering of supplies and schedules maintenance of the PBSU, conducts grant reporting, and builds relationships with other homeless service providers to help spread the word about the PBSU.

The DSA Marketing Coordinator promotes the PBSU on social media.

The DSA Economic Development Director compiles information to assist with the quarterly reports and annual report.

Lastly, our Safety Ambassadors distribute informational cards with details about the PBSU's location and hours to homeless individuals they encounter on the streets.

Project Deliverable # Describe the Deliverable
1 DSA has set a goal for 30/day on average as a measure of success for the program, with a goal of serving 800 unique clients yearly, and of those we expect 799 of them to be Stockton residents. We also have set a goal for 7,000 total uses. To achieve this goal, we are planning to conduct over 2,000 hours of PBSU operation through our PBSU supervisor and 2 attendants. Clients access the unit by walking into the parking lot, asking the attendants to use it, and answering our survey/questionnaire.
2 DSA has set a goal of helping at least 10% of total PBSU clients (80 individuals) yearly to receive mental health, physical health, or substance abuse services and/or transition into housing. To achieve this goal, we are continuing our coordination with SJ Public Health and other homeless service providers to provide information and/or on site services to our homeless clients. Our PBSU supervisor and CEO coordinate these services. 3 DSA aims for accurate entry of 95% of client user data to be collected and entered into the HMIS. To achieve this, daily, the PBSU supervisor checks her written client records with those the attendants have entered into the Fulcrum app to be sure that 95 – 100% of data is properly recorded. If she notices a mistake or that a client is missing, she coordinates with the attendants to correct a mistake or add the client immediately, if possible. A second ambassador enters this data into the HMIS.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? Goal Criteria 1: DSA aims for 30 uses a day on average as a measure of success for the program, with a goal of serving 800 unique clients yearly, and of those we expect 799 to be Stockton residents. We also have set a goal for 7,000 total uses. To help achieve this goal, we will conduct over 2,000 hours of PBSU operation.

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Measuring success: We examine our average daily uses on a monthly totals to see whether we are meeting our goal of 30 uses on average, a day; if we aren’t consistently meeting that goal, then we look to improve marketing efforts and coordination with other service providers to be sure knowledge of our program has permeated the community.

Goal Criteria 2. DSA aims for at least 10% of PBSU clients (80 individuals) yearly to receive mental health, physical health, or substance abuse services and/or transition into housing.

Measuring success: Monthly, we plan to talk with the service providers whose marketing materials are at the PBSU or who have been to the site to promote their services in order to learn whether clients from the PBSU have used their services. We also will talk with regular PBSU clients themselves to learn what changes they have made in their lives. If we don’t see that at least this minimum number is being reached on a monthly basis, then we will examine whether we need to bring additional or different service providers out to the site, or improve our communication to the clients about services available.

Goal Criteria 3. DSA aims for accurate entry of 95% of client user data to be collected and then entered into the HMIS.

Measuring Success: Daily, the PBSU supervisor checks her written client records with those that the attendants have entered into the Fulcrum app to be sure that 95 – 100% of the client data is being properly recorded. If she notices a mistake or that a client is missing from the app, then she coordinates with the attendants to correct a mistake or add the client immediately, if possible. Any mistakes in collection are addressed with the attendants as soon as they occur, so as to prevent repetition of errors. Our data entry staff member then takes that collected information and enters it into the HMIS, checking with the PBSU supervisor if they have any questions, and checking for accuracy. The records from the PBSU will be compared with the HMIS records on a quarterly basis to ensure that all info is correctly matched.

For us, success would mean meeting or exceeding our goals for PBSU usage, users, and number of clients getting access to services that can help them transition out of life on the streets; and successful data entry into the HMIS.

Deliverable # Task that Support Deliverable
1 To achieve the goal of 800 users and 7,000 uses, we will conduct over 2,000 hours of PBSU operation through our PBSU supervisor and 2 attendants, who will operate the PBSU M – F, 8:00 AM – 4:30 PM; gather user information; clean the bathrooms; order PBSU supplies; provide lunch 3 times a week to clients; provide clean undergarments and other clothing items; and share information about other homeless services to clients. DSA staff will also promote the PBSU to the public and review PBSU data.
2 To achieve the goal of helping at least 10% of total PBSU clients to obtain access to other homeless services, DSA staff will coordinate with homeless service providers to obtain program marketing materials and to arrange for providers to be on site, and keep in regular contact with homeless service providers to track whether clients are gaining access to other homeless services.
3 To achieve the goal of accurate entry of 95% of client user data to be collected and entered into the HMIS, DSA staff will collect client data and enter it into Fulcrum; check the accuracy of daily entries; transfer Fulcrum data into the HMIS; and review data regularly to correct any mistakes.

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G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
This project will target the unsheltered homeless in and around Downtown Stockton, CA; the unsheltered homeless will benefit by gaining access to a bathroom and shower for no fee, while also gaining access to lunches 3 times a week, public health services such as COVID-19 vaccinations/testing, and information about other homeless services in the community. The eligibility requirements are simply that clients fill out our questionnaire/survey and sign our user agreement.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

The PBSU Program differs from similar programs, like Showered With Love (the most similar local program) in a few ways. First, the PBSU offers toilets, whereas Showered With Love only offers showers. Second, the program is in operation Monday - Friday, from 8:00 AM – 4:30 PM in one consistent location, whereas Showered With Love rotates its locations between Stockton and Lodi and only operates a few days/week from 9:00 AM – 1:30 PM. Because our program runs 5 days/week, it offers more opportunities for the unsheltered homeless to wash their hands/faces, use the bathroom, and /or take a shower. We do not currently collaborate with Showered With Love, although we did share space with them at St. John's for part of 2021.

We currently collaborate with St. John’s Episcopal Church; they allow us to place the PBSU in their parking lot and have also allowed us to construct a shed for storage (see our MOU in the additional attachments section). They have also donated hairbrushes, food, clothing, and other items to The PBSU program.

We currently collaborate with Ready-to-Work to recruit the PBSU attendants.

We have also coordinated with Central Valley Low Income Housing in order to gain access to the HMIS.

We currently partner with SJ Public Health to provide health services and COVID-19 vaccines on site.

We partner with laundry service provider Uplift All to provide weekly laundry service to the homeless on site.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

As described earlier in this application, the DSA is seeking gap funding from either the City's CDBG or ESG programs to complement the already secured funding of $110,000 from SJ County's ESG-CV grant for 2022/2023. We plan to continue operation for as long as we are able to obtain funding or until we are able to find a partner organization interested in taking over the project.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

Our Executive Director Mike Huber sits on the South Pointe Coalition Board.

Our Executive Director Mike Huber and Economic Development Director Courtney Wood sit in on the EDD's Community Resource calls.

City of Stockton EDD employee Tina McCarty sits on our Board of Directors.

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City of Stockton EDD employee Nicole Snyder sits on our Downtown Stockton Enterprise Loan Fund (DSELF) Board of Directors.

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H. ESG
Completed by [email protected] on 1/21/2022 4:12 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:
0 H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

As mentioned earlier in the application, the PBSU program encompasses the maintenance and operation of 1 mobile bathroom unit (with 3 toilets, 3 sinks, and 3 showers) for homeless individuals which is open from 8:00 AM – 4:30 PM, Monday – Friday, at the parking lot of St. John’s Church (316 N. El Dorado Street in Downtown Stockton).

This project is instrumental in directly preventing the spread of COVID-19 by offering the unsheltered homeless a much-needed place to use the restroom/wash their hands/shower. The unsheltered homeless typically do not have bathrooms readily available to them. They could come into contact with COVID-19 and have nowhere to wash their hands/prevent themselves from contracting the virus as a result of their initial contact with it. The PBSU gives them critical access to personal hygiene services which can protect homeless individuals and can also prevent the spread of COVID-19 within the unsheltered homeless community, and the community at large. Additionally, our coordinated site visits by SJ Public Health provide homeless individuals with direct access to COVID-19 vaccinations and testing, further helping to decrease the likelihood that they will contract COVID-19 or become seriously ill from COVID-19. In 2021, 46 vaccines were administered by Public Health on site, and 19 COVID-19 tests were administered.

The PBSU meets the immediate public lavatory needs of unsheltered homeless individuals; prevents the contraction and spread of infectious illnesses like COVID-19; connects said individuals with housing, mental health, and medical resources; reduces the general public’s exposure to human waste health hazards; and provides employment/experience to low-income individuals.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? Yes
H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

Yes
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I. Public Facility Project
Completed by [email protected] on 1/4/2022 1:35 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A - not a Public Facility project
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A - not a Public Facility project
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A - not a Public Facility project
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

N/A - not a Public Facility project
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A - not a Public Facility project
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A - not a Public Facility project
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A - not a Public Facility project
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

This is a continuation of the existing PBSU program/service described earlier in the application, which we launched in January of 2021.

I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/21/2022 4:11 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

1. Coordination and collaboration with other service providers.

When it comes to coordination and collaboration with other service providers, it can be difficult to get everyone working towards a common goal. Additionally, some organizations who provide homeless services don't always enter their data into the HMIS, which means their data is not necessarily shared with the county or other organizations.

Through DSA's relationships with homeless service providers, the PBSU program encourages other service agencies/organizations, like SJ Public Health, Uplift All, etc., to come to the table and set agreed-upon days/times to provide service/visit the PBSU site, which serves as a gateway to their own services. The PBSU encourages collaboration among service providers and helps to build a stronger referral network for homeless services, as evidenced by the number of PBSU clients who accessed vaccines, other medical care, mental health assistance, and shelters after visiting the PBSU. Additionally, the PBSU program's collection of client data and entry of that data into the HMIS increases the sharing of homeless client information among homeless service providers and with SJ County; as mentioned, we helped input data for 887 individuals, of which 183 were brand new entries into the HMIS.

2. Removing barriers that limit access to services and participation Homeless individuals are frequently banned from using business restrooms, and there are few public restrooms available in the Stockton area, since many park restrooms are permanently closed. Unless you are a paying customer at a business, it can be difficult to find a public restroom; similarly, free showers are not readily available to those who are unsheltered.

The PBSU program removes all barriers for unsheltered individuals looking to use the bathroom or to take a shower.

There is no monetary cost to the client to use our service, and the only requirement is that they take our survey/questionnaire. We provide free access to showers and toilets to unsheltered homeless who otherwise may not have access to these services. As mentioned, we served 887 individuals in 2021, with a total of 7,444 bathroom/shower uses for the same year. We also connect the homeless with COVID-19 vaccines and COVID-19 testing through SJ Public Health on site, for free; this helps eliminate barriers they might have been experiencing in terms of COVID-19 prevention and care. In 2021, 46 vaccines were administered by Public Health on site, and 19 COVID-19 tests were administered.

Attachment A
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J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients This program is very accessible to the average ambulatory person via public transportation.

The PBSU is within .1 miles of the El Dorado and Fremont Bus Stop, which equates to a 2 minute, 1.5 block walk.

The PBSU is within .4 miles of the Greyhound bus station on Weber Avenue, which equates to an 9 minute walk that spans 5 blocks.

The PBSU is within .1 miles of the Weber & Center Bus Stop, which equates to a 3 minute walk that spans 1.5 blocks.

The PBSU is within .7 miles of the ACE train station, which equates to a 14 minute walk that spans 10 blocks.

In addition to being accessible via public transit, this location is also walkable for individuals who are receiving assistance
from the Human Services Agency (7 blocks away; .6 miles; 12 minutes walking distance) and the Gospel Center Rescue Mission (10 blocks away; .7 miles; 15 minutes walking distance).

This central location is ideal for the target population of unsheltered homeless, so no additional measures will be taken
to specifically reduce transportation barriers.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/21/2022 9:22 AM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
budget table 2022-2023 final 1.11.2022.pdf
Project Scope and timeline 2022-2023 1.11.2022.pdf
 Organization Operational Budgets *Required
DSA 2021 Budget.pdf
DSA 2022 Budget Draft (3).pdf
 Organization Financial Statements *Required
DSA Financial 12.31.21.pdf
 Tax Status *Required
IRS Tax ID Letter.pdf
 Board of Directors Roster *Required
2022 Full Board Roster.pdf
47337_Conflict of Interest on our Board.pdf
Attachment A
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 Articles of Incorporation/Bylaws *Required
DSA Original Articles of Incorporation.pdf
ByLaws.pdf
 Conflict of Interest Statement *Required
Conflict of Interest Statement.png
 Organization chart *Required
Organizational Chart 2022.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required resolution to apply for CDBG or ESG money.pdf
 Business License Number *Required
bus license 2022.PDF
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Insurance Cert.PDF
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel Policies.pdf
43948_EmployeeIncidentReportForm.png
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
St. John's MOU.pdf
Attachment A
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 Evidence of Site Control
**No files uploaded
 SAM.gov - screen shot of sam.gov registration *Required sam.gov screenshot.pdf
 Key Program Staff Resume *Required
Shirley's Resume - PBSU Supervisor.pdf
About Resumes or Backgrounds of the Attendants.pdf
 Title Report
**No files uploaded
 Optional Documents
43873_Client Service Map-Intake Process.pdf
43875_Cleaning Procedures for PBSU.pdf
43874_PBSU Intake Survey-Questionnaire.pdf
43876_Pit Stop Protocols - Guidelines for Workers.pdf
SJC ESG CV $220,000 Agreement 2021 Downtown Stockton Alliance (1).pdf SJC ESG $8,809 2021 Down Stockton Alliance (1).pdf
ESG-CV Downtown Stockton Alliance Agreement.pdf
Attachment A
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Submit
Completed by [email protected] on 1/21/2022 4:22 PM
Case Id: 48563
Name: Downtown Stockton Alliance - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Michael Huber
Title
Executive Director
Date
01/21/2022
Signature
Michael Huber
Electronically signed by [email protected] on 1/21/2022 4:21 PM Please download and upload the Certification page here.  Certification Page *Required
signed -CDBG.ESG Signature.pdf
Attachment A
693
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Program Overview
Completed by [email protected] on 1/21/2022 9:53 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

Attachment A
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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 1/20/2022 8:12 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 1/20/2022 8:21 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
San Joaquin Fair Housing Foundation, Inc.

B.2. Mailing Address
401 S El Dorado Street Suite A Stockton, CA 95203

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Robert
B.4. Last Name
Brooke-Munoz
B.5. Email
[email protected]
B.6. Phone Number
(209) 451-3471

POINT OF CONTACT INFORMATION
B.7. First Name
Robert
B.8. Last Name
Brooke-Munoz
B.9. Email
[email protected]
B.10. Phone
(209) 451-3471

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.sjfairhousing.com
B.12. DUNS Number
965,161,656
Attachment A
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B.13. EIN Number
843,483,719
B.14. Business License Number and Expiration Date
San Joaquin Fair Housing Foundation, Inc.

B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
7 B.17. Number of Volunteers
1 Attachment A
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C. Funding Request
Completed by [email protected] on 1/20/2022 8:24 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
San Joaquin Fair Housing
C.2. Project Site Location
401 S El Dorado Street Suite A Stockton, 95203
C.3. Funding Requested in this application
$174,255.00
C.4. Other funds already secured for the project
$0.00
C.5. Total Cost to Complete Project
$274,828.00
C.6. Other funds not yet secured
$100,573.00
Attachment A
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D. Organization Information
Completed by [email protected] on 1/20/2022 9:26 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

San Joaquin Fair Housing is a critical partner and community resource for preventing local evictions and increased homelessness. Our role is to provide information, training and counseling services to renters and landlords. San Joaquin Fair Housing has been serving the community since 1983.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 30
Low Income (50%-80%) 79
Very Low Income (30%-50%) 41
Extremely Low Income (Less than 30%) 3,081
3,231
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 1,277 182
Black/African American 1,108 66
Asian 151 17
Am. Indian/Alaskan Native 18 2
Native Hawaiian/Other Pacific Islander 11 0
Am. Indian/Alaskan Native & White 16 1
Asian & White 6 0
Black/African American & White 6 0
Am. Indian/Alaskan Native & Black/African American 6 0
Other Multi-Racial 632 514
3,231 782
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 57
Female Headed Households 1,596
Seniors 13
Youth 0
Homeless 76
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1,742
Attachment A
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E. Project Funds
Completed by [email protected] on 1/24/2022 1:19 PM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year.

N/A
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

N/A
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
San Joaquin
Fair Housing
Stockton, Lodi
& SJ County
$226,606.00 Completed $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
San Joaquin
Fair Housing
Stockton, Lodi
& SJ County
$250,935.00 Completed $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
San Joaquin
Fair Housing
Stockton, Lodi
& SJ County
$239,368.00 Completed $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
San Joaquin
Fair Housing
Stockton, Lodi,
SJ County &
HACSJ
$201,368.00 completed $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
San Joaquin
Fair Housing
Stockton, Lodi
& SJ County
$2,344,225.00 On-going $0.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

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Proposed funding:

City of Stockton - $174,255
SJ County - $82,573
City of Lodi - $18,000
E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds SJFH will still provide all services but would have to limit the amount of residents that we can work with. This could increase evictions that would be detrimental to tenants trying to secure housing; it will have these individuals living in substandard rentals with dubious owners that only collect rent. As such, the already overloaded court calendar would be impacted with more unlawful detainer actions which lead to homelessness. Less mediation would occur leaving tenants with no voice and owners providing less than minimum requirements under the City code enforcement. Less funding would also increase the possibilities of discrimination practices occurring but left overlooked.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

SJFH will serve the entire City of Stockton. Our major goal is to serve the very low to medium income residents but will have never denied services to anyone. We also provide services to the Cities of Lodi, Escalon, Lathrop, Manteca, Ripon and Tracy as well as all of the unincorporated areas of San Joaquin County.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents Yes
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents Yes
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

No
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Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

The funding provides a permanent location and a trained staff of Housing Counselors that possess the knowledge of tenant and landlord rights & responsibilities and Fair Housing law. The funds cover all costs involved in keeping the agency in operations.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

N/A
E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 4,106
Households 0
Other 0
4,106
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

The program provides outreach to the private and public organizations within this county. The program accomplishes this by conducting seminars at Community centers, Homeless Shelters, Head Start programs, San Joaquin Delta College, City and County Code Enforcement offices, Property Management companies, and in conjunction with the Housing Authority of the County of San Joaquin. We educate the Partnership agencies, public and private organizations on education and responsibilities of each party and where a referral would be made if a party felt that they were a victim of discrimination. Our service delivery methods include telephone contacts, in-office face to face contact, referrals to code enforcement and law enforcement. We also mail, fax and e-mail information to anyone that requests it.

Attachment A
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F. Project Impact
Completed by [email protected] on 1/24/2022 2:02 PM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 33
Low Income (50%-80%) 115
Very Low Income (30%-50%) 35
Extremely Low Income (Less than 30%) 3,923
4,106
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 1,676 265
Black/African American 1,338 100
Asian 177 24
Am. Indian/Alaskan Native 35 2
Native Hawaiian/Other Pacific Islander 11 0
Am. Indian/Alaskan Native & White 21 2
Asian & White 17 3
Black/African American & White 12 1
Am. Indian/Alaskan Native & Black/African American 7 1
Other Multi-Racial 812 633
4,106
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 29
Female Headed Households 1,717
Seniors 8
Youth 0
Homeless 153
1,907
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
17 4,084 4,084
2020-2021 (Anticipated) 14 3,231 3,231
2021-2022 19 4,491 4,491
50 11,806 11,806
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Mandated by HUD, this program is designed to further fair housing practices in the rental properties of Stockton. SJFH does this by providing education, mediation and discrimination complaints from residents that believe their rights have been violated under State and Federal law.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

The origin of this program was incorporated as a non-profit in 1983 to fulfill the HUD requirement for the City of Stockton to receive CDBG funding. The CDBG funding requirement indicates that there must be a component to further fair housing practices within the City of Stockton. SJFH has had the privilege and honor in providing these services for the past 39 years.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/24/2022 2:34 PM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Prevention: Our agency works to mediate housing issues between tenants and landlords to prevent an eviction process which will negatively affect the tenant's credit and ability to secure housing for up to 10 years. Often an eviction process can lead to harmlessness. In addition, the process is costly for the landlord and impacts the court calendar as well.

Early Intervention: Our agency works to assists tenants with the information needed to handle such issues as repair requests, referrals to other agencies that can assists with legal or financial issues, as well as communication assistance with their housing provider in order to remedy the situation before it escalates to a situation that cannot be remedied.

Stabilization: Our agency assists clients through seminars, workshops, community events, outreach and one on one consultation to educate both tenants and landlords on their rights and responsibilities, current housing laws and correct practices in order to assure that they will improve the quality of their housing environment.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

SJFH will provide one-on-one education and mediation to both the tenant and the property owner with rental housing issues within the City of Stockton. We also provide education, medication and investigation on State and Federal Fair Housing laws to the tenant, Property Management and owners. We do conduct outreach in the form of seminars, Attachment A
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public speaking to interested groups, sending out flyers, informational booths at Community events and outreach to all social service agencies in our area.

There are no other programs within the City of Stockton or San Joaquin County that provide similar services or that fulfill HUD requirements to ensure Fair Housing practices are adhered to. There are no other services that provide comprehensive tenant, property management/owner education and mediation services as an alternative to the legal system. As stated, this program has developed a strong liaison between property management, private owners, the Housing Authority, City Code and other City departments including California Rural Legal Assistance but none of these programs provide the full scope of services we encircle.

Project Activity or Program
Service #
Describe the Deliverable
1 Counseling and mediation are done on a daily basis. Our projected goal is 4106 City of Stockton residents. Office is open to the public Monday to Thursday 9am - 5pm and every other Friday 830am - 430pm
1 Tenant & landlord virtual workshops on rights & responsibilities are scheduled. A total of 4 tenant and 4 landlord workshops will be provided during the fiscal year.
1 SJFH will attend community events where Housing Counselors will be available to answer questions and give guidance.
1 SJFH will send out brochures to all funding entities. City of Stockton, City of Lodi, San Joaquin County, Escalon, Ripon, Tracy, Manteca & Lathrop.
1 SJFH will send our brochures and flyers to community partners and social service agencies in the community.
1 Quarterly meetings with California Rural Legal Assistance to stay updated on current laws and procedures.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

SJFH has been in existence for over 39 years and has managed their CDBG funds as mandated. The Executive Director Robert Brooke-Munoz will be monitoring the federal and/or state grants. The Executive Director will oversee all expense. Hilda Maya/Program Manager is responsible in submitting the allocation billings and funding request to the Executive Director for review and approval on a monthly basis. The agency is under contract for accounting services, which will generate a monthly profit & loss statement and a monthly balance sheet. Our annual tax return will be completed by a CPA
San Joaquin Fair Housing staffing for 2022 - 2023
Robert A Brooke-Munoz/Executive Director: over 24 years for housing experience Hilda Maya/Program Manager-Housing Counselor has been with the agency for 13 years Maria Graham/Housing Counselor has been with the agency for 8 years Sonia Carrillo/Housing Counselor has been with the agency for 26 years G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
Our on-going services have been available to the residents of the City of Stockton for 39 years. The funding will allow Attachment A
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our program to stay in operation. Residents can call our office for assistance, bring in notices for review, email and attend our virtual workshops.

Project Deliverable # Describe the Deliverable
1 The program is on-going for the past 39 years. Continued outreach, community events and community contacts plus word of mouth.
1 The following staff will administer the program and its activities.

Robert A Brooke-Munoz/Executive Director: over 24 years for housing experience Hilda Maya/Program Manager-Housing Counselor has been with the agency for 13 years Maria Graham/Housing Counselor has been with the agency for 8 years Sonia Carrillo/Housing Counselor has been with the agency for 26 years 1 Clients will be able to call in and communicate by email, fax, virtual or US mail. SJFH is located downtown near bus lines and is fully handicapped accessible. 1 Attend regular CAA webinars for regular updates on current housing policy changes 1 Quarterly meetings with California Rural Legal Assistance to stay updated on current laws and procedures.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? SJFH currently uses a data base where we log in the work completed on each client. This includes physical location, income, family size, ethnicity and race, disability, veterans, homeless and single female household's.

Deliverable # Task that Support Deliverable
1 SJFH has a data base where all information is tracked on a daily basis. Location, family size, ethnicity, income etc...

Executive Director monitors the data base with staff on a monthly basis. 1 Every 3 months a written quarterly report will be completed so that SJFH can see how well they are preforming.
1 At the end of the fiscal year a year-end report will be completed. The report will show that the agency met or exceeded its projected goals.

G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
This program was designated by HUD to meet the national objective of the CDBG program by directing services in manner, which principally benefit 51% or more persons and families of very low, low and moderate income. San Joaquin Fair Housing has maintained serving the very low/low and moderated income residents of the City of Stockton at an average of over 90% in the last 39 years.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

There are no other programs within the City of Stockton or San Joaquin County that provide similar services or that fulfil! HUD requirements to ensure Fair Housing practices are adhered to. There are no other services that provide comprehensive tenant, property management/owner education and mediation services as an alternative to the legal Attachment A
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system. As stated, this program has developed a strong liaison between property management, private owners, the Housing Authority, City Code and other City departments including California Rural Legal Assistance but none of these programs provide the full scope of services we encircle.

Robert Brooke-Munoz is part of several agency tasks force so he can network in hopes to secure any other funding available.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

San Joaquin Fair Housing has served the City of Stockton and all of San Joaquin County for 39 years. SJFH now has its 501(c)3 status which will enable the agency to see additional funding, collaborate with other 501(c)3's, seek out donations and fundraising. Due to limited funding San Joaquin Fair Housing was going to lay off 1 full-time Housing Counselor during the 2020-2021 fiscal year. SJFH was able to secure funding from the Community Foundation/Stockton Strong agency to retain the full-time Housing Counselor. SJFH applied for CDBG CV funds from the City of Lodi which enable us to hire a part-time receptionist/clerical support till June 30, 2021. SJFH applied and received ESG CV funding in 2021 which enable the agency to hire 2 full time Housing Counselors and 1 full time receptionist. This grant expires March 30, 2022.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

We do not have any employees or board members that sit on any community boards, commissions or committees that would be considered a potential conflict of interest with this application for federal funds. Each board member is a volunteer from the community.

Attachment A
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H. ESG
Completed by [email protected] on 1/21/2022 9:54 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

Attachment A
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I. Public Facility Project
Completed by [email protected] on 1/24/2022 2:05 PM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/20/2022 11:17 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

SJFH will continue to seek and apply for additional funding to add staff. A staffing of 3 full-time Housing Counselors & 1 part-time Housing Counselor is insufficient. SJFH applied and received ESG CV funding from the City of Stockton. The funding enabled SJFH to hire 2 additional full-time Housing Counselors and 1 full-time receptionist. The additional staff has enabled us to serve more individuals/families during the current pandemic. The ESG CV funds expire March 30, 2022 at which time the SJFH staffing will be reduced.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients SJFH is located in downtown Stockton near bus lines and is handicapped accessible.

What we learned during the pandemic is that issues can be resolved by phone, emails, conference calls and virtual meetings.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time Attachment A
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buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/24/2022 11:53 AM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

Attachment A
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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
SJFH Foundation 2022 2023 operations budget.pdf
 Organization Operational Budgets *Required
SJFH Foundation 2021 2022 Operations budget.pdf
SJFH Foundation 2022 2023 operations budget.pdf
 Organization Financial Statements *Required
SJFH 2020 tax return.pdf
SJFH Foundation P&L balance sheet Jan 2022.pdf
 Tax Status *Required
SJFH Foundation ltr of good standing Jan 2022.pdf
 Board of Directors Roster *Required
Board of Directors SJFH Foundation 2022 2023.pdf
Attachment A
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 Articles of Incorporation/Bylaws *Required
SJFH Foundation Bylaws Articles .pdf
 Conflict of Interest Statement *Required
SJFH Foundation Conflict interest Jan 2022.pdf
 Organization chart *Required
SJFH Foundation org chart 2021 2022.docx
SJFH Foundation Org chart 2022 2023.docx
 Board of Directors’ authorization to request CDBG/ESG funding *Required SJFH Foundation CDBG app aproval Jan 2022.pdf
 Business License Number *Required
SJFH Foundation business license May 2022.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required SJFH Foundation Ins Certificate Jan 2022.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel plan January 2022.doc
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
SJFH Foundation rental space lease agreement.pdf
Attachment A
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 Evidence of Site Control
**No files uploaded
 SAM.gov - screen shot of sam.gov registration *Required SAM gov January 2022.pdf
 Key Program Staff Resume *Required
R Brooke Munoz resume.pdf
HMaya resume Jan 2022.pdf
 Title Report
**No files uploaded
 Optional Documents
SJFH Foundation other docs Jan 2022.pdf
SJFH Foundation income verification Jan 2022.pdf
SJFH Foundation self certification Jan 2022.pdf
Attachment A
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Submit
Completed by [email protected] on 1/24/2022 2:35 PM Case Id: 48643
Name: San Joaquin Fair Housing Foundation, Inc -
2022/23Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Robert A Brooke-Munoz
Title
Executive Director
Date
01/24/2022
Signature
Robert Anthony Brooke-Munoz
Electronically signed by [email protected] on 1/24/2022 2:07 PM Please download and upload the Certification page here.  Certification Page *Required
SJFH Foundation Certification page Jan 2022.pdf
Attachment A
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Program Overview
Completed by [email protected] on 1/17/2022 1:18 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 1/17/2022 1:19 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Facility
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 1/18/2022 2:34 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Gospel Center Rescue Mission, Inc.

B.2. Mailing Address
445 S San Joaquin Street Stockton, CA 95203

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Wayne
B.4. Last Name
Richardson
B.5. Email
[email protected]
B.6. Phone Number
(209) 320-2312

POINT OF CONTACT INFORMATION
B.7. First Name
William
B.8. Last Name
Brown
B.9. Email
[email protected]
B.10. Phone
(209) 609-5584

ORGANIZATION CONTACT INFORMATION
B.11. Website
gcrms.org
B.12. DUNS Number
788,079,044
Attachment A
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B.13. EIN Number
941,375,835
B.14. Business License Number and Expiration Date
18-00038435, Dec. 31, 2022
B.15. Type of Agency
Faith Based
B.16. Number of Paid Staff
46 B.17. Number of Volunteers
14 Attachment A
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C. Funding Request
Completed by [email protected] on 1/18/2022 2:36 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Homeless 211 Navigation Center and Homeless Clothing Room Expansion C.2. Project Site Location
445 S San Joaquin Street Stockton, CA 95203
C.3. Funding Requested in this application
$275,000.00
C.4. Other funds already secured for the project
$100,000.00
C.5. Total Cost to Complete Project
$1,000,000.00
C.6. Other funds not yet secured
$625,000.00
Attachment A
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D. Organization Information
Completed by [email protected] on 1/17/2022 1:29 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

The Gospel Center Rescue Mission is a ministry to the people of San Joaquin County where the homeless and addicted in our community are presented the opportunity for spiritual, physical and emotional restoration through the love of Jesus Christ.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 505
505
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 307 186
Black/African American 144 0
Asian 10 0
Am. Indian/Alaskan Native 14 0
Native Hawaiian/Other Pacific Islander 8 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 22 0
505 186
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 260
Female Headed Households 320
Seniors 53
Youth 58
Homeless 505
Attachment A
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1,196
Attachment A
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E. Project Funds
Completed by [email protected] on 1/18/2022 3:56 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year.

The numerical ranking of this application is one of two.

E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

NA
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
ESG Stockton $75,575.00 Complete $0.00
FY2017/18
ESG
CDBG San Joaquin
County
$550,000.00 Complete $0.00
FY2018/19
CDBG
CDBG Stockton $118,255.00 Complete $0.00
FY2018/19
ESG
ESG San Joaquin
County
$14,900.00 Complete $0.00
FY2019/20
CDBG
CDBG San Joaquin
County
$1,500,000.00 Complete $0.00
FY2019/20
ESG
ESG San Joaquin
County
$13,000.00 Complete $0.00
FY2020/21
CDBG
CDBG San Joaquin
County
$403,830.00 Complete $0.00
FY2020/21 ESG ESG San Joaquin
County
$14,000.00 Complete $0.00
FY2021/22
CDBG
CDBG Stockton $161,680.00 Complete $0.00
FY2021/22 ESG ESG San Joaquin
County
$12,000.00 Underway $12,000.00
Attachment A
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E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

Committed : Hazmat demolition $100,000.00
Proposed: Stockton $275,000; San Joaquin County $625,000 E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds The project can be scaled to fit the awarded funds. GCRM can sustain itself in the event the proposed project is not fully funded. GCRM is using this request to leverage funds for the same project from San Joaquin County.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

GCRM serves all of San Joaquin County, but 60+% of service units are to residences of Stockton because GCRM is located in Stockton.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Homeless
Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Attachment A
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Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

The requested funds will be used in conjunction with County and private funds to remodel the administration building (445 S San Joaquin Street) to make it ADA compliant. The current restroom facilities are not ADA compliant, and the administration offices are on the second floor making them inaccessible to handicapped persons. The proposed project will reconfigure the restrooms to make them accessible and it will add a handicap lift to a reconfigured stairs to the second floor. The proposed project will also replace two non-energy efficient HVAC systems, expand the existing clothing room to display more clothing and handle the increased number of clients needing clothing. The proposed project will also replace two walk-in non-energy efficient refrigeration units.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

Emergency Lodging Units of Service: An emergency lodging unit of service includes meals, lodgings and clothing.

Transitional Housing Units of Service: All transitional housing units of service include lodging, meals, clothing, child care, case management, Learning Center and appropriate addiction and life-skills classes for men and women.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 800
Households 100
Other 0
900
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

Service Deliver: GCRM will provide emergency lodging (food, clothing, shelter and case management to unsheltered homeless men, women and families.

GCRM will provide transitional housing with appropriate wrap-around-services for men, women and families desiring to successfully end addiction and develop necessary life skills to function normally in our community.

Outreach:

GCRM does outreach to the homeless and addicted through word of mouth, a social courtyard for the homeless, emergency lodging, recuperative care and listings in the local 209 system. CPS and the local law enforcement agencies are briefed regularly on the availability of services at GCRM Attachment A
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Attachment A
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F. Project Impact
Completed by [email protected] on 1/17/2022 3:06 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 849
849
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 364 141
Black/African American 151 0
Asian 28 0
Am. Indian/Alaskan Native 25 0
Native Hawaiian/Other Pacific Islander 5 0
Am. Indian/Alaskan Native & White 18 0
Asian & White 3 0
Black/African American & White 22 0
Am. Indian/Alaskan Native & Black/African American 1 0
Other Multi-Racial 91 0
708
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 88
Female Headed Households 215
Seniors 96
Youth 196
Homeless 849
1,444
Attachment A
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
187 1,189 703
2020-2021 (Anticipated) 201 1,129 798
2021-2022 284 1,301 849
672 3,619 2,350
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

The proposed project will make the GCRM administration building fully accessible to homeless, handicapped persons wanting to access services, and it will replace old HVAC and refrigeration equipment that does not meet current energy efficient standards.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

The need was determined by the most recent point-in-time count and the demand for services GCRM experiences daily.

GCRM has been a major provider of emergency lodging services for homeless single men and transitional housing with wrap-around-services for addicted homeless men since 1940. More recently GCRM has added 218 beds for emergency services, addiction treatment and transitional housing with wrap-around-sevices for single women and families; recuperative care for homeless persons who are ready to be discharged from a local hospital, but who have no home or responsible care giver to go to and COVID-19 facilities and services for the the homeless who have been diagnosed with the Virus or have been exposed to it, but don't require hospitalization.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/18/2022 2:33 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) GCRM's extended programs are designed in length and subject material to transition homeless and addicted men, women and families to function successfully in permanent housing.

TRANSITION: Emergency lodging slows down the degenerative process of homelessness. Transitional housing programs arrest the process and begin to reverse its effects, so that the person establishes a daily routine. The person develops trust in a counselor, dependance on three nutritious meals a day and shelter, gains self-confidence to apply all that is being learned, and in so doing transitions to a state of mind and health consistent with being self-sufficient.

STABILIZATION: Public and private assistance should always lead to an individual or a family achieving stabilization.

Everything that is learned in transition will lead one to personalize it, to become stable in mind, body and action.

SELF-SUFFICIENCY: The ultimate GCRM program goal is always for the client to make progress toward achieving self- sufficiency. To know what constitutes a good decision, have the confidence to make good, sometimes hard decisions; and then to turn those decisions into a history of successful, self-sufficient livingThis request addresses the GCRM "211 Navigation Center" ADA requirements and expands the free clothing thrift store ("Clothing Plus").

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

The PROJECT is too remodel an existing building constructed before there were ADA regulations and before today's need to use energy efficient mechanical equipment existed into a modern facility that is cost effective and handicap user friendly.

The WORK to be Performed:

Attachment A
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The work begins with a design phase in which an architect prepares plans and specifications that will consider all of the program use needs in a way that is consistent with current building and fire codes. Next there will be a permitting phase that will seek the approval of the City building department. Then, there will be a demolition phase in which all of the hazardous material is removed and all of the partitions that are to be reconfigured will be removed. Finally, the construction phase begins in which the new design of the space in question is realized and brought to a fruition.

The DAYS/TIMES of SERVICE, FREQUENCY and DURATION of services received by the average client: The average client accessing services through the building in question receives a unit of service equal to a twenty-four hour period during which time the client receives food, clothing, shelter and case management. The client may be accessing emergency lodging service on a day to day basis; or he/she may be accessing transitional housing services for an extended period of time in which case a unit of service includes food, clothing, shelter case management and program appropriate educational services. The frequency and Duration are program specific and may range from day to day for emergency lodging services, recuperative care services and COVID-19 Positive services; or six months to one year for transitional housing services.

TIME LINE/SCHEDULE: Please see the the attached "Time Line." This request addresses the GCRM "211 Navigation Center" ADA requirements and expands the free clothing thrift store ("Clothing Plus").

Project Activity or Program
Service #
Describe the Deliverable
1 The deliverable is a modern administration building that is cost effective to operate and handicap user friendly. A place clients can safely and comfortably access services and staff can safely provide those services.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

NUMBER of YEARS in OPERATION: GCRM has been successfully meeting the needs of homeless single men, women and families since 1940.

Over its years of operation GCRM has successfully managed multiple private donations/grants, City, County, State and Federal grants including EHAP, ESG, CDBG, EFSP and Social Security Disability funds.

STAFF RESOURCES: GCRM has an experienced staff of 35 full time and 5 part time employees. Many staff members have personal, former homeless experience. Most staff have been GCRM employees for several years. Four of five administrative staff have graduate and post-graduate degrees.

FEDERAL GRANTS MANAGES & ACCOMPLISHMENTS: GCRM has used public funding in the past including CDBG funds to construct a new 100 bed family shelter on its property. More recently, GCRM has used private funds to purchase and CDBG funds to renovate and currently operate a 17 bed recuperative care facility on its property. And, GCRM has used private and CDBG funds to renovate a former three story hotel into 118 beds for single women and familiesThis request addresses the GCRM "211 Navigation Center" ADA requirements and expands the free clothing thrift store ("Clothing Plus").

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
• The renovation of the administration facility will be managed by an architect and a local, private contractor that has a history of successfully completing projects of similar size and scope. • The successful general contractor will be supervised by GCRM CEO and a Renovation Committee of the board of Attachment A
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directors.
• Clients will access the program by self-referral or referral from other community program sources.

Project Deliverable # Describe the Deliverable
1 The deliverable is a modern administration building that is cost effective to operate and handicap user friendly. A place clients can safely and comfortably access services and staff can safely provide those services.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? • The ultimate deliverable will be over eight hundred unduplicated, Stockton homeless clients provided with appropriate services in a safe and comfortable environment.

Deliverable # Task that Support Deliverable
1 Program intake and exit processing.
2 Food Services
3 Emergency Lodging
4 Transitional Housing (Life Skills Program, Addiction Treatment, Recuperative Care, COVID-19 Positive Care and Representative Payee Program)
G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
• The project will serve homeless single men, women and families • They will benefit by moving from the street to a safe, clean, supportive environment where they will receive appropriate services to ultimately become self-sufficient. • The applicable eligibility requirements are program specific. The requirements are "Low-barrier," and they are non- discriminatory based on age, gender, race, ethnicity etc.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

The renovation needs of the building in question are specific to the services GCRM provides its homeless clients.

GCRM collaborates with all other homeless services providers through the local C of C and other opportunities as they arise.

The role of other similar homeless services providers in the community is mutual support, client referral for more appropriate services and finding available services during maximum capacity seasons.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

GCRM has a full services development department utilizing direct mail, grant writing, social media and public relations to achieve overall financial sustainability. Additionally, when possible and practical client programs are self-sustaining through client fees.

Attachment A
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G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

There are no known conflicts of interest.

Attachment A
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H. ESG
Completed by [email protected] on 1/18/2022 4:50 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

The proposed project is emergency lodging and transitional housing services to homeless men, women and families that will prepare for and respond to the COVID-19 Pandemic by providing all homeless services in an environment consistent with all San Joaquin County Board of Health COVID-19 best practices.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? Yes
H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

No
Attachment A
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I. Public Facility Project
Completed by [email protected] on 1/18/2022 11:25 AM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? Yes
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) The only planning/predevelopment steps to date are preliminary discussions with an architect concerning the necessity and viability of the project.

I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work. • Narrative: This project is a complete renovation of an existing facility owned by GCRM. The renovation includes reconfiguring existing restrooms and a stairs to the second floor to make them ADA compliant; replacing two HVAC units and two refrigeration units to make them energy efficient and the expansion of the clothing room facilities. • Detailed Scope of Work:
i. Demolition
i. Involves relocation and addition of some walls.
ii. Involves relocation and addition of clothing room area. iii. Includes new and larger refrigeration space.
iv. Involves addressing ADA requirements in all first and second floor office and restroom areas and one exterior door. v. Relocating and adding new electrical outlets and plumbing water and drain lines vi.Replacing two HVAC units and duct work
.

I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

GCRM owns the building in question.

I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

NA
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

WMB Architects, Simile Construction as General Contractor I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have Attachment A
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been completed, explain how you plan to proceed.

No market study or needs assessment has been done, because the need for the facility and related services is well established by recent "Point-in-Time" studies and the demand for services GCRM experiences annually.

I.8. When will construction start and end? Provide a timeline with all critical milestones.

Construction can begin within three months of a signed contract between the City and GCRM. Construction would complete six months after it begins.

I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick here.

Yes
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

This is an expansion of existing services facilities serving homeless persons.

I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/18/2022 11:51 AM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

GCRM continues to identify, access and utilize un-tapped financial resources. State and federal grant funds continue to become available for expanding homeless services almost on a monthly basis. We continue to monitor these NOFAs as they become available and will pursue any and all applicable sources.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients There is a Rapid Transit bus stop on San Joaquin Street adjacent to the building in question.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and Attachment A
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moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/20/2022 2:45 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
City 2022-23 ESG Budget.xlsx
 Organization Operational Budgets *Required
2022 Bdgt.xls
 Organization Financial Statements *Required
Combined Financial Statements Dec 31 2019.pdf
 Tax Status *Required
501(c)(3).doc
 Board of Directors Roster *Required
2022 BOARD ROSTER.docx
 Articles of Incorporation/Bylaws *Required
GCRM Articles of INC.pdf
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signed by-laws.pdf
 Conflict of Interest Statement *Required
GCRM conflict of intrest form.pdf
 Organization chart *Required
Organizational Chart.docx
 Board of Directors’ authorization to request CDBG/ESG funding *Required Board Resolution
 Business License Number *Required
GCRM City Business Lic.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Crime Ins.pdf
Director's & Officers Liab.pdf
General Liability:Auto.pdf
Workman's Comp Ins.pdf
SGCRM_Scan21012814410.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Affirmative Action.docx
Conflict Resolution.docx
EQUAL EMPLOYMENT OPPORTUNITYEqual Pay:Sexual Harassment.docx GCRM Non-discrimination in Employment.docx
Problem & Complaints.docx
WHISTLE BLOWER Policy.docx
Attachment A
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 Use Permit/State License (as applicable)
Use Permit.docx
 Rental or Lease agreement
N:A Statement.docx
 Evidence of Site Control
445 Deed of Trust.pdf
 SAM.gov - screen shot of sam.gov registration *Required SAMEntityInformation-20210118-095307.pdf
 Key Program Staff Resume *Required
Wayne's Resume.pdf
 Title Report
445 Title Report.pdf
 Optional Documents
**No files uploaded
Attachment A
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Submit
Completed by [email protected] on 1/20/2022 2:48 PM
Case Id: 48629
Name: GCRM 22-23 CDBG Application - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
William R Brown
Title
Director of Foundation & Government Relations
Date
01/20/2022
Signature
William R Brown
Electronically signed by [email protected] on 1/20/2022 2:46 PM Please download and upload the Certification page here.  Certification Page *Required
CDBG.ESG Signature.docx
Attachment A
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Program Overview
Completed by [email protected] on 1/14/2022 8:49 AM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 1/24/2022 3:21 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 1/24/2022 3:22 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
San Joaquin County Aging and Community Services
B.2. Mailing Address
P.O. Box 201056 Stockton, CA 95201

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Chris
B.4. Last Name
Woods
B.5. Email
[email protected]
B.6. Phone Number
(209) 468-1650

POINT OF CONTACT INFORMATION
B.7. First Name
Carmen
B.8. Last Name
Matty-Cervantes
B.9. Email
[email protected]
B.10. Phone
(209) 468-1422

ORGANIZATION CONTACT INFORMATION
B.11. Website
http://www.sjchsa.org/Services/Aging-and-Community-Services B.12. DUNS Number
12,698,423
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B.13. EIN Number
0 B.14. Business License Number and Expiration Date
B.15. Type of Agency
Gov't/Public
B.16. Number of Paid Staff
5 B.17. Number of Volunteers
0 Attachment A
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C. Funding Request
Completed by [email protected] on 1/24/2022 3:23 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Meals on Wheels
C.2. Project Site Location
Throughout Stockton as meals are delivered at home Stockton , CA C.3. Funding Requested in this application
$15,000.00
C.4. Other funds already secured for the project
$352,843.00
C.5. Total Cost to Complete Project
$367,843.00
C.6. Other funds not yet secured
$0.00
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D. Organization Information
Completed by [email protected] on 1/24/2022 3:33 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

Aging and Community Services supports older adults, adults with disabilities, family caregivers, and residents in longterm
care facilities. The Department’s services support older and disabled individuals to live as independently as possible in the community; promote healthy aging and community involvement; and assist family members in their vital care giving role.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 33
Low Income (50%-80%) 21
Very Low Income (30%-50%) 44
Extremely Low Income (Less than 30%) 122
220
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 143 24
Black/African American 37 0
Asian 11 1
Am. Indian/Alaskan Native 28 21
Native Hawaiian/Other Pacific Islander 1 1
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 0 0
220 47
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 6
Female Headed Households 88
Seniors 214
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Youth 0
Homeless 0
308
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E. Project Funds
Completed by [email protected] on 1/24/2022 3:35 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year.

N/A
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

N/A
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
Meals on
Wheels
City Of
Stockton
$10,000.00 Complete $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
Meals on
Wheels
City of
Stockton
$10,000.00 Complete $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
Meals on
Wheels
City of
Stockton
$12,000.00 Complete $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
Meals on
Wheels
City of
Stockton
$12,000.00 Complete $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
Meals on
Wheels
City of
Stockton
$15,000.00 Underway $0.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

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Aging and Community Services receives funding from the legislation of the Older Americans’ Act. In addition to this Federal Funding source, the program encourages contributions. The status of each source is ongoing.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds Regardless of the amount of CDBG funds awarded, Aging and Community Services will continue the program throughout Stockton and the rest of the County. Funds awarded will enhance the program in two ways. With additional funding, Aging and Community Services can provide meals to more individuals and provide more meals to each individual.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

Funds received from the City of Stockton will be used exclusively to provide meals in the City of Stockton.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Elderly persons (62 years of age or older)
Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
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Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

San Joaquin County Aging and Community Services will use Stockton CDBG funds to purchase and deliver meals to Stockton residents. The purpose of the Home Delivered Meal Program (Meals on Wheels) is that meal recipients receive a package of five nutritious meals delivered once a week. A program goal is to assist older adults to live independently. Meals meet the nutritional standards by incorporating the Dietary guidelines for Americans and providing a minimum of one third of the USDA dietary requirements.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

The primary unit of service is the number of meals delivered to Stocktonians.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 0
Households 0
Other 6,000
6,000
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

The organization uses various outreach strategies. With the reopening of the State, in-person outreach activities have returned although not at the same level as pre-Covid-19. Aging and Community Services staff look forward to attending various community events throughout the city as according to Public Health guidelines ranging from fairs such as Black Family Day, Family Day at The Park, Hmong New Year Festival, Walk to End Alzheimer’s, SALUD Outreach Health Fair, and Medicare Health Fairs among others. Also, there is continued outreach through word of mouth, friends/families, local organizations such as hospice, coordinators of the low income housing who know the program through other residents, hospitals and insurance companies, and 211. In addition, the Meals on Wheels vehicles are marked to publicize the program. Aging & Community Services Information and Assistance 468-1104 receives the referrals and passes them to Meals on Wheels program. Outreach to the low income and disabled persons population is conducted through the aforementioned activities. As Aging & Community Services Department has multilingual staff as well as contracted interpreter services, limited English speakers access the services.

Attachment A
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F. Project Impact
Completed by [email protected] on 1/24/2022 3:36 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 9
Low Income (50%-80%) 21
Very Low Income (30%-50%) 45
Extremely Low Income (Less than 30%) 125
200
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 110 0
Black/African American 32 0
Asian 15 0
Am. Indian/Alaskan Native 41 38
Native Hawaiian/Other Pacific Islander 2 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 0 0
200
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 0
Female Headed Households 80
Seniors 200
Youth 0
Homeless 0
280
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
25 220 220
2020-2021 (Anticipated) 25 200 200
2021-2022 25 200 200
75 620 620
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Meals on Wheels delivers five nutritious meals once a week to homebound seniors.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

Aging and Community Services conducts a Needs Assessment Survey which indicates there is a need for nutrition services by older adults who are 60 years and older. In addition, yearly and quarterly assessments of nutritional risk document the need. The service gaps Meals on Wheels addresses is providing nutritious meals to homebound seniors with nutrition risk and little or no social support.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/24/2022 3:45 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) • Early intervention takes place given that eligible participants must show they have a nutrition risk, Meals on Wheels provides early intervention by providing meals before the participant has severe malnutrition. • Maintenance is addressed as people who are homebound with limited financial and social support would not be able to obtain uninterruptedly nutritious meals to maintain a healthy diet critical to maintaining their health. • Stabilization takes place by having clients who have limited financial resources be able to count on receiving five nutritious meals on a weekly basis that permits them to stabilize their overall finances.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

In order to have a successful program, the following activities take place Monday through Friday: People call the Information and Assistance (I&A) staff to either asking for themselves for meals to be delivered or to refer people to receive meals at home. Then I&A refers people to Meals on Wheels. A Social Worker calls the referee to conduct an assessment. Once the person is deemed eligible, the person is placed on a route determined by the clients’ geographic proximity for efficiency purposes regarding delivery time and transportation costs. Each route has its day of the week assigned for when the delivery takes place. The clients receive meals that meet a minimum of one third of the dietary guidelines for older adults set forth by the U.S. Department of Health and Human Services and United States Department of Agriculture verified by two Registered Dietitians: San Joaquin County and meal vendor. The clients receive five frozen meals and bread along with fresh milk and fruit. The delivery of meals takes place once a week on an established day of the week between 8am and 5pm. The time frame is all day as people are homebound Attachment A
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and takes into consideration that due to traffic and clients being added and removed when they no longer need services the delivery time changes. When people have doctor's appointments they call to have the meals delivery before or after their doctor's appointment if possible. Each visit is personalized as each beneficiary is treated as an individual with different needs. Prior to COVID-19, some seniors had their meals put away while others preferred to put their meals away. Drivers follow all of San Joaquin County Public Health protocols. Hence with the delivery of nutritious meals to homebound seniors, the goal to assist older adults to live independently at home while the objective to promote improved nutrition are achieved.

Project Activity or Program
Service #
Describe the Deliverable
1 Weekly delivery of meals
G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

San Joaquin County Aging and Community Services has provided programs for over four decades. Services provided include a combination of direct and contracted services as well as services provided through collaboration.

Servicesprovided include, but are not limited to: Ombudsman, Elder Abuse Prevention, Adult Day Care, Personal Care, Homemaker, Respite, Falls Prevention, Caregiver Services, Legal Assistance, and Congregate Meals. Aging and Community Services has offered Meals on Wheels program as a direct service since 2008. The staff resources include staff who work directly with the beneficiaries as well as programming and finance administrative staff. During the past five years, over 1900 San Joaquin County residents have received more than 650,000 meals.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
The agency will implement the program by delivering nutritious meals which consists of five frozen meals including bread, milk, and fresh fruit on a weekly basis to the beneficiaries’ homes. Clients will access the program through various ways: a) existing clients who continue to have a need will receive meals; b) clients are referred for services will be assessed for placement; and c) clients who contact the program directly for services will be assessed for placement. Priority placement is given to clients who have a high nutrition risk, homebound and living alone or with another homebound individual. The nutrition risk assessment includes questions such as does the client sometimes does not have enough money to buy food. Access also includes removing English language barrier by having a multilingual staff and contracted interpreter services. Also, transportation is not an access issue for Meals on Wheels as the inquiry and assessment of services takes place through the phone and the service takes place at the beneficiary’s home. As the service is provided free of charge, there is no financial access issue. The staff who administer the activities range from project accountants in the finance department to drivers who deliver the food and staff who assess potential beneficiaries, manage the logistics, and provide supervisory support.

Project Deliverable # Describe the Deliverable
1 Deliver weekly meals
G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? Meals on Wheels will measure the effectiveness of the program through a satisfaction survey. The criterion for success is 75% of the people who responded to the survey will have stated they are satisfied with Meals on Wheels.

The results expected to be achieved at the end of the project is that 75% of the people who responded to the survey Attachment A
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will have noted that the meals help their food budget, the food is good and nutritious, and/or the home delivery assists people with difficulty to get out of the house.

Deliverable # Task that Support Deliverable
1 Driver will deliver the weekly meals to the clients home G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
The program’s target population prioritizes Stocktonians who are 60 years and older who are homebound, living alone or with another homebound individual, and have a high nutrition risk. The nutrition risk assessment includes if the client sometimes does not have enough money to buy food. The homebound high nutrition risk seniors will benefit by receiving five nutritious meals on a weekly basis with a friendly visit.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

While there are resources for food in Stockton, this is the only ongoing service that provides free prepared meals delivered to homebound individuals. The Meals on Wheels program collaborates with the In-Home Supportive Services (IHSS) to ensure that no duplication of services take place by having the clients choose their preference between IHSS homemaker services or Meals on Wheels. Also, Meals on Wheels during the assessment process refers clients to CalFresh to augment their monthly benefits. People who are currently receiving home delivered meals due to COVID-19 through their churches and other non-profits would also not qualify as duplication of services. Once churches and other non-profits stop providing those services, those older adults would be able apply to be assessed for Meals on Wheels.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

Meals on Wheels will continue to be written into the San Joaquin County Aging and Community Services' Area Plan for Older Americans Act funding.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

There is no potential conflict of interest with this application for federal funds.

Attachment A
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H. ESG
Completed by [email protected] on 1/24/2022 3:45 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

Attachment A
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I. Public Facility Project
Completed by [email protected] on 1/24/2022 3:46 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/24/2022 3:46 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

Aging and Community Services is seeking a person with communications expertise to help with the promotion of the Meals on Wheels program at the client and institutional levels.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients As Meals on Wheels is a service that begins with a phone call and ends with the delivery of nutritious meals at people’s homes, there is no transportation barrier for clients.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and Attachment A
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moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/24/2022 3:38 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

Attachment A
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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
HD Meals Budget- 22-23- City.pdf
 Organization Operational Budgets *Required
5054101000 - Organization Operational Budget.pdf
 Organization Financial Statements *Required
2020 county of san joaquin Financials.pdf
 Tax Status *Required
Tax Status.pdf
 Board of Directors Roster *Required
San Joaquin County Board of Supervisors Roster.pdf
Attachment A
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 Articles of Incorporation/Bylaws *Required
Articles of Incorporation.pdf
 Conflict of Interest Statement *Required
Conflict of Interest Statement.pdf
 Organization chart *Required
Organization Chart.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required BOS authorization to request funds.pdf
 Business License Number *Required
Business License Number.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Insurance for FY 23.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel policies affirmative action and grievance.pdf  Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
 Evidence of Site Control
**No files uploaded
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 SAM.gov - screen shot of sam.gov registration *Required DUNS EntityInformation-20220119-011145.pdf
 Key Program Staff Resume *Required
Carmen Matty Cervantes Resume.pdf
Manuel Mendoza Resume.pdf
 Title Report
**No files uploaded
 Optional Documents
Scope of Work including Project Timeline.pdf
county single audit report 2020.pdf
Attachment A
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Submit
Completed by [email protected] on 1/24/2022 4:11 PM Case Id: 48594
Name: Meals on Wheels - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Elisangela Vigil on behalf of Chris Woods
Title
Deputy Director, ACS
Date
01/24/2022
Signature
Elisangela Vigil
Electronically signed by [email protected] on 1/24/2022 3:48 PM Please download and upload the Certification page here.  Certification Page *Required
CDBG Stockton.msg
Attachment A
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Program Overview
Completed by [email protected] on 12/30/2021 9:14 AM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

Attachment A
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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 12/30/2021 9:15 AM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 12/30/2021 2:20 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Kelly's Angels Foundation Inc
B.2. Mailing Address
343 EAST MAIN STREET 305 STOCKTON, CA 95202

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Jamie
B.4. Last Name
Guerrero
B.5. Email
[email protected]
B.6. Phone Number
(209) 242-2493

POINT OF CONTACT INFORMATION
B.7. First Name
JAMIE
B.8. Last Name

GUERRERO
B.9. Email
[email protected]
B.10. Phone
(209) 406-9301

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.kelsangels.org
B.12. DUNS Number
882,271,804
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B.13. EIN Number
473,382,204
B.14. Business License Number and Expiration Date
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
2 B.17. Number of Volunteers
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C. Funding Request
Completed by [email protected] on 12/30/2021 2:46 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
KAF Healthy Solutions
C.2. Project Site Location
343 EAST MAIN STREET 305 STOCKTON, CA 95202
C.3. Funding Requested in this application
$50,000.00
C.4. Other funds already secured for the project
$20,000.00
C.5. Total Cost to Complete Project
$120,000.00
C.6. Other funds not yet secured
$50,000.00
Attachment A
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D. Organization Information
Completed by [email protected] on 1/19/2022 1:46 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

Kelly's Angels Foundation Inc. provides services for children that have been impacted by homicide.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 13
Very Low Income (30%-50%) 19
Extremely Low Income (Less than 30%) 16
48 D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 10 10
Black/African American 24 0
Asian 0 0
Am. Indian/Alaskan Native 0 0
Native Hawaiian/Other Pacific Islander 0 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 4 4
Black/African American & White 5 5
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 5 5
48 24
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 0
Female Headed Households 0
Seniors 0
Youth 48
Homeless 0
48 Attachment A
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Attachment A
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E. Project Funds
Completed by [email protected] on 1/20/2022 7:26 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 of 1
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

One time funding
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
city $5,000.00 complete $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
city $10,000.00 complete $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
city $15,000.00 complete $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
city $25,000.00 complete $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
city $20,000.00 underway $0.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

Attachment A
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Not all funding sources are committed by letters. Funding sources are through yearly grant applications. Crime Survivors for Safety and Justice, Keller Williams, C&S Wholesale Grocers, Central Valley Realtors Association.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds Kelly’s Angels Foundation opened with the help of our board of directors, volunteers, and our community’s investment on prevention of crime, and hope to achieve positive outcomes for the youth in our community. We have more recently received a few small grants that has supported Kelly’s Angels in its fight to sustain our programs.

Our Executive Director working along, with the board of directors and staff of volunteers that is in place, are passionate about our most harmed and least helped, the children of Stockton. Our team is always working hard to identify continuation funding for our organization.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

The primary geographical focus of Kelly’s Angels is the entire San Joaquin County, though the majority of our youth come from Stockton. However, we do not reject families from outside of that community. We serve all those in need who come to our doors. If approved for CDBG funding, Kelly’s Angels is able to maintain firewalls between its various funding sources to ensure that CDBG funds are limited to clients within the Stockton area if that is a limitation for those funds.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents Yes
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
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Clients are primarily children of homicide or trauma victims.

Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
N/A
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

Kelly’s Angels Foundation provides a variety of services for youth who are experiencing trauma due to the victimization of their parents or care givers from homicide and other violent crimes. Community Development Block Grant (CDBG) funds will be utilized to provide mental and behavioral health programs to assist in the child’s recovery including; safe spaces and mental health therapy services; tutoring and mentoring services; scholarship programs; sports programs; art and music programs.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 50
Households 0
Other 0
50 E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

Outreach for Kelly’s Angels is accomplished by community awareness campaign via our website (www.kelsangels.org) and Facebook page, but it also accomplished by referrals through partnering with local agencies such as Table Community Foundation, Community Partnerships for Families of San Joaquin, Reinvent South Stockton, Victim Witness, Victim of Violent Crimes, Child Abuse Prevention Council, Crime Survivors for Safety and Justice, Parents of Murdered Children and Community Hospice of San Joaquin. We start our services by first having a one on one meeting with the client and their family, have them fill out our new client intake forms. During our meeting we find Attachment A
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out which of our services the family would like to obtain. Using the information for what services are needed, we then follow up with staff and set up proper appointments, make appropriate phone calls in a timely manner.

Attachment A
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F. Project Impact
Completed by [email protected] on 1/22/2022 1:31 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 12
Very Low Income (30%-50%) 23
Extremely Low Income (Less than 30%) 14
49 F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 12 12
Black/African American 18 0
Asian 2 0
Am. Indian/Alaskan Native 0 0
Native Hawaiian/Other Pacific Islander 0 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 4 2
Black/African American & White 5 5
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 8 8
49 F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 0
Female Headed Households 10
Seniors 0
Youth 48
Homeless 0
58 Attachment A
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
6 36 51
2020-2021 (Anticipated) 4 32 48
2021-2022 5 30 46
15 98 145
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Kelly’s Angels Foundation provides a variety of services for youth who are experiencing trauma due to the victimization of their parents or care givers from homicide and other violent crimes. Community Development Block Grant (CDBG) funds will be utilized to provide mental and behavioral health programs to assist in the child’s recovery including; safe spaces and mental health therapy services; tutoring and mentoring services; scholarship programs; sports programs; art and music programs.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

Our Executive Director Jamie Guerrero proposed the idea and need of Kelly’s Angels Foundation a few years after his sister was the victim of homicide. It was made painfully aware of just how few resources are available to young victims and survivors of violent crime.

While crime in general in Stockton has been on the decline over the past 15 years, violent crime and homicide has increased as much as 3.4 percent in recent years according to the FBI’s Uniform Crime Reporting Index. An annual average of 52 homicides have occurred in Stockton from 2010-2015 with a spike of 54 in 2017 and 53 in 2018 Stockton currently ranks 2nd in the State of California for homicides and violent crimes per capita according to the previously mentioned FBI statistical source. In 2018 we witnessed a 40 percent decrease in homicides. 2020 seen homicide rise to 56 a 64.7% increase over 2009.
2021 seen an decrease in homicides however overall crime has increased. Survivor lead organizations like Kelly's Angels Foundation, and other on the ground agencies have helped with these statistics.

The need for a program like Kelly’s Angels Foundation is needed with the each murder directly impacting 8-10 immediate family members sons, daughters, sisters, brothers, mothers, fathers, grandparents left to put the broken pieces together again. They need help!
Attachment A
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G. Project Narrative
Completed by [email protected] on 1/24/2022 11:28 AM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Kelly's Angels Foundation is a survivor lead organization, that was developed precisely with prevention, early intervention and transition for the children suffering from traumatic experiences. Children experiencing homicide are forgotten about shortly after funerals and are deemed resilient. We know first hand without the proper guidance, many children can be led to gangs, drugs, victimized, or become menacing perpetrators. Immediate and early intervention is a vital approach before these survivors are lost in the shuffle. Similar to many antidotes the quicker we can support children, the positive youth development success rate increases. Children tend to hold in there feelings, this is due to not bring guardians any more grief, they need help healing. Giving survivors the tools to navigate and be aware of emotions, goals and hope increases the chance of more positive outcomes, such as graduation, mental strength and positive members of our community.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

Tutoring is currently being provided for 2.5 hours, 3 days a week. Tutors are provided from the Latino Community Outreach program. They are paid and we have volunteer college students from the University of Pacific of Stockton.

We set up contracts with the attending school for the volunteer students. CDBG funds will be used to expand tutoring hours and staff to accommodate demand. Currently, tutors must allocate only short amount of time to a limited amount of our clients. Effective tutoring should include an opportunity for children to bond with their tutor on a personal level and establish a rapport. While existing services are beneficial, lack of funding limits our efforts to establish this rapport. Additionally, children are not provided comprehensive tutoring due to limited hours and staff.

Attachment A
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The mentorship program is an existing service that requires expansion. Mentors serve both the children and their families as someone they can rely on to strengthen their family. It is the goal of these mentors to become a friend and ally of the family they work with and a positive influence for the children. Mentorship programs can help to reduce potential negative influence like substance abuse and gang involvement, while creating encouragement and guidance for positive life goals like participating in after school sports or art programs and promoting an interest in higher education. Mentors also serve as a conduit for families to our other services as they establish a rapport with those families and through the mentorship process will identify their needs.

Over the next year we project that the need for mentors will double. Currently our mentors serve 18 families, which means the program will grow to 36 families in 2022. One of the primary efforts with this program will be to provide training for the volunteers who serve as mentors in the program. CDBG funding will fund the possibility of adding 2 or 3 more tutors, making it possible to have tutoring upon request, and increase tutoring to 4 days a week. Additional funding will help by having more staff and enable us to sustain tutors and mentors.

Kelly’s Angels arts and sports scholarship program works to involve the children we serve in after school activities.

Both sports and arts are ideal pathways for youth who have experienced trauma as both activities are documented to serve as a therapeutic self-coping mechanism for children to turn to. These activities help a child focus on positives in their life as opposed to the loss of their family member and helps reorient their energies towards achieving, having fun, and gaining lifelong skills like teamwork at a young age. The scholarship program funds the sport or art activity of their choice, which may be on their school team, paying team enrollment fees, equipment, and competition fees.

Therapy sessions are provided by Kelly’s Angels to provide children with an outlet to work through their trauma with a licensed clinical therapist. Therapy is at the core of our services, and it is a key priority as not addressing these issues immediately can create further complications that can undermine the other services. We also provide hour sessions to parents and care-givers that are also processing their grief, as this helps to support the overall family and improves the support structure in place for the children.

As a core service, we are certain that the need for therapy to grow. CDBG funding will allow for more hours for therapists, which will enable us to serve more clients. We also plan to expand the availability of services to weekends so they are more accessible to working parents and care-givers.

Project Activity or Program
Service #
Describe the Deliverable
1 Kids will stay in school, have better attendance, grades and graduation.
2 Help develop into caring supportive children and adults. 3 Positive peer relations.
4 Stronger kids overcome trauma.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

Kelly’s Angels Foundation a survivor led organization, has been working in the trenches battling for the “forgotten children” of San Joaquin County specifically Stockton. With time we have grown to be efficient in developing, implementing and administering the proposed project.

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Our team of professional volunteers have been the pillar of our growth, that has propelled us as an agency that has been serving Stockton for the last 6 years. Kelly's Angels Foundation has managed 4 years of City of Stockton's CDBG grants and 3 years of San Joaquin County CDBG grants. With the city of Stockton's CDBG grant our chance for success increases as we continue to cultivate.

We have had several clients graduate our program, high school, and college. We are hopeful that these blooming adults comeback to share their experience with our future and present clients.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
Outreach for Kelly’s Angels is accomplished by community awareness campaign via our website (www.kelsangels.org) and Facebook page, but it also accomplished by referrals through partnering with local agencies such as Table Community Foundation, Community Partnerships for Families of San Joaquin, Reinvent South Stockton, Victim Witness, Victim of Violent Crimes, Child Abuse Prevention Council, Crime Survivors for Safety and Justice, Parents of Murdered Children and Community Hospice of San Joaquin. We start our services by first having a one on one meeting with the client and their family, have them fill out our new client intake forms. During our meeting we found out which of our services the family would like to obtain. Using the information for what services are needed, we then follow up with staff and set up proper appointments, make appropriate phone calls in a timely manner Project Deliverable # Describe the Deliverable
1 Positive youth development.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? To measure effectiveness of positive youth outcomes, we will measure and track change. Pre and post assessments will measure attendance of activities, change, grades, arrest, engagement in sports, truancy, client satisfaction and graduation. These will be assessed every 6 months and we are expecting to achieve, positive engagement by clients.

Deliverable # Task that Support Deliverable
1 Positive youth outcomes
G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
The target population for our services is the children and surviving family members of homicides and violent crime, colloquially known as the Forgotten Victims. This is our primary eligibility requirements.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

Kelly’s Angels Foundation fills in the gaps of many of the existing or similar services available in Stockton. For example the Stockton Women’s Center Promising Pathways offers therapy and mentorship programs to youth who are experiencing mental and behavioral health issues which is sometimes caused by violent crimes, but their program is limited to ages 16-25. Our mentorship program is open to youth of all ages and also provides those services to family members and care givers. We also provide other services that are unique to our area, such as the sports and arts Attachment A
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scholarship programs.

More specifically, Kelly’s Angels is a foundation that focuses and specializes in supporting a specific demographic.

Because of that our organization is especially familiar with the issues that experience can create, and we have familiarized ourselves and have trained to meet those specific goals.

Currently, we work with Table Community Foundation, Community Partnerships for Families of San Joaquin, Reinvent South Stockton, Victim Witness, Victim of Violent Crimes, Child Abuse Prevention Council, Crime Survivors for Safety and Justice, Parents of Murdered Children and Community Hospice of San Joaquin. We still want to make it a point to work with more organizations with similar approaches to violence.

While we suffer from overrepresentation for violent crime, our city lacks services for children traumatized by these crimes. The children of homicide victims are known as the forgotten victims. Our foundation sees a need for services for both the children victimized by these crimes and their families.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

Homicide historically unfortunate will always be a problematic, especially in Stockton. The need for our services will continue, as 8-10 close family members are impacted by each homicide.

Our long term plan, is to guide children through, the devastating generational trauma, that impacts them like a normal day of school. We are hopeful that these “forgotten children” will be receptive to our antidote of support, bringing social and emotional normalcy and a positive impact to their traumatic life.

Activities will be closely monitored after the client’s program completion. We welcome clients, to be involved with our program by participating in activities as mentors, volunteers and future leaders in our community. The tools given, at Kelly’s Angels Foundation, will have a lifelong positive impact on our clients. We will be there to continue to support these young adolescents.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

Kelly’s Angels is not currently receiving any federal funds, and none of its employees, volunteers, or board members have any formal affiliation with city employees, including its elected officials.

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H. ESG
Completed by [email protected] on 1/22/2022 1:33 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:
0 H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

N/A
H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? No
H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

No
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I. Public Facility Project
Completed by [email protected] on 1/24/2022 11:30 AM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

N/A
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
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J. Policy Consistency
Completed by [email protected] on 1/24/2022 12:07 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

Regulations and laws placed by system leaders, have barriers for the very people they are intended to help. Trauma requires immediate help, not 4-6 weeks which if your fortunate to receive services. Centrally located, immediate and free services are 2 of our important values to help relieve and not limit access to our services provided..

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients Kelly's Ange;s Foundation is located one block from the downtown RTD bus hub. RTD also donates a limited amount of bus passes yearly and a discount rate for additional passes. Part of our services include in home visits, as many trauma survivors, do not want to leave their home or venture off to other unfamiliar areas.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.

Attachment A
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 Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/24/2022 2:49 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

Attachment A
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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
project_22.docx
 Organization Operational Budgets *Required
PROPOSED BUDGET 2022.docx
 Organization Financial Statements *Required
tax_22.pdf
 Tax Status *Required
irs.pdf
 Board of Directors Roster *Required
board.docx
Attachment A
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 Articles of Incorporation/Bylaws *Required
articles.pdf
 Conflict of Interest Statement *Required
conflict_interest.pdf
 Organization chart *Required
organization_chart.jpg
 Board of Directors’ authorization to request CDBG/ESG funding *Required bda_22.pdf
 Business License Number *Required
business_22.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required 1697657_CGL_Acord25_1_220124174224924.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required bylaws.pdf
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
 Evidence of Site Control
**No files uploaded
Attachment A
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 SAM.gov - screen shot of sam.gov registration *Required thumbnail_Screenshot 2022-01-24 at 12.23.06 PM.png
 Key Program Staff Resume *Required
Jamie_Guerrero_Resume_new.pdf
 Title Report
**No files uploaded
 Optional Documents
**No files uploaded
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Submit
Completed by [email protected] on 1/24/2022 2:57 PM Case Id: 48555
Name: Kelly’s Angels Foundation Inc - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name

JAMIE GUERRERO
Title

EXECUTIVE DIRECTOR
Date
01/24/2022
Signature

JAMIE GUERRERO
Electronically signed by [email protected] on 1/24/2022 2:50 PM Please download and upload the Certification page here.  Certification Page *Required
signature.pdf
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Program Overview
Completed by [email protected] on 12/22/2021 4:52 PM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

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A. Eligibility
Completed by [email protected] on 12/22/2021 4:57 PM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Suitable Living Environment
If using ESG funds
Homelessness Prevention
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B. Contact Information
Completed by [email protected] on 12/22/2021 5:04 PM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Parents by Choice, Inc
B.2. Mailing Address
306 E. Main Street Suite 300 Stockton, CA 95202

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Tony
B.4. Last Name
Yadon
B.5. Email
[email protected]
B.6. Phone Number
(209) 275-2487

POINT OF CONTACT INFORMATION
B.7. First Name
Tony
B.8. Last Name
Yadon
B.9. Email
[email protected]
B.10. Phone
(209) 275-2487

ORGANIZATION CONTACT INFORMATION
B.11. Website
parentsbychoice.net
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B.12. DUNS Number
969,357,156
B.13. EIN Number
352,274,016
B.14. Business License Number and Expiration Date
22-00114819, Expires June 30, 2022
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
70 B.17. Number of Volunteers
10 Attachment A
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C. Funding Request
Completed by [email protected] on 1/24/2022 9:06 AM Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Safe Step for Youth
C.2. Project Site Location
306 E. Main St Suite 300 Stockton, CA 95202
C.3. Funding Requested in this application
$426,217.09
C.4. Other funds already secured for the project
$0.00
C.5. Total Cost to Complete Project
$568,289.46
C.6. Other funds not yet secured
$142,072.36
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D. Organization Information
Completed by [email protected] on 1/24/2022 10:01 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

Parents by Choice exists to bring hope and healing to children, youth and families.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 250
Low Income (50%-80%) 500
Very Low Income (30%-50%) 500
Extremely Low Income (Less than 30%) 250
1,500
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 900 550
Black/African American 425 80
Asian 100 0
Am. Indian/Alaskan Native 10 0
Native Hawaiian/Other Pacific Islander 10 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 55 20
1,500 650
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 50
Female Headed Households 300
Seniors 75
Youth 400
Homeless 25
850
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E. Project Funds
Completed by [email protected] on 1/24/2022 9:19 AM Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

N/A
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
$0.00 $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
$0.00 $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
$0.00 $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
$0.00 $0.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

San Joaquin County request: $142,072.36 to pay for 5 slots per month.

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E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds The funding request is for a defined number of spaces in the project. If the approved amount is less than the request, available slots will be reduced to match the level of approved funding.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

The entire City of Stockton will be served by the 15 "Stockton" slots described in this application. An additional five spaces have been proposed to San Joaquin County.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents Yes
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents Yes
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Transition-Aged Youth, 18-24 (until their 25th birthday) Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

Yes
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Referrals from outside agencies, such as the Women's Center, Children's Home of Stockton, Child Abuse Prevention Council, San Joaquin County Human Services Agency, etc.

E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

PbC’s Safe Step for Youth program will assist 20 youth in securing stable housing, finding and maintaining employment, furthering their educational goals, and building a solid financial foundation. The program will provide services to youth ages 18 to 24 who are economically and/or emotionally disconnected from their families and are experiencing homelessness or unstable living conditions.

E.9. Select the common indicator that your agency will use to track clients.

Households: unit of measurement for housing activities only E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

The primary unit of service will be stable housing. This is defined as a private room in a shared apartment, as described in the Project Narrative.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 0
Households 20
Other 0
20 E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

Parents by Choice will engage in outreach with community partners to introduce this program to our target population. These partners include, but are not limited to, the Women's Center Youth and Family Services, Child Abuse Prevention Council, the Children's Home of Stockton, Family Resource and Referral, Child Welfare, Probation and others. Agency outreach material will be printed in both English and Spanish.

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F. Project Impact
Completed by [email protected] on 1/24/2022 10:10 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 1
Very Low Income (30%-50%) 3
Extremely Low Income (Less than 30%) 16
20 F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 10 4
Black/African American 4 0
Asian 0 0
Am. Indian/Alaskan Native 1 0
Native Hawaiian/Other Pacific Islander 0 0
Am. Indian/Alaskan Native & White 1 1
Asian & White 1 0
Black/African American & White 1 1
Am. Indian/Alaskan Native & Black/African American 1 0
Other Multi-Racial 1 1
20 F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 60
Female Headed Households 325
Seniors 85
Youth 450
Homeless 75
995
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
0 0 0
2020-2021 (Anticipated) 250 1,600 1,500
2021-2022 280 1,800 1,750
530 3,400 3,250
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Parents by Choice’s Safe Step for Youth program will provide housing, services, and support to 20 at-risk or homeless transition age youth (TAY) ages 18-24. This program utilizes a supportive housing model, which comprises housing made affordable through long-term rental assistance paired with intensive services promoting housing stability.

Program participants will be housed at no cost to them and will receive related services to assist them in obtaining and maintaining independence and self-efficacy.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

Youth and families in San Joaquin County (SJC), like in many other California counties, face economic challenges, underemployment, and limited access to education and training. Over the past decade, San Joaquin County’s population growth rate has exceeded the statewide average during a time of severe economic instability. The consequences of that instability continue to affect family security and health. 28.3% of children in San Joaquin County are living in poverty. Based on the high levels of poverty and childhood and environmental trauma, SJC children are susceptible to toxic stress and long-term academic, physiological, and emotional impacts. In 2015, 16.4 % of children in SJC had experienced two or more adverse childhood experiences (ACES). The impact of ACEs begins in childhood and continues through adolescence and adulthood. Youth with more ACEs are more likely to experience mental health challenges, developmental delays, negative cognitive and socio-emotional health issues, academic challenges, behavioral health issues, and specialized health needs. ACEs also increase the likelihood that an individual will not complete high school, not obtain a college degree, be unemployed as an adult, live below the poverty line, and experience homelessness. 46% of runaway and homeless youth reported being physically abused, 38 percent reported being emotionally abused, and 17 percent reported being sexually abused by a family or household member. 75% of homeless or runaway youth have dropped out or will drop out of school. Over 50% of youth who go through foster care are unemployed or homeless by age 24.

The 2019 San Joaquin County Homelessness Census and Survey found that nearly 160 youth ages 18-24 were homeless in San Joaquin County, and 66% of those transition age youth (TAY) are unsheltered. By far, the largest concentration of these homeless individuals is in Stockton. Between 20 and 40 percent of homeless youth identify as LGBTQ+. While current housing programs address housing needs and risk of homelessness for current and former foster and probation youth, youth who are not as directly involved in these systems do not have the same access to transitional housing. It is true that youth who are not emancipated foster or probation youth may also be at risk of homelessness due to their histories of trauma, poverty, chronic and toxic stress, lack of connections and stable relationships, or a myriad of other factors. Homelessness is not only a risk for systems-involved youth.

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The needs of youth, especially those living with a risk of homelessness, are distinct from adults and the support and interventions provided to these youth should reflect their unique needs. Youth facing homelessness experience simultaneous pressure related to earning an income, finding and accessing safe, supportive relationships, completing school, maintaining social connections, healing from and dealing with the impacts of trauma and adverse childhood experiences, and managing the normal stress of this stage of life.

Housing alone does not prevent or end homelessness. Youth must feel connected to the community, have access to their cultural reference group, monetary support, assistance with obtaining and maintaining employment, and ongoing support to manage existing and emerging mental health and trauma-related issues. Services must be provided in tandem with safe, affordable housing.

Other existing area programs offer a shelter environment to Transition Age Youth. Many of the strategies we propose, including a bridge to permanent housing and intensive case management, could not possibly be employed in a short- term shelter environment. There are not any current supported housing programs within Stockton or the larger San Joaquin County outside of the foster care system, and many at-risk or homeless youth do not meet that eligibility criteria.

Effectively responding to and preventing youth homelessness requires coordination across systems and between local service providers. Community-side efforts to address homelessness and issues contributing to it throughout Stockton and San Joaquin must include community-wide planning, coordination, and strategic use of resources and the programming and services tailored to the particular strengths of and challenges facing individuals and families within that community.

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G. Project Narrative
Completed by [email protected] on 1/24/2022 10:48 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) PbC’s Safe Step for Youth program will assist 20 youth in securing stable housing, finding and maintaining employment, furthering their educational goals, and building a solid financial foundation. The program will provide services to youth ages 18 to 24 who are economically and/or emotionally disconnected from their families and are experiencing homelessness or unstable living conditions. Prevention/Early Intervention: Our program seeks to mitigate the impact of trauma and to improve both short and long-term outcomes, and we anticipate that youth who complete the program will experience improved social and emotional functioning, communication, relationship and interpersonal skills, health, improved family functioning, and achievement of personal goals, all contributing to their short and long-term ability to secure and maintain independent living.

Stabilization: PbC’s Safe Step program model is centered on Housing First, an evidence-based, client-centered practice shown to reduce homelessness. Individuals with access to this program will be housed faster than in programs offering a more traditional approaches, will stay housed longer and more stably than other programs, have a high likelihood of retaining housing stability and, in general, access services more often and are less costly to public systems than participants in other types of housing programs. Black, indigenous, and people of color (BIPOC) are disproportionately represented within the unhoused population, the traditional "housing readiness" models can reinforce inequities. Housing First is a model more likely to attain equitable housing and health outcomes.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be Attachment A
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submitted with the application.

PbC aims to reduce and prevent homelessness among youth not only by providing housing but through directly addressing unmet needs and underlying issues that are both immediate and long-term contributors homelessness and other poor outcomes. In addition to safe, appropriate, and affordable housing, all youth will also receive support related to employment and/or education, strengthening relationships and developing permanent natural supports, community connections, and addressing trauma-related and mental health challenges.

PbC will work to create knowledge of the program with other agencies and community partners through outreach, online advertising, flyers, and networking. PbC has strong existing community relationships that will support these outreach efforts.

Eligibility and Admission
PbC will accept youth into the program ages 18 to 24 who are economically and/or emotionally disconnected from their families and are experiencing homelessness or unstable living conditions. Youth may self-refer, but we anticipate that most referrals will come directly from shelters, community centers, street outreach, drop-in centers, or other parts of response systems frequented by vulnerable young people experiencing homelessness. Parenting youth will be accepted as space allows. Wherever possible, priority for entry will be given to youth with the greatest need, which can be determined through a combination of factors including, but not limited to, experience with chronic homelessness, current or past issues with mental illness and/or substance use, high utilization of crisis services, and membership in an at-risk sub-populations (i.e. LGBTQ+ youth, BIPOC youth, parenting teens, youth with histories of or current risk of commercial sexual exploitation, etc.). Housing is not conditional on a set of readiness criteria.

Beginning with the admission process and throughout the program, PbC will emphasize youth choice and will encourage youth to bring their own lived expertise, knowledge, and perspectives to the program and its services.

Upon receipt of a referral, the Program Director will arrange an in-person interview with the youth. The Program Director will explain the benefits and expectations of the program, discuss the youth’s goals for the future, and offer the youth time to ask questions. The referred youth’s potential roommate may also participate in this interview process to answer questions from their perspective and to ensure a mutual fit.

During the intake process, youth will be advised of their tenant rights, receive a program handbook, and review and sign a copy of the participant application. PbC offers options for apartment locations and will discuss the move-in schedule with youth. The Program Director will provide any referred youth who are not accepted to the program with specific reasons for the decision, conditions necessary to re-apply, and alternate housing options for consideration.

Program participants must agree to program guidelines outlined in the Safe Step for Youth Handbook. Youth must maintain program eligibility through either (1) maintaining employment at least part time (20 hours per week), (2) attending school at least part time, or (3) participating in an activity that aids in removing barriers to the previous items (e.g., mental health services, Alcoholics Anonymous meetings, etc.).

PbC staff attempt to have as much contact as possible in the first 30 days of placement to ensure that the needs of the youth are being met. Staff are trained to develop strength-based contact strategies with youth to encourage engagement and supportive working relationships. Staff work to build positive, supportive, and nurturing relationships through partnership, positive reinforcement, and by modeling strengths-based, positive adult roles.

Staff partner with youth to create a plan on how they will keep in contact, with a schedule chosen by the youth.

Shared responsibility is an important component of PbC’s service philosophy. Above all, participants are recognized as adults. Once they demonstrate responsibility, youth will receive a minimum of one contact per week throughout the Attachment A
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duration of their program. The intensity and frequency of visits will be predicated on their age, the needs of the client, or crisis situations. High risk and high needs youth will receive daily contact either by phone or in-person from program staff while risk persists. PbC emphasizes that this is a “no fail” program built on the strengths of the participants.

Safe Step Staffing
PbC will employ compassionate, creative, and resilient staff members with a strong understanding of adolescent and young adult development and a positive youth development approach to working with at-risk youth. The Safe Step program employs a .5 FTE Program Director with a Bachelor or Master’s Degree, 2 FTE Transition Coaches with Bachelor’s Degrees, and a .25 FTE Administrative Assistant. Transition Coaches spend time with each participant at least weekly to support their goals, provide encouragement, and link them to community resources. Transition Coaches will help youth reach their goals through coaching and mentoring. The Program Director will meet regularly with each staff member and program participant to ensure the goals of the program are being met, and will act as the point-of-contact for referral sources. Program staff will link participants to any additional services necessary to meet their goals, including those provided directly by PbC and those provided by other community providers.

A PbC staff member will be on call 24 hours a day for placements and emergencies. Youth will have access to their Transition Coach and the Program Director as needed. All staff carry cell phones and are trained in how to handle emergency situations. Program staff have access to the Program Director, Clinical Director, and Executive Director to assist with problem-solving and managing crises as needed.

Housing and Basic Needs
Housing is provided via a permanent scattered-site model in affordable housing units leased by PbC. Rental units may include apartments, single family dwellings, or condominiums. Single youth will share a two-bedroom unit with another youth in the program as a built-in support network. Families may have their own apartments or may share a larger unit with other parenting youth for mutual support.

At entry to the program, youth will be provided with all of the furnishings and household accessories needed at no cost to them. Furnishings include a bed, dresser, sofa, dining table, bathroom accessories, wall decorations, and kitchen utensils, among other necessary items. Youth may shop alongside PbC staff so that their apartment furnishings are a reflection of themselves.

Participants will receive housing at no cost for the first year of their participation in the program. During the second year and as long as they remain in the program, they will pay a portion of rent and utilities based on their income.

Youth will receive a grocery voucher each month and small stipends for achieving monthly goals. They will also receive gift cards for personal items.

PbC’s Transition Coaches will help participants learn how to manage money, including budgeting, savings, and balancing a checking account. Staff will also assist the youth in establishing the utilities in their own name.

Program participants have a lease and all the rights and responsibilities of tenancy. PbC will also ensure the personal safety of program participants and will review written safety rules and guidelines, including who to contact in case of problems with gas, electricity, plumbing, window and door locks, smoke detectors, etc. in the apartment, and safety at night when getting to and from the apartment, within the first 30 days of the program. PbC will work with each youth to resolve safety concerns and reduce harm and risk of eviction or housing disruption. There are instances in which youth may need to move units or exit the program due to unwillingness or inability to address safety concerns.

Participants sign an agreement acknowledging that they may be dismissed from the program for reasons related to Attachment A
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the following: (1) refusal to meet minimum eligibility requirements of the program; (2) behaving in a manner that is dangerous to themselves or others and/or having weapons in their apartment; (3) particicpating in the exploitation of other PbC youth for the purposes of Commercial Sexual Exploitation and/or gang activity; (4) using their apartment for illegal activity, including but not limited to possession of drugs with the intent to sell, trafficking others, etc.; (5) bringing unsafe guests to their apartment and/or tell unsafe people where their apartment is located (note: “unsafe" may include violent or abusive individuals, drug dealers, etc.); (6) breaking the rules of lease/apartment complex and/or if the Apartment Management requests their removal; (7) prolonged unexplained absences from the apartment/program. The program is voluntary and youth may exit if they decide they no longer want to be a part of the program. If a client is arrested and detained, PbC will discuss this situation on a case by case basis to determine whether to reserve their space in the program. The use of alcohol or drugs in and of itself, without other lease violations, is not a reason for eviction.

Support with Permanent Housing
PbC will help participants who want to remain in their units to do so. Participants who complete the program may choose to remain in their unit, and PbC staff will work to ensure that the lease transfers to the participant. PbC currently has apartments in desirable neighborhoods near shopping, schools and employment opportunities. PbC nurtures effective relationships with landlords, providing information about the program and considering them as part of the support for youth working toward a goal of reducing homelessness. Our current THP+FC program has a strong relationship with the Venetian Bridges and Riverwood complexes in Stockton. During the program, we will have regular Roommate Meetings to ensure a comfortable and effective living situation. Regular and random apartment checks will also take place to ensure cleanliness and to check for health and safety concerns. As participants near the final quarter in the program, or if a need for a housing change arises during the program, PbC staff will assist with housing locator services, show participants how to fill out an application for rent, and provide advocacy on the participant’s behalf with landlords as needed.

There may be times when a youth needs to be rehoused because their housing is not a good fit or because of eviction.

In these cases, PbC will work with the youth to find alternative housing within or outside the Safe Step program, depending on the needs and preferences of the youth and availability of housing. Transition Coaches will continue to support youth through these transitions, emphasizing that a loss of housing is not a personal failure, treating the situation like a learning opportunity, and engaging the youth and providing support until they are housed again.

Case Management
Case management is youth-centered and driven by the youth’s individual goals. Case management comprises a number of different interventions intended to promote housing stability, build life and independent living skills, enhance engagement with family, friends, and community, and achieve educational and employment goals. Transition Coaches are trained in and actively employ evidence-based practices for engagement, including motivational interviewing and client-centered counseling. Transition Coaches develop relationships with program participants and use a variety of strategies and approaches to help them achieve their goals, including: assessment, goal setting, referrals and linkage, building life skills, problem solving, mediation and communication skill building, advocacy, and support navigating systems. Services are informed by a harm-reduction philosophy, where participants are engaged in nonjudgmental communication regarding any high risk behaviors and offered education regarding how to avoid risky behaviors and engage in safer practices. Transition Coaches will connect youth to evidence-based treatment the youth chooses.

Mental Health and Medical Care
We recognize that youth may come to this program with underlying mental health and trauma-related issues that impact their behavior, relationships, and functioning in work or school. At the time of admission, PbC completes an Attachment A
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assessment of each youth to ensure that their individual needs are met through the program. PbC considers physical, emotional, social, cultural, cultural, and spiritual well-being in promoting positive youth development. Services are individualized, needs-driven, and centered around the youth’s ideas of the support they need. PbC’s framework is geared toward positive youth development that emphasizes the youth’s assets and strengths as much as their needs and vulnerabilities. We work to enhance health, confidence, and resilience.

PbC provides individual and group counseling in accordance with the identified needs of the youth. PbC has a range of regular therapeutic groups available for transition age youth, which will be expanded and adapted to the Safe Step program. Mental health services are a core component of PbC’s services, and we have a licensed therapist on staff.

PbC will refer youth to outside mental health and medical providers as needed. PbC has strong referral relationships with San Joaquin County Behavioral Health Services, the Child Abuse Prevention Council, and the Women’s Center Youth and Family Services.

Educational Advocacy and Support
Youth will receive support to obtain educational goals. PbC will assist youth who do not have a high school diploma or GED with enrolling in a GED program. PbC will provide weekly check ins on the status of the youth’s progress in the GED program and will provide additional tutoring and support as needed. The PbC team will support each youth in pursuing post-secondary education or vocational training depending on their interests. Support services include completing college applications, applying for financial aid, and accessing other school resources.

Job Readiness
Helping youth obtain employment is a core component of the THP Plus program, to ensure that youth obtain independence and permanency. Youth not enrolled in a college or vocational program are expected to work at least 20 hours per week. The PbC team will support each youth in developing a resume, filling out job applications, preparing for interviews, learning job skills, and accessing employment opportunities. We work with the Stockton WorkNet Center, as well as the JobCorps Center in Sacramento (funded through the Job Training and Partnership Act and overseen by the San Francisco Regional Office of Job Corps), to provide training and job opportunities to youth participating in the Safe Step program.

PbC will provide employment opportunities through the businesses we own: Plaza Perks, a coffee shop opened in 2020, Main Street Gifts, a retail gift shop coming to downtown Stockton in July 2022, and a commercial restaurant coming to downtown Stockton in the Fall of 2022. The sole purpose of these small businesses is to provide job opportunities for vulnerable youth, in a compassionate, supportive environment. More information about the coffee shop can be found at the following link: https://youtu.be/YBV-kecvi7s.

PbC requires parenting youth to attend our Positive Parenting Program (Triple P) as part of their program participation. Triple P consists of six weekly small groups focusing on topics such as understanding children’s growth and needs, training on positive discipline, and the development of parenting skills. These groups provide an opportunity for parents to connect with one another, share resources and lessons learned, and also to create community through informal mutual support. PbC provides nearly 50 different Triple P groups each year, involving a diverse population of parents, so TAY parents will be given the opportunity to attend a group of their peers if they choose.

Community Involvement
PbC seeks to help youth develop the skills and relationships they need to integrate and participate into the community. PbC will assist youth in establishing and maintaining healthy personal relationships. The program includes a monthly one hour community meeting in which participants are able to talk about how things are going for them Attachment A
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living on their own, their struggles, and their inspirations. The focus is on improving life skills, social skills, and emotional wellbeing. Attendance at community meetings is voluntary but strongly encouraged. Approximately once each month there will be a planned community activity by program staff for all youth. Activities will be voluntary and will focus on life skills and/or building community. Youth will be encouraged but not required to attend. Examples of past activities include bowling, laser tag, museum trips, beach outings, and paintball. Youth will be able to participate in interviewing staff as a way to observe and practice interviewing for future employment themselves. They may also be asked to participate in interviews with potential program participants.

Participants will also be empowered to give back to the community at large through participation in outreach and training programs provided by PbC to the community. This will not only empower program youth, but help to improve the lives of other youth facing homelessness.

Exit-Planning and After-Program Care
In support of the goal to develop permanent, positive adult relationships, PbC will start exit planning on day one and will make program staff available to youth after their exit. The PbC Transitional Housing program will remain in contact with “alumni” youth who have exited the PbC program. Agency staff will be available for 180 days post exit.

Some of the aftercare services provided by the agency include a detailed exit plan that documents the services needed and how participants can access them and a road map of future goals in place so both the team and the youth are in sync. Youth and program staff will exchange contact information, including contacts for family, friends, employers, teachers, mentors, etc. Continued staff-client contact will be approved by a supervisor. Management will be aware that a staff person is in contact with a former client to ensure professional boundaries and avoid conflicts of interest. PbC will support periodic alumni get-togethers.

Peer support groups are offered to former clients as well as the opportunity for them to mentor/support current clients. Those that have completed the program successfully can help those in the program; Most importantly, participants will be aided in transitioning from program dependency and creating community-based support systems.

Youth will be given a gift card for food or movies if they check in every six months. PbC will hold an annual holiday party so alumni and current clients can touch base with peers they may have lost contact with. Youth will be encouraged to use social networking to stay in touch with other youth and PbC.

We will measure the following outcome objectives:

1. The program will assist participants in securing stable housing during program participation and upon exit.

2. The program will assist youth in obtaining education and employment goals.

3. Program participants will address mental health or trauma-related issues that impact housing stability.

4. The program will assist youth in establishing a solid financial foundation.

5. The program will encourage social inclusion/community involvement.

Project Activity or Program
Service #
Describe the Deliverable
1 Annually, 80% of program participants will successfully maintain stable housing and will exit the program to stable housing. 2 Of the program participants not employed at time of entry, 70% will obtain employment or will enter a vocational training program, internship or will volunteer within six months of program entry. 3 75% of program participants will have obtained their HS diploma or equivalent upon exit.

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4 80% of program participants will exit with a positive balance in their personal savings account.
4 95% of youth will access the necessary services and support related to achieving at least one (1) personal goal related to improved physical and/or mental health, reduced substance use, enhanced personal safety, improved self-esteem, and/or enhanced resilience.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

Parents by Choice (PbC) was established in June 2006 by Tony Yadon, MA, a social worker with a wealth of experience and a deep understanding of California’s foster care system, with the mission to bring hope and healing to children, youth, and their families. PbC began with one staff member, a small office, and the vision for an organization committed to ensuring that all children have the resources they need to grow up healthy and whole.

Over the past 15+ years, PbC has grown into an established, well-respected organization. PbC is governed by an active, community-based Board of Directors and is led by the founder and Executive Director. PbC’s leadership and culture center children as the “big deal” of the organization. With support from the state of California, San Joaquin, Stanislaus and Solano counties, private grants, annual community fundraisers, and donor contributions, PbC is financially stable and its budget has grown substantially and safely during its 15-year history. PbC’s $5.5 million annual budget and staff of more than 70 employees support four core programs: Foster Care and Adoption Support, Transitional Housing for Foster Youth, Mental Health Services, and the Positive Parenting Program (Triple P). PbC services are provided in a warm, welcoming, safe, and child-friendly environment in its offices in Stockton, Modesto, and Fairfield, and in other community spaces in Lodi, Manteca, and Tracy through longstanding partnerships with other community organizations. PbC is a fully licensed Foster Family Agency with national accreditation from the Council on Accreditation (COA).

PbC also has a strong relationship with The Housing Authority of San Joaquin and is a partner in a Project Homekey application, which will renovate a Motel 6 property into 128 one bedroom units. PbC will have use of approximately nine of the units for the TAY population. This project hopes to bring $26 million in State support to San Joaquin County for the hotel renovation, and has received a matching pledge of $6 million from the City of Stockton.

PbC has developed responsive, innovative services that meet the unique, diverse, and evolving needs of at-risk San Joaquin children and families. PbC serves more than 1,000 individuals annually through an array of direct and outreach services that include orientation, training, and ongoing support to foster families, independent housing and comprehensive support services to foster youth aged 18-21, adoption support, outpatient and school based mental health services and parenting groups and classes. Services are provided in both English and Spanish by a passionate and qualified staff who hold associate, bachelor’s, or master’s degrees in applied practice fields including counseling, marriage and family therapy, social work, and other social and behavioral sciences. PbC staff have extensive training and experience in preventing child abuse and neglect and teaching healthy, safe parenting techniques and are committed to partnering with San Joaquin children, families and the community to protect and invest in children’s futures.

PbC has proven experience and expertise partnering with San Joaquin County Human Services Agency, Children's Services, and other county departments and community agencies to contribute to safety net services for San Joaquin County’s most vulnerable children and families. PbC provides Intensive Services Foster Care (ISFC) services, which are short-term treatment interventions to promote healing, child stabilization, and to facilitate the permanent transition into a home. In partnership with San Joaquin County, PbC operates a Transitional Housing Program that provides safe Attachment A
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and supportive housing to youth who are aging-out of foster care. PbC provides mental health services in San Joaquin county and began providing school-based mental health services at four high schools in Stockton through a contract with San Joaquin Behavioral Health in 2020.

At the core of many PbC programs and services is the Positive Parenting Program (Triple P), which PbC has been providing since 2012 with funding from SJC. Triple P is an adaptable, evidence-based curriculum that has been shown to reduce child abuse and neglect and out-of-home placements by promoting age and developmentally appropriate positive communication, increasing confidence in parents and self-esteem in children, teaching tools for healthy boundary-setting, and increasing skills for positive discipline and managing stress and anger without violence. PbC’s parenting groups are designed to reduce stress and build strong and healthy attachments between children and their parents or caregivers. Triple P doesn't tell people how to parent, but rather introduces simple and practical strategies that they can adopt to suit their own values, beliefs, and needs. Triple P builds upon parents’ inherent expertise and imparts skills and techniques that they can put into practice right away. Triple P also helps to build family relationships that encourage children to realize their full potential and to learn strategies for self-regulation.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
PbC intends to implement this program on the following timeline:

March/April 2022: Anticipated award letter from San Joaquin County/City of Stockton May/June 2022: Hire staff, receive technical assistance, outreach to landlords, publicize services.

July 2022: Proposed start date of project. Begin recruitment of Transition Coaches.

August 2022: Begin accepting referrals to the program and implementing the project.

September/October 2022: PbC will begin housing program participants within 90 days of receiving funding.

December 2022: The first program participants will have leases in their own names.

PbC will employ compassionate, creative, and resilient staff members with a strong understanding of adolescent and young adult development and a positive youth development approach to working with at-risk youth. The Safe Step program employs a .5 FTE Program Director with a Bachelor or Master’s Degree, 2 FTE Transition Coaches with Bachelor’s Degrees, and a .25 FTE Administrative Assistant. Transition Coaches and Employment Specialists spend time with each participant at least weekly to support their goals, provide encouragement, and link them to community resources. Transition Coaches will help youth reach their goals through coaching and mentoring. The Program Director will meet regularly with each staff member and program participant to ensure the goals of the program are being met, and will act as the point-of-contact for referral sources. Program staff will link participants to any additional services necessary to meet their goals, including those provided directly by PbC and those provided by other community providers.

A PbC staff member will be on call 24 hours a day for placements and emergencies. Youth will have access to their Transition Coach and the Program Director as needed. All staff carry cell phones and are trained in how to handle emergency situations. Program staff have access to the Program Director, Clinical Director, and Executive Director to assist with problem-solving and managing crises as needed.

PbC will accept youth into the program ages 18 to 24 who are economically and/or emotionally disconnected from their families and are experiencing homelessness or unstable living conditions. Youth may self-refer, but we anticipate that most referrals will come directly from shelters, community centers, street outreach, drop-in centers, or other parts of response systems frequented by vulnerable young people experiencing homelessness. Parenting youth will be accepted as space allows. Wherever possible, priority for entry will be given to youth with the greatest need, which can be determined through a combination of factors including, but not limited to, experience with chronic Attachment A
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homelessness, current or past issues with mental illness and/or substance use, high utilization of crisis services, and membership in an at-risk sub-populations (i.e. LGBTQ+ youth, BIPOC youth, parenting teens, youth with histories of or current risk of commercial sexual exploitation, etc.). Housing is not conditional on a set of readiness criteria.

Project Deliverable # Describe the Deliverable
1 Annually, 80% of program participants will successfully maintain stable housing and will exit the program to stable housing.
2 Of the program participants not employed at time of entry, 70% will obtain employment or will enter a vocational training program, internship or will volunteer within six months of program entry.
3 75% of program participants will have obtained their HS diploma or equivalent upon exit. 4 80% of program participants will exit with a positive balance in their personal savings account.
4 95% of youth will access the necessary services and support related to achieving at least one (1) personal goal related to improved physical and/or mental health, reduced substance use, enhanced personal safety, improved self-esteem, and/or enhanced resilience.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? PbC will obtain individual level data through a number of sources, including the Strengths and Difficulties Questionnaire (SDQ), administered at entry and at six month intervals, participant satisfaction surveys, measurement of achievement of goals outlined in the Ansell Casey Life Skills Assessment tool, case notes, incident reports, team meetings, and case consultation. Program staff will maintain details of how each youth is progressing according to the above outcomes. PbC may also track data through the following measures and indicators: (1) Housing stability (homelessness, subsidized housing, monthly rent, are they in their same housing unit?); (2) Employment and wages (salary or hourly wage, receiving public benefits (SSI, Food Stamps, WIC, CalWorks/TANF, GA), child support); (3) Family Status (any new births, living with a custodial child); (4) Educational status (GED/HS equivalent, community college, four-year college or more); (5) Employment and vocational training (including military, Job Corps, AmeriCorps, Peace Corps); (6) Financial aid or support (grants, loans or scholarships, child support, family financial support); (7) Permanency; (8) Health (insurance through employer, MediCal, other; medical appointments; mental health needs; substance abuse; physical or developmental disability); (9) Savings and Finances (checking and savings accounts); (10) Voter registration; and (11) Involvement in adult criminal justice system (incarcerated/charged: misdemeanor/felony).

Our criteria for success is that participants secure stable housing during program participation and upon exit, youth obtain education and employment goals, program participants will address mental health or trauma-related issues that impact housing stability, youth establish a solid financial foundation, and youth experience enhanced social inclusion/community involvement. By the end of this grant, we expect to have helped at least twenty youth achieve those successes. The proposed long-term benefits of this program include: youth and adults have the skills they need to obtain and maintain stable housing, decrease in homelessness and housing instability, decrease in poverty, improve education and employment functioning, attain improved racial equity in housing and health outcomes, decrease in systems involvement and cost to systems, and breaking cycles of intergenerational trauma.

Deliverable # Task that Support Deliverable
1 Annually, 80% of program participants will successfully maintain stable housing and will exit the program to stable housing.

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2 Of the program participants not employed at time of entry, 70% will obtain employment or will enter a vocational training program, internship or will volunteer within six months of program entry.
3 75% of program participants will have obtained their HS diploma or equivalent upon exit. 4 80% of program participants will exit with a positive balance in their personal savings account.
4 95% of youth will access the necessary services and support related to achieving at least one (1) personal goal related to improved physical and/or mental health, reduced substance use, enhanced personal safety, improved self-esteem, and/or enhanced resilience.

G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
PbC will accept youth into the program ages 18 to 24 who are economically and/or emotionally disconnected from their families and are experiencing homelessness or unstable living conditions. Youth may self-refer, but we anticipate that most referrals will come directly from shelters, community centers, street outreach, drop-in centers, or other parts of response systems frequented by vulnerable young people experiencing homelessness. Parenting youth will be accepted as space allows. Wherever possible, priority for entry will be given to youth with the greatest need, which can be determined through a combination of factors including, but not limited to, experience with chronic homelessness, current or past issues with mental illness and/or substance use, high utilization of crisis services, and membership in an at-risk sub-populations (i.e. LGBTQ+ youth, BIPOC youth, parenting teens, youth with histories of or current risk of commercial sexual exploitation, etc.). Housing is not conditional on a set of readiness criteria.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

Other existing area programs offer a shelter environment to Transition Age Youth. For example, The Women’s Center Youth and Family Services offers a youth homeless shelter and the Children’s Home of Stockton offers their Catalyst youth shelter. We are proposing an independent living program and supported housing model that not only provides housing, but also better prepares youth for adulthood and long-term improved outcomes. There are not any current programs like this within Stockton/San Joaquin County outside of the foster care system, and this program will intentionally serve youth who are unable to access similar existing programs because they do not meet that eligibility criteria. This program will provide stable housing with services and support, while helping youth make important steps in their journey towards adulthood. Many of these strategies, including bridge to permanent housing and intensive case management, could not possibly be employed in a short-term shelter environment.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

PbC will identify and obtain ongoing local, state, and federal funding opportunities and seek private donations to sustain this program. PbC’s goal is to sustain this program for as long as there is a community need.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

None
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Attachment A
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H. ESG
Completed by [email protected] on 1/24/2022 9:05 AM Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

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I. Public Facility Project
Completed by [email protected] on 1/24/2022 9:05 AM Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

Yes, the agency will lease some of the property and own other property. Leases and purchase agreement have been uploaded.

I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

N/A
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
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J. Policy Consistency
Completed by [email protected] on 1/24/2022 10:48 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

PbC will work to create knowledge of the program with other agencies and community partners through outreach, online advertising, flyers, and networking. PbC has strong existing community relationships that will support these outreach efforts. PbC will reach out to shelters, child welfare social workers, probation officers and nonprofit organizations to educate them about this new project. Information will also be posted on the agency's website and on social media.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients The agency administration office and the program residences are located along major bus lines. Participants will receive free bus passes from PbC, if requested. With transportation often a barrier to accessing services, our strategy is to utilize affordable housing in locations that are convenient to schools, churches, community centers, public transportation, and other services. Our current leased apartments are located in complexes which are in safe neighborhoods and are close to San Joaquin Delta College. In addition to these sites, our office located at 306 E. Main Street, Suite 300, Stockton, CA is also where we offer additional services and childcare is available.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.

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 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

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K. Required Documents
Completed by [email protected] on 1/24/2022 10:56 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
Safe Step For Youth - 2022 Budget.pdf
 Organization Operational Budgets *Required
2022 Budget.pdf
 Organization Financial Statements *Required
Balance Sheet 11302021.pdf
Balance Sheet 12312020.pdf
Profit & Loss Jan to Nov 2021.pdf
Profit & Loss 2020.pdf
 Tax Status *Required
IRS Non Profit Letter.pdf
FTB Exemtion Letter.pdf
 Board of Directors Roster *Required
Board of Directors 2022.pdf
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 Articles of Incorporation/Bylaws *Required
Articles of Incorporation - Endorsed.pdf
Revised Bylaws 2018.pdf
 Conflict of Interest Statement *Required
Conflict of Interest Policy.pdf
 Organization chart *Required
Organizational Chart 2022.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required BoardResolutionCDBGSigned.pdf
 Business License Number *Required
City of Stockton Business License.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required PbC Proof of Ins 2021.pdf
Certificate_XWS61851010_2271721.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel Policies.pdf
 Use Permit/State License (as applicable)
THP License.pdf
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 Rental or Lease agreement
Lease 1.pdf
Lease 2.pdf
 Evidence of Site Control
**No files uploaded
 SAM.gov - screen shot of sam.gov registration *Required SAM Registration Status.pdf
 Key Program Staff Resume *Required
Tony Yadon Resume 2022.pdf
 Title Report
**No files uploaded
 Optional Documents
Safe Step Referral Form.pdf
Safe Step Intake Form.pdf
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Submit
Completed by [email protected] on 1/24/2022 11:33 AM
Case Id: 48528
Name: Parents by Choice - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Tony Yadon
Title
Executive Director
Date
01/24/2022
Signature
Anthony Yadon
Electronically signed by [email protected] on 1/24/2022 10:56 AM Please download and upload the Certification page here.  Certification Page *Required
Signature Page.pdf
Attachment A
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Program Overview
Completed by [email protected] on 1/3/2022 12:52 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

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A. Eligibility
Completed by [email protected] on 1/3/2022 12:53 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

If using ESG funds
Homelessness Prevention
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B. Contact Information
Completed by [email protected] on 1/6/2022 10:06 AM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Ready To Work
B.2. Mailing Address
119 E Weber Ave Stockton, CA 95202

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Ray
B.4. Last Name
Call
B.5. Email
[email protected]
B.6. Phone Number
(209) 986-3291

POINT OF CONTACT INFORMATION
B.7. First Name
Deborah
B.8. Last Name
Johnson
B.9. Email
[email protected]
B.10. Phone
(209) 684-6212

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.readytoworksjc.org
B.12. DUNS Number
80,921,951
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B.13. EIN Number
-814,884,512
B.14. Business License Number and Expiration Date
22-00127946 11-30-22
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
16 B.17. Number of Volunteers
5 Attachment A
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C. Funding Request
Completed by [email protected] on 1/20/2022 11:01 AM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Homeless Employment And Rehousing Through Teamwork - HEARTT - C.2. Project Site Location
999 W. Matthews rd French Camp, CA 95231
C.3. Funding Requested in this application
$50,000.00
C.4. Other funds already secured for the project
$1,697,207.00
C.5. Total Cost to Complete Project
$50,000.00
C.6. Other funds not yet secured
$50,000.00
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D. Organization Information
Completed by [email protected] on 1/19/2022 3:02 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

Ready to Work seeks to reduce the number of homeless people in Stockton and San Joaquin County by helping persons with a history of homelessness or involvement in the criminal justice system rebuild their lives and the lives of their families.

Ready to Work will help its clients achieve self-sufficiency through cost-effective employment and housing programs that incorporate case management, counseling, treatment, financial planning, work training, paid work, job placement, and assistance in obtaining permanent housing. These programs will enable clients to develop a strong work ethic, commit to personal responsibility, and establish financial stability.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 115
115
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 51 30
Black/African American 57 0
Asian 3 0
Am. Indian/Alaskan Native 1 0
Native Hawaiian/Other Pacific Islander 1 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 2 0
115 30
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
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Disabled 13
Female Headed Households 0
Seniors 3
Youth 10
Homeless 115
141
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E. Project Funds
Completed by [email protected] on 1/19/2022 3:04 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year.

N/A
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

One-time funding
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
$0.00 $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
$0.00 $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
$0.00 $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
$0.00 $0.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section. - $595,950 from the Community Corrections Partnership (annual, July 1 to June 30).

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- $338,970 from the Homeless Housing and Assistance Program ($169,485 secured for 2022. - $77,299 from the Community Based transitional Housing Program. - 121,000 from Stockton Caltrans contract.
- $150,000 from Modesto Caltrans contract.
- $120,000 from City of Stockton contract.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds Ready To Work's program will be able to continue functioning if we do not receive all the funding requested in this grant application. We are grateful to have received HHAP funding support from the City of Stockton, but since we were awarded only half of our total HHAP request additionally to the CoC, San Joaquin County, and our 4 year donation drive has come to an end we are seeking some additional funding if possible with this application.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

Ready To Work's service area is San Joaquin County, which includes the City of Stockton. Our main office is in Stockton. Stockton is the largest city in San Joaquin County, and at least 50% of our program clients come from the Stockton.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Homeless Persons
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Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

Ready To Work (RTW) is a proven concept now and has played an integral role in intervening and in preventing recidivism back into homelessness for the formally incarcerated (high propensity for homelessness) and homeless individuals that RTW serves that are most desperately in need of shelter type housing, income, case-management, wrap-around services, job training, job placement and housing placement in Stockton and in San Joaquin County.

Given the COVID-19 pandemic situation, RTW has provided emergency mutual aid assistance, and general staffing, to many agencies, because of their personnel shortages, including the City of Stockton Public Works Dept. , St. Mary’s Dining Hall, The Salvation Army, and Downtown Stockton Alliance with its homeless shower facilities all in Stockton.

RTW homeless staffed paid work crews are more needed than ever by keep clients sheltered, off of the streets and gainfully involved in forward moving activities for long-term sustainability and permanent housing placement. ESG funding will assist us in our mission to move recently incarcerated individuals and homeless individuals from jail and the streets to gainful employment allowing these individuals to self-shelter. The RTW program is designed to permanently remove people living in our streets and under overpasses.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

RTW is a 24/7 facility that provides emergency sheltering of 21 beds for homeless individuals at any one time (those not from incarcerated backgrounds) and 24 beds for those from incarcerated backgrounds. RTW serves those that are most desperately in need of shelter type housing, income, case-management, wrap-around services, job training, job placement and housing placement with the mission to keep them off the streets for good.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 60
Households 0
Other 0
60 E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

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RTW houses individuals who meet the definition of “homeless,” as defined by the HEARTH Act, at the RTW Housing Campus. RTW clients are identified by direct outreach to homeless encampments throughout Stockton and San Joaquin County and by referrals through HMIS/Coordinated Entry. Clients are assessed before entry to identify individual needs, program fit, and willingness to participate in support services. RTW’s primary target population is unsheltered homeless. RTW clients are identified through street outreach conducted by the agency and street outreach conducted by community partners, including PATH, CareLink, and Homeless Outreach Projects in Stockton and within San Joaquin County.

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F. Project Impact
Completed by [email protected] on 1/19/2022 3:17 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 115
115
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 22 14
Black/African American 35 0
Asian 2 0
Am. Indian/Alaskan Native 1 0
Native Hawaiian/Other Pacific Islander 0 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 0 0
60 F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 8
Female Headed Households 0
Seniors 3
Youth 5
Homeless 60
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
0 0 0
2020-2021 (Anticipated) 27 60 60
2021-2022 27 60 60
54 120 120
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

RTW provides shelter for individuals who meet the definition of “homeless,” as defined by the HEARTH Act, at the RTW Housing Campus. Clients are assessed before entry to identify individual needs, program fit, and willingness to participate in support services and paid work crews. Then clients are provided work at the level of their capabilities and provided case management and training to move them from lower paying jobs to higher paying jobs so they can self-shelter.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.
95-100% of individuals served by Ready to Work qualify as extremely low income, making less than 30% of the area median income as defined by the Department of Housing and Urban Development -- 88% of those individuals served enter RTW with no income at all. Meanwhile, 33% of the individuals who exit Ready to Work have income at exit , while a large portion of our clients refuse to take the exit interview.

RTW's programs align with the Strategic Plan on Homelessness developed jointly by the San Joaquin Continuum of Care, San Joaquin County, and the City of Stockton. RTW plays a very important role in helping meet the goals of the joint authority Strategic Plan on Homelessness and even the Communitywide System Performance Goals as adopted by the CoC by actively doing following:
• Reducing the time persons remain homeless by increasing systemwide shelter capacity and providing case management, support services, and resources to move people from homelessness to permanent housing, including resources to increase household income and resources to obtain permanent housing such as individual grants and rapid re-housing.
• Reducing the percent of persons returning to homelessness from permanent housing by equipping those who leave the HEARTT program (our emergency sheltering program) with long-term skills to maintain their income and housing, and by linking those leaving the HEARTT program to rapid re-housing resources. This includes capturing data on those exiting the program, and continuing case management services after discharge from shelter. • Reducing the total number of people who are homeless by increasing systemwide shelter capacity and providing the support services and resources necessary to move people from homelessness to permanent housing. • Increasing the number of people who increase their cash income by linking participants to paid work and other Attachment A
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resources that increase household income.
• Reducing the number of people who become homeless for the first time by utilizing appropriate resources available through the Continuum of Care Coordinated Entry and HMIS to divert households from emergency services when possible.
• Increasing the percentage of people who exit from the streets and emergency shelter to permanent housing by helping individuals increase their household income and linking households to rapid re-housing services.

The main challenge of improving the homeless issue is lack of affordable housing. It's a challenge for RTW to move individuals to gainful; employment at a level that can afford to self-shelter. But that is our goal and we are having success!
Attachment A
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G. Project Narrative
Completed by [email protected] on 1/19/2022 3:21 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) RTW plays a very important role in helping meet the goals of the joint authority Strategic Plan on Homelessness and even the Communitywide System Performance Goals as adopted by the CoC by actively doing following:
• Reducing the time persons remain homeless by increasing systemwide shelter capacity and providing case management, support services, and resources to move people from homelessness to permanent housing, including resources to increase household income and resources to obtain permanent housing such as individual grants and rapid re-housing.
• Reducing the percent of persons returning to homelessness from permanent housing by equipping those who leave the HEARTT program with long-term skills to maintain their income and housing, and by linking those leaving the HEARTT program to rapid re-housing resources. This includes capturing data on those exiting the program, and continuing case management services after discharge from shelter. • Reducing the total number of people who are homeless by increasing systemwide shelter capacity and providing the support services and resources necessary to move people from homelessness to permanent housing. • Increasing the number of people who increase their cash income by linking participants to paid work and other resources that increase household income.
• Reducing the number of people who become homeless for the first time by utilizing appropriate resources available through the Continuum of Care Coordinated Entry and HMIS to divert households from emergency services when possible.
• Increasing the percentage of people who exit from the streets and emergency shelter to permanent housing by helping individuals increase their household income and linking households to rapid re-housing services.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of Attachment A
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approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

Ready to Work is proud to say that we are currently and effectively implementing our program (24/7) and will continue to do so. RTW staff and housing services is providing shelter, food, clothing, income and support, workforce development and links to permanent housing to homeless adults in Stockton and San Joaquin County. RTW accomplishes this through case management, mainstream services, increasing household income/paid work experience, and direct assistance in securing permanent housing through our 45 beds for our population target of those chronically experiencing homeless (veterans, hard to place homeless, those struggling with addiction, transitional aged youth 18-24 years of age, the formerly incarcerated on probation or parole, a heavy client base of persons of color who are disproportionately homeless, all specifically residents of the City of Stockton and San Joaquin County).

Project Activity or Program
Service #
Describe the Deliverable
1 RTW staff and housing services is providing shelter, food, clothing, income and support, workforce development and links to permanent housing to homeless adults in Stockton and San Joaquin County.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

RTW also operates a program (Homelessness And Recidivism Prevention, or HARP) that focuses on homeless men exiting the criminal justice system and who are on felony probation. HARP has been housing clients since July 2018. All individuals served by the HARP program are either literally homeless or at risk of homelessness at program entry according to the definition of the HEARTH Act. (Funding sources listed previously) HARP provided shelter and services to individuals through 24 beds available, a little more than half of our total 45 beds. Of those leaving HARP, 56% exited into a permanent living situation or a facility that provides ongoing services and/or treatment.

RTW has been in existence for 4 years. The current Executive Director has 25 years of experience working with nonprofit leadership, both as the leader of nonprofit organizations (United Cerebral Palsy, YMCA, Emergency Food Bank, Stockton Shelter for the Homeless and now RTW) and as a volunteer. He is also an active participant in the CoC.

RTW’s program director has more than 30 years’ experience in the State Department of Corrections and Rehabilitation, including several as warden of the Chowchilla prison overseeing a large population in crowded and volatile living conditions. Case Managers, Work Crew Leaders and Facility Monitors are all hired based on their skill and desire to serve our clients and help them become successful. We train our staff to provide the very best service to our clients with the goal to move them to gainful employment and self-shelter.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
Ready to Work serves people throughout Stockton and San Joaquin County. Individuals who receive the benefit of RTW's component are residents at the shelter. These clients are referred by partner agencies (such as street outreach, shelters, law enforcement, incarceration facilities, etc.) and through self-referral. After a brief period of stabilization, Attachment A
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clients are placed on RTW client work crews. As part of their living at the shelter, all clients receive extensive case management, financial support and management, links to mainstream services, links to wraparound services, and links to affordable housing and health care providers. Counseling and group sessions, including substance abuse support, are offered on site. Services are provided to individuals independent of their participation in work crews.

Services continue after clients have obtained employment outside of RTW and after they have moved into housing if clients are interested.

Project Deliverable # Describe the Deliverable
1 RTW staff and housing services is providing shelter, food, clothing, income and support, workforce development and links to permanent housing to homeless adults in Stockton and San Joaquin County. RTW accomplishes this through case management, mainstream services, increasing household income/paid work experience, and direct assistance in securing permanent housing. The goal is to improve the clients' ability to find gainful employment so they can self-shelter.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? RTW has placed 14 program participants in permanent housing this year that normally would be living on the streets.

We expect our successful outcomes to continue upward and even go higher with some of our workforce development enhancement trainings and certifications that are scheduled for 2022-23 and beyond.

Success is measured and tracked in the HMIS for: Earned income, successful exits to permanent housing, employment, not returning to homelessness, obtaining transportation, leaving addictive behavior, not returning back to incarceration (leaving probation), stabilized mental health, etc.

Deliverable # Task that Support Deliverable
1 RTW accomplishes this through case management, mainstream services, increasing household income/paid work experience, and direct assistance in securing permanent housing.

G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
RTW's population target are those chronically experiencing homeless (veterans, hard to place homeless, those struggling with addiction, transitional aged youth 18-24 years of age, the formerly incarcerated on probation or parole, a heavy client base of persons of color who are disproportionately homeless, all specifically residents of the City of Stockton and San Joaquin County).

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project. (See poverty, income at entry and exit narrative above previously stated) Most of our population either comes from the streets, homeless shelters/transitional housing, or come directly from Attachment A
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jail/prison. They come to Ready to Work because they have nowhere to go but to a shelter or the streets.

Chronic homelessness impacts 7% of our clients, according to the definition used by the Department of Housing and Urban Development, and 61% of our clients self-report struggles with illegal drugs and alcohol use. About 10% of our clients report some significant type of mental illness or disability, while a small percentage of our clients have a physical disability, developmental disability, or another chronic health condition.

The clients served by RTW are some of the most vulnerable in society, facing numerous obstacles to housing, employment, and self-sufficiency.

Our RTW operation employs the homeless with minimum overhead.

RTW has operated its model since July 2018, with individual clients working on RTW-overseen crews. These crews clean up local roads; perform landscaping and beautification; and provide support for other nonprofits that serve the needy and homeless. While they are working at this level they are receiving training and/or counseling to improve their economic situation by achieving certifications (truck driving, restaurant work, etc.) or vocational training.

RTW doesn't just provide income to those with zero income; it teaches clients the importance of giving back while learning skills needed to provide for themselves. This is a crucial step for clients bridging the gap between homelessness and unemployment on one side and employment and housing on the other. This takes many steps, and paid work overseen by RTW provides that critical bridge.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

RTW is an organization that strives to cultivate diversified income streams for sustainability (donors, government grants (local, state and federal) and municipality contract work).

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

We have no conflicts of interest with this application for federal funds.

Attachment A
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H. ESG
Completed by [email protected] on 1/21/2022 11:00 AM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:
45 H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

Ready To Work (RTW) program provides formerly incarcerated and/or chronically homeless individuals temporary shelter and cost-effective employment skills. The mission of RTW is to reduce the number of homeless people (males) in San Joaquin County by assisting them rebuild their lives and the lives of their families. Clients are provided temporary shelter, food, cost effective clothing, earning income and support services. RTW believes by providing workforce development and assistance to permanent housing, these key factors can lead to long term self-sufficiency.

We accomplish this through case management, mainstream services, paid work experience, and direct assistance in securing permanent housing. The clients enrolled in this program are provided work experience opportunities that can lead to permanent employment. RTW’s goal is to transition individual to higher paying jobs through specialized training, educational efforts, and certifications. These skills will allow RTW clients the ability to compete with others for higher paying employment. The RTW program is designed to take chronically homeless individuals off the streets and teach them how to work and thrive, much like the saying “Give a man a fish and feed him for a day. Teach a man to fish and feed him for a lifetime.” The RTW program is a win/win/win. The City of Stockton receives debris removal and pick up services at a high-quality level. RTW clients are provided employment and work experience. RTW is funded by the contract so they can continue to provide the services that help chronically homeless get off the streets, employed, and working toward self-sufficiency.

Clients are housed in old honor farm barracks. There are two wings that hold 22 and 23 clients respectively. These are open dorms with no walls. So our COVID protection must be at its highest. The Program Manager provide testing with testing kits when appropriate. Clients and staff where appropriate PPE (gloves, masks, sanitizers, etc.) following State of California's Department of Public Health and Cal/OSHA guidelines. RTW was fortunate to have had many PPE supplies donated in 2021. RTW cannot rely on donations in the future to protect employees and clients. The estimated cost of PPE for the coming year will exceed $5,000.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? Yes
H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

No
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I. Public Facility Project
Completed by [email protected] on 1/6/2022 3:23 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

Own
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/6/2022 3:27 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

RTW as part of its strategic plan in 2021 will be reaching out to cultivate more potential employer and career training partnerships to help create even increased sustainable career paths for our program participants through workforce development.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients RTW has a program policy to make sure program participants get to and from work and have basic needs met through necessary transportation. We encourage clients to save earned income to purchase their own transportation (many have). Many carpool to work with each other. Some walk to the bus lines (however they are not very frequent near the shelter). When transportation needs are not easily accessible to clients, RTW will drive them to and pick them up from work, or arrange an Uber/Lift. Those on our work crews receive transportation with their supervisor in one of our passenger vans.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time Attachment A
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buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/20/2022 11:03 AM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
Budget 2022 With ESG Expenses.xlsx
 Organization Operational Budgets *Required
Budget 20-21 and 2021-22.xlsx
 Organization Financial Statements *Required
Ready To Work 2019 Audited Financial Statement.pdf
Audit Explanation.docx
 Tax Status *Required
Nonprofit determination letter.pdf
 Board of Directors Roster *Required
Ready to Work Executive Board of Directors.docx
Attachment A
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 Articles of Incorporation/Bylaws *Required
Articles of Incorporation amendment 12-16-19.pdf
 Conflict of Interest Statement *Required
Conflict of Interest Policy.pdf
 Organization chart *Required
Approved Org Chart 1-8-22.docx
 Board of Directors’ authorization to request CDBG/ESG funding *Required Authorization to Request Grant.pdf
 Business License Number *Required
Business License Number for City ESG.docx
RTW Business License 2022.msg
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Certificate of Insurance 2022.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Grievance and Fair Hiring Practices Excerpted from Personnel Handbook — 02-17-20.pdf Non Discrimination Policy towards staff or Clients Excerpted from Personnel Handbook — 02-17-20.pdf  Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
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 Evidence of Site Control
**No files uploaded
 SAM.gov - screen shot of sam.gov registration *Required SAM Screen Shot.pdf
 Key Program Staff Resume *Required
Resume 2019 Nonprofit.docx
 Title Report
**No files uploaded
 Optional Documents
**No files uploaded
Attachment A
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Submit
Completed by [email protected] on 1/21/2022 1:58 PM Case Id: 48566
Name: Ready To Work - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Ray Call
Title
Interim Executive Director
Date
01/21/2022
Signature
Ray Call
Electronically signed by [email protected] on 1/21/2022 11:01 AM Please download and upload the Certification page here.  Certification Page *Required
CoS ESG Authorized Signatory.pdf
Attachment A
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Program Overview
Completed by [email protected] on 1/19/2022 12:40 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 1/19/2022 12:41 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
Attachment A
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B. Contact Information
Completed by [email protected] on 1/19/2022 12:59 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Second Harvest of the Greater Valley
B.2. Mailing Address
1220 Vanderbilt Circle Manteca, CA 95337

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Keenon
B.4. Last Name
Krick
B.5. Email
[email protected]
B.6. Phone Number
(209) 239-2091

POINT OF CONTACT INFORMATION
B.7. First Name
Kirsten
B.8. Last Name
Salas
B.9. Email
[email protected]
B.10. Phone
(209) 239-2091

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.localfoodbank.org
B.12. DUNS Number
169,214,483
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B.13. EIN Number
680,376,587
B.14. Business License Number and Expiration Date
2200126133 11/30/22
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
24 B.17. Number of Volunteers
30 Attachment A
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C. Funding Request
Completed by [email protected] on 1/19/2022 1:01 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Food Assistance
C.2. Project Site Location
1220 Vanderbilt Circle Manteca, CA 95337
C.3. Funding Requested in this application
$40,000.00
C.4. Other funds already secured for the project
$3,293,022.00
C.5. Total Cost to Complete Project
$3,383,022.00
C.6. Other funds not yet secured
$50,000.00
Attachment A
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D. Organization Information
Completed by [email protected] on 1/19/2022 1:07 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

Feeding the community through our partnerships
D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 2,214
Low Income (50%-80%) 4,580
Very Low Income (30%-50%) 6,040
Extremely Low Income (Less than 30%) 25,606
38,440
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 11,650 5,878
Black/African American 6,257 1,429
Asian 2,943 405
Am. Indian/Alaskan Native 1,431 1,002
Native Hawaiian/Other Pacific Islander 434 117
Am. Indian/Alaskan Native & White 164 47
Asian & White 498 152
Black/African American & White 2,684 663
Am. Indian/Alaskan Native & Black/African American 250 70 Other Multi-Racial 12,129 8,351
38,440 18,114
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 4,152
Female Headed Households 6,319
Seniors 2,839
Youth 0
Homeless 0
13,310
Attachment A
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Attachment A
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E. Project Funds
Completed by [email protected] on 1/21/2022 2:00 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year.

N/A
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

N/A
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
$0.00 $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
Food
Assistance
City $30,000.00 complete $0.00
FY2019/20
ESG
$0.00 $0.00
FY2020/21
CDBG
Food
Assistance
City $30,000.00 complete $0.00
FY2020/21 ESG $0.00 $0.00
FY2021/22
CDBG
Food
Assistance
City $30,000.00 Underway $30,000.00
FY2021/22 ESG $0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

General Funds/Grants $50,000
Attachment A
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E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds The proposed activities could continue with a smaller amount of funding but may decrease the number of pounds of nutritious food we can purchase and provide. We plan to grow in small increments as we secure funding to sustain our current programs over the next several years.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

The City of Stockton will be served through Second Harvest of the Greater Valley's (SHGV) Food Assistance Program with partnered agencies located in the City of Stockton.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents Yes
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

No
Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents Attachment A
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Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

N/A
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

Second Harvest will utilize Stockton CDBG funds towards the purchase of food to be provided to those experiencing food insecurity.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

Second Harvest of the Greater Valley keeps a record of number of pounds provided.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 20,000
Households 0
Other 0
20,000
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

Our Food Assistance Program collaborates with 25 non-profit charities that provide a food pantry program in the City of Stockton. Non-profit agencies visit the Food Bank to select groceries, canned fruits and vegetables, cereals and bread, dairy products, meats, fresh fruits and vegetables. They distribute the food through their food pantries to low- income individuals in need of food. SHGV and partner agencies must provide services to all people regardless of their demographics, including individuals and families that are homeless, female head of household, veterans, homeless, disabled, elderly, all sexual orientations, and all races and ethnicities. Referrals are made through our Food Bank and our partnered agencies. Second Harvest will continue to collaborate with sites that provide a service in high need areas to ensure a priority focus on low-income areas.

Attachment A
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F. Project Impact
Completed by [email protected] on 1/21/2022 2:11 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 2,000
Low Income (50%-80%) 3,000
Very Low Income (30%-50%) 5,000
Extremely Low Income (Less than 30%) 10,000
20,000
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 10,000 2,500
Black/African American 3,000 1,500
Asian 2,975 1,000
Am. Indian/Alaskan Native 500 200
Native Hawaiian/Other Pacific Islander 250 150
Am. Indian/Alaskan Native & White 100 25
Asian & White 75 20
Black/African American & White 500 200
Am. Indian/Alaskan Native & Black/African American 100 50 Other Multi-Racial 2,500 1,000
20,000
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 2,150
Female Headed Households 6,000
Seniors 1,500
Youth 0
Homeless 0
9,650
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
0 11,116 11,116
2020-2021 (Anticipated) 0 38,440 38,440
2021-2022 0 15,000 15,000
0 64,556 64,556
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Our Food Assistance Program collaborates with 25 non-profit charities that provide a food pantry program in the City of Stockton. Non-profit agencies visit the Food Bank to select groceries, canned fruits and vegetables, cereals and bread, dairy products, meats, fresh fruits and vegetables. They distribute the food through their food pantries to low- income individuals in need of food.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

In San Joaquin County, an estimated 92,520 people are living in food-insecure households, including 40,750 food- insecure children, 20% of the county’s total children (source: Feeding America, the largest hunger-relief charity in the United States). The County Community Data Profile shows 22.4% of the population living below the poverty line. In the City of Stockton 10% has reported they live in a household with no personal vehicle available. Second Harvest’s Food Assistance Programs work endlessly to ensure that our services are being provided in the greatest areas of needs. The City of Stockton is in dire need of supportive services to those that are struggling with food insecurity, homelessness, and urgent crisis in their lives. Second Harvest provides access to supplemental food to extend the resources of low-income residents of Stockton.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/19/2022 1:49 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) he Food Assistance Program aligns with the City of Stockton’s public service needs under early intervention, transition, and maintenance. Our programs give youth, families, and seniors a resource to access supplemental food to extend their monthly food budgets. Collaboration with non-profit agencies has strengthened our ability to bring maintenance to desperate areas of food insecurity, providing them with a variety of food they can count on.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

In the 2022-2023 Fiscal Year, Second Harvest Food Bank estimates we will reach 15,000 individuals, children, and seniors at sites in the City of Stockton with 1,000,000 pounds of supplemental groceries through our Food Assistance Program. This will provide supplemental groceries, including fresh fruits and vegetables, to help support their daily food intake needs and extend limited food budgets.

Project Activity or Program
Service #
Describe the Deliverable
1 pounds
G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

Attachment A
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In 1976, Good Samaritan Community Service, Inc. began to provide services for seniors. After 45 years, it has since transformed into Second Harvest Food Bank of the Greater Valley, serving individuals, seniors, and children in San Joaquin, Stanislaus, Merced, and the Mother Lode Counties. The Food Bank provides four programs in San Joaquin and Stanislaus Counties: Food Assistance, Fresh Food 4 Kids, Mobile Fresh, and Senior Brown Bag. Program expansion has brought challenges in staying sustainable and keeping up with the current needs in food security. Developing a strong, engaged board has played a supportive role in fundraising and securing donors. By working as a team, including staff, board members, volunteers, and community members, we have been able to face multiple challenges and find efficient solutions in food banking. Second Harvest's staff bring long-standing experience and commitment to our mission.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
The Food Bank staff will pick up donations, store, and prepare food to be picked up by agencies. Second Harvest’s non-profit agencies utilize our online shopping process to order food for their pantries. Each pantry chooses food items, such as meats, cheese, yogurt, canned foods, boxed items, etc. to redistribute. The Agency then makes an appointment to come to pick up their order at Second Harvest distribution center in Manteca. Agencies can benefit from the Food Banks expanding capacity, with the ability to quickly move food in and out. Agencies have the flexibility to pick up foods that they prefer and amounts that work best in their food distributions. This differs from each agency depending on the size of the program and service area. The clients will visit the food pantries located in their city to receive food.

Project Deliverable # Describe the Deliverable
2 people unduplicated
G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? Second Harvest will measure the progress by poundage received and distributed to participants, unduplicated and duplicated individuals served, demographic breakdowns, monitoring visits, and the number of deliveries. By the end of the fiscal year, the Food Assistance Program will provide 15,000individuals, seniors, and children 1,000,000 pounds of nutritious supplemental groceries, including fresh fruits and vegetables, through 20 non-profit agencies located in the City of Stockton
Deliverable # Task that Support Deliverable
1 reports
1 ceres -computer tracking program for pounds
G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
Second Harvest Food Bank serves people with diverse demographics backgrounds including individuals and families that are homeless, female head of household, veterans, homeless, disabled, elderly, all sexual orientations, and all races and ethnicities. Second Harvest Food Bank provides Food Assistance programs for low-income households making less than 80% of the median income, in the City of Stockton.

Attachment A
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G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

Second Harvest collaborates with local food banks, food pantries, homeless service agencies, and community services.

Second Harvest values the collaboration between agencies and knows that it takes many resources to help the immense need in our communities. The Food Bank is just one piece of a complex food system, feeding the need.

Second Harvest Food Bank is not a direct provider of food assistance to the public. We support the distribution efforts of local non-profit agencies that provide food pantries or feeding programs of their own. Second Harvest Food Bank utilizes its capacity to receive and transport large donations from local manufacturers, growers, and distribution centers. Second Harvest Food Bank has a truck fleet and the workforce to pick up and sort products to prepare for re- distribution. Without Second Harvest Food Bank's Food Assistance programs, local non-profit agencies would have a difficult time providing the labor and funds for direct services to those most at risk of going hungry.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

Second Harvest Food Bank’s team knows the importance of keeping up with the changing face of hunger. The current dependence on food banks has shifted from an emergency response to food insecurity, to a long-term assistance resource. The Food Bank continues to stay prepared by following food insecurity trends to plan for the needs of the communities. Second Harvest has a full-time Grant Specialist to focus on securing additional program funding. Second Harvest’s Director of Operations will continue to establish additional relationships with food donors to sustain the Food Assistance Program. Growth will take place when appropriate and sustainable by funding and product sourcing.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

N/A
Attachment A
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H. ESG
Completed by [email protected] on 1/21/2022 2:11 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

Attachment A
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I. Public Facility Project
Completed by [email protected] on 1/21/2022 2:12 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) n/a
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work. n/a
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.
n/a
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section. n/a
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants). n/a
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.
n/a
I.8. When will construction start and end? Provide a timeline with all critical milestones. n/a
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain. n/a
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/21/2022 2:15 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

A large challenge is the future of donated food to the food bank and the unknown future of funding to be able to purchase the food necessary to support the level of increased distribution. As the effects of the pandemic continue, the food bank was required to make adjustments toward increases in capacity and storage to ensure all vital food can be stored adequately. As we move forward the biggest challenge is the possibility of having to purchase food because of the lack of food donations coming in from corporate grocers. Second Harvest has hired a second Grant Writer and Cause Marketing staff to ensure growth of funding to keep up with the growth of our distribution needs.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients Second Harvest partners with many different agencies that are located all over the City of Stockton.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.

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 Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/21/2022 2:29 PM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

Attachment A
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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
Stockton 22-23 Budget.xlsx
 Organization Operational Budgets *Required
Organization Budget 21-22.pdf
 Organization Financial Statements *Required
SHGV 2021 Financial Statements Audit.pdf
 Tax Status *Required
501c3 Letter of determination name change.pdf
 Board of Directors Roster *Required
SHFB Board Roster 21-22 Rev. 9-22-21.pdf
 Articles of Incorporation/Bylaws *Required
Corporate By Laws (SHFB).pdf
Attachment A
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Articles of Incorporation.pdf
 Conflict of Interest Statement *Required
Corporate By Laws (SHFB).pdf
 Organization chart *Required
SHGV Organization Chart 6-21.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required Board Resolution Authorization for Grants Submittal 21-22.docx  Business License Number *Required
City of Stockton License 2021-2022.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required 21-22 COI For City of Stockton.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel Policies.pdf
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
 Evidence of Site Control
**No files uploaded
Attachment A
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 SAM.gov - screen shot of sam.gov registration *Required SAMS Active status.pdf
 Key Program Staff Resume *Required
Key Program Staff Resume.docx
 Title Report
**No files uploaded
 Optional Documents
SHGV General Quick Facts.pdf
Attachment A
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Submit
Completed by [email protected] on 1/24/2022 10:34 AM Case Id: 48642
Name: Second Harvest of the Greater Valley - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Kirsten Salas
Title
Director of Grants and Programs
Date
01/21/2022
Signature
Kirsten Salas
Electronically signed by [email protected] on 1/21/2022 2:30 PM Please download and upload the Certification page here.  Certification Page *Required
CITY OF STOCKTON SIGNED 22-23.pdf
Attachment A
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Program Overview
Completed by [email protected] on 12/28/2021 9:04 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
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A. Eligibility
Completed by [email protected] on 12/28/2021 9:09 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

If using ESG funds
Emergency Shelter
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B. Contact Information
Completed by [email protected] on 1/10/2022 2:48 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
St. Mary's Dining Room
B.2. Mailing Address
545 W. Sonora Street Stockton, CA 95203

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Edward
B.4. Last Name
Figueroa
B.5. Email
[email protected]
B.6. Phone Number
(209) 467-0703

POINT OF CONTACT INFORMATION
B.7. First Name
Ryan
B.8. Last Name
Cerezo
B.9. Email
[email protected]
B.10. Phone
(209) 467-0703

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.stmarysdiningroom.org
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B.12. DUNS Number
617,744,619
B.13. EIN Number
942,687,280
B.14. Business License Number and Expiration Date
12/31/2022
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
49 B.17. Number of Volunteers
222
Attachment A
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C. Funding Request
Completed by [email protected] on 1/21/2022 8:43 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
St. Mary's Dining Room
C.2. Project Site Location
545 W. Sonora Street Stockton, CA 95203
C.3. Funding Requested in this application
$75,000.00
C.4. Other funds already secured for the project
$0.00
C.5. Total Cost to Complete Project
$3,587,000.00
C.6. Other funds not yet secured
$0.00
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D. Organization Information
Completed by [email protected] on 1/14/2022 12:57 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

St. Mary's Dining Room responds to poverty in San Joaquin County by feeding the hungry, caring for health issues and restoring human dignity to over 700 individuals each day.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 4
Low Income (50%-80%) 19
Very Low Income (30%-50%) 112
Extremely Low Income (Less than 30%) 2,814
2,949
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 1,722 1,166
Black/African American 803 0
Asian 73 0
Am. Indian/Alaskan Native 77 0
Native Hawaiian/Other Pacific Islander 34 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 240 0
2,949 1,166
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 648
Female Headed Households 955
Seniors 869
Youth 152
Homeless 2,103
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4,727
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E. Project Funds
Completed by [email protected] on 1/18/2022 9:05 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 of 1
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

One-time funding
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
$0.00 $0.00
FY2017/18
ESG
St. Mary's
Dining Room
City/County/State $249,116.00 Complete $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
St. Mary's
Dining Room
City/County/State $91,450.00 Complete $0.00
FY2019/20
CDBG
$0.00 $0.00
FY2019/20
ESG
St. Mary's
Dining Room
City/County $74,111.00 Complete $0.00
FY2020/21
CDBG
$0.00 $0.00
FY2020/21 ESG St. Mary's
Dining Room
City $45,923.00 Complete $0.00
FY2021/22
CDBG
HVAC Kitchen
and Dining
Room
County $50,000.00 Underway $18,432.00
FY2021/22 ESG St. Mary's
Dining Room
City/County $386,332.00 Underway $101,896.66
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E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

St. Mary's Dining Room is in the process of requesting funds from both City of Stockton and San Joaquin County for this program. We also seek other sources of funding for this program through donations and grants from businesses, corporations, service clubs and community organizations. Because of the pandemic, we have not had any fundraising events in the past 2 years. One of our goals in 2022 is to finally host an event. Seeking and obtaining bequests or legacy gifts are also a target for our organization as it is important to the long-term financial sustainability of our program.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds Just over 85% of our funding is generally provided by local community members. St. Mary's Dining Room is committed to cultivating donors who are passionate about our mission goals and objectives to serve a vulnerable population. Our pledged gift program also provides relief and is necessary to sustain our programs long-term. Volunteerism is also important to the sustainability of our organization to assist our already hard-working and dedicated staff to meet daily operation needs. If we are unable to generate necessary funding to sustain our programs, then it is imminent we would need to decrease our services to an already struggling population.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

Approximately 95% of our guests live within the city limits of Stockton, but our vital services are available to all residents who live in the San Joaquin County area.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

Yes
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the Attachment A
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space below.

Yes
Homeless Persons
Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

Funding from the City of Stockton will be utilized strictly towards maintenance and operational needs of our many programs and services. We anticipate to expend all awarded funds through this application within one year upon acknowledgement and agreement with the City of Stockton.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

Our primary units of service are individuals who use our services. For example, an individual who has 3 meals in one day is counted as 3 units of service. We collect this data daily in both our dining room during meal services and at our clothing and hygiene center. We are also able to produce an accurate and unduplicated number of individuals utilizing our services through HMIS.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 280,000
Households 0
Other 0
280,000
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

Our Director of Social Services continues to do street outreach weekly to homeless individuals staying in encampments, their own cars or along street sidewalks in the surrounding areas of our campus. We provide useful information to those experiencing homelessness and need access to resources such as food, showers, clothing, Attachment A
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medical or dental care and also case management services. But most importantly, we try to create trusting relationships with those who are not quite ready yet to seek the help. These weekly encounters hopefully build that trust so that one day, those who are hesitant can feel comfortable to ask for the help. Our Director of Social Services, and many of our other staff members are also bilingual (English/Spanish) speakers which is a valuable asset given the population we serve and are able to communicate available resources to dominantly Spanish-speaking individuals. St.

Mary's Dining Room collaborates with other agencies and service providers to help promote our services throughout communities in San Joaquin County. We bring awareness of the issues surrounding homelessness and poverty to hopefully empower community members to do the same.

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F. Project Impact
Completed by [email protected] on 1/14/2022 12:04 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 5
Low Income (50%-80%) 18
Very Low Income (30%-50%) 107
Extremely Low Income (Less than 30%) 3,014
3,144
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 1,790 1,234
Black/African American 880 0
Asian 95 0
Am. Indian/Alaskan Native 66 0
Native Hawaiian/Other Pacific Islander 39 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 274 0
3,144
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 866
Female Headed Households 1,060
Seniors 925
Youth 209
Homeless 2,305
5,365
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
45 3,000 2,850
2020-2021 (Anticipated) 50 3,100 2,945
2021-2022 60 3,200 3,040
155 9,300 8,835
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

Our ongoing program includes a Kitchen and Dining Room program, a Clothing and Hygiene Center, a Social Services (Case Management) program, a Medical Clinic and a Dental Clinic. All programs and services are offered at no-cost to our community of those struggling with issues of homeless and poverty.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

Our program helps address the complex issues of individuals and families who are experiencing homelessness and poverty. Individuals or households that live at or below the poverty line can come to St. Mary's Dining Room to get the necessary needs for themselves and their families, like healthy and nutritious meals, hot showers and clean clothing and even receive support services through our case management program, whether its in search of housing, government benefits or daily services and more. St. Mary's Dining Room provides all services at no cost to our guests, including services for the uninsured through our medical and dental clinics.

A challenge that we constantly try to tackle is being able to share our mission and the information of our services with the community through our outreach program, especially to those who are unsheltered. In just the past six months, from July 1-December 31, 2021 we have outreached to 251 unduplicated and unsheltered individuals. These individuals may either live in encampments, their personal vehicles, on the streets, or in abandoned buildings. Our community needs St. Mary's Dining Room so that all individuals experiencing homelessness, sheltered or unsheltered, can care for their daily health needs and hopefully take the next steps so that they can eventually reach greater self- sufficiency. Our outreach program is critical to our mission to inform those outside our campus gates of the available programs and services. By doing this weekly, our hope is to build a trusting relationship with these individuals so they are able to connect to services sooner than later.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/18/2022 11:58 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Our kitchen and dining room program provides three hot meals every day. Hunger and food insecurity may and will effect one’s health and ability to focus. Providing our guests access to a nutritious and wholesome meal, three times a day, will ensure that struggling individuals can function at their highest ability and eliminate the pains of hunger. This program helps to ensure that guests do not decline and promotes their overall, daily health.

Both our Medical and Dental clinics offer preventative care and minimizes our guests' need for emergency services.

Emergency and Medical services are costly to both individuals and families especially if they are uninsured. Our clinics offer our guests who are uninsured, a place they can seek medical and dental assistance at no cost to them. Our medical and dental clinics address both maintenance and stabilization by supporting the uninsured in our community not have a decline in their health and not worry about the costs.

Our Social Services Department provides case managers who work with our guests individually to provide necessary support in covering a range of issues associated with homelessness and poverty. We provide referrals and advocacy for individuals dealing with issues including mental health, substance abuse, medical care and more, help our guests' stability in life so they can work on other important issues at hand. Our volunteer behavioral health clinician is available to assist guests suffering from mild to moderate mental health concerns. Having a clinician available and accessible onsite allows us to give immediate attention and connect them to care in a safe and comfortable environment. Our case managers also assist in further services including but not limited to, housing, childcare, employment opportunities and accessing state benefits. Support in these areas offers our guests stabilization that is often critical in reaching greater self-sufficiency.

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G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

St. Mary’s Dining Room addresses both the daily and the long-term needs of individuals and families experiencing both homelessness and poverty each day.

The PAUL FAIRBROOK KITCHEN and FR. ALAN MCCOY DINING ROOM operates 365 days a year providing three hot meals a day to anyone in need. In 2021, St. Mary’s Dining Room served 253,414 meals to the hungry in our community.

Our KARA BREWER FAMILY CLOTHING & HYGIENE CENTER, now open seven days a week, provides guests with hot showers, clean clothing, hygiene products, and baby supplies such as diapers and formula. These services support the basic hygiene health of those we serve and also brings human dignity to light that is often stripped away when one is struggling with homelessness and poverty. Individuals who neglect to care for their hygiene presents a public health issue. Our hygiene center supports the daily overall health and well-being of our community. St. Mary's Dining Room provided hygiene services to 38,689 adults and children. Hygiene is important, especially during what seems to be an endless pandemic, and can also help decrease the chances of spreading diseases caused by poor hygiene.

The VIRGIL GIANELLI M.D. MEDICAL CLINIC and our ST. RAPHAEL’S DENTAL CLINIC provides for the basic medical and dental needs of our guests. Thanks to our volunteer medical professionals through the partnership with Community Medical Center and dental professionals through the San Joaquin Dental Society, we can offer general medical care, optometry, diabetes care, chiropractic care, podiatry, dental cleanings, fillings, extractions, dentures and both medical and dental education. 2,359 patients received medical care and 664 received dental care in 2021 through St Mary's Dining Room.

The SOCIAL SERVICES program provides street outreach, case management, advocacy and referral. Our guests' lives are often complicated, accompanied by a variety of barriers that must be addressed to achieve self-sufficiency. We work with our guests to address the lack of shelter or housing, access to mainstream benefits and services, addressing legal issues, employment, mental health issues, and substance abuse. Our social services program has also expanded to include onsite behavior health care through our partnership with Community Medical Center, domestic violence support groups and a senior center designed to assist guests ages 55+.

For all services, we served an unduplicated number of 3,144 guests.

Project Activity or Program
Service #
Describe the Deliverable
1 The PAUL FAIRBROOK KITCHEN and FR. ALAN MCCOY DINING ROOM provides three meals 365 days a year.
2 Our KARA BREWER FAMILY CLOTHING & HYGIENE CENTER provides hot showers, clean clothing and vital hygiene products 365 days a year.
3 Our SOCIAL SERVICES program offers case management, outreach, advocacy and referral services five days a week for individuals striving to reach greater self sufficiency.

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4 The VIRGIL GIANELLI M.D. MEDICAL CLINIC and our ST. RAPHAEL’S DENTAL CLINIC provides the basic medical and dental needs of our guests. We offer general medical care, optometry, diabetes care, chiropractic care, podiatry, dental cleanings, fillings, extractions and dentures.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

St. Mary’s Dining Room has been serving those experiencing homelessness and the financially burdened of our community since 1955 starting as a one meal a day soup kitchen grown to three hot meals a day today. In 2000, the first permanent structures were built of our dining room and medical clinic. In 2015, we added dinner service 7 days a week to our Kitchen and Dining Room program. We have been operating our medical services for over 65 years and dental services for over 34 years.

In 2009 our Social Services program officially opened. In 2016, on-site mental health services were added to our Social Services department which provides prevention and early intervention for behavioral health care. In 2017, we opened our Guest Enrichment Center, providing care for our older adult population and providing a meeting space for a variety of support programs such as AA and domestic violence support groups. In 2018, the Housing Navigator Program was begun as a way to support individuals through the process of obtaining housing or being placed on a waiting list for housing.

Our Clothing and Hygiene Center has been providing showers, clean clothing and hygiene needs to our guests since 1996. In 2020, due to the growing concerns of the pandemic, our Clothing and Hygiene Center went from being open 5 days a week to 7 days a week. At the beginning of January 2022, we have implemented daily data collection through Homeless Management Information System (HMIS) in our dining room. Since our Dining Room attracts most of our guests daily, new and old, this will allow us to collect even more accurate information about our guests and our ability to track the services that have been provided to them.

Each year, due to the increasing needs of the community, St. Mary’s Dining Room has grown and expanded our services to address fundamental needs that are constantly changing.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
For us to accomplish our mission of feeding the hungry, caring for health issues and restoring human dignity each day, we heavily look to our limited yet dedicated staff and passionate volunteers in each of our programs. Our Volunteer Manager is key to build and cultivate relationships with community members and organizations in hopes it will empower our community to volunteer. St. Mary's Dining Room is also committed to building genuine relationships through stewardship and cultivation of new and existing donors.

The more we can outreach to community members, organizations and donors (potential and current), we will bring more awareness of our programs and services so that anyone who is experiencing homelessness or struggling financially, is able to access our services if needed.

Project Deliverable # Describe the Deliverable
1 Staff and Volunteers are critical to the daily operations of our organization. If we are not fully staffed, we need both in order to operate at full-capacity. When we operate at full-capacity, Attachment A
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we are able to offer our guests the best service possible. We are fortunate to do this every day.

G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? St. Mary's Dining Room measures the success of our programs and services by the goal of meeting the daily needs of each and every one of our guests that walk through our gates. Success in our Kitchen and Dining Room, Clothing and Hygiene Center and Social Services program means our ability to provide the needs of our guests each day such as a meal, a shower and/or a change of clothes, help with access to resources and referrals. In our Medical and Dental Clinics, we base our success on the amount of services we are able to provide in each clinic to the uninsured of our community. It is difficult to set a number of individuals we hope to achieve in helping because that number and the needs of our guests are always fluctuating. One individual may need a shower one day, but we may never see that person again throughout the calendar year. Whereas we have individuals who access our hygiene center and meal services daily. Our success is knowing we helped these individuals with the basic but overall important needs that every human being deserves.

Deliverable # Task that Support Deliverable
1 Our criteria for our success is minimal. Our success is knowing we helped struggling individuals and families with essential needs that are important to their overall daily health.

Our success is knowing that we helped our guests respectfully and with dignity.

G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
St. Mary's Dining Room supports the basic needs of individuals and families who are struggling with homelessness and poverty. Our programs are no-barrier and have no eligibility requirements in place. In order to receive care and services, an individual or family must abide by our rules of conduct while on our campus.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

Our community is fortunate to have other programs that offer meals, mobile showers, clothing, medical and dental services to low income individuals and families. St. Mary's Dining Room offers similar services and a medical and dental clinic that offers uninsured guests services at no cost. Our Social Services program is aware and stern on not duplicating services, for example, we do not provide employment services, but we can be utilized as a referral for an individual looking for work. If there is a service that our guests are in need of and we are unable to provide it on campus, we direct them to a service or resource that can help. We also work closely and collaborate with the Emergency Food Bank, Community Medical Centers, San Joaquin Behavior Health, Stockton Shelter for the Homeless and other agencies to ensure the needs of struggling members of our community experiencing homelessness and poverty are taken care of.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

St. Mary's Dining Room is committed to donor and volunteer stewardship and cultivation of those individuals who are passionate and dedicated to our mission. This plays into our long-term financial sustainability plan by offering donors an opportunity to invest in our mission through a donor pledge program. Our over 66 years of service to our Attachment A
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community demonstrates the value we provide to those experiencing homelessness and poverty not only in Stockton, but county-wide.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

St. Mary's Dining Room is not aware of any direct or implied conflict of interest existing between our organization's employees or board members and the City of Stockton.

Attachment A
911
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H. ESG
Completed by [email protected] on 1/21/2022 8:51 AM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:

H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

Our programs are dedicated to serving struggling individuals and families with the basic and essential needs to live daily, such as food through our meal services, hot showers and clean clothing through our hygiene services and medical and dental care provided in our clinics. COVID-19 has affected many individuals and families in our community, whether it be a loss of employment that could potentially lead to an inability to pay for housing, food or medical expenses. St. Mary's Dining Room is here to serve individuals and families who have or will face these consequences. When our community is healthy, that helps mitigate the spread of the virus.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

Attachment A
912
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I. Public Facility Project
Completed by [email protected] on 1/10/2022 2:51 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

No
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

N/A
I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 0 0 0 0.00 %
Attachment A
914
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J. Policy Consistency
Completed by [email protected] on 1/18/2022 12:32 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

Much of our marketing is done through social media or by word of mouth. We try to keep the community updated on any new programs or changes through our social media accounts. We have a great following on social media but that only reaches a small fraction of our community and the chain in communication may only go so far. Before the pandemic, our primary approach to inform the community about our work is through our More than Meals Tours.

These were normally held twice a month and gave us an opportunity to share the importance of our work and how we are a positive impact on the community. We feel that if community members are engaged in at least one of these tours, then support for our mission continues to grow. As critical as our More than Meals Tours are to our marketing approach, unfortunately, due to the pandemic, we were not able to host any More than Meals Tours in 2021. Our goal is to host at least one fundraising event in 2022. We have enhanced our quarterly newsletter and is also available to view digitally through our website. Our website is also currently in the process of a refresh and plans are underway to create a new promotional/informational marketing video to share with the community.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients San Joaquin Regional Transit (RTD) is accessible to and from our campus. Our Social Services department is able to provide our guests with bus passes to get to and from their necessary medical or housing appointments. St. Mary's Dining Room also utilizes health access vans and ride services.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to Attachment A
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improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
916
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K. Required Documents
Completed by [email protected] on 1/21/2022 1:34 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

Attachment A
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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
2022 Organization Budget- No Discretionary.pdf
 Organization Operational Budgets *Required
Departmental Budgets - 2022.xlsx
 Organization Financial Statements *Required
2020 Audit Final.pdf
 Tax Status *Required
501c3 2013.pdf
 Board of Directors Roster *Required
2022 Board List.pdf
Attachment A
918
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 Articles of Incorporation/Bylaws *Required
Articles of Incorporation.pdf
 Conflict of Interest Statement *Required
Conflict of Interest Policy.pdf
 Organization chart *Required
Org. Chart 2022.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required Authorized CEO Board Resolution 0820.pdf
 Business License Number *Required
doc20736120220121133019.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required 2021 Certificate of Liability Insurance - City of Stockton.pdf doc20736220220121133040.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Personnel Policies.pdf
 Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
Attachment A
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 Evidence of Site Control
**No files uploaded
 SAM.gov - screen shot of sam.gov registration *Required SAM.gov Screen Shot 022221.pdf
 Key Program Staff Resume *Required
Georgie Nguyen Resume for Grant.pdf
doc20734120220121095728.pdf
 Title Report
**No files uploaded
 Optional Documents
**No files uploaded
Attachment A
920
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Submit
Completed by [email protected] on 1/21/2022 1:35 PM
Case Id: 48544
Name: St. Mary's Dining Room - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
Edward Figueroa
Title
CEO
Date
01/21/2022
Signature
Edward Figueroa
Electronically signed by [email protected] on 1/21/2022 1:35 PM Please download and upload the Certification page here.  Certification Page *Required
Authorized Signatory 22-23.pdf
Attachment A
921
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Program Overview
Completed by [email protected] on 1/23/2022 1:35 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

Attachment A
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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

Attachment A
923
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A. Eligibility
Completed by [email protected] on 1/23/2022 1:38 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

If using ESG funds
Emergency Shelter
Attachment A
924
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B. Contact Information
Completed by [email protected] on 1/23/2022 1:40 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
Stockton Shelter for the Homeless
B.2. Mailing Address
411 S. Harrison St 611 W. Church Street Stockton c, CA 95203

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
JoLyn
B.4. Last Name
McMillan
B.5. Email
[email protected]
B.6. Phone Number
(209) 465-3612

POINT OF CONTACT INFORMATION
B.7. First Name
JoLyn
B.8. Last Name
McMillan
B.9. Email
[email protected]
B.10. Phone
(209) 465-3612

ORGANIZATION CONTACT INFORMATION
B.11. Website
www.stocktonshelterforthehomeless.com
B.12. DUNS Number
188,171,904
Attachment A
925
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B.13. EIN Number
680,095,693
B.14. Business License Number and Expiration Date
Stockton Shelter for the Homeless
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
46 B.17. Number of Volunteers
27 Attachment A
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C. Funding Request
Completed by [email protected] on 1/23/2022 1:41 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
Emergency Shelter Program
C.2. Project Site Location
411 S. Harrison St 611 W. Church Street Stockton , CA 95203 C.3. Funding Requested in this application
$200,000.00
C.4. Other funds already secured for the project
$0.00
C.5. Total Cost to Complete Project
$600,000.00
C.6. Other funds not yet secured
$400,000.00
Attachment A
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D. Organization Information
Completed by [email protected] on 1/23/2022 1:50 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

With support from our community, Stockton Shelter for the Homeless compassionately addresses the needs of homeless individuals and families by providing safe shelter, basic necessities and a structured opportunity to regain self-sufficiency.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 6
Low Income (50%-80%) 498
Very Low Income (30%-50%) 378
Extremely Low Income (Less than 30%) 1,298
2,180
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 1,163 0
Black/African American 725 0
Asian 53 0
Am. Indian/Alaskan Native 25 0
Native Hawaiian/Other Pacific Islander 41 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 173 0
2,180 0
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 566
Female Headed Households 134
Seniors 305
Youth 378
Homeless 2,180
Attachment A
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3,563
Attachment A
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E. Project Funds
Completed by [email protected] on 1/24/2022 1:05 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 of 1
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

N/A
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
Shelter
Operations
City $90,000.00 Complete $0.00
FY2017/18
ESG
Shelter
Operations
City,County,
State
$149,109.00 Complete $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
Shelter
Operations
City, County,
State
$63,669.00 Complete $0.00
FY2019/20
CDBG
Workforce
Development
City $135,000.00 Renegotiated $0.00
FY2019/20
ESG
Shelter
Operations
City, County $83,645.00 Complete $0.00
FY2020/21
CDBG
Shelter
Operations
City, County $304,315.00 consolidated
contract for
city underway
$109.00
FY2020/21 ESG Shelter
Operations
City, County,
State
$93,495.00 Complete $0.00
FY2021/22
CDBG
Shelter
Operations
City, County $350,000.00 County
contract
pending,
underway
$0.00
Attachment A
930
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FY2021/22 ESG Shelter
Operations
City, County $56,905.00 City contract
pending,
underway
$0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

SSH is requesting, and typically receives, additional ESG funding from San Joaquin County. SSH receives funding from private donors, foundations FEMA, SAMHSA and the annual Festival of International Cuisine fundraiser. We do not currently have any letters of commitment for this project.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds Stockton Shelter for the Homeless has served San Joaquin County’s homeless population since 1987. Due to the County’s dire need, there is no doubt that SSH will continue to serve the community in one capacity or another in the years to come. However, without ESG funding, the organization’s operational capacity will be impacted. Operations would have to be scaled back. The degree to which is undetermined. The numbers of individuals served would still be tracked using HMIS.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

SSH serves the entire city of Stockton
E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
Attachment A
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Homeless
Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

Funds will be used to help SSH offset the costs of running the largest low-barrier shelter in Northern California. Costs include utilities, supplies, maintenance and repairs and insurance.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

Units of service are defined as homeless men, women and children who come to SSH for services.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 2,200
Households 0
Other 0
2,200
E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

SSH case managers and intake specialists partner with Stockton Police Department and professionals from other organizations that work with the homeless to form teams to outreach to individuals living on the streets and in encampments to offer shelter and other supportive services such as health care, substance abuse and mental health counselling. SSH staff regularly attend resource fairs where booths are held to raise public awareness of the services the Shelter offers. This allows the Shelter staff to network with other agencies and expand services offered at the Shelter. Upon completion of the new Navigation Center, there will be a single location for homeless and service providers to come together under one roof
Attachment A
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F. Project Impact
Completed by [email protected] on 1/23/2022 2:23 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 5
Low Income (50%-80%) 25
Very Low Income (30%-50%) 250
Extremely Low Income (Less than 30%) 1,920
2,200
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 1,150 0
Black/African American 750 0
Asian 50 0
Am. Indian/Alaskan Native 15 0
Native Hawaiian/Other Pacific Islander 25 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 210 0
2,200
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 550
Female Headed Households 150
Seniors 300
Youth 300
Homeless 2,200
3,500
Attachment A
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
300 2,180 2,000
2020-2021 (Anticipated) 300 2,180 2,000
2021-2022 300 2,200 2,000
900 6,560 6,000
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

SSH will continue to operate as Stockton and San Joaquin County’s only truly low barrier shelter, providing a safe place for homeless men, women and families to live while receiving case management and other services in an effort to regain self-sufficiency. In addition to the Men’s, Women's and Family shelters, SSH will continue to operate a Veteran’s program and Housing Opportunities for People With AIDS (HOPWA) program F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

Stockton Shelter is the only 100% low barrier shelter in the city. The city and state have identified our services as essential and we are not allowed to close during the pandemic. The shelter desperately needs funding to keep programs open and running at full capacity.

Attachment A
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G. Project Narrative
Completed by [email protected] on 1/23/2022 2:48 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Transition – Many of our clients come to us with mental health and/or substance abuse issues. By working with a case manager utilizing a harm reduction model, they are able to taper off the drugs or alcohol and work towards stabilizing their situation. For some, this means leaving the shelter and entering a program. For others, they have regular appointments with a behavioral health clinician or substance abuse counselor to address the underlying issues that may have led to their current situation.

Stabilization – Once the client reduces or stops their substance use or begins to take medications for their mental health issues, they become stable and can then begin working towards bettering their situation. This includes ongoing visits with their case manager, behavioral health or substance abuse professional, volunteering at the Shelter or next door at
St. Mary’s Dining Room and applying for benefits to which they may be entitled.

Self-sufficiency – When a client is stable on medications and no longer spending all of their limited income to feed their substance abuse issues, they can work to regain self-sufficiency. Clients continue to work with their case manager and participate in money management to build a savings account. They look for work, if they are able, or obtain SSI or other
benefits to which they are entitled. They work on paying back creditors and improving their credit scores so that they will be able to move out of the shelter and into their own place.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the Attachment A
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average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

Stockton Shelter for the Homeless (SSH) “Emergency Shelter Program” focuses on providing temporary emergency shelter, food, clothing, bedding and personal hygiene items. Case management for single women and families provides mental health and substance abuse referrals, assistance with job and housing placement and referrals to other needed services in the community. For our single men, we have a case manager who is focused on assisting with obtaining benefits to which they are entitled, mental health and substance abuse referrals and identifies landlords and property owners who are willing to accept our homeless men as residents. SSH is the largest emergency homeless shelter and the only exclusively low-barrier shelter in San Joaquin County and one of the largest shelters in California.

In2021, we provided services to over 2180 unduplicated individuals, including over 300 children.

In 2020, SSH was forced to change the way we performed our services. The COVID-19 pandemic stretched our resources, both in terms of supplies and personnel. The Shelter had to find a way to keep individuals and families safe while continuing to provide maximum service to the community.

As the pandemic continued into the summer and then the fall of 2020, SSH became the last stop for high-risk homeless individuals before entering Project Roomkey. SSH staff put all the belongings of every new resident of the Motel 6 in our “hotbox” to eradicate bedbugs. The Shelter also served as the meeting point for the transport vans that took the high
risk individuals to the motel. The staff have helped coordinate over a dozen mass COVID testing events on our campus to keep the Shelter staff and the both the sheltered and unsheltered homeless safe from infection. Throughout the pandemic, all new residents to the Shelter, those who are not part of the daily check-ins, are tested for COVID-19.

They are isolated from the main population until their test results are returned. The shelter has remained open with only two minor outbreaks in the men's shelter and until January, 2022, no outbreaks in the family shelter.

In addition to the changes COVID-19 brought to SSH, the agency took possession of 9 RV’s on loan from the City of Stockton from the State of California’s fleet. Seven of the trailers are used to house families who are preparing to move out to their permanent housing. Two of the trailers are housing participants of our Pets and Partners program.

This program allows the Shelter to provide temporary housing for homeless individuals with pets and couples without children, two segments of the homeless population that are underserved in our County. Additionally in January 2021 we opened the City's only low barrier women's shelter to meet a completely unmet need in Stockton.

By the end of 2022, SSH will have completed construction on the Men’s Expansion, adding over 180 beds to our capacity, and a Navigation Center. Our Navigation Center will offer a wide spectrum of services that included case management, medical care, mental health and substance abuse screening, access to appropriate treatment, public benefits and employment resources, and most importantly, assistance to finding appropriate and available housing. In total, we expect that 1,000 people will have received services through the Navigation Center and expansion by the end of 2023.

Project Activity or Program
Service #
Describe the Deliverable
1 Shelter At Capacity
G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

After many attempts by multiple different organizations over the years, a group of philanthropic business and government professionals succeeded in generating enough support from the community to establish the Stockton Attachment A
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Shelter for the Homeless in 1987. Initially focusing on emergency shelter for single men, SSH’s programs quickly expanded to meet the needs of single women and families. This included case management and referrals, meal service and transitional housing programs. In 1993, Stockton Family Shelter was in danger of closing its doors. So, it was moved from the Confucius Building on Lafayette Street to our main campus. In the last 34 years, SSH has grown to become the largest emergency shelter in the region and among the largest in the state.

In partnership with San Joaquin County Public Health Department, SSH has operated a transitional housing program for the homeless living with HIV/AIDS since 1993. The program was unique to San Joaquin County. Though it began as a 12-bed group home for single men and women, which is still the centerpiece of our services for this population, the program has grown tremendously. Eventually, the federal government would come to fund the program through the Department of Housing and Urban Development’s Housing Opportunities for People with AIDS (HOPWA). Since 2000, SSH has added five 2-bedroom condominiums and a 3-bedroom home, greatly expanding our capacity to offer shelter for homeless families with one or more members living with HIV/AIDS.

Since 2010, we have operated a transitional housing program for homeless, single, male veterans through a contract with the Department of Veterans Affairs. This program currently has a 14-bed capacity and is housed in a separate annex within the Men’s Shelter. Veterans participating in this program live full-time at the Shelter with access to laundry facilities and receive comprehensive case management services.

In 2020, SSH applied for HHAP funding from the City of Stockton, San Joaquin County and the Continuum of Care.

Nearly $4.5 million was awarded for the expansion of the Men's Center and the new Navigation Center, along with over $642,000 for rapid re-housing, case management and outreach services.

In January 2021 the Shelter opened the city's only low barrier women's shelter, serving a previously underserved population. It currently operates over its 22 bed capacity.

Since the start of the pandemic, SSH has implemented a program of cleaning and sanitation, mask and hand sanitizer distribution and enforcing social distancing among the residents of the shelter through CARES and other funding sources.

G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
Ongoing maintenance is performed by the Shelter’s two full-time maintenance team, supplemented by the Assistant Operations Manager and volunteers. Supervising this team is the CEO. Case managers for the Family Shelter are supervised by the Family Shelter Manager. The Men’s case manager is supervised by the CEO Project Deliverable # Describe the Deliverable
1 Shelter at Capacity
G.6 Describe how you will measure the effectiveness of this program/project. Describe your criteria for success.

What results do you expect to have achieved at the end of this grant? Success is measured by our ability to keep every bed and room operational through ongoing repairs or replacement of worn out equipment. Being able to continue to operate at or above capacity every day of the year marks achieved effectiveness.

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Deliverable # Task that Support Deliverable
1 Shelter at capacity
G.7. Describe the population this program/project will serve and how they will benefit. Does your program target a special group (i.e., homeless, special needs, elderly) that benefits or will benefit from your program? What are your eligibility requirements?
From its inception, SSH has chosen to serve a wide range of homeless populations living in our region, rather than focusing on specific groups to the exclusion of others. SSH does not discriminate based on age, gender identification, transgender status, sexual orientation, marital/pregnancy status, religious affiliation or lack thereof of, state of sobriety or mental health diagnosis. Clients with a violent criminal history may be denied admittance to the Family Shelter as protection for the many children residing here. However, a criminal background does not necessarily restrict admittance to the Men’s Shelter. The only other restrictions placed on entry into the Shelter is the ability to ambulate and complete activities of daily living without assistance (i.e. eating, bathing, dressing and continence management) as SSH is not equipped to provide assisted living, and the presents of pets. At this time we do not have facilities for the large scale
sheltering of pets. However, in 2020, we began a small pilot program that now shelters four individuals and three animals. Because there are so few restrictions on admittance the Shelter, we serve over 43% of the county’s sheltered homeless.

G.8. Briefly explain how this service/activity/project differs from other programs providing similar services in Stockton/San Joaquin County. Also indicate any networking or collaboration which occurs with agencies or programs providing the same or like services AND their role in this specific program/project.

As the largest low barrier emergency homeless shelter in San Joaquin County, SSH provides a critical service for the entire region by keeping homeless families and individuals safe and off the streets. SSH serves thousands of homeless individuals annually.

SSH is a first responder to our community’s homeless crisis. No other organization in the area is equipped or prepared to address the volume of homeless individuals that SSH serves every day. SSH is the only truly low-barrier homeless shelter in San Joaquin County. Other organizations that serve the homeless do so for only certain segments of the homeless population. SSH accepts all individuals and families seeking emergency shelter regardless of race, color, religious affiliation, gender identity, sexual orientation, marital and/or pregnancy status, veteran status, income, sobriety or mental health diagnosis.

SSH adheres to the “Housing First” model, meaning that we do not test for drugs or alcohol as a condition of acceptance to the shelter. As stated on the SJCOC website, “Starting with the establishment of the United States Interagency Council on Homelessness in 2004 under the George W. Bush Administration, “Housing First” has become one of the guiding
principles of effectively reducing homelessness. Since then, hundreds of jurisdictions across the US, including the Federal Government, State of California, County of San Joaquin, City of Stockton and City of Lodi have all adopted “Housing First” strategies which in part require programs to demonstrate that they are not placing sobriety requirements on
participants as a condition of receiving housing and services in order to acquire grant funds. In particular, the State of California has enacted extensive legislation which set requirements for housing programs under “Housing First”.” SSH is the only low barrier shelter in San Joaquin County adhering to the “Housing First” model in 100% of our programs.

Health experts are optimistic that the new COVID-19 vaccines will stem the tide of infections and deaths related to the disease. However, they are clear in their assessment that the virus, in one form or another, is here to stay. With Attachment A
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that in mind, SSH must make permanent many of the changes we adopted in 2020 to safeguard our residents, staff and volunteers. This requires additional staffing, supplies and equipment necessary to keep our Shelter safe.

G.9. Describe leveraging or sustainability efforts your organization is implementing to ensure the long-term viability of this program/project.

SSH requests and receives additional ESG and CDBG funding from City of Stockton and San Joaquin County. SSH also receives funding from private donors, Festival of International Cuisine fundraiser, private foundations, SAMHSA and FEMA to assist with the costs associated with the Emergency Shelter Program. Depending on the amount of ESG funding granted, we may need to scale down shelter operations. We do not have any commitment letters for this project currently.

SSH actively researches and applies for alternative funding sources (i.e. private foundations, government grants, etc.).

Each month a newsletter is sent out to approximately 4,000 residences and businesses, keeping them apprised of shelter activities and needs, while soliciting support. SSH also uses social media and its website to stay connected to the public. The organization has a diverse donor base and continually seeks ways to expand. Further, every year, the Festival of International Cuisine fundraiser is held, bringing in over $100,000. The event also increases the organization’s public profile and raises awareness of the issue of homelessness in our community.

G.10. Identify any potential conflict of interest with this application for federal funds. Conflict of interest may exist with employees of the organization who sit on community boards, commission, or committees. Similarly, City of Stockton Council members or City employees who may sit on your board of directors pose possible conflicts of interest.

N/A
Attachment A
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H. ESG
Completed by [email protected] on 1/23/2022 2:55 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
H. ESG
Please provide the following information.

H.1. For ESG only Number of Beds:
350
H.2. Provide a concise description of the proposed project and how will directly prevent, prepare for and/or respond to the COVID-19 pandemic.

Once every hour, SSH staff clean and sanitize hard surfaces of the shelter, such as door knobs, hand rails, counters and bathrooms. Each morning, all beds, including mattresses, and the space around each bed is sanitized. Throughout the day, masks and hand sanitizer are distributed to all residents, staff and guests. Maintain staffing levels to ensure these activities are maintained is critical to the health and safety of the shelter.

H.3. Will the service to be provided with these funds fill a service gap needed to be addressed? Yes
H.4. Duplication of Benefits: Federal finance assistance was provided to my organization to addresses losses resulting from a federally declared emergency or disaster, and my organization has not received (or would receive, by acting reasonably to obtain available assistance) financial assistance for the same costs from any other source (including insurance) and the total amount of funding received does not exceed the total needs for those costs.

No
Attachment A
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I. Public Facility Project
Completed by [email protected] on 1/23/2022 2:59 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
I. Public Facility Project
Please complete this step if you are applying for a Public Facility project. If not, please mark this step as complete and continue.

I.1. Is your agency requesting funds for a Public Facility project (e.g. construction)? No
I.2. Please describe all planning/predevelopment steps that have been completed to date. (e.g., architectural plans, engineering, land use approvals, permits, funding commitments, etc.) N/A
I.3. Provide a detailed narrative (e.g. rehabilitation or new construction) and a detailed scope of work.

N/A
I.4. Does the agency own or lease the property where the project will occur? Who is the legal property owner? If you are leasing, please provide a copy of the lease in the required documents section. If you do not have site control, describe your site control plan.

N/A
I.5. Will relocation be required if the building is occupied? No
If yes, describe and attach your agency’s relocation plan in the required docs section.

N/A
I.6. Identify the project team. (e.g. architect/engineer/general contractor, and or consultants).

N/A
I.7. Has a market study, property needs assessment and/or other evaluation that identifies the need for the proposed project been completed? If so, describe and upload the project reports and schedule). If no reports have been completed, explain how you plan to proceed.

N/A
I.8. When will construction start and end? Provide a timeline with all critical milestones.

N/A
I.9. Is this project a multi-phased activity?
No
I.10. Will this project require implementation of Davis-Bacon/Fair Labor Standard Act requirements? Note: Please contact staff immediately if you have questions regarding Davis-Bacon requirement or for more informationclick Attachment A
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here.

N/A
I.11. For Public Service, Public Facility projects and Economic Development activities: Is this a new program/service or an expansion of an existing program/service? Explain.

Stockton Shelter for the Homeless has served San Joaquin County’s homeless population since 1987. Due to the County’s dire need, there is no doubt that SSH will continue to serve the community in one capacity or another in the years to come. However, without ESG funding, the organization’s operational capacity will be impacted. Operations would have to be scaled back. The degree to which is undetermined. The numbers of individuals served would still be tracked using HMIS.

I.12. For Economic Development activities only. Indicate the number of full-time and part-time jobs you expect to be created and retain, if your application is funded. Also indicate number of jobs likely to be filled by a low-income person:

Job Type Total Full-Time Jobs Total Jobs Full-Time
& Low-Income
Total Part- Time Jobs Percent of Part-Time
Jobs that will be
Low-Income
Expect to Create 0 0 0 0.00 %
Expect to Retain 5 0 0 0.00 %
Attachment A
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J. Policy Consistency
Completed by [email protected] on 1/23/2022 3:01 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
J. Policy Consistency
Please provide the following information.

J.1. Identify AT LEAST ONE barrier in implementing your program/project:
 A marketing and publicity campaign that provides consumers with additional education and information about the agency’s programs and services.
 Coordination and collaboration with other service providers.  Accessing and utilizing “un-tapped” resources
 Removing barriers that limit access to services and participation (e.g. language, time, cost, transportation, etc.).

J.2. Describe in detail how the program/project will address the barrier selected in question I.1.

SSH will continue to fundraise through special events, direct mailings and social media, we well as applying for grants from private foundations and corporations.

J.3. Describe in detail how the program/project is accessible to clients via public transportation, and if applicable, any measures used to specifically reduce the transportation barriers for clients SSH is located on public transportation lines. In addition, we receive numerous donations of bus passes every year for our clients' use.

J.4. Identify AT LEAST ONE City of Stockton U.S. Department of Housing and Urban Development (HUD) FY 2020- 2025 Consolidated Goal that relates to your program/project:
 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing. Expand the housing first model to provide permanent housing units with intense wrap-around services on-site.  Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income households. Provide homeownership opportunities for low-income-moderate income first-time buyers. Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and Attachment A
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moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure  Disaster Response: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Attachment A
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K. Required Documents
Completed by [email protected] on 1/24/2022 1:05 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
K. Required Documents
Please provide the following information.

Please upload the required documents below.

Articles of Incorporation/Bylaws
Conflict of Interest Statement (if not included in Bylaws) Organization Chart
Board of Directors Roster – A current roster of the organization’s officers and members of its Board of Directors, which includes their name, position held, address, telephone number, and current employer(s). Please note any conflicts of interest falling under 24 CFR 570.611.

Board of Directors' authorization to request CDBG/ESG/ESG-CV funding Business License Number – The City of Stockton requires all non-profits to maintain a business license. Non-profits may obtain a business license, free of charge, on the 1st floor of City Hall.

Organization Operational Budgets – A copy of the organization’s operational budget for the current fiscal year and proposed budget for the 2021-2022 fiscal year.

Organization Financial Statements – Please submit one of the following:
 For organizations that received City funding in prior years: an audited or reviewed compilation report performed by a Certified Public Accountant for the most recent year.  For all other organizations, an audited report: a compilation report, or the organization’s bookkeeping records in the form outlined above (Balance Sheet, etc.), for the most recent year.

Tax Status – Each applicant must have 501(c)(3) or tax-exempt non-profit status. Please submit one of the following verifying documents:
 A determination letter from the U. S. Internal Revenue Service, confirming 501(c)(3) Tax-exempt status of organization
 A letter from the California State Franchise Tax Board certifying tax-exempt status of organization.

SAM.gov – screen shot of sam.gov registration
Personnel Policies including Affirmative Action Plan and Grievance Procedure Insurance certificate -Type of Insurance Carried, Bonding, Workers ‘Compensation  Project Budget – A copy of the project budget (separate from operational budget) showing all funding sources and uses. Identify specific items that City funds would pay for if approved. For public facility improvement/construction projects; care should be taken in presenting a budget which reflects accurate labor and material costs, including all sources and uses and budget assumption for development phases  Scope of Work including project timeline
 Affirmative Action Plan a written program in which an employer details the steps it has taken and will take to ensure the right of all persons to advance on the basis of merit and ability without regard to race, color, religion, sex, national origin, age, disability.
 Section 504 Handicap Accessibility of the ADA Section 504 states that "no qualified individual with a disability in the United States shall be excluded from or denied the opportunity to receive benefits and services from certain programs.

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 Procurement Plan (Typically a minimum of 3 bids, quotes, or estimates is required WBE/MBE Outreach, etc.)
 Necessary federal state and local permit and license (as applicable) – For first time applicants, new projects, or expansion of existing facilities. Include date of approval and status, as applicable.  Copy of Rental or Lease agreement (required if applicant is proposing to use CDBG funds to make a portion of lease payments)
 Evidence of Site Control- For public facility/construction projects, provide a copy of the deed trust to project site
 Title Report -For public facility/construction projects/substantial rehabilitation  Include all program policies and procedures for those programs that you are applying for assistance/funding
 Optional Documents
Documentation
 Project Budget *Required
City ESG Budget 22-23.xlsx
 Organization Operational Budgets *Required
Final BUDGET 2021 - 2022.xlsx
 Organization Financial Statements *Required
2019 audit.pdf
 Tax Status *Required
501c3.pdf
 Board of Directors Roster *Required
Board Roster_2022.docx
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 Articles of Incorporation/Bylaws *Required
Bylaws Amended FINAL 1-9-22.pdf
 Conflict of Interest Statement *Required
conflict-of-interest-form.pdf
 Organization chart *Required
ORG CHART_2022.pdf
 Board of Directors’ authorization to request CDBG/ESG funding *Required Authorized Signatory.pdf
 Business License Number *Required
Business License_2022.pdf
 Type of Insurance Carried, Bonding, Workers ‘Compensation *Required Cirtificate of Liability Insurance.pdf
 Personnel Policies including Affirmative Action Plan and Grievance Procedure *Required Stockton Shelter Employee Handbook ( Revision) 4.2.21.docx  Use Permit/State License (as applicable)
**No files uploaded
 Rental or Lease agreement
**No files uploaded
 Evidence of Site Control
**No files uploaded
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 SAM.gov - screen shot of sam.gov registration *Required SAM Screenshot.png
 Key Program Staff Resume *Required
JoLyn McMillan_Resume.pdf
 Title Report
**No files uploaded
 Optional Documents
**No files uploaded
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Submit
Completed by [email protected] on 1/24/2022 1:05 PM Case Id: 48654
Name: Stockton Shelter for the Homeless - 2022/23
Address: *No Address Assigned
Submit
Please provide the following information.
 Applicant certifies that CDBG/ESG funding will not be utilized in a manner that would be considered a duplication of benefits.
 I hereby certify that I have read this application, and the exhibits thereto, and know the contents thereof, and that the statements therein are true, and that I have been authorized by the governing board to submit this application.

Authorized Representative Name
JoLyn McMillan
Title
CEO
Date
01/24/2022
Signature
JoLyn McMillan
Electronically signed by [email protected] on 1/24/2022 1:05 PM Please download and upload the Certification page here.  Certification Page *Required
Authorized Signatory.pdf
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Program Overview
Completed by [email protected] on 12/27/2021 9:30 AM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
Program Overview
Please provide the following information.

Community Development Block Grant (CDBG)
Emergency Solutions Grant (ESG) Program
For Fiscal Year 2022-2023
For more guidance, click here to view the full Application Instructions for Funding for CDBG & ESG General Information and Application Instructions For Funding The City of Stockton anticipates receiving federal funds from the U.S. Department of Housing and Urban Development (HUD) to assist low and moderate-income persons, expand economic opportunities, provide decent housing, and/or provide a suitable living environment. As a recipient of Community Development Block Grant (CDBG), Emergency Solutions Grant (ESG), and Home Investment Partnerships (HOME) funds, the City allocates these funds to different activities to meet priority needs and the specific objectives identified in the City’s Consolidated Plan.

For the upcoming 2022-2023 Program Year, the City of Stockton expects to allocate approximately $645,000 to Subrecipients under the CDBG program and $292,000 under the ESG Program. These estimates are based on the City’s 2021-2022 allocations so actual amounts may vary.

Community Development Block Grant Community Development Block Grant (CDBG) funds are allocated by the U.S.

Department of Housing and Urban Development (HUD) to provide benefits to low- and moderate-income persons, eliminate slums and blight, and meet an urgent community need.

Emergency Solutions Grant (ESG) provides funding to assist the homeless or those who are about to be homeless. The program places an emphasis on helping people quickly regain stability in permanent housing after experiencing a housing crisis and/or homelessness.

Within this framework, the City of Stockton's Housing Division has also established broad local community development objectives intended to benefit low- and moderate-income households.

EDD Goals and Objectives:

The proposed project must meet one of the following goals identified in the City of Stockton’s 2020-2025 Consolidated Plan, which guides efforts to address Stockton’s priority housing and community needs:

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 Housing and Services for the Homeless: Provide housing and supportive services for the City’s homeless populations, including emergency, transitional, and permanent supportive shelter, as well as rapid rehousing and homelessness prevention. Increase and maintain transitional housing opportunities with supportive services to improve outcomes and stability and promote successful transitions into permanent housing.

Expand the housing first model to provide permanent housing units with intense wrap-around services on- site.
 Affordable Housing: Preserve, improve, and expand the supply of decent affordable housing for lower-income households. Increase the supply of affordable multifamily housing units targeting households at extremely low- and very low-income levels. Provide homeownership opportunities for low-income first-time buyers.

Assist existing low-income owner-occupied households keep their homes safe and well maintained by providing rehabilitation funding and other needed assistance.  Support Economic Development: Promote economic development activities that create, attract, and retain jobs and promote economic activity and vitality, especially those that provide economic opportunities for low- and moderate-income persons. Prioritize and expand job readiness programs targeting low-income youth, disabled persons, and homeless persons.
 Public Services: Ensure the provision of high-quality public services to support ongoing community development, including the provision of funding for fair housing services, among other activities. Actively and faithfully promote fair housing and investigate housing discrimination. Prioritize the maintenance and improvement of municipal services, facilities, and infrastructure.  Community Development Needs: Support disaster response and recovery activities in the event of a local, state, or national disaster or emergency.

Applications must be received by 5:00 p.m., Monday, January 24, 2022. Mailed, e-mailed or facsimiles applications will not be accepted. Applications are available online at http://www.stocktonca.gov/housing. For program information or application assistance, contact City of Stockton – Economic Development Department at (209) 937- 8539 or e-mail [email protected].

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A. Eligibility
Completed by [email protected] on 12/27/2021 11:36 AM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
A. Eligibility
Please provide the following information.

1. CDBG National Objective
 Benefit low- and moderate- income persons
 Prevent or Eliminate slums or blight
 Fulfill community development needs that have a particular URGENT Need

2. Project Category: Please select one
If using CDBG funds:

Public Service
If using ESG funds
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B. Contact Information
Completed by [email protected] on 12/28/2021 1:37 PM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
B. Contact Information
Please provide the following information.

B.1. Organization Name
The Child Abuse Prevention Council
B.2. Mailing Address
PO Box 1257 Stockton, CA 95201

EXECUTIVE DIRECTOR INFORMATION
B.3. First Name
Lindy
B.4. Last Name
Turner-Hardin
B.5. Email
[email protected]
B.6. Phone Number
(209) 644-5311

POINT OF CONTACT INFORMATION
B.7. First Name
Jami
B.8. Last Name
Alexander
B.9. Email
[email protected]
B.10. Phone
(209) 851-3486

ORGANIZATION CONTACT INFORMATION
B.11. Website
nochildabuse.org
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B.12. DUNS Number
49,819,613
B.13. EIN Number
942,497,046
B.14. Business License Number and Expiration Date
22-00123602, 7/31/2022
B.15. Type of Agency
501(c)(3)
B.16. Number of Paid Staff
178
B.17. Number of Volunteers
150
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C. Funding Request
Completed by [email protected] on 1/24/2022 7:31 AM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
C. Funding Request
Please provide the following information.

C.1. Title of Proposed Project
CASA Growth Plan
C.2. Project Site Location
127 N Sutter Street 2nd Floor Stockton , CA 95202
C.3. Funding Requested in this application
$75,000.00
C.4. Other funds already secured for the project
$0.00
C.5. Total Cost to Complete Project
$115,000.00
C.6. Other funds not yet secured
$40,000.00
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D. Organization Information
Completed by [email protected] on 12/28/2021 2:20 PM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
D. Organization Information
Please provide the following information.

D.1. Please describe your agency’s mission.

The Child Abuse Prevention Council protects children and strengthens families through awareness and outcome driven programs delivered with compassion.

D.2. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in each category. (For 2021 HUD income limits for the Stockton area, please refer to them here .

Income Limits Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 6,878
6,878
D.3. Please list the total number of Stockton clients your agency served in the PRIOR fiscal year (2020-2021) in the race/ethnicity categories below. The total number must match the total number listed in the income categories in question #2 above.

Race Clients Served # Hispanic within each
race
White 4,495 2,385
Black/African American 585 0
Asian 1,052 0
Am. Indian/Alaskan Native 156 0
Native Hawaiian/Other Pacific Islander 0 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 590 0
6,878 2,385
D.4. In the Prior fiscal year (2020-2021), list the total number of Stockton clients served in each category below:

Category Clients Served
Disabled 0
Female Headed Households 0
Seniors 0
Youth 0
Homeless 0
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E. Project Funds
Completed by [email protected] on 1/5/2022 12:07 PM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
E. Project Funds
Please provide the following information.

E.1. If you are submitting more than one application for Stockton funding, enter the numerical ranking of the priority of this proposal and the total number of proposals your agency is submitting for the coming fiscal year. 1 of 1
E.2. Please indicate if this application is a request for one-time funding and/or “seed” funding. If not applicable, state “N/A.

NA
E.3. If you are applying for additional funds for a current program/project, provide a status update on the existing funds and when funds will be fully spent. Please list all CDBG and ESG funds received within the last 3 years including funding amount and their status.

Years
Requested
Activity Title Source of
Funding (City
and/or
County)
Fund Amount Status of
Project
(Complete,
underway, or
canceled)
Balance
FY2017/18
CDBG
$0.00 $0.00
FY2017/18
ESG
$0.00 $0.00
FY2018/19
CDBG
$0.00 $0.00
FY2018/19
ESG
$0.00 $0.00
FY2019/20
CDBG
CASA Growth
Plan
$50,000.00 complete $0.00
FY2019/20
ESG
$0.00 $0.00
E.4. List all committed and proposed funding sources for your proposed project and indicate the status of each source. Attach copies of any commitment letters you may have in the required documents section.

At this time there are no other proposed funding streams. Currently we are in year 2 of a grant from National CASA which ends June 2022. If those funds are made available again we will submit a request.

The Court Appointed Special Advocate Program (CASA) is a program under the umbrella of the Child Abuse Prevention Council (CAPC). The CASA program works with dependent youth in the foster care system. In order to meet the needs of the 1700 children in foster care that reside in San Joaquin County, the CAPC has initiated a capital campaign/growth plan, CASA: Change a Child’s Story.

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The CASA Growth Plan started February 2020 as a 5 year campaign to increase youth served by the CASA program by 20%. This hefty growth plan was scheduled to launch in the community March of 2020 with a large media campaign.

Shortly after billboards and bus awareness ads were placed out and around the community, Covid hit with a vengeance. One year later we altered the plan to add a 6th year to makeup for the losses caused by Covid. At this time, we continue to monitor the trends of the disease and the impact on the CASA growth plan. We are determined to move forward with growth in the CASA program which means more youth in foster care served. The CASA Development Committee, which was created to oversee the philanthropic campaign, continues to move forward and are exploring new partnerships in grant identification and application to further support the staffing growth required to achieve our goals. Additionally, as we watch the struggle with other non profits, as well as other CASA programs around the country, we are happy to share that we continue to serve youth and continue to move trend upwards in number of youth served. The CAPC board also is committed to raise money for this program.

E.5. What will be the impact on your agency, program, or project goals be if the program is not funded at the full amount requested? Will your organization have the ability to sustain itself if the funding allocated is less than the amount requested? Please provide detailed information to understand if this is a funding gap and/or funds used to leverage additional sources outside of Stockton i.e. County/State/Federal/Private Funds If the program is not funded, fewer foster youth will receive advocacy services, increasing youth's risk of homelessness, teen pregnancy, and unemployment. CASA would be able to sustain at current capacity with no further funding. Our identified CASA growth plan will allow us to serve 150 youth by the end of this 2023 grant period. Any funds received will assist in the growth of the program. CASA currently receives limited funds from the Judicial Council of California, Office of Emergency Services, SJC Human Services Agency and Title IV-E. The funding is capped, not based on number of youth served. The CAPC believes CASA services are critical to the safety and well-being of our children, therefore currently subsidizes the short fall of funds through philanthropic fundraising and grants.

E.6. The City’s funding is intended to benefit residents of the City of Stockton. Briefly define your entire service area (e.g., a portion of the city, entire city, county).

The Child Abuse Prevention Council / CASA Program offers services to children and families throughout San Joaquin County. Foster youth placements fluctuate; however, the many of children are from, and placed in, Stockton.

Of the County’s 1700 foster youth, approximately 700 are residents of Stockton.

E.7. How does (will)your organization verify income eligibility of your clients? Area Benefit Project service area has been identified and determined to be statistically low-income based on the 2010 Census. If you use this method, provide all Census Tracts and Block Groups served by your project and a calculation of the low-income percentage. Please utilize the following web application to confirm eligibility . Area benefit applicants are required to confirm block groups/census tracts are eligible. Map depicting area with low/mod % is required with this application.

No
Self Certification Clients independently “self-certify” on an intake form, membership form, etc. If you use this method, please upload a blank intake form under Required Documents No
Client Document Review Clients provide tax documents, pay stubs, etc., to verify income. Documents are reviewed by staff. If you use this method, please upload a blank worksheet under Required Documents No
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Presumed Beneficiaries Clients served are primarily and specifically from one of the following groups: abused children, battered spouses, elderly persons (62 years of age or older), special needs/disabled persons, migrant farm workers, handicapped individuals, homeless persons. If you use this method, please indicate which group in the space below.

Yes
CASA serves dependent youth of the foster care system (abused children).

Economic Development Beneficiaries Financial or Technical Assistance to Businesses. The number of full-time, part- time jobs created or retained; the number of businesses to be provided counseling or technical assistance (DUNS Number required at time of assistance). Please attach a blank worksheet under Required Documents No
Other Survey, other documentation (required documentation for other governmental programs, etc. Please explain in the space below.

No
E.8. Describe in detail how your agency will use Stockton CDBG/ESG funds in this program/project.

E.9. Select the common indicator that your agency will use to track clients.

Persons: unit of measurement for public services/ESG
E.10. Define the primary unit of service (e.g. number of classes provided, hours of case management, number of medical visits, number of meals served, etc.) to be used when tracking this program/project, submitting invoices, etc. Note: Do NOT reiterate the number of clients or number of households served.

A minimum of 4 classes a year will be offered. A minimum of 50 community members will be trained with an 85% graduation rate of 42 individuals being sworn in to be matched with a youth in fostercare.

E.11. Provide a numeric GOAL for the units of service to be provided to Stockton clients by this project. Note:
“Other” refers to the unit of service in question #E.10 above.

Total
Persons 50
Households 0
Other 0
50 E.12. Describe the service delivery methods and outreach your agency will conduct towards your target population in question E.11 above, including to low income, limited English speakers, and disabled persons.

CASA staff complete regular outreach/trainings to Social Workers, Attorneys, Judges and other community agencies throughout the year regarding the benefits and positive outcomes that youth achieve when assigned to a CASA Attachment A
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volunteer. Volunteers spend an average of 2 hours per week with their youth, mentoring, advocating and teaching basic life and independent living skills.

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F. Project Impact
Completed by [email protected] on 12/27/2021 1:00 PM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
F. Project Impact
Please provide the following information.

F.1. Please list the total client income of Stockton clients your agency PROPOSES to serve through this program/project for each category below in fiscal year 2022-2023. (For current HUD income limits for the Stockton area, please refer to the link here.

Income Limits Potential Clients Served
Moderate Income (More than 80%) 0
Low Income (50%-80%) 0
Very Low Income (30%-50%) 0
Extremely Low Income (Less than 30%) 150
150
F.2. Please list the total number of Stockton clients your agency PROPOSES to serve through this program/project in the race/ethnicity categories below in fiscal year 2022-2023. The **total number must match the total number listed in the income categories in question F.1 above.

Race Clients Served # Hispanic within each
race
White 90 55
Black/African American 33 0
Asian 1 0
Am. Indian/Alaskan Native 0 0
Native Hawaiian/Other Pacific Islander 1 0
Am. Indian/Alaskan Native & White 0 0
Asian & White 0 0
Black/African American & White 0 0
Am. Indian/Alaskan Native & Black/African American 0 0
Other Multi-Racial 25 0
150
F.3. In the UPCOMING fiscal year 2022-2023, indicate the number of Stockton clients your agency will serve in each category below:

Category Clients Served
Disabled 0
Female Headed Households 0
Seniors 0
Youth 50
Homeless 0
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F.4. List the average number of unduplicated clients served daily, the total unduplicated number served annually, and the percentage of clients served that reside in Stockton for the current year, as well as the number you anticipate serving in Fiscal Year (FY) 2022-2023.

Reporting Year Average # of Clients
Served Daily
Total Unduplicated # of
Clients Served Annually
Total # of Clients Served
residing in Stockton City
Limits
2019-2020 (Projected- if
currently providing this
service)
90 120 50
2020-2021 (Anticipated) 90 150 50
180 270 100
F.5. Provide a concise description of the proposed project such as work to be performed, services to be provided.

No more than 3 sentences.

The Child Abuse Prevention Council (CAPC) aims to increase the number of Court Appointed Special Advocates (CASA) volunteers to support the growing number of Stockton children in foster care who have been removed from their homes due to abuse and neglect. Funding requested will be used to fund a Recruiter/Trainer position that will recruit and train more CASA volunteers, developing the CAPC’s capacity to serve 150 youth in foster care.

F.6. How was the need for this service/activity/project determined? Describe the challenges, needs or service gaps in Stockton that your program/projects address.

The County Needs Assessment ranked child abuse among the top 5 priority health needs. Participants in the County wide survey ranked the three primary causes of child abuse and neglect as poverty, drug abuse and the lack of services. Focus groups concurred with these opinions and identified unemployment, the rising poverty rate, shrinking community services, and accessibility to services as the primary obstacles to family stability and reunification.

In San Joaquin County, 2 children enter foster care a day due to abuse or neglect. Currently, we have 1700 children in our foster care system with CASA serving only 6%. Statistics tell us that:
• 50% of foster children will not graduate from high school • 1 in 5 foster youth will be homeless after age 18
• Only 50% of foster youth are employed by the age of 24 • 71% of young women who were in foster care will be pregnant by age 21 As evidenced by the statistics above, youth in foster care may become a pipeline into homelessness, unemployment and other adversities which further strain community services. As a City we must start investing in prevention. The SJC CASA growth plan will allow us to serve 20% of our foster youth over the next 6 years.

Dynamic and creative community engagement planning is the foundation for successful recruitment of volunteers, education and funding. Your funding will support the CASA program as a solution that will not only strengthen and enhance our community, but improve the likelihood of positive life outcomes for the children and youth affected by abuse and neglect.

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G. Project Narrative
Completed by [email protected] on 1/24/2022 7:35 AM
Case Id: 48540
Name: SJC CASA 22.23 - 2022/23
Address: *No Address Assigned
G. Project Narrative
Please provide the following information.

G.1. How would you characterize your program/project based on the continuum of approaches to housing and public service needs listed below: (Select Top Three)
 PREVENTION - Helps prevent a problem before it emerges  EARLY INTERVENTION - Addresses a problem in its early manifestation to keep it from becoming worse  TRANSITION - Helps move clients toward a better situation, lower level of need, etc.  MAINTENANCE - Helps to ensure that clients do not decline, etc.  SELF-SUFFICIENCY - Helps move clients toward a situation in which they will no longer need the program or service
 STABILIZATION - Helps clients attain stability so that they can work toward a better situation G.2. Describe in detail how the program/project will address each of the 3 housing and public service needs selected above (i.e. how it specifically addresses prevention/early intervention etc.) Many states/counties are turning their focus toward prevention efforts within foster care. Statistics illustrate an unfortunate reality that the foster care system provides a clear a pipeline for illiteracy, unemployment and homelessness. In San Joaquin County alone, we have over 1700 children in our foster care system; based on data trends - we know that 50% will not graduate from high school. Imagine for a second the impact that dropping 850 kids into Stockton with no education will have on our community! Undoubtedly, the homeless population would rise, as would unemployment, and it is highly likely that gang participation and violence would also increase.

CASA volunteers provide PREVENTION in many ways. They are a strong advocates in education, and many of our volunteers hold the educational rights of their foster youth: attending IEPs, CFTs, and holding educational institutions accountable by ensuring the educational rights of our youth are delivered and maintained. CASA youth have higher rates of graduation and higher rates of college attendance than foster youth who do not have a CASA volunteer. With higher rates of high school and college graduation, Youth who have CASA volunteers have better opportunities for employment, which provides opportunity for them to achieve stable housing.

A CASA volunteer is a sworn officer of the court, appointed by a juvenile court judge to advocate for children who are living in foster care as a result of abuse or neglect. State caseworkers are very busy and usually have an overload of cases, leaving them unable to attend to each individual child with the necessary care and attention required for their needs. The CASA program ensures that someone is looking out for the best interest of each individual child; we know that each child is one caring adult away from a successful future. Each CASA volunteer spends several hours a month with a youth he or she has been assigned. The CASA volunteer is a stable adult, mentor, and – in most cases – the only person who is not paid to be in a child’s life. The earlier the INTERVENTION of a CASA volunteer in a foster child’s life, Attachment A
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the more opportunities they will have to address the child’s trauma and provide a stable, loving relationship that can serve as the essential foundation for healthy relationships across their lifetime.

CASA volunteers take an active role in STABILITY by helping identify permanency options. The CASA volunteer advocates and supports the child’s journey through the foster care system by identifying permanent living arrangements, rather than simply allowing the youth to age out of the system. Many CASA volunteers stay with their youth until the end of their dependency case which provides them with a stable, positive, and caring individual who helps with healing from trauma, increases motivation and helps address mental health issues. Research shows that this stability increases high school graduation rates, employment options and strengthens our community.

G.3. Provide a detailed description of your proposed project/ activity. Describe the work to be performed, including the activities to be undertaken or the services to be provided, the goals and objectives and the method of approach. Be specific about the days/times of services and the frequency and duration of services received by the average client or participant. A timeline/schedule including activity start date and completion date must be submitted with the application.

The Court Appointed Special Advocates (CASA) program at CAPC began in 2003 and targets our community's most vulnerable children. Currently there are over 1,700 children in San Joaquin County’s Foster Care System. Most children are removed due to extreme physical, sexual, and emotional abuse as well as general and medical neglect.

About 85% of these families have severe drug addictions and domestic violence as a component of the abuse they inflict on their children.

The decision around who cares for a child that is removed from parental custody rests with the Dependency Judge of the San Joaquin County Superior Court. During this often-lengthy process, the CASA volunteers, advocate for the foster child, with the intent of finding a permanent home for the child as quickly as possible.

These volunteers are sworn in as Officers of the Court and perform as independent investigators for the Dependency Court Judge. CASA volunteers undergo extensive background checks, followed by 30+ hours of classroom training, and many hours of homework and personal research. This training equips them with the skills and tools needed to collect detailed information about their assigned child by interviewing parents, teachers, counselors, probation officers, family members and the child to determine the child's needs.

All CASA volunteers are supported in their efforts by a CAPC Case Manager who provides professional staff support to CASA volunteers, ensuring that children involved with the CASA program receive sound advocacy and early permanency planning. The Case Manager also provides overall volunteer supervision and coordination of case assignments.

CASA volunteers spend an average of 6 hours per month/70+ hours per year with the youth, role modeling basic life skills, providing mentorship and advocacy as well as assisting with permanency. One of the overall goals of the CASA volunteer is to help children in foster care develop placement stability and successful permanency, through reunification, guardianship, adoption or another form of life-long connections, commitment and support.

While the main CASA office is open Monday-Friday 8 am -5 pm, CASA volunteers tend to spend time with their youth in the evenings or weekends. CASA volunteers also attend court and school meetings as well as social service appointments which may fall within the regular work week. The CASA program also hosts evening and weekend activities open to all the CASA youth and their volunteers such as holiday parties, social events like swimming and roller skating and educational nights like resume writing.

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The CASA program works! We know that children who have experienced abuse and neglect fare better with a CASA volunteer by their side. Studies have shown that children with CASAs:
 Are more likely to find a safe permanent home
 Are more likely to succeed in school
 Are half as likely to re-enter foster care
Successful funding for the CASA program provides community education, recruitment and the necessary training for new advocates needed to serve our proposed increase in youth. The new advocate trainings will prepare the new CASA volunteer with skills and insight into the unique needs of foster youth so they can effectively advocate for them.

This also ensures they are distinctively positioned to support their foster youth in advocating for the needs that, if unaddressed, would cause challenges in their relationships with foster families, schools and peers.

Program is ongoing with no specific start or end date. Services are continuous.

Project Activity or Program
Service #
Describe the Deliverable
1 The Trainer will deliver a minimum of 4 classes per year providing the CASA curriculum. Graduates will be sworn in and assigned a CASA youth within 2 weeks.

G.4. Describe your agency’s capacity to implement this program or project (identify agency’s federal grants managed, staff resources, skills and experience, number of years in operation, accomplishments to date, etc.).

The mission of the San Joaquin County Child Abuse Prevention Council (CAPC) is to eliminate child abuse and neglect through prevention, intervention and education. CAPC has been in operation since 1978. Operating Monday through Friday 8-5pm with afterhours appointments available. The CAPC operates out of two main administrative locations in downtown Stockton and provides services county-wide through 23 off site locations, employing over 175 staff. Our programs are free, confidential, outcome-driven, and always delivered with compassion. Services are available in English and Spanish and available to other non-English speaking clients with the help of translation services. We serve anyone in crisis regardless of income, age, gender, ethnicity, physical or mental challenges, religion, or sexual orientation.

The Child Abuse Prevention Council offers direct services under three Departments:

1. Early Education,

2. Family Strengthening, and

3. Clinical Services.

Governed by a 12-member Board of Directors and under the management of a seasoned team of social service professionals, the CAPC is fiscally strong, with a $20 million budget in the current fiscal year, reflecting a combination of federal, state, local governments, private foundations, businesses, and individuals, as well as the United Way and other philanthropic organizations. CAPC is audited annually and is fiscally and programmatically compliant. CAPC's administrative functions are supported primarily by undesignated donations and special event fundraising, with only a small portion (10%) supported by direct service contracts.

The Executive Director reports to the Board and leads a diverse team of highly qualified and committed directors with varying Bachelors and/or Masters degrees in Marriage & Family Therapy, Social work, and Early Childhood Education.

Program oversight is provided by the Program Director (PD) who oversees and supports all CAPC programs and Attachment A
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assures programmatic compliance. The PD is the supervisor of the Director of Family Services.

The CASA program is in the CAPCs Family Services Department. The Family Services Department is managed by a team comprised currently of a Director and three Program Managers with over 40 years of combined social service experience. Contract compliance is assured by the Program Director and Family Services Director. Monthly managers meetings (with Board representation) are convened to discuss progress, monitor compliance with regard to contract outcomes, and to collaborate to correct any factors that may need immediate attention to ensure that program requirements are being met. The Family Services Director also facilitates the monthly San Joaquin Child Abuse and Neglect meeting (SCAN) and attends the monthly Child Death Review Team meetings as well as the Fetal Infant Mortality Rate meeting.

Our multi-lingual CASA team consists of the program manager, 4 case workers and the Recruiter/Trainer. The team holds various certifications on topics including: trauma informed practices, therapy for children with attachment related concerns, engagement skills for Transitional Age Youth, Strengthening Families and Protective Factors, various parent education curricula and ongoing trainings in providing crisis-intervention and prevention services to children and families. All CAPC staff are required to regularly train in the areas of signs and symptoms of child abuse, mandated reporting laws, child development, Domestic Violence, cultural competency, vicarious trauma and maintenance of professional boundaries
G.5. Explain how your agency will implement this program/project and what staff will administer the activities.

How will clients access the program/project?
The CASA Program is implemented through the Family Services Department under the umbrella of the Child Abuse Prevention Council and supervised by a Program Manager. The first step of implementation is recruiting and training volunteers. This aggressive recruitment campaign is done by the recruiter/ trainer through outreach, speaking engagements and social media campaigns.