commission meeting december 19, 2013 1:00 p.m. – 2:30 p.m

2580 East Main Street Suite 203~Ventura, CA 93003~(805) 648-9990~www.first5ventura.org

COMMISSION MEETING

December 19, 20131:00 p.m. – 2:30 p.m.

County Office of Education5100 Adolfo Dr.

Camarillo

OPENING

1. Welcome – Chair Dominguez

2. Approval of Minutes from October 17, 2013 Commission Meeting

3. Agenda Approval and Review of Commission Packets

4. Public Comments/Correspondence(Speaker request forms should be completed and submitted within 15 minutes after opening call toorder. Public correspondence will be received.)

5. Presentation: Help Me Grow and Ventura County Developmental Screening Efforts – HelpMe Grow Steering Committee: Cindy Reed and Sharon Elmonsdorp, Landon PediatricFoundation; Linda Bays, Ventura County Public Health (15 minutes)

The following items will be reviewed and discussed by the Commissioners for appropriate action.

CONSENT AGENDA

Consent Agenda Item 6-7: Review and approve unless an item is pulled for separate action by theCommission and moved to the Regular Agenda for consideration. Consent items are to be routineand non-controversial. All items are approved as recommended without discussion.

6. Receive and File the First 5 Ventura County Financial Reports as of October 31, 2013

7. Ratification of Committees(In accordance with the Commission by-laws, all committee appointments are made by the Chair ofeach Committee, subject to ratification by the Commission.)

First 5 Ventura CountyAgenda – December 19, 2013

REGULAR AGENDA

8. Report of Committeesa. Administration and Finance Committee – Commissioner Stenslie, Commissioner

Dominguez and Commissioner Mantooth1) Recommendation to approve updated financial plan, FY 2013-21, in compliance with

Health and Safety Code Section 130151(The Commission will approve and adopt an updated financial plan.)

2) Progress Report

b. Program Committee - Commissioner Levin and Commissioner Hatfield1) Recommendation to approve funding allocations for FY 2014-15

(Recommended action is to approve FY 2014-15 allocations for First 5 fundedpartners. Recommended action would grant authority to the Executive Director toenter into contracts for FY 2014-15 with designated contract agencies.)

9. Recommendation to receive $798,350 in Race to the Top Early Learning Challenge (RTTELC) Supplemental Award Grant Funds – Claudia Harrison(The recommended action would grant authority to the Executive Director to enter into a contractwith the California Department of Education, Child Development Division, to receive up to$798,350 in funds for the period of July 1, 2013 through December 31, 2015 to support anadditional 36 licensed early learning program sites and to mentor other non-RTT ELC counties.)

10. Recommendation to Enter into a Multi-Commission Agreement With Persimmony andOther Southern California Prop 10 Commissions for a new Program Management andEvaluation Software System for Implementation in FY 2014-15 – Claudia Harrison(Recommended action would select Persimmony as the new vendor for the Commission’s programmanagement and evaluation software system as part of a multi-county collaborative and wouldgrant authority to the Executive Director to enter into an agreement with Persimmony for initialtechnical support and data migration in FY 2013-14 for up to $10,000.)

11. Recommendation to approve proposed strategies for completing FY 2012-13 AnnualEvaluation Report (AER) – Claudia Harrison(Recommended action would utilize Mosaic Network Inc. to extract data from GEMS (GrantsEvaluation and Management Solution)to populate accountability frameworks and Evaluation,Management and Training Associates, Inc. (EMT), prior evaluation contractor, for assisting staffwith data analysis, in lieu of selecting a new outside evaluator for FY 2012-13 AER.)

12. Recommendation to authorize extension and increase to existing contract with EMT(Evaluation, Management, and Training Associates, Inc.) - Claudia Harrison(Recommended action would authorize an extension of the FY 2012-13 agreement with EMTthrough March 31, 2014, and increase contract by $5,875 to provide consultation on the FY 2012-13 Annual Evaluation Report.)

First 5 Ventura CountyAgenda – December 19, 2013

13. Recommendation to adopt a resolution per Government Code 54954(a) to establish time andplace for holding regular Commission meetings for Calendar Year 2014 – Chair Dominguez(Recommended action is to adopt a resolution to establish time and place for holding regularCommission meetings for calendar year 2014.)

14. Report from Executive Director – Claudia Harrison(a) Report on Administrative Operations(b) Update on Commission Initiatives(c) Update on Statewide First 5 Activities

15. Commission Member Comments(Government Code Section 54954.2(a) states: “No action or discussion shall be undertaken onany item not appearing on the posted agenda, except that members of a legislative body or its staffmay briefly respond to statements made or questions posed by persons exercising their publictestimony rights under Section 54954.3. In addition, on their own initiative or in response toquestions posed by the public a member of a legislative body or its staff may ask a question forclarification, make a brief announcement, or make a brief report on his or her own activities.Furthermore, a member of a legislative body, or the body itself, subject to rules or procedures ofthe legislative body, may provide a reference to staff or other resources for factual information,request staff to report back to the body at a subsequent meeting concerning any matter, or takeaction to direct staff to place a matter of business on a future agenda.”)

16. Next Meeting:

Thursday, January 23, 2014 County Office of Education, 5100 Adolfo Dr., Camarillo

17. Tentative Future Meetings

Thursday, February 20, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, March 20, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, April 17, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, May 22, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, June 19, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, July 17, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, August 21, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, September 18, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, October 16, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, November 20, 2014, County Office of Education, 5100 Adolfo Dr., CamarilloThursday, December 18, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

In compliance with the Americans with Disabilities Act, if you need special assistance to participatein this meeting, please contact Kathy Rangel at 648-9990 or via the California Relay Service.Reasonable advance notification of the need for accommodation prior to the meeting (48 hoursadvance notice is preferable) will enable us to make reasonable arrangements to ensure accessibilityto this meeting.

FIRST 5 VENTURA COUNTYCOMMISSION MEETING

MINUTES

October 17, 2013

Commissioners Present: Reyna Dominguez, Bruce Stenslie, Michael Gollub, Ida Hatfield, RobertLevin, Stan Mantooth, Barbara Marquez-O’Neill

Excused Absence: Meloney Roy, Kathy Long

Staff Present: Claudia Harrison, Kathy Rangel, Jennifer Johnson, John Anderson, Deanna Handel, PetraPuls, Heather Hanna, Diana Arellano, Charlotte Torres

Public Present: Noemi Valdez, Marylinn Daehlin

1. Welcome

Chair Dominguez opened the meeting at 1:15 p.m.

2. Approval of Minutes from September 19, 2013

A motion was made by Commissioner Levin, seconded by Commissioner Hatfield, to approvethe minutes from the September 19, 2013 Commission meeting. The motion carriedunanimously.

3. Agenda Approval and Review of Commission Packets

A motion was made by Commissioner Mantooth, seconded by Commissioner Gollub, toapprove the agenda. The motion passed unanimously.

4. Public Comments/Correspondence

There was no public comment.

5. Public Hearing on Annual Audit and Year-End Report to the First 5 State Commission for FY2012-13, in compliance with Section 130150 of the Health and Safety Code

Claudia Harrison briefed the Commission on the statutory requirements for the Annual Audit andYear-End Report and thanked staff and funded partners for all of their hard work and collaboration.Claudia introduced Jennifer Johnson to present the results of the audit. Jennifer noted that theCommission completed implementation of the second funding year of the new five year strategicplan. She reported that most programs expended or nearly expended their annual allocation. Sheindicated that overall, program allocations had decreased with the implementation of the newstrategic plan and the Commission’s expenses for FY 2012-13 were about 10% lower than the prioryear. Jennifer highlighted the new opportunities for leveraging funds which were realized in FY2012-13 with the Commission’s countywide preschool quality efforts significantly enhanced byexternal funding sources. She reported that through blending local funding with Federal Race to theTop - Early Learning Challenge grant dollars and First 5 California’s Child Signature Program and

First 5 Ventura CountyMinutes – October 17, 2013Page 2

CARES matching funds, it is estimated that the Commission will receive over $4.8 million in federaland state grant revenue for preschool quality efforts over a 4 year period. She also commented onreceiving enhanced funding to expand obesity prevention strategies, for the Commission’s multi-faceted obesity prevention project through partnerships focused on promoting nutrition and physicalactivity and increasing breastfeeding rates.

She reviewed the Commission’s update to the financial plan for FY 2012-13 that increased theallocation for the Neighborhood for Learning initiative, stabilized funding for regional healthprofessionals, restored preschool expansion funding at $300,000 annually, and retained a CommunityInvestment Loan Fund of $1.3 million. She reported that there was one active loan that was issued inthe prior year for $175,000 for facility improvements and equipment to expand child care slots in theCity of Fillmore noting the loan is in good standing with payments received as scheduled. Jenniferreported that the Commission received $7.9 in tobacco tax revenues, a decrease of $262,000, or 3%compared to the prior fiscal year. She explained the decrease is offset for Ventura County by aslightly higher percent distribution of statewide births contributing to somewhat higher Proposition10 revenues for FY 2012-13 than budgeted. She noted that administrative expense was 4.6% of theoperating expenses, well under the established target of 5.5% of operating costs.

Jennifer reported that the auditors issued an unqualified opinion, commonly referred to as a “clean”opinion, on the General Audit of the Financial Statements and the report on Internal Controls. Theauditors also issued a clean opinion on the Expanded Audit. She reviewed the comments from theauditor on the duties and the challenges of having a small organization.

Commissioner Stenslie noted that the auditors praised staff’s work during the conversation held withthe Auditors and the Administration and Finance Committee when staff is not present.

Petra Puls provided an overview of the Annual Report to the State and walked the Commissionthrough the report components along with highlights from each section. She reviewed thedemographic worksheets which summarize the participants served for each of the outcome areas.She highlighted several areas with significant gains such as Resource & Referrals, Health Access(HOPE), Oral Health, and the 4 P’s Plus program.

Petra highlighted the most compelling outcomes, mentioning that in the Kit for New Parentsprogram, several new partnerships have been forged and that our obesity prevention/breastfeedingprograms also distribute the kit in the hospital alongside our new breastfeeding support bags. Shereviewed the work on the 5 Protective Factors integration with local NfLs. She commented on thelocal quality efforts for preschool, various strategies in preventing childhood obesity and oral health.She discussed multi-faceted approaches in the area of breastfeeding and comprehensivedevelopmental screening efforts in various settings. Petra concluded her overview with a narrativesummary of the evaluation approach, data collection methods, and evaluation frameworks.

Commissioner Mantooth commented that the report is helpful to reflect back on all the greatmilestones we as a Commission have achieved. Commissioner Gollub reminded staff tocontinuously put an emphasis towards conceptualizing prenatal to 5 instead of referring back to 0-5.Commissioner Stenslie commented that representation of Native Americans in the demographicreports are still incredibly low. Staff responded that they will look into the data and representation ofNative Americans.


Chair Dominguez opened up the meeting for public comments.

There were no comments from the public.

Chair Dominguez closed the public hearing.

A motion was made by Commissioner Hatfield, seconded by Commissioner Mantooth, to receiveand file the Annual Audit and the Year-End Report to the First 5 State Commission for FY2012-13, in compliance with Section 130150 of the Health and Safety Code. The motion passedunanimously.

CONSENT AGENDA

6. Receive and File the First 5 Ventura County Financial Reports as of August 31, 2013

A motion was made by Commissioner Gollub, seconded by Commissioner Stenslie, to approvethe consent agenda. The motion passed unanimously.

REGULAR AGENDA

7. Report of Committeesa. Administration and Finance Committee

(1.) Progress ReportCommissioner Stenslie reported on the program spending level analysis reviewed by theAdministration and Finance Committee. He noted that most programs had spending levelsover 95% and several are at 100%. He added that there are only a few programs lowerthan 95%, due to ramp-up of new program strategies & staff vacancies. He reported thatapproximately $500,000 of unspent program funds from FY 2012-13 were carried forwardto FY 2013-14 to complete certain programs/activities and that any remaining unspentfunds have been released into the Commission’s Operating Fund for services in the currentfunding cycle. He concluded his report with an update of recruitment efforts for newcommittee members.

8. Election of new officers to be seated in January

Chair Dominguez opened up the meeting for nominations.

Commissioner Hatfield nominated Commissioner Dominguez, seconded by CommissionerMantooth, for Chair of the Commission.

Commissioner Dominguez nominated Commissioner Stenslie, seconded by Commissioner Levin, forVice Chair of the Commission.

Chair Dominguez closed the nominations.


A motion was made by Commissioner Hatfield, seconded by Commissioner Mantooth, toaccept the presented nominations for Chair and Vice Chair for calendar year 2014. Themotion passed unanimously.

9. Report from Executive Director

Claudia Harrison referred to the written report and provided an update on Administrative Operations.She informed the Commission that a proposed meeting schedule for 2014 is currently in developmentfor adoption at the December Commission meeting. She reported on the First 5 Ventura Countywebsite redesign underway to improve alignment with social media and partner websites, scheduledto be unveiled in early 2014. She highlighted multiple events for the fall Early Literacy campaign topromote reading to children. She provided updates on the Parent Navigation Support program,indicating that Ventura County Public Health (VCPH) health educators received over 240 referrals inFY 2012-13 for parent support related to concerns with their child’s development. She highlightedobesity prevention efforts through the Good for Kids Restaurant Program. She provided an updateon GEMS user counties’ release of an RfQ to identify a software vendor to implement a commondata system for multiple First 5 counties.

She continued her report on County, Regional and National updates, reporting on the Public Forumheld on local Quality Rating and Improvement (QRIS) efforts, hosted by the Local Planning Councilin October. She highlighted First 5’s leadership role in the Partnership for Healthy Ventura Countywith Robin Godfrey, F5VC’s Director of Communications, Education and Development, having beenselected as the incoming co-chair. She reported that Ventura County has been designated as anofficial Help Me Grow affiliate and provided updates on the Ventura County Children’s Oral HealthCollaborative. She noted that Ventura County is eligible for a RTT-ELC supplemental grant awardof up to $798,350 for the time period of July 1, 2013 through December 31, 2015. She highlightedthe 15th Anniversary of Proposition 10 and noted media and events scheduled to bring focus to theevent. She provided a legislative update on AB 290, Foundations for Healthy Nutrition in ChildCare, which was signed into law. She ended her report with a review of upcoming events.

10. Commission Member Comments

There were no comments from the Commissioners.

11. Next Meeting:

The next meeting is scheduled to be held on Thursday, November 14, 2013, at the Ventura County Office ofEducation, at 5100 Adolfo Dr., in Camarillo. (Note: The scheduled November meeting was subsequentlycancelled.)

The meeting was adjourned at 2:27 p.m.

Help Me Grow Ventura County | [email protected] 1

HELP ME GROW Ventura County Developmental Screening Efforts

An Overview


Background • Landon Pediatric Foundation, Tri-Counties Regional Center-West

County and Ventura County Public Health were once working independently to ensure access in the community to standardized developmental screenings, appropriate and timely referrals, services, and assistance for children found ineligible for services

• In 2011, formed the Developmental Screening Collaborative of Ventura County to improve linkages between agencies, increase efficiency, and maximize limited resources.

Funder for Landon Pediatric Foundation and Ventura County Public Health – Children’s Health Promotion is First Five of Ventura County


Background

• In 2013, the DSC of Ventura County applied to become a National Help Me Grow affiliate.

• HMG is a national organization focused on improving access to existing resources for children at-risk of developmental and behavioral problems.

• HMG consists of 4 main components

• HMG Ventura County is the 4th County to earn the affiliate distinction in California, the first of the Learning Community sites.


VC Screening Efforts Health Care Provider Outreach


VC Screening Efforts Community Outreach

• Parent and Provider Education

• VCPH Regional Professionals ASQ Screenings

FY 11-12: Screened 1095 children, 481 (0-2) and 614 (3-5)

FY 12-13: Screened 899 children, 467 (0-2) and 432 (3-5)

• Referral and Follow up

• Family Support Case Management

• Linkages to community supports and programs

• Support with QRIS efforts in collaboration with VCOE

– Developmental and Health Screenings


VC Screening Efforts • Offered Medical Community 3 Seminars/Town Hall Meetings over a four

year period

– Over 40 physicians attended January 2013 Town Hall resulting in 6 clinics requesting and receiving additional training and screening tools

– 2 Town Hall Meetings are planned for the 3rd and 4th quarter of FY 13-14

• Seeking CMEs for both sessions, new process

• Website

• Update to Medical Community on Help Me Grow

– Submitted an article to the American Academy of Pediatrics, Chapter 2 on our progression from DSC to HMG

– Scheduled for publication in AAP-2 Winter Newsletter

• Further publication of HMG VC efforts

– Health Care Agency Newsletter – The Pulse


Future HMG efforts Child Health Care Provider Outreach:

• Promote the use of validated tools as recommended by AAP and CHDP

• Increase number of private and county-affiliated clinics who offer standardized developmental screenings

• Increase awareness of billing opportunities

• Create and promote the use of universal referral form

Community Outreach:

• Educate community organizations on the importance of referral prior to age 3 and on the referral process

• Support QRIS through training and sharing best practices in screening and the referral process

• Provide networking opportunities to share resources and referral information

• Promote partners who provide family support


Future HMG efforts Centralized Telephone Access Point:

• Work with 2-1-1 staff to keep resources updated

• Improve knowledge of developmental screening and early intervention resources amongst 2-1-1 staff and 2-1-1 database

Data Collection:

• Improve data collection on screening and referral amongst partners

• Coordinate sharing of screening and referral results

• Develop protocol to examine and analyze data


Early Identification • Early identification and referral are key

– Services available to children with developmental delays from birth on

– Interventions are most successful when initiated early

– Current Early Start guidelines favor earlier identification-

• Younger than 24 months

• Early intervention leads to improved long-term developmental outcomes (Harris and Handleman, 2000; Corsello, 2005) and can

– Prevent further delays

– Support future school readiness and academic performance

– Address family and environmental factors, empower parents to act in support of their child


HMG Steering Committee

Thank You for Your Support!

First 5 Ventura County

Balance Sheet

As of 9/30/2013

Assets

Operating Fund $ 12,816,321

Sustainability Fund 18,148,567

Community Investment Loan Fund 1,044,411

Fair Market Value (50,706)

Accounts Receivable 562,863

Loan Receivable 246,155

Interest Receivable 28,788

Prepaid Insurance 9,413

Total Assets $ 32,805,812

Liabilities and Fund Balance

Liabilities

Accounts Payable $ 5,030

Accrued Liabilities 1,604,595

Other Liabilities 3,029

Deferred Revenue 368,654

Total Liabilities 1,981,308

Fund Balance

Fund Balance - Closing Account 32,015,538

Excess Revenues Over Expenditures (1,191,034)

Total Fund Balance 30,824,504

Total Liabilities and Fund Balance $ 32,805,812


Statement of Revenues and Expenditures

From 7/1/13 through 9/30/2013

Revenues

Proposition 10 Tax Distribution $ 696,411

First 5 California - Child Signature Program 0

First 5 California - C.A.R.E.S. Project 0

Race to the Top (RTT)/Early Learning Challenge Grant 0

Kaiser - Community Benefits Grant 7,913

VCPH - CDC Grant 0

VCPH - Kaiser HEAL Zone 0

Interest Earnings 565

Loan Fees 1,787

Total Revenues 706,676

Expenditures

Administration 137,361

Equipment 0

Neighborhoods for Learning 1,441,516

Countywide Specialized Strategies 39,181

Countywide Preschool Efforts 35,844

Communications, Education & Development 77,009

Results Based Accountability & Quality Assurance 66,190

Program Management 100,610

Community Investment Loan Fund 0

Total Expenditures 1,897,710

Excess Revenues over Expenditures 1,191,034$


Expenditure Report

October 2013Roll-up Report

Account Title FY13-14 Budget

October 2013

Expenditures YTD Actual Amount Available % Budget Expended

Administration 668,000 59,511 196,872 471,128 29.47%

Equipment 10,000 0 0 10,000 0.00%

Communications, Education & Development 412,500 34,153 111,162 301,338 26.95%

Results Based Accountability 340,000 18,257 84,448 255,552 24.84%

Program Management 460,000 44,970 145,580 314,420 31.65%

Countywide Specialized Strategies 1,819,096 146,852 186,033 1,633,063 10.23%

Countywide Preschool Efforts 2,570,529 18,901 54,744 2,515,785 2.13%

Neighborhoods for Learning 6,780,305 161,641 1,603,157 5,177,148 23.64%

Community Investment Loan Fund 1,154,656 0 0 1,154,656 0.00%

14,215,086 484,285 2,381,995 11,833,091 16.76%

Notes will be provided at the end of each program initiative page for the months of November, February, and May, which is when quarterly invoicing activity is largely reflected.


Expenditure Report

October 2013

100- Administration


October 2013


Salaries 370,000 38,130 104,432 265,568 28.22%

Overtime 3,000 0 9 2,991 0.30%

Supplemental Payments 4,500 519 1,471 3,029 32.69%

Retirement Contribution 14,000 1,415 3,905 10,095 27.89%

FICA 22,200 1,695 5,783 16,417 26.05%

Medicare 5,600 562 1,518 4,082 27.11%

Health Insurance 104,700 6,098 30,462 74,239 29.09%

State Unemployment 2,800 63 173 2,627 6.18%

Workers Comp Insurance 3,200 204 757 2,443 23.65%

Accounting & Audit Services 20,000 4,066 10,525 9,476 52.62%

Attorney Services 9,000 0 25 8,975 0.28%

Other Professional & Special Services 35,000 3,805 16,609 18,391 47.46%

Public & Legal Notices 1,800 0 0 1,800 0.00%

Building Leases & Rentals 27,300 2,100 11,151 16,149 40.85%

Telephone 2,300 118 350 1,950 15.21%

Liability Insurance 13,000 455 1,821 11,179 14.01%

Memberships & Dues 6,600 0 6,042 558 91.55%

Office Supplies 5,200 93 571 4,629 10.99%

Postage 1,500 6 6 1,494 0.37%

Printing & Binding 800 0 0 800 0.00%

Books & Publications 400 0 0 400 0.00%

Copy Charges 1,500 0 0 1,500 0.00%

Minor Equipment 600 0 81 519 13.45%

Meeting Costs 4,500 0 0 4,500 0.00%

Private Vehicle Mileage 2,000 125 283 1,717 14.13%

Conference & Seminars 6,500 58 900 5,600 13.85%

Total 100 - Administration 668,000 59,511 196,872 471,128 29.47%


Expenditure Report

October 2013

105 - Equipment


October 2013


Minor Equipment 10,000 0 0 10,000 0.00%

Total 105 - Equipment 10,000 0 0 10,000 0.00%


Expenditure Report

October 2013

130 - Program Management


October 2013


Salaries 240,500 27,639 76,923 163,577 31.98%

Overtime 400 0 0 400 0.00%

Retirement Contribution 7,300 829 2,308 4,992 31.61%

FICA 15,000 1,682 4,694 10,306 31.29%

Medicare 3,500 394 1,098 2,402 31.37%

Health Insurance 76,600 7,089 31,348 45,252 40.92%

State Unemployment 2,500 0 0 2,500 0.00%

Workers Comp Insurance 2,200 155 567 1,633 25.79%

Accounting & Audit Services 18,000 3,463 8,948 9,052 49.71%

Attorney Services 8,000 0 21 7,979 0.26%

Other Professional & Special Services 17,000 495 1,550 15,450 9.12%

Public & Legal Notices 1,600 0 0 1,600 0.00%

Building Leases & Rentals 23,000 1,777 9,439 13,561 41.04%

Telephone 2,000 101 298 1,702 14.90%

Liability Insurance 11,500 437 1,750 9,750 15.22%

Memberships & Dues 5,600 0 5,147 453 91.91%

Office Supplies 4,300 126 261 4,039 6.07%

Postage 1,000 0 0 1,000 0.00%

Printing & Binding 800 0 0 800 0.00%

Books & Publications 300 19 19 281 6.24%

Copy Charges 1,300 0 0 1,300 0.00%

Minor Equipment 600 0 69 531 11.46%

Meeting Costs 3,800 0 0 3,800 0.00%

Private Vehicle Mileage 4,700 297 297 4,403 6.32%

Conference & Seminars 8,500 468 844 7,656 9.93%

Total 130 - Program Management 460,000 44,970 145,580 314,420 31.65%


Expenditure Report

October 2013

115 - Communications, Education & Development


October 2013


Staffing 270,000 28,200 83,566 186,434 30.95%

Operating Expenses 45,000 2,307 12,179 32,821 27.06%

Community Education/Outreach Projects 66,000 357 11,312 54,688 17.14%

Partnership Support 18,500 3,000 3,000 15,500 16.22%

Website 13,000 290 1,105 11,895 8.50%

Total 115 - Communications, Education & Development 412,500 34,153 111,162 301,338 26.95%


Expenditure Report

October 2013

120 - Results Based Accountability


October 2013


Staffing 85,000 8,623 26,296 58,704 30.94%

Operating Expenses 30,000 2,009 4,589 25,411 15.30%

GEMS Systems Contract 127,000 7,625 53,375 73,625 42.03%

Evaluation Services (7/1/13-12/31/13) 3,525 0 0 3,525 0.00%

Capacity Building Activities 25,000 0 188 24,812 0.75%

Allocated to Initiative, not yet contracted (GEMS $23,000 and

Evaluation Services $46,475)

69,475 0 0 69,475 0.00%

Total 120 - Results Based Accountability 340,000 18,257 84,448 255,552 24.84%


Expenditure Report

October 2013

165 - Countywide Specialized Strategies

Account Title

Payment

Method FY13-14 Budget

October 2013


VCPH- Regional Health Educators Q 575,000 0 0 575,000 0.00%

VC Behavioral Health- Triple P/Parent Support Q 497,500 49,747 49,747 447,753 10.00% Sept

Clinicas - Oral Health ADV 116,500 0 38,832 77,668 33.33% Oct

SB/VC Mobile Dental Disease Clinic Q 133,500 30,905 30,905 102,595 23.15% Sept

SB/VC - Fluoride Varnish - Dental Providers Q 65,000 17,683 17,683 47,317 27.20% Sept

VCPH- Fluoride Varnish - Medical Providers Q 65,000 12,560 12,560 52,440 19.32% Sept

VCPH - Prenatal Support and Care Q 50,000 10,958 10,958 39,042 21.92% Sept

Landon Pediatrics - Developmental Screen/Surv. in Medical

Setting

Q 100,000 0 0 100,000 0.00%

Mixteco - Puentes Program Q 80,000 0 0 80,000 0.00%

Interface-2-1-1 Ventura County Q 100,000 25,000 25,000 75,000 25.00% Sept

Community Action of Ventura County - Benefits Calculator D 1,567 0 0 1,567 0.00%

VC HSA - Child Welfare Systems Change Q 30,000 0 0 30,000 0.00%

Resource Materials/Supplies for Homeless Families I 1,308 0 349 959 26.67%

Allocated to Initiative, not yet contracted (Benefits Calculator

$3,721)

3,721 0 0 3,721 0.00%

Total 165 - Countywide Specialized Strategies 1,819,096 146,852 186,033 1,633,063 10.23%

Payment Method: Q=Quarterly, M=Monthly invoicing, ADV=Monthly Advance, F=Fixed Asset, D= Deliverables, I=Internal Program

Services

Billed/Adv.

Through


Expenditure Report

October 2013

195 - Countywide Preschool Efforts

Account Title

Payment


October 2013


VCOE - Quality Rating and Improvement System (QRIS) Q 1,580,000 0 0 1,580,000 0.00%

F5VC - QRIS I 135,000 4,660 14,415 120,585 10.68% Oct

VCOE - CARES Plus Q 475,791 0 0 475,791 0.00%

F5VC - CARES Plus Coordination I 17,000 1,763 5,571 11,429 32.77% Oct

VUSD - Preschool Expansion Q 89,000 0 0 89,000 0.00%

CDI - Preschool Expansion Q 184,614 12,477 12,477 172,137 6.76% Sept

El Centrito - Preschool Expansion ADV 89,124 0 22,281 66,843 25.00% Oct

Total 195 - Countywide Preschool Efforts 2,570,529 18,901 54,744 2,515,785 2.13%


Services

Billed/Adv.

Through


Expenditure Report

October 2013

250- Neighborhood for Learning

Account Title

Payment


October 2013


Conejo Valley NfL Q 664,255 0 0 664,255 0.00%

Port Hueneme/ South Oxnard NfL ADV 745,985 0 248,400 497,585 33.30% Oct

Moorpark-Simi Valley NfL ADV 1,045,385 0 348,460 696,925 33.33% Oct

Oak Park NfL Q 65,096 0 0 65,096 0.00%

Ocean View NfL ADV 311,440 0 103,812 207,628 33.33% Oct

Ojai NfL ADV 200,365 0 66,788 133,577 33.33% Oct

Oxnard NfL ADV 1,467,855 0 489,284 978,571 33.33% Oct

Pleasant Valley NfL Q 431,220 0 0 431,220 0.00%

Rio NfL Q 438,990 0 0 438,990 0.00%

Santa Clara Valley NfL ADV 554,315 0 184,772 369,543 33.33% Oct

Ventura NfL Q 810,174 161,641 161,641 648,533 19.95% Sept

Allocated to Initiative, not yet contracted (Santa Clara Valley NfL) 45,225 0 0 45,225 0.00%

Total 250 - Neighborhoods for Learning 6,780,305 161,641 1,603,157 5,177,148 23.64%


Services

Billed/Adv.

Through


Expenditure Report

October 2013

280- Community Investment Loan Fund

Account Title

Payment


October 2013


EDCVC - Community Investment Loan Fund Q 29,656 0 0 29,656 0.00%

EDC-VC - Loan Disbursements (Accounts Receivable) * 1,125,000 0 0 1,125,000 0.00%

Total 280 - Community Investment Loan Fund 1,154,656 0 0 1,154,656 0.00%

* Note: A new loan in Moorpark processed for $89,368, resulting in 14 new infant/toddler spaces. Loan repayments for prior loan to ABC Kids Preschool & Child Care in Fillmore are on track.


Services

Billed/Adv.

Through

First 5 Ventura County Financial Plan Rate of decline applied: 6% 4% 4% 4% 4% 4% 4% 4%

Operating Fund Actuals Actuals

2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21BEGINNING FUND BALANCE $16,512,140 $15,241,546 $12,617,869 $8,422,868 $6,650,000 $6,300,000 $4,500,000 $4,500,000 $4,500,000 $4,500,000

REVENUESProp 10 Distribution $8,139,911 $7,878,290 $7,405,593 $7,109,369 $6,824,994 $6,551,994 $6,289,915 $6,038,318 $5,796,785 $5,564,914Packard Foundation $9,351

First 5 CA Power of PreK (POP) $366,400First 5 CA POP Coordination Funds $100,000First 5 CA Child Signature Program (CSP) $698,702 $958,797 $828,750First 5 CA - CARES $139,725 $97,581 $148,390 $148,390 $148,390Race to the Top Planning $14,487 $35,513Race to the Top $183,947 $693,303 $1,079,434 $576,266Kaiser - Community Benefits Grant $11,521 $27,499VCPH - CDC Grant $3,016 $21,293VCPH - Kaiser HEAL Grant $2,007 $5,950 $28,296 $21,000 $5,000Other Revenues $5,022 $2,703 $2,297Subtotal Revenues $8,779,919 $8,935,500 $9,264,175 $9,186,943 $7,554,650 $6,551,994 $6,289,915 $6,038,318 $5,796,785 $5,564,914

SMIF $3,261 2,795Interest Earnings (@0.53%) $107,592 70,343 $66,876 $44,641 $35,245 $33,390 $23,850 $23,850 $23,850 $23,850

Transfer of Funds from Sustainability Fund $2,293,592 $4,669,498 $614,616 $2,686,236 $2,937,831 $3,179,365 $2,264,474Transfer of Funds from Loan Fund $1,400,000

TOTAL REVENUES $10,290,772 $9,008,638 $9,331,050 $11,525,176 $12,259,393 $7,200,000 $9,000,000 $9,000,000 $9,000,000 $7,853,238

EXPENDITURES(Initiatives - New Strategic Plan)

Neighborhoods for Learning (NfLs) $6,586,273 6,473,234 $6,780,305 $6,780,305 $6,780,305 $6,250,000 $6,250,000 $6,250,000 $6,250,000 $5,750,000

Countywide Specialized Program Strategies $2,307,735 2,115,071 $1,819,086 $1,627,500 $1,460,500 $900,000 $900,000 $900,000 $900,000 $820,000

Countywide Preschool Efforts $822,576 1,267,142 $3,022,865 $3,139,238 $2,637,339CARES* $388,572 369,975Communications, Education & Development $425,795 $351,000 $331,250 $230,000 $230,000 $230,000 $230,000 $190,000

Community Outreach & Education* $153,232 123,705Resource Development* $62,808 64,122

Subtotal - Program expenditures $10,321,196 $10,413,249 $12,048,051 $11,898,043 $11,209,394 $7,930,000 $7,930,000 $7,930,000 $7,930,000 $7,255,000

Results Accountability $300,517 268,259 $340,000Program Management $397,334 404,006 $460,000Administration $535,637 542,309 $668,000Equipment Replacement $6,682 4,492 $10,000

TOTAL EXPENDITURES $11,561,366 $11,632,315 $13,526,051 $13,298,043 $12,609,394 $9,000,000 $9,000,000 $9,000,000 $9,000,000 $8,245,000

5-year total 62,627,169

Percent increase/decrease compared to prior year -9.69% 0.61% 16.28% -1.69% -5.18% -28.62% 0.00% 0.00% 0.00% -8.39%

Projected Administrative Percent 4.6% 4.7% 4.6% $60,065,803 $57,433,488 $52,907,437 $48,609,394 $44,245,000

ENDING FUND BALANCE** $15,241,546 $12,617,869 $8,422,868 $6,650,000 $6,300,000 $4,500,000 $4,500,000 $4,500,000 $4,500,000 $4,108,238

Amount of Fund Balance Used $2,670,594 $2,623,677 $4,195,001 $4,066,459 $5,019,499 $2,414,616 $2,686,236 $2,937,831 $3,179,365 $2,656,236

Beginning in FY13/14, CARES included under Countywide Preschool Efforts and Community Outreach & Education/Resource Development renamed to Communications, Education & Development.

$1,400,000$1,400,000

See page 3 for assumptions

$990,000

$550,000 $550,000 $495,000$550,000 $550,000

$1,070,000 $1,070,000$1,070,000 $1,070,000

Forecast

Proposed 12/19/2013

Community Investment Loan Fund Actuals Actuals Budget

2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21BEGINNING FUND BALANCE $2,704,532 $1,123,595 $1,122,890 $44,483 $110,233 $189,471 $316,529 $132,499 $218,882 $122,059REVENUES/LOAN REPAYMENTSInterest Earnings on Fund (@0.53%) $17,363 $9,558 $2,978 $236 $584 $1,004 $1,678 $702 $1,160 $647Interest Earnings on Loans (@4.25%) $2,159 $7,207 $24,654 $51,852 $53,436 $67,976 $60,493 $52,880 $54,617 $50,000Loan Origination Fees $3,500 $6,500 $500 $2,500 $0 $2,000 $500 $4,500 $0Loan Repayments (Principal) $0 $10,850 $42,118 $63,162 $572,718 $88,077 $81,800 $82,300 $392,900 $80,000TOTAL REVENUES/LOAN REPAYMENTS $23,022 $27,615 $76,250 $115,750 $629,238 $157,057 $145,971 $136,382 $453,177 $130,647

EXPENDITURES/DISBURSEMENTSLoan Implementation $28,959 $28,320 $29,656 $30,000 $30,000 $30,000 $30,000 $30,000 $30,000 $30,000Loan Disbursements (revolving $1,300,000 loan fund) $175,000 $0 $1,125,000 $20,000 $520,000 $0 $300,000 $20,000 $520,000 $0TOTAL EXPENDITURES/DISBURSEMENTS $203,959 $28,320 $1,154,656 $50,000 $550,000 $30,000 $330,000 $50,000 $550,000 $30,000

Transfer of Funds to Operating Fund -$1,400,000ENDING FUND BALANCE $1,123,595 $1,122,890 $44,483 $110,233 $189,471 $316,529 $132,499 $218,882 $122,059 $222,706

Sustainability Fund ($13m) Actuals Actuals Budget

2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21BEGINNING FUND BALANCE $17,961,577 $18,079,140 $18,164,129 $18,260,399 $16,063,587 $11,479,226 $10,925,450 $8,297,119 $5,403,263 $2,252,535

Interest Earnings (@0.53%) $117,563 $84,989 $96,270 $96,780 $85,137 $60,840 $57,905 $43,975 $28,637 $11,938Transfer of Funds to Operating Fund -$2,293,592 -$4,669,498 -$614,616 -$2,686,236 -$2,937,831 -$3,179,365 -$2,264,474TOTAL $18,079,140 $18,164,129 $18,260,399 $16,063,587 $11,479,226 $10,925,450 $8,297,119 $5,403,263 $2,252,535 $0

Equipment Replacement Fund ($25k)** Actuals Actuals

2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21BEGINNING FUND BALANCE $17,119 $17,783 $21,041 $15,536 $16,597 $18,011 $19,487 $19,787 $19,787 $20,103

REVENUESAnnual depreciation of equipment $7,346 $6,768 $4,495 $6,061 $6,414 $6,476 $5,300 $5,316 $5,043 $5,186EXPENDITURESEquipment ($6,682) ($3,510) ($10,000) ($5,000) ($5,000) ($5,000) ($5,000) ($5,000) ($5,000) ($5,000)

AMOUNT RESERVED FOR EQUIP. REPLACEMENT $17,783 $21,041 $15,536 $16,597 $18,011 $19,487 $19,787 $20,103 $19,830 $20,289

**Note: The following demonstrates the amount to be reserved from the Operating Fund balance for the Equipment Replacement Fund and is based on the depreciation schedule for the useful life of assets.

Infrastructure Fund ($10k) Actuals Actuals

2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21BEGINNING FUND BALANCE $0 $0 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000

REVENUESAdministration Budget Savings $10,000

EXPENDITURESInfrastructure Expenditures $0AMOUNT RESERVED FOR INFRASTRUCTURE $0 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000

NOTE: Fund balances do not include Fair Market Value (FMV), the unrealized loss/gain on investments

See page 3 for assumptions

**Note: The following demonstrates the amount to be reserved from the Operating Fund balance for the Equipment Replacement Fund and is based on the depreciation schedule for the useful life of assets.

Forecast

Forecast

Forecast

Forecast

Proposed 12/19/2013

Proposed 12/19/2013

First 5 Ventura County Financial Plan Assumptions

OPERATING FUND ASSUMPTIONS:

Updates figures for FY12/13 based on audited figures; updated projections; and, revises expenditures based

on proposed FY14/15 allocations.

Forecasts Prop 10 distributions using an estimated 6% rate of decline for FY13/14 and 4% per year thereafter,

due to decrease in birth rate in 2011.

Unspent funds available from FY12/13 is $782,500 and of that amount:

o $182,500 is utilized to fully fund the unspent funds spending plan approved in December 2012.

o $440,000 would be reserved for next funding cycle to preserve proposed spending levels that would

have had to be reduced resulting from anticipated reduction in Prop 10 distributions.

o The remaining $160,000 is proposed to further mitigate anticipated funding reductions in FY14/15 and

FY15/16.

Assumes approval of supplemental Federal Race to the Top Award of $798,350.

Total funding dollars over 5 years (thru FY15/16) is $62.6 million ($56.3 million in local funding & $6.3 million

in leveraged dollars from external funders).

Begins to utilize interest earnings from Sustainability Fund in FY14/15 to sustain program funding levels, as

previously planned.

Projects interest earnings at 0.53%, based on County projection for FY13/14.

Maintains 6 months of operating dollars in fund balance.

Assumes $9 million dollar funding level in future years, beginning with FY16/17, through use of Sustainability

Fund to sustain current initiatives utilizing current allocation proportions among existing initiatives.

ASSUMPTIONS FOR COMMUNITY INVESTMENT LOAN FUND:

Updates figures for FY12/13 based on audited figures.

Maintains a Community Investment Loan Fund at $1,300,000 for revolving loans.

Projects interest earnings on funds that are held by the Commission at 0.53%, based on County projection for

FY13/14.

Projects earned income on loan funds at an estimated 4.25%.

Reduces assumption for the approximate number of loans made for FY13/14 from 5 loans to 4 loans and an

average of 2 new loans made every other year thereafter.

ASSUMPTIONS FOR "SUSTAINABILITY" FUND:

Updates figures for FY12/13 based on audited figures.

Transfers interest earnings, beginning in FY14/15, to sustain program funding levels.

Projects interest earnings on funds that are held by the Commission at 0.53%, based on County projection for

FY13/14.

1

Memo

To: Commissioners, First 5 Ventura County

From: Petra Puls, Director of Countywide Strategies and Evaluation (on behalf of the ProgramCommittee)

Date: December 19, 2013

Re: Recommendation to Approve Funding Allocations for FY 2014-15

BACKGROUND

In December of each year, the Commission approves funding allocations for the next fiscal yearin order to provided funded partners with sufficient notice of any change in funding levels. TheCommission’s current financial plan allocates $62.6 million ($56.3 million in local funding and$6.3 million in leveraged dollars from external funders) in funding dollars over 5 years, throughFY 2015-16.

For FY 2014-15, the Commission’s current financial plan allocates $10.9 million in programdollars for NfLs, Countywide Program Strategies, Countywide Preschool Efforts and CARES. Inthis plan, funding for the NfL initiative is held stable at $6.8 million each year, through FY 2015-16. Countywide Preschool Efforts are also held at relatively level funding given the significantleveraging opportunities through Race to the Top and First 5 California. Regional healthprofessionals were also held at stable levels through FY 2015-16.

Spending levels are carefully monitored so as to identify opportunities to re-invest any additionalfunds in programs. At the conclusion of FY 2012-13, $782,500 in unspent funds was identified.The Program Committee was convened to review considerations for increased spending levelsin certain programs due to the availability of FY 2012-13 unspent funds.

DISCUSSION

Of the $782,500 identified in unspent funds, consideration was given to the following:

$182,500 to fully fund the spending plan approved in December 2012. $440,000 reserved for the next funding cycle. $160,000 to further mitigate anticipated funding reductions in FY 2014-15 and FY 2015-16.

2

Prior Allocations

The spending plan approved by the Commission in December 2012 allocated FY 2011-12unspent funds and contemplated an additional $182,500 in expenditures for subsequent fiscalyears, if available, to support allocations to maintain recommended funding levels in CARESPlus, Regional Health Educators, MICOP and broad based obesity prevention strategies.

Future Spending Levels

The Commission’s current financial plan anticipates a significant drop-off in funding in the finalyear of the next funding cycle. Consideration was given to preserving $440,000 of the newlyidentified unspent funds to maintain proposed spending levels that otherwise would have to bereduced as a result of anticipated reduction in Prop 10 distributions.

Countywide Strategies

While unspent funds from prior years were previously utilized to mitigate some of the cuts, someCountywide Program Strategies (Oral Health, Obesity) have faced incremental funding cuts,and other strategies were discontinued due to declining revenues. The remaining $160,000 inunspent funds can be utilized to further mitigate anticipated funding reductions in FY 2014-15and FY 2015-16.

Oral HealthIn addition to the Commission’s investment in oral health preventive care, the Commissioncontracts with Santa Barbara - Ventura Counties Dental Care Foundation and Clinicas delCamino Real for treatment services. In the current plan, prevention and treatment dollars wereto be reduced from a combined investment of $380,000 in FY 2013-14 to $267,000 in FY 2014-15. In light of the tremendous need existing throughout the county, consideration was given toutilize a portion of the unspent dollars to restore $20,000 in prevention and $63,000 in treatmentdollars annually for FY 2014-15 and FY 2015-16.

Obesity Prevention – Broad Based Strategies (Commission Level)Several broad-based obesity prevention strategies are administered directly by the Commission,inclusive of breastfeeding promotion, parent/provider education, Good for Kids Restaurantproject, and targeted countywide information campaigns. Due to declining levels, fundsallocated had been reduced to $50,000, Consideration was given to restoring this program to$75,000 annually in FY 2014-15 and FY 2015-16.

Capacity Building Strategies DiscontinuedIn the Commission’s current financial plan, some programs were designated as “capacitybuilding” programs. In this model, programs which would be eventually discontinued due todeclining revenues were given a 2-3 year horizon to accomplish set goals, particularly programsworking to build capacity in provider communities.

Prenatal SupportThe Prenatal Support program, administered by Ventura County Public Health, providestraining and support for physician practices in administering the 4P’s Plus Screening,along with brief intervention/referral for pregnant women at risk for use of substances ordomestic violence.

3

During FY 2013-14, the program design focused on sustainability and continuation ofthese strategies in physician practices when program funding is no longer availablebeginning with FY 2014-15. The program feels they are well positioned to sustain theirwork and are exploring other funding opportunities to expand those efforts.

Developmental Screenings and Surveillance – Medical SettingThe Developmental Screening and Surveillance Program, administered by LandonPediatric Foundation, builds capacity in physician offices and clinics to administerstandardized developmental screening tools during well-child visits.

During FY 2013-14, joint efforts with Ventura County Public Health and otherstakeholders resulted in the formation of a Developmental Screening Collaborative andthe designation of Ventura as a “Help Me Grow” County. A portion of the anticipatedsupplemental Race to the Top Early Learning Challenge award could be allocated tofurther the implementation of Help Me Grow model in Ventura County.

Recommendation

The Program Committee recommends approval of the FY 2014-15 allocations for First 5 fundedpartners as presented in Attachment I. The recommendation utilizes $108,000 of the unspentfunds in FY 2014-15 for programs identified above. Another $226,750 is recommended for FY2015-16, with this detail provided in Attachment II. As outlined in Attachment II, total fundingneeded to maintain the above strategies would exceed the available current dollars but shouldbe considered to fully advance Commission investments. Additional dollars identified would notbe needed until FY 2015-16.

The recommended action would also grant authority to the Executive Director to enter intocontracts for FY 2014-15 with the designated contract agencies.

ATTACHMENT I

PROPOSED 12/9/2013

NEIGHBORHOODS FOR LEARNING (NfLs):

Program Name Contract Agency

FY 14/15 Proposed

Allocation

Conejo Valley NfL Conejo Valley Unified School District $664,255

Hueneme/South Oxnard NfL Hueneme School District $745,985

Moorpark/Simi Valley NfL Boys & Girls Club of Simi Valley $1,045,385

Oak Park NfL Oak Park Unified School District $65,096

Ocean View NfL Ocean View School District $311,440

Ojai Valley NfL Ojai Unified School District $200,365

Oxnard NfL Oxnard School District $1,467,855

Pleasant Valley NfL Pleasant Valley School District $431,220

Rio NfL Rio School District $438,990

Santa Clara Valley NfL Fillmore Unified School District $599,540

Ventura NfL Ventura Unified School District $810,174

Total NfL Initiative $6,780,305

PRESCHOOL (COUNTYWIDE EFFORTS):


FY 14/15 Proposed

Allocation

Quality Rating Improvement System (QRIS) Ventura County Office of Education $1,580,000 1

Preschool Expansion Continuing Development, Inc. $184,614

Preschool Expansion Ventura Unified School District $89,000

Preschool Expansion El Centrito Family Learning Centers $89,124

CARES Plus Ventura County Office of Education $471,791 1

Total Countywide Preschool $2,414,529

COUNTYWIDE SPECIALIZED PROGRAM STRATEGIES:


FY 14/15 Proposed

Allocation

Triple P Program Ventura County Behavioral Health $497,500

Regional Health Educators Ventura County Public Health $575,000

Puentes Program: Serving Mixtec Children &

Families

Mixteco/Indigena Community Organizing Project

(MICOP)$80,000

2-1-1 Ventura County Interface Children Family Services $100,000

Oral Health Preventive Care: Fluoride Varnish -

Medical ProvidersVentura County Public Health $60,000

Oral Health Preventive Care: Fluoride Varnish -

Dental Providers

Santa Barbara-Ventura Counties Dental Care

Foundation$60,000

Mobile Dental ClinicSanta Barbara-Ventura Counties Dental Care

Foundation$130,000

Oral Health Treatment Services Clinicas Del Camino Real $100,000

Obesity Prevention - Broad-based StrategiesFirst 5 Ventura County (Implemented at

Commission Level)$75,000 2

Total Specialized Program Strategies $1,677,500

TOTAL PROGRAM FUNDING $10,872,334

FY 2014-15 Program Allocations

2. Represents FY14/15 local investment only; additional funds (est. $21,000) anticipated to be leveraged through external funders to support obesity

prevention efforts.

1. Represents FY14/15 local funding in addition to state and federal leveraged funds. For QRIS, amount may increase due to anticipated

supplemental federal award.

ATTACHMENT I

Neighborhoods for Learning (NfLs):

Program Name Program Description

FY 13/14

Current

Allocation

Anticipated

Allocation

FY 14/15

FY 14/15

Proposed

Allocation

$ variance

proposed from

anticipated

Conejo Valley NfL $664,255 $664,255 $664,255 $0

Hueneme/South Oxnard NfL $745,985 $745,985 $745,985 $0

Moorpark/Simi Valley NfL $1,045,385 $1,045,385 $1,045,385 $0

Oak Park NfL $65,096 $65,096 $65,096 $0

Ocean View NfL $311,440 $311,440 $311,440 $0

Ojai Valley NfL $200,365 $200,365 $200,365 $0

Oxnard NfL $1,467,855 $1,467,855 $1,467,855 $0

Pleasant Valley NfL $431,220 $431,220 $431,220 $0

Rio NfL $438,990 $438,990 $438,990 $0

Santa Clara Valley NfL $599,540 $599,540 $599,540 $0

Ventura NfL $810,174 $810,174 $810,174 $0

Total NfL Initiative $6,780,305 $6,780,305 $6,780,305 $0

Preschool (countywide efforts):


FY 13/14

Current

Allocation

Anticipated

Allocation

FY 14/15

FY 14/15

Proposed

Allocation

$ variance

proposed from

anticipated

Preschool for All (Spaces, Quality

Improvements)

Preschool spaces; countywide preschool quality

improvement efforts$1,580,000 $1,580,000 $1,580,000 $0 1

Preschool Expansion - Child

Development Inc.$184,614 $184,614 $184,614 $0

Preschool Expansion - Ventura Unified School District $89,000 $89,000 $89,000 $0

Preschool Expansion - El Centrito $89,124 $89,124 $89,124 $0

CARES PlusStipends for professional development for early education

professionals$475,791 $475,791 $475,791 $0 1

Subtotal Countywide Preschool $2,418,529 $2,418,529 $2,418,529 $0

Specialized Program Strategies (countywide):


FY 13/14

Current

Allocation

Anticipated

Allocation

FY 14/15

FY 14/15

Proposed

Allocation

$ variance

proposed from

anticipated

Triple P Program

Mental health professionals provide prevention and early

intervention services addressing the social & emotional

development of young children

$497,500 $497,500 $497,500 $0

1. Represents FY14/15 local funding in addition to state and federal leveraged funds. For QRIS, amount may increase due to anticipated supplemental federal award.

FY 2014-15 Proposed Program Allocations & Reference on Variance Compared to Anticipated

Through 11 NfLs across the county and their 18 Family

Resource Centers, services provided include early learning

and family strengthening services through preschool, early

literacy, family literacy, service coordination, case

management, parent education, and access to oral health

exams, developmental and health screenings.

Expansion of preschool/child care spaces by building on

existing capacity at school or community sites

ATTACHMENT I

FY 2014-15 Proposed Program Allocations & Reference on Variance Compared to Anticipated

Specialized Program Strategies (countywide) Cont.'d:


FY 13/14

Current

Allocation

Anticipated

Allocation

FY 14/15

FY 14/15

Proposed

Allocation

$ variance

proposed from

anticipated

Regional Health Educators

Public Health Educators provide developmental screening

& referral, support for parents of children with mild to

moderate developmental delays, health insurance

assistance, distribution of the Kit for New Parents, and

parent education on nutrition and developmental

milestones.

$575,000 $575,000 $575,000 $0

Developmental Screenings &

Surveillance - Medical settings

Developmental screening/surveillance and capacity

building in a medical setting$100,000 $0 $0 $0 2

Prenatal Support

4P's Plus screening with brief intervention/referral for

pregnant women at risk for use of substances or domestic

violence

$50,000 $0 $0 $0 3

Puentes Program: Serving Mixtec

Children & FamiliesParent support and education for Mixtec parents $80,000 $80,000 $80,000 $0

2-1-1 Ventura County24-hour countywide resource and referral line to

community services$100,000 $100,000 $100,000 $0

Oral Health Preventive Care: Fluoride

Varnish - Medical Providers

Fluoride varnish application in a medical setting; oral health

education for parents$65,000 $50,000 $60,000 $10,000

Oral Health Preventive Care: Fluoride

Varnish - Dental Providers

Oral risk assessments and fluoride varnish at preschools

through volunteer dentists $65,000 $50,000 $60,000 $10,000

Mobile Dental ClinicOral health prevention services, including screening and

treatment$133,500 $130,000

Oral Health Treatment ServicesOral health prevention services, including screening and

treatment $116,500 $100,000

Obesity Prevention - Broad-based

Strategies (Commission Level)

Promotion of breastfeeding, parent/provider education,

targeted countywide information campaigns$75,000 $50,000 $75,000 $25,000 4

Total Specialized Program Strategies $1,857,500 $1,569,500 $1,677,500 $108,000

TOTAL PROGRAM FUNDING $11,056,334 $10,768,334 $10,876,334 $108,000

3. This strategy planned for discontinuation of funding for FY 2014/15.

4. Represents FY14/15 local investment only; additional funds (est. $21,000) anticipated to be leveraged through external funders to support obesity prevention efforts.

2. This strategy planned for discontinuation of funding for FY 2014/15, however, through supplemental federal Race to the Top award, anticipate funding to support

developmental screening capacity building and systems change efforts.

$167,000 $63,000

ATTACHMENT II

Program Current Year FY 2014/15 FY 2015/16 Total

Oral Health Preventive Care: Fluoride Varnish

- Medical Providers$65,000 $50,000 $50,000 $100,000


- Dental Providers$65,000 $50,000 $50,000 $100,000

Oral Health Treatment Srvs $250,000 $167,000 $0 $167,000

Obesity Prevention - Broad-based Strategies $75,000 $50,000 $46,250 $96,250

Program Current Year FY 2014/15 FY 2015/16 Total


- Medical Providers$65,000 $60,000 $60,000 $120,000


- Dental Providers$65,000 $60,000 $60,000 $120,000

Oral Health Treatment Srvs $250,000 $230,000 $230,000 $460,000

Obesity Prevention - Broad-based Strategies $75,000 $75,000 $75,000 $150,000

Program FY 2014/15 FY 2015/16 Total


- Medical Providers$10,000 $10,000 $20,000


- Dental Providers$10,000 $10,000 $20,000

Oral Health Treatment Srvs $63,000 $230,000 $293,000

Obesity Prevention - Broad-based Strategies $25,000 $28,750 $53,750

Total $108,000 $278,750 $386,750

Current Amount Available (at end of FY12/13) 160,000

Variance (226,750) *

Running Balance of Available Dollars at Year End 52,000 (226,750)

Proposed Spending Plan for Distribution of Additional Resources Identified from Unspent Funds

ANTICIPATED RECOMMENDATION (May 2013)

PROPOSED RECOMMENDATION (December 2013)

DIFFERENTIAL

* Total funding needed to maintain the above strategies would exceed the available current dollars but should be considered to

fully advance Commission investments. Additional dollars identified would not be needed until FY 2015-16.

2580 East Main Street Suite 203~Ventura, CA 93003~(805) 648-9990~www.first5ventura.org

Memo


From: Petra Puls, Director of Countywide Strategies and Evaluation


Re: Recommendation to receive $798,350 in Race to the Top Early Learning ChallengeSupplemental Grant funds

Background

In October 2011, the Commission approved the recommendation to partner with the CaliforniaDepartment of Education on the Race to the Top Early Learning Challenge Grant (RTT-ELC) applicationsubmitted to the U.S. Department of Education and U.S. Department of Health and Human Services.

California was initially awarded $52.6 million in federal RTT ELC grant funds, which funds local QualityRating and Improvement Systems (QRIS) developed by Regional Leadership Consortia (RLC). First 5Ventura County is one of 16 regional Leadership Consortia in California, with Ventura County designatedto receive $1,784,600 over the course of the 4-year grant period to expand quality rating andimprovement activities.

California received a supplemental grant award of nearly $22.5 million, of which $798,350 is allocated forVentura County. The local supplemental award is intended to serve an additional 36 early education sitesthrough the QRIS project and mentor other non RTT ELC counties. Therefore, Ventura County willreceive $2,582,950 in RTT ELC grant funds over the 4-year grant period.

In partnership with its implementation partner, Ventura County Office of Education, First 5 VenturaCounty has created one seamless quality improvement initiative that is anchored in a 5-tier QRIS matrix,incorporates Educare Best Practices and utilizes local First 5, First 5 California Child Signature Program,and federal Race to the Top Early Learning Challenge grant funding streams.

Recommendation

The recommended action would grant authority to the Executive Director to enter into a contract with theCalifornia Department of Education, Child Development Division, to receive up to $798,350 in funds forthe period of July 1, 2013 through December 31, 2015 to support an additional 36 licensed early learningprogram sites and to mentor other non-RTT ELC counties.

1

Memo


From: Claudia Harrison, Executive Director


Re: Recommendation to Enter into a Multi-Commission Agreement withPersimmony and Other Southern California Prop 10 Commissions for anew Program Management and Evaluation Software System forImplementation in FY 2014-15

Background

As part of data collection and evaluation efforts, since 2004, the Commission has used a web-based program management and evaluation software package to track participants, services,and outcomes. Funded partners are responsible for routine data entry into the GrantsEvaluation and Management Software (GEMS) System operated by Mosaic Network, Inc. Datahoused in this secure, online repository is used for routine progress reporting and programmonitoring, contract renewal decisions, and annual and evaluation reporting.

For the past year, five1 Southern California Commissions, four of which are current GEMSusers, began to meet to resolve common system issues, identify options for achievingevaluation system cost savings in an environment of declining Proposition 10 revenues, and toexplore ways to improve data collection across the Southern California region. This workinggroup has determined essential data elements common among the counties, systemrequirements that meet each county’s basic functional requirements, and desired reportingfeatures.

In October 2013, staff provided the Commission with an update on this multi-county planningeffort and the intent to release an RFQ to identify a software vendor who can implement acommon data system for multiple First 5 counties, with the expectation that a collaborativeaward would enhance individual County and regional evaluation efforts and yield cost-savingsfor all participating counties.

1The five counties include Los Angeles, Orange, Riverside, Santa Barbara, and Ventura.

2

Discussion

The Orange County Commission, on behalf of the five-county collaborative, released a Requestfor Proposals (RFP) on November 1, 2013 for a software system for data collection andreporting. Six proposals were received by the November 18, 2013 submittal deadline.Representatives of the five-county collaborative met and reviewed the proposals based onestablished criteria related to multi-county pricing, cost savings, system functionality/systemrequirements, support functions, ability to achieve a July 1, 2014 implementation date, andcriteria related to the vendor such as experience and strong customer support.

Based on the review, three of the six proposals were recommended for final consideration.Representatives from each Commission have been participating in interviews with finalistvendors, conducting vendor reference checks, participating in software demos, and reviewingsubmitted materials.

The five-county collaborative selected Persimmony International, Inc. as the leading finalist andat least three of the five Counties (Ventura, Orange, and Los Angeles) are prepared to proceedwith individual contract negotiations with this vendor. The final decision to enter into a multi-Commission agreement with the selected vendor will remain a decision of each individualcounty commission.

The anticipated 3-year cost savings for Ventura County with this new vendor would range from36% to 39% from current pricing, depending upon the number of counties participating.Commissions are also anticipating significant enhancements in functionality in terms of end userexperience, referral tracking, training, support, and system output/reporting. The contract for thenew software system should be in place on or about January 1, 2014 so that the selectedsystem is fully tested and ready for training by April 1, 2014.

Recommendation

The recommended action would select Persimmony as the new vendor for the Commission’sprogram management and evaluation software system as part of a multi-county collaborativeand would grant authority to the Executive Director to enter into an agreement with Persimmonyfor initial technical support and data migration in FY 2013-14 for up to $10,000.

1

Memo


From: Petra Puls, Director of Countywide Strategies and Evaluation


Re: Recommendation to authorize extension and increase to existing contract with EMTAssociates, Inc

Background

After a public application process in 2010, the Commission selected Evaluation, Management,and Training Associates, Inc. (EMT) as the contractor to produce the First 5 Ventura Countyannual evaluation reports for FY 2009-10 through FY 2011-12. The evaluation report for FY2011-12 was submitted to the Commission in February 2013. The current agreement with EMTwas previously extended to allow for additional data analysis and evaluation consultation, and isnow slated to end on December 30, 2013.

A three month extension is sought to enable EMT to provide evaluation consultation services toFirst 5 Ventura County for completing the FY 2012-13 Annual Evaluation Report andAccountability Frameworks. The current contract has a remaining balance of $4,125 forevaluation consultation services. An increase of $5,875 is proposed, which would bring the totalamount available for additional analysis to $10,000.

Recommendation

The recommended action would authorize an extension of the FY 2012-13 agreement with EMTthrough March 31, 2014 and increase the contract amount by $5,875, to provide consultation onthe FY 2012-13 Annual Evaluation Report. The additional allocation would be redirected fromthe approved Results Based Accountability budget.

Resolution No. 14-01

RESOLUTION OF THE CHILDREN AND FAMILIES FIRST

COMMISSION OF VENTURA COUNTY ESTABLISHING THE TIME AND

PLACE FOR HOLDING REGULAR COMMISSION MEETINGS

(Government Code section 54954(a))

Whereas, Government Code section 54954(a), part of the Ralph M. Brown Act,

requires that the time and place for holding regular meetings of the Commission be

provided by “ordinance, resolution, bylaws, or by whatever other rule is required for the

conduct of business by the [Commission];”

Whereas, by this Resolution, the Commission is adopting its regular meeting time

and place for the year 2014 and until such time as further action of the Commission

should make changes in this regard.

NOW, THEREFORE, THE CHILDREN AND FAMILIES FIRST

COMMISSION OF VENTURA COUNTY HEREBY RESOLVES AS FOLLOWS:

1. The time and place for the regular meetings of the Commission for the year 2014 shall

be as follows:

These meetings will start at 1:00 p.m.

Thursday, January 23, 201 County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, February 20, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, March 20, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, April 17, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, May 22, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, June 19, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, July 17, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, August 21, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

**Thursday, September 18, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, October 16, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, November 20, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

Thursday, December 18, 2014, County Office of Education, 5100 Adolfo Dr., Camarillo

**This meeting will start at 1:30 p.m.

13

3

Resolution No. 14-01

On motion by Commissioner ____________________, seconded by Commissioner

________________________, the foregoing resolution was passed and adopted on

December 19, 2013.

________________________________

Chair of the Commission

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Report from Executive DirectorDecember 19, 2013

I. Update on Administrative Operations Staffing Updates

o Commission staff bid a fond farewell to Charlotte Torres, Director of NfL Programs, wholeft F5VC in early December for new personal pursuits. Charlotte joined F5VC more than 10 years ago as a Program Manager, later

working as Director of Program and Evaluations and Director of NfL Programs.

Health Insurance Annual Renewalo Overall annual premium rate increased 4%, lower than budgeted amount of 15%.

After reviewing other carrier plans and rates, it was determined that currentbenefit offerings and rates with Anthem Blue Cross were very competitive.

Annual open enrollment period for medical/dental and health insurance coveragechanged from September to December to better align with other benefitenrollments that fall on the calendar year.

o Beginning in January 2014, new federally-required fees and taxes will be applied to allhealth care plans as part of the Affordable Care Act (ACA).

FY 2012-13 Annual Report to the Stateo Annual Report packet and overview submitted to the Commission in October was

updated to include narratives for three sections: Provider Capacity Building Training andSupport; Community Strengthening Efforts; and, Service Outreach, Planning, Support andManagement. (see attached)

o All forms were submitted to the State before the November 1st due date.

II. Update on Commission Initiatives Countywide Strategies

o 2-1-1 2-1-1 Ventura County began outreach for Covered California in August in

partnership with Ventura County Public Health (VCPH). When appropriate, 2-1-1 staff refers callers who have an uninsured

household member, and who are interested in learning more aboutCovered California, to VCPH, using referral protocols developed withCovered California and VCPH.

o VCPH Kit for New Parents Gold Coast Health Care became the newest Kit for New Parents distributor.

Partnership is expected to significantly increase kit distribution,particularly for the Medi-Cal population.

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Neighborhoods for Learningo NfLs convened all staff to celebrate 10 years of NfL programs across the county.

Event kicked off with remarks by Commissioner Marquez-O’Neil, followed by avideo highlighting NfL programs in action, organized around 5 Protective Factors.

o NfL staff exchanged best practices through three separate Learning Communities. Family Strengthening Learning Community convened for the first time for family

support staff to share information about their respective programs. Early Learning PACT Learning Community, which has been meeting for nearly 2

years, met to receive information on Sensory Integration Disorders. NfL Directors, who have been meeting as a Learning Community for

approximately 5 years, focused on, “Working Smarter, Not Harder”.

Community Outreach and Educationo Nurturing in a Nutshell

155 nurses at Community Memorial Hospital participated in the second set of“Nurturing in the Nutshell” trainings in November to increase rates of successfulbreastfeeding.

Community Memorial Hospital is encouraging all their nurses toparticipate, anticipating a total of 180 nurses will complete the training.

St. John’s Medical Center held the training for 66 of their nurses in August. Additional trainings are currently scheduled at Ventura County Medical Center

with a “make-up” day for nurses at Community Memorial Hospital.

o Breastfeeding New Parent Bags An estimated 3,700 breastfeeding new parent bags have been distributed to

families of newborns at Community Memorial Hospital and Ventura CountyMedical Center since January 2013.

Bags have breastfeeding support information and resources for parents,including the Kit for New Parents.

o Good for Kids/HEAL Zone Grant Two new restaurants have joined Good for Kids on Ventura Avenue as part of the

Kaiser HEAL Zone Grant: Taqueria Tepatitlan and Bear Bites Grill. Several more have expressed interest with plans to join in early 2014.

Good for Kids Countywide is preparing for the first restaurant week of the newyear in Ojai, from February 24th through March 3rd.

o Literacy F5VC partnered with local libraries in October and November to distribute over

200 book bags. Book bags were given with each new library card for a 0-5 year old, or for

someone who reads to a 0-5 year old. F5VC also distributed 1,250 Potter the Otter books at 3 events: Ventura NfL’s

Storyfest; Trick or Treat at the Mall; and, Pleasant Valley NfL’s World Book Fest.

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III. County, Regional and National Updates Business & Community Leaders Alliance Summit for Early Education (see attached packet)

o Fourth Annual Business & Community Leaders Alliance of Ventura County held in earlyDecember with close to 70 leaders from throughout the county. Event hosted a preview screening of new PBS documentary “The Raising of

America” which explores the economics of early education. Screening was followed by a lively panel discussion with local political, community

and business leaders including: Assemblyman Jeff Gorell, Senator Hannah-BethJackson, Assistant Sheriff John Crombach, Director of Ventura County ProbationAgency Mark Varela, and CEO/President of EDC-VC, Bruce Stenslie.

Follow-up showing was also presented to county school superintendents.o F5VC looks forward to bringing the screening to other community organizations and

businesses in 2014.

Board of Equalization (BOE) Administrative Fees (see attached)o BOE administrative fees have continued to increase significantly over the past 10 years.

First 5 Association has prepared attached fact sheet and is in the process ofworking collaboratively with First 5 CA staff to address issue with BOE.

Approximate annual impact on Ventura is slightly over $300,000.

Government Compensation in California (GCC) Program (see attached)o GCC Program is a statewide initiative sponsored by the State Controller’s Office (SCO).

Program posts compensation data for state and local government on the SCOwebsite, www.publicpay.ca.gov.

o First 5 has been asked to join other governments in taking a leadership role andproviding salary and compensation information with the goal of obtaining 2013information by April 2014. First 5 will be listed as a separate entity on the SCO website.

New Study - Reduction In Sugary Beverage Consumption In Ventura County (see attached)o New study released by the UCLA Center for Health Policy Research and the California

Center for Public Health Advocacy shows a dramatic drop in the proportion of youngchildren drinking sugary beverages daily over a seven-year period. (see attached) Ventura County showed the greatest reduction in soda and other sugary drink

consumption for all youth between 2005-07 and 2011-12, with a 37% decrease(from 46% to 29%).

Only 19 percent of 2- to 5-year-olds drink a sugary beverage daily, a 30percent decline from the 2005-2007 reporting period.

Among 6- to 11-year-olds, 32 percent were daily consumers in 2011-12,representing a 26 percent drop since 2005-2007.

Of greatest concern, however, was a significant rise among the biggestconsumers of sugary drinks - adolescents (12- to 17-year-olds).

http://www.publicpay.ca.gov/

http://r20.rs6.net/tn.jsp?e=001eL0IrdOBZD1HLOWeBjgZ0T__WdSTLYBnf1_bzm7FohXUeXgNmXNbyB6YDddFJ9rkluHKGY0XGvMtA9axy7m9SJX2SGCVcZS6s0iUvYNMXlEsh-b4NHNGO3TQqKAfsk3vGZeV8xSXK89dwkHTBNpzZsDiszP9NRzfDdI7CugzocdCxURxac8ksNDHu9SOo26T4-kO1_4mTvInXQZ8huIFiA==

http://r20.rs6.net/tn.jsp?e=001eL0IrdOBZD3V_AROLD7tIP1il_U_ZNX6o7y0ayFs5j0wxA4HRXrH1Shdt501ATpCfmyAUaoan5-Tc4EnMiw5yjwC68MmpbX1-Nb60ck0h3JYIxnoDLe_XF20YfI__REQ

http://r20.rs6.net/tn.jsp?e=001eL0IrdOBZD3zI4yhbpl1bSYEmVUvMDnGblgls3NjPFqSp6IvWmVkNQS8s5eK_ehh28k6RQKAtRKo7hcj_oWfbq4mCndH1Tx5shCtV3USk8-dDE7yXgOQqAjs1XOOfsCzhWvUzMpFPLU=

http://r20.rs6.net/tn.jsp?e=001eL0IrdOBZD3zI4yhbpl1bSYEmVUvMDnGblgls3NjPFqSp6IvWmVkNQS8s5eK_ehh28k6RQKAtRKo7hcj_oWfbq4mCndH1Tx5shCtV3USk8-dDE7yXgOQqAjs1XOOfsCzhWvUzMpFPLU=

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Federal And State Pending Legislation For Early Childhood Educationo Federal Efforts - Strong Start for America’s Children Act (see attached)

Bipartisan proposal to expand high-quality early-childhood education for childrenfrom birth to age 5.

Would expand access and quality for voluntary preschool to 4 year oldsfrom families below 200% of the federal poverty line through a federal-state partnership and state matching system over the next 10 years.

Would give Early Head Start programs the ability to reach more eligiblechildren through partnerships with child care programs to improve quality.

Would allow states to use 15% of their pre-k funding to provide high-quality child care settings for infants and toddlers to help prevent thelearning gap and ensure they are on-track when they get to Pre-K.

Endorses the expansion of evidence-based home visiting programs thathave been shown to have a range of positive impacts on parenting.

Over 500 Democratic and Republican state legislators from all 50 states havesigned a letter addressed to members of the Budget Conference Committeeurging that federal investments in early childhood education become a priority inupcoming budget decisions.

o State Efforts - California Preschool for All Proposals (see attached) Early Edge California introduced a Pre-K for All Plan that would expand

transitional kindergarten to serve all 4 year olds. Early education is a centerpiece of the Assembly Democrats’ Blueprint for a

Responsible Budget. Blueprint prioritizes expanding transitional kindergarten and strengthening

early care programs for 0-3 year olds with wraparound care for children.

Electronic Cigarettes (see attached)o First 5 Association has developed an overview of e-cigarettes and the current efforts to

regulate their use. Initial studies have found carcinogens and toxic chemicals in the vapor and have

not found e-cigarettes to be any more effective than the patch in smokingcessation.

E-cigarettes aren’t currently subject to the same restrictions as tobacco cigarettesalthough in CA, 44 cities and counties have prohibited the use of e-cigarettes incertain areas and 59 cities and counties have included e-cigarettes in localtobacco retailer licensing policies.

FDA is seeking to expand its oversight over e-cigarettes with draft regulationcurrently under interagency review at the White House budget office.

IV. Upcoming Events Ventura County Together Monthly Meeting, January 6, 2014, 10:00 – 11:30 a.m., VCCF Non-

Profit Center, 4001 Mission Oaks Blvd., Camarillo

First 5 Standing Committeeso Administration/Finance Committee, January 3, 2014, 9:30 – 11:30 a.m., F5VC offices

http://bit.ly/18CuUAs

http://bit.ly/18CuUAs

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PROVIDER ANECDOTES

Ventura County Public Health Regional Health Educators

On July 24, 2013 a counselor in the Women, Infants and Children (WIC) program completed areferral for a 3 year old boy who recently relocated to the Ventura area from out of state. This childwas diagnosed with moderate to severe sensorineural hearing loss bilaterally. At 2 years old he hada surgery to correct his short frenulum and had been receiving speech services twice a week. Hismom reported that these services have been incredibly helpful and has noticed great improvementin his language abilities.

Since the family moved the child was not receiving any developmental services and the family waseager to get him re-connected. This family was in the process of reapplying for MediCal and WICwhen I conducted my initial home visit on July 26, 2013. The primary goal for this parent was to gethim back into speech therapy and she was hoping that he would not regress during this lapse inservices.

Mom reported that since their move her son was using more gesturing and less 2 word phraseswhich was very disappointing for this mom. I worked with this mom in helping her understand thatwhen there are big changes in children’s lives it is typical to see a child regress. We discussed howconsistency in expectations and encouragement typically help children bounce back. This mom wasable to express her frustrations and focus on helping her child feel secure in his new environment.

We practiced modeling and focusing on the intent of language during their everyday interactions. Inaddition to the MediCal and WIC services I thought that it would be helpful to complete anapplication for California Children’s Service (CCS) which can be difficult to qualify for but, if eligible,it provides developmental services for children. A referral to the Ventura Unified School DistrictEarly Intervention Center (EIC) would be made once they resume services after their summer break.An appointment to the Hearing Conservation in Camarillo was also made to get a currentaudiogram which is required for a complete CCS application.

I am happy to report that this child was found eligible for services from both CCS and the EIC. Inaddition we also submitted an application to the Ventura Unified Jumpstart preschool program.Although this child will be getting Speech & Language Services from CCS and the EIC it would begood for him to have the opportunity to interact with similar age peers since he typically spends theday with his mom while his older sister is at school. The application has been submitted but due tolimited space he is still on the wait list but mom is hopeful that he will soon be enrolled.

The referral that the WIC counselor made to our program for this family has helped minimize thelapse in services for this child. In addition to decreasing the amount of time that the child wentwithout speech services, we were able to assist mom in making appointments, completingapplications and helping her understand how large changes such as moves can affect a child’sdevelopment. Relocating can be a huge challenge which can be even greater when you have a childwith developmental needs but thanks to this referral our program helped manage these changesand impacted the life of not only the child but the family.

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Ventura County Public Health Oral Health

A major accomplishment this year has been an increase in the participation of the CommunityMemorial Health Clinics (CMH) with our fluoride varnish program. Over the past few years, therehad been a steady decrease in the number of fluoride varnish applications by all 10 CMH clinics.We decided that we would focus our efforts on the CMH Clinics since they see so many of thechildren who are our target population.

After meeting with the new and continuing education coordinators, we attended a monthly clinicmanagers’ meeting to discuss the lack of participation with the fluoride varnish program. We alsoincluded individual statistics on each medical clinic, including the number of fluoride varnishapplications versus the number of well-child visits conducted in the clinic through a span of severalyears. This showed the providers the declining number of children receiving these oral healthservices.

We were able to reinforce the importance of oral health education with the providers and establishthe standing MD order for the oral health risk assessment and fluoride varnish application on theirElectronic Medical Records System for all well-child exams. This is an important reminder forproviders to offer education and address any oral health concerns during their visit. After thisintervention, our program was able to deploy the CHDP nurses to each individual clinic to addressany logistical problems with administering the oral health services and to help facilitateimprovements in efficiency and effectiveness. This also included addressing any personal concernsthe clinic staff had regarding fluoride varnish application and efficacy.

This effort began in early July and has been an ongoing process. Since then, our program hasidentified medical provider champions (MDs, NPs, Lead Nurses and MAs) at each clinic to maintainthe focus on oral health and fluoride varnish application at well-child visits. The medical clinic staffreport that the ongoing education and support of our staff was instrumental in their success andhave shown their continued gratitude through compliance and enthusiasm for the program.

The success is gradually evident in the increased number of fluoride varnish applications, medicalstaff who have been educated, and new or renewed CMH clinics participating in our program.Through continuous monitoring and positive reinforcement, we anticipate that CMH will continue toprovide quality oral health care for increasing numbers of children.

commission meeting december 19, 2013 1:00 p.m. – 2:30 p.m

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