April 5, 2019

Sea Venture Hotel 100 Ocean View Avenue

Pismo Beach, CA 93449

https://www.seaventure.com

8:30 – 9:00 Breakfast

9:00 – 10:00 CCASSC & SJVPHC Proposal – Juliet Webb

10:00 – 10:30 CCASSC Leadership – David Foster, Howard Himes, Kelly Woodard

10:30 – 10:45 CCASSC Budget – David Foster/Kelly Woodard

10:45 – 11:15 Cal ACES – Chair Scott Pettygrove 11:15 – 12:00 Performance Improvement Plan

CCASSC Members Directory 2019 Updated 04/02/2019 Scott Pettygrove, Director Michelle Roe, Deputy Director Merced County Human Services Agency P.O. Box 112 Merced, CA 95341 (209) 385-3000, ext. 5300 Fax (209) 383-6925 spettygrove@hsa.co.merced.ca.us mroe@hsa.com.merced.ca.us

Delfino Neira, Director Fresno County Department of Social Services 2135 Fresno St. Fresno, CA 93721 (559) 660-2301 Fax (559) 453-4920 dneira@co.fresno.ca.us

Juliet Webb, Director Tulare County Human Services Agency 5957 S. Mooney Blvd Visalia, CA 93277 (559) 737- 4682 Fax (559) 737-4694 jwebb@tularehhsa.org

Dena Murphy, Director Kern County Dept. of Human Services P.O. Box 511 Bakersfield, CA 93302 (661) 631-6550 Fax (661) 631-6631 murphyd@co.kern.ca.us

Deborah Martinez, Director Madera County Dept. of Human Services P.O. Box 569 Madera, CA 93639 (559) 675-7841 Fax (559) 675-7603 Deborah.martinez@co.madera.ca.us

Sanja K. Bugay, Director Kings County Human Services Agency 1400 W Lacey Building #8 Hanford, CA 93230 (559) 582-3211, ext. 2200 Fax (559) 584-2749 Sanja.bugay@co.kings.ca.us

Devin Drake, Director San Luis Obispo County Department of Social Services P.O. Box 8119 San Luis Obispo, CA 93403-8119 (805) 781-1834 Fax (805) 781-1846 ddrake@co.slo.ca.us

Kathy M. Harwell, Director Stanislaus County Community Services Agency P.O. Box 42 Modesto, CA 95353-0042 (209) 558-2500 Fax (209) 558-2505 harwellk@stancounty.com

Michael Miller, Director San Joaquin County Human Services Agency P.O. Box 201056 102 S. San Joaquin Street Stockton, CA 95201-3006 (209) 468-1650 Fax (209) 468-1985 mimiller@sjgov.org

Chevon Kothari, Director (2017 Chair – Elect) Mariposa County Health & Human Services Agency P.O. Box 99 Mariposa, CA 95338 (209) 966-2000 (209) 966-8251 Fax (209) 819-9620 Cell chevonkothari@gmail.com

Tracey Belton, Interim Director San Benito County Health and Human Services Agency 1111 San Felipe Rd, Ste 205 Hollister, CA 95023-2814 (831) 630-5146 (831) 637-9754 Fax TBelton@cosb.us

Jody Hironaka-Juteau, Dean CSU, Fresno College of Health and Human Services Fresno, CA 93740-0026 (559) 278-4004 (559) 278-4437 Fax jhironak@csufresno.edu

Associate CCASSC Members Martha Vungkhanching, Ph.D, Department Chair CSU, Fresno Dept. of Social Work Education 5310 Campus Dr., M/S PHS102 Fresno, CA 93740-8019 (559) 278-3992 Fax (559) 278-7191 marthavu@csufresno.edu

David Foster, Staff Director Central Ca. Regional Training Academy, CSU, Fresno Central Ca. Area Social Services Consortium 5310 N. Campus Dr., M/S OF126 Fresno, CA 93740-8019 (559) 228-4055 Fax (559) 228-4099 davidfo@csufresno.edu

Jong Choi, MSW, PhD, Department Chair CSU, Bakersfield Department of Social Work Room # A100 9001 Stockdale Highway Bakersfield, CA 93311-1099 Direct (661) 654-2308 Dept. (661) 654-3434 Fax (661) 654-6928 Jchoi6@csub.edu

Robin Ringstad, Ph.D, Interim Department Chair CSU, Stanislaus Social Work Program 1 University Circle Turlock, CA 95382 (209) 667-3091 Fax (209) 645-7841 RRingstad@csustan.edu

Stephanie Pearl, Administrative Staff Central Ca. Regional Training Academy, CSU, Fresno Central Ca. Area Social Services Consortium 5310 N. Campus Dr., M/S OF126 Fresno, CA 93740-8019 (559) 228-4010 Fax (559) 228-4099 spearl@csufresno.edu

Kelly Woodard, CCASSC Research Associate Social Welfare Evaluation, Research, and Training Center (SWERT) 2743 E. Shaw Suite 121 Fresno, Ca 93710 (559) 228-4084 Fax (559) 228-4099 kwoodard@mail.fresnostate.edu

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2/11/19

To: CCASSC and SJVPHC Directors

From: Juliet Webb & Karen Elliott, 2018 Chairs

Re: Potential for greater collaboration – CCASSC and SJVPHC

History: For the past few years, that central valley directors for both Human Services and Public Health have been meeting together once annually and discussing local and regional data, networking, and brainstorming potential projects to work on collectively. At the September 2018 meeting, our group landed upon the CalWORKs Home Visiting Initiative (HVI) as the project they’d like to work on across programs.

Current: At recent SJVPHC and CCASSC meetings (not combined), it has been suggested that perhaps the HVI may not be broad enough a project in which to focus our collaborative efforts. This is not to say that we abandon the collaboration that has been occurring on HVI in some of our counties; rather, that we consider how we might build upon those successes and think of what a larger vision of partnership across PH and HS might be for our region.

Proposal: Let’s take a look at what we’re ALREADY planning and doing in our counties and identify where and how we can better support each other’s efforts. Embracing the Social Determinants of Health as an overarching platform/lens in which to focus our efforts and partnership opportunities just makes sense.

For example: most Public Health departments have been working diligently in recent years toward accreditation. Inclusive efforts to develop a comprehensive Community Health Assessment (CHA) and a Community Health Improvement Plan (CHIP) have identified areas of concern and needed improvement in our respective communities. The social determinants of health have become part and parcel to this discussion, and many Human Services Departments have been highly engaged in these discussion and planning efforts; bringing their knowledge and resources to bear in helping move these planning efforts forward.

At the same time, Human Services Departments are having to reshape the way they work with vulnerable and impoverished families. Initiatives such as CalWORKs 2.0, the Continuum of Care Reform, and the myriad of Housing and Homelessness programs coming down the pipeline are just some examples; all of these require us to think more broadly about the overall challenges facing families, and to alter the way we engage with them and develop and deliver programs to serve them. How can Human Services expect self-sufficiency for our families without addressing the health challenges facing them every day?

Where are the intersections in these efforts? In Tulare County, Access to Care, Health Literacy, and Diabetes Outreach & Education have been identified in the CHA as areas to work on to improve local public health. At our recent CCASSC meeting, Madera indicated Reducing Obesity and Child Abuse were in their plan. Mariposa indicated Poverty Reduction and Homelessness in theirs. Each of our counties is working to improve its public health; often naming social issues that are directly impeding health outcomes. The CalWORKs HVI has already provided some opportunity to work together on addressing how to improve the health of young children and the health literacy of young parents in our poorest

populations. Governor Newsom speaks in his recent budget about reducing child poverty and the importance of the ACES study in better understanding those we serve. It seems as though we are all working to tackle some of the very same issues; just bringing our various program funding, staffing and expertise to bear as we can.

x What can we learn from this? x How can we further strengthen the collective approach – within our counties and across our

region?x Where are we/can we insert Public Health knowledge, outreach, etc. into Human Services – and

vice/versa? x How can we identify and then work together to gather data points that demonstrate our

collective efforts are making a greater impact on improving health and reducing child poverty?x Are there opportunities to incorporate ACES into the assessments we all conduct? ACES ties

perfectly to some of the sociological factors in childhood that have lifelong adverse health impacts.

Conclusion: We propose that CCASSC and SJVPHC take some time over the next few months to focus on/discuss the above efforts and possibilities in each of our counties. At our collective meeting later in 2019, we propose developing a presentation to highlight these challenges, efforts and collaborative possibilities, solicit input from one another, and come up with a plan for further strengthening collective Public Health and Human Services efforts as well as assessing the impact they may have on our counties and our region.

CCASSC Minutes January 31, 2019 Sea Venture Hotel

100 Ocean View Avenue Pismo Beach, CA 93449

https://www.seaventure.com

Present Maria Aguirre Vienna Barnes Sanja Bugay Devin Drake Jeannette Fabela Antoinette Gonzalez Kathy Harwell Lorena Jones Chevon Kothari Valerie Leyva Mitzi Lowe Lorena Jones Scott Pettygrove Deborah Martinez Tony Rocha Cindy Uetz Juliet Webb Kimiko Vang David Foster Kelly Woodard I. Introductions II. CalWORKS 2.0 Question posed by CCASSC Chair Scott Pettygrove: Is your County fully implement?

Vienna Barnes - Tulare – The County has focused on weekly topics; the approach is called “road conditions”. Poverty remains a county focus. Tulare evaluates staff skills through an assessment. Based on assessment, staff may be swapped based on their strengths and fit for the position. Tulare expects to be fully implemented by April, 2019.

Jeanette Fabela - Stanislaus. The county is focusing on “resistance to change”. To change the culture, videos, posters, mugs etc. are used. Stanislaus is fully implemented. Kimeko Vang - Merced. The County has several focus areas, one are is interview skills. Another area of focus is on leadership and team building. Coaching has surfaced as an area they are working on. A new curriculum has been developed. The county has higher caseloads. Their county is taking away sanction cases. Cindy Uetz - Kern. The County has focused on family stabilization and differential response. Caseloads in the county are high. Staff are using the tools. Kern is fully implemented. Maria Aguirre – Fresno was a pilot county. The county has included engagement in their strategic plan; this is a focus with their staff. UC Davis provided training on motivational interviews and engagement. Further, Fresno had a fidelity assessment and focus groups. Engagement is an area they are working on. Job Specialists are being encouraged to go out into the field. The County is fully implemented.

Kiran Sandhu - Madera - Resistance is a focus area for the County. The county is using the Triage Tool. The department’s messaging includes “services start when the clients walks in the door”. Sanja Bugay- Kings – Staff believe that meaningful engagement cannot be accomplished with high caseloads; ideally the caseloads should be around 45. Kings cannot say they are fully implemented; they are using the tools.

Chevon Kothari - Mariposa - They expect to be fully implemented June 1, 2019.

Scott Pettygrove, Chair suggested the use of the Core Practice Implementation Process (Implementation Science) and development of implementation checklist for CalWorks 2.0 for Deputies and Managers. Action: See item 8.

III. Housing/Homelessness (Best Practices)

Vienna Barnes – Tulare. The county target population includes the General Assistance program. They use the Homeless Management Information System (HMIS). Tulare has a contract with their Community Action Agency. Taking issues off of the clients’ shoulders is a focus area for their program.

Chevon Kothari – Mariposa. The County has a public/private partnership. The Housing Support Program (HSP) has been put under one umbrella; they are becoming a system of care. Further, the County is a Whole Person Care Pilot. The HMIS system is used internally. Mariposa has compiled a matrix of the various funding sources. Another approach includes an analyst being assigned to the team.

Merced – Kimiko Vang - Scott Pettygrove – HSP team is comprised of Eligibility and E&T staff. They are not using HMIS system as yet. Merced is a Continuum of Care. Their Department is now the collaborative applicant. They received over 700,000 for Home Safe. The county is now getting involved in Evictions, Code Enforcement. Being a collaborative applicant is very difficult. The administrative dollars are not sufficient.

Stanislaus – Kathy Harwell & Jeannette Fabela. A focus for their county has included who in the county needs to be at the table. Jeannette Fabela advised the County is now looking at navigation, application fees, and first and last months rents. Further, the County is working on putting together an overview of what has been accomplished monthly to understand where the County is and their ongoing needs.

Kings – Antoinette Gonzalez – Their County has struggled with the “actual housing piece”. To address this struggle, staff knocked on neighborhood door. Further the County is moving forward with Home safe. Another approach they have used is to advertise on Craigslist. The result has been ore landlords are working with the County. Antoinette said that their staff work hard to maintain landlord relationships. An example she used is that they help repair or address landlord issues with the tenant.

Kern – Cindy Uetz – The County is using both HDAP/HSP. United way is the collaborative applicant in their county. The department has SSI advocates in house; this service is also

contracted out. Kern received $600,000 for this project. They use the HMIS System. Further, they use Differential Response.

Madera – Deborah Martinez & Kiran Sandhu - The County has an HSP program. Two Employment and Training Workers serve the clients. They joined the Continuum of Care and the county is moving forward with the HMIS system.

Maria Aguirre - Fresno – The County has a Domestic Violence Grant. They use CalWORKs Homeless to address evictions or 3 day notices. In the event it has already been used, the HSP program is then used.

IV. Home Visiting Initiative

Kimiko Vang - Merced – The County partners with Health and Education. Two models evidence based models are utilized: Home Visiting and Parent as Teacher. All moms matter and all Dads matter is integrated into models.

Maria Aguirre - Fresno - Healthy Families works alongside the community.

Jeanette Fabela- Stanislaus – The County partners with their Office of Education. The State has not provided clear guidance. Allocation disbursement is one example.

Vienna Barnes – Tulare- the County is using a three pronged approach by working alongside Early Head Start, First Five and the Office of Education. They will be using Parents as teachers.

Cindy Uetz – Kern - The County is working with First Five. Ramping up the program has been a concern; they are hopeful the State is flexible with the ramp up.

Tony Rocha - San Joaquin - The County is working with the Family Resource, Mary Magdalen. Participants for the program come from Family Resource and El Concilio. They are using the Parents as Teacher model. So far, they are experiencing success. They plan on using incentives as the program evolves...

Antoinette Gonzales – Kings - The County is working alongside Public Health. They are folding in CalWORKs applicants. They are looking at incentives. They are still finalizing.

V. Cal Fresh Program – SSI Cash Out & Error Rate

Vienna Barnes- Tulare – they are in a preliminary stage in their county.

Jeanette Fabela - Stanislaus - Work groups have been launched. The target group is about 20,000. The error rate is a concern because of the increase of caseloads.

Antoinette Gonzalez- Kings - Work group are being put together. Approximately 3,000 people have identified for the program. Staffing at intake and ongoing is a concern. They are looking at education, outreach, and marketing.

Cindy Uetz - Kern - Lobby upgrades such as kiosks are being considered.

Madera – Kiran Sandhu - A workgroup has been put together. The group is awaiting the meeting in February. Automation, according to the state will not be ready until May. A CFL came out today on new claiming codes. CFL 19-12.

VI. Error Rate

The role of Quality Control discussed. The Feds view the role as identifying errors. Some counties have their supervisors review a sample of cases, some review negative actions. Documented errors are used for training purposes. Another approach discussed is using the error rate on employee evaluations.

Merced reported they have a 2.4 percent error rate.

VII. Hiring/Retention

Group discussion of Classifications and Challenges, and degrees vs. non degrees.

Kathy Harwell & Jeanette Fabela- Stanislaus - The County has Family Service Specialists I & II. The level III position requires 30 units. A lead worker has been added. The department has a leadership forum. Participants must take information back. The department does all staff meetings where they share success stories. A newsletter is also produced, it is called Stanworks. Success stories are showcased in the newsletter; they also highlight a manager. Cindy Uetz – Kern – In the Employments service realm, they have a Human Services Technicians. A four year degree is required. Their department is looking at retaining a company who will put together a realistic overview of the job. Scott Pettygrove & Kimiko Vang - Eligibility Services has moved to Family Services. They have Employment and Training Workers I, II, III. Eligibility staff can move to ETW; however they must demote to move into this classification. Merced pays 10 percent less for eligibility and they have a LCSW differential. The department does an appreciation for all staff, they fundraise for this annual event; they also have potlucks together. Juliette Webb & Vienna Webb - Tulare – salary compaction creates a challenge. Tulare has management positions that do not require degrees. Their department does an employee appreciation for all staff over 2 days. The event is themed and it is a lot of fun. Sanja Bugay & Antoinette Gonzalez - Kings is similar to Merced. Degrees have been added for Managers, and Program Specialist. The County has a minor reimbursement program for degrees. Chevon Kothari – Mariposa - Eligibility management does not require a degree. Devin Drake - San Luis Obispo – Degrees in their county are preferred. The County often grows its own staff. They have a strong leadership training program. Maria Aguirre – Fresno – The County pays a 5 percent differential for child welfare staff. Fresno posts videos on realistic jobs interviews. The department has a contract with CPS. They provide critical thinking and coaching. They chose CPS through an RFP process. Deborah Martinez & Kiran Sandhu – Madera – The County pays a 5 percent differential for child welfare staff. Madera has a half day of orientation where new staff go to Human Resources. Then in a couple of weeks the agency provides an orientation from parking etc. The employee must sign off that they received the orientation. Further, the employee completes a get to

know you survey that includes questions about what motivates you and what makes a great day for you. Mitzi Lowe – CSUF – Questioned how counties recruit staff. She further asked the group how the University can be of assistance. The group discussed placing interns on the public assistance side of the house. The Career Development Center has been expanded and every college does career development and advisement. Valerie Leyva – CSUS – Suggested a service learning model as well as using Academic Advising. San Joaquin has a leadership training and executive training series. Supervisors are required to go through the series. They take eight courses. It is internal then they send them through Davis.

VIII. Open Discussion Cal ACES Scott Pettygrove - June 28, 2019, Cal ACES will be a 58 county consortium. Tomorrow the Directors will have another discussion on roles within our region.

Federal Shutdown

CWDA, State, worked well together to get the early issuance out.

Welfare Fraud Merced has a unit, 10 staff. Stanislaus has 22 staff. The investigators must be Post Trained/Certified. Kings has a united of 3-4 staff and they carry guns. Scott Pettygrove included a newsletter in the packet. Self Sufficiency Regional Meetings The group discussed if Self Sufficiency meetings should occur centrally with the Deputy Directors? The Training Academy hosts CWDA Children’s. Medical, CalWORKs and Cal fresh have a meeting. David Foster let the group know the academy can provide a room. Alternating sites was also suggested. It was further suggested that the first meetings could be held at the academies. It was pointed out the Children’s Chairs always to CWDA meetings. Action: Jeanette Fabela and Vienna Barnes will have a discussion with other Deputies in the region regarding forming a group. David will discuss with Andrea Sobrado; who could assist the group their formation.

IX. Project Health and Social Services Juliet Webb, how do we do a regional project? We need something we are actually working alongside our public health partners. Social Determinants of Health was suggested. David Luchini previously has shown the group census track information. A focus could be ow do we look at the Social Determinants of Health? Further, she suggested the Governors’ budget and its focus on ACES scores, is yet another intersection. Deborah Martinez advised that in 2014 Madera did a health survey with broad membership. They landed on two goals, avoiding child hood abuse and neglect and diabetes. Chevon Kothari advised Mariposa is focusing on poverty and access to care. Scott Pettygrove brought up education on the importance of prenatal care.

Action: Juliet Webb will work with Kelly Woodard on a brief paper on how Social Services/Health can work together on Social Determinants of Health and Poverty. It will be on agenda for April 5, 2019 Meeting at CCASSC.

SC AGENDA February 1, 2019 Sea Venture Hotel

100 Ocean View Avenue Pismo Beach, CA 93449

https://www.seaventure.com Present Maria Aguirre Sanja Bugay Devin Drake Antoinette Gonzalez Kathy Harwell Lorena Jones Chevon Kothari Lorena Jones Scott Pettygrove Deborah Martinez Cindy Uetz David Foster Kelly Woodard

I. Recap from Thursday – Scott Pettygrove II. Succession Planning/CCASSC

Scott Pettygrove discussed the future of CCASSC. He pointed out that a couple of Directors are moving towards retirement along with CCASSC staff. Scott pointed out the importance of the social services and university partnership. He further brought up the importance of engagement with the regions Deputy Directors and the Health Services partners. Those present agreed with his overview and conveyed support of CCASSC and what he underscored as important issue. Those present also discussed and agreed that formalizing a Self-Sufficiency Group is important. Action: Succession planning to remain on the agenda for the foreseeable future. Action: Self Sufficiency to be on agenda for the April 5, 2019 CCASSC meeting.

II. Governor’s Budget – David Foster The CWDA packet was discussed. Kathy Harwell asked to additionally discuss SB1300. SB 1300, Jackson, Unlawful Employment Practices: Discrimination and Harassment. Kathy suggested the bill has concerning language and implications for counties.

III. CalACES - Scott Pettygrove.

Scott explained that the managers in the consortium are very important. Directors need to plan on attending summer meeting. Also, all agreements need to be processed through County Boards Supervisors ASAP.

V. CCASSC Budget – Kelly Woodard

The 2019 proposed budget discuss. The draft is the same as last year. Hand out provided to group. Hotel and associated costs have increased. This is in part due to Deputies attending the meetings. An increase in membership fee was discussed and is to be on the agenda April 5, 2019.

Action: Agenda on April 5, 2019 to include CCASSC Budget and associated recommendations – David Foster & Kelly Woodard

VII Harry Specht Symposium – Kelly Woodard

Cheryl Whittle Letter was discussed. The IVE program requested $2,000 to support the annual symposium. The membership approved the $2,000.00 request.

Action: Kelly Woodard will let Cheryl Whittle know the request has been approved.

Upcoming CCASSC Meeting Dates:

August 15-16, 2019 – Sea Venture, Pismo Beach

November 21-22, 2019 – Sea Venture, Pismo Beach

A Doodle will be sent out for more dates soon.