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HomeMy WebLinkAbout20223377.tiffRESOLUTION RE: APPROVE GRANT APPLICATION FOR 2024-2026 TONY GRAMPSAS YOUTH SERVICES PROGRAM AND AUTHORIZE DEPARTMENT OF HUMAN SERVICES TO SUBMIT ELECTRONICALLY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Grant Application for the 2024-2026 Tony Grampsas Youth Services Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Human Services, Division of Community Programs, Office of Children, Youth and Families, with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Grant Application for the 2024-2026 Tony Grampsas Youth Services Program from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado Department of Human Services, Division of Community Programs, Office of Children, Youth and Families, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that Julie Witkowski, Department of Human Services, be, and hereby is, authorized to electronically submit said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of December, A.D., 2022. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: �,,,ttof,„,O ; EXCUSED Scott K. James, Chair Weld County Clerk to the Board BY: APP Cou . ttorney Date of signature: 12./0.12.2. cc: {-ISD, AcT(cP/cD) i2/IS/22 2022-3377 HR0094 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: November 1, 2022 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Colorado Department of Human Services (CDHS) Tony Grampsas Youth Services (TGYS) Program SFY 24-26 Request for Application Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Colorado Department of Human Services (CDHS) Tony Grampsas Youth Services (TGYS) Program SFY 24-26 Request for Application. The Weld County Department of Human Services (WCDHS) is requesting approval to submit an application for funding for the Colorado Department of Human Services (CDHS) Tony Grampsas Youth Services (TYGS) Program. This Request for Application (RFA) seeks to provide state funding for effective, community -based programs that serve children, youth, and their families to prevent youth crime and violence. The TGYS grant cycle is three years. The Department plans to apply for $500,000, per year, spanning SFY 24-26. If awarded, the grant would be used to fund the salaries of the High -Fidelity Wraparound (HFW) team who work within the Family Resource Division. The HFW team works directly with children and families that are working with Child Welfare and Family Resource Divisions, who have complex behavioral/mental health needs and who are involved in multiple systems. This grant application must be received by 5:00 p.m. MST Friday, December 9, 2022. If grant money is awarded, the anticipated contract start date is July 1, 2023, and would run for three years, ending June 30, 2026. Pass -Around Memorandum; November 1, 2022 - Not in CMS Pape. 1 2022-3377 � 2/ni H 12009(1 PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approving the Department to submit an application for funding through the FormAssembly submission platform and delegate the authority to electronically sign through FormAssembly to the Family Resource Division Head. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck Mike Freeman, Pro-Tem Scott K. James, Chair Steve Moreno Lori Saine Pass -Around Memorandum; November 1, 2022 — Not in CMS Page 2 SO COLORADO Office of Children, Youth & Families Division of Community Programs Tony Grampsas Youth Services Program SFY 24-26 Request for Application Information Page Colorado Department of Human Services Office of Children, Youth and Families Deadline: Applications must be received by 5:00 p.m. MST Friday, December 9, 2022 The Tony Grampsas Youth Services (TGYS) program is housed within the Colorado Department of Human Services (CDHS), Office of Children, Youth and Families (OCYF), Division of Community Programs (DCP). BACKGROUND AND PURPOSE The TGYS program was established in 1994 to provide state funding for effective, community -based programs that serve children, youth, and their families to prevent youth crime and violence (YCVP). Since that time, the statute has evolved and now includes programs that prevent child abuse and neglect (CANP), alcohol, tobacco, and other drug (ATODP) use, and student dropout (SDOP). TGYS is authorized by Colorado Revised Statutes § 26-6.8-101 through 106. These statutes define the role of the TGYS Board and TGYS program. The 13 -member TGYS Board is required to establish program guidelines, timelines, match requirements, criteria for awarding grants, funding priorities, and result -oriented criteria for measuring the effectiveness of programs. TGYS funding is a result of an annual appropriation made by the Colorado General Assembly which has included funding from the Colorado Master Settlement Agreement Tobacco (MSA) fund, the General Fund, and the Marijuana Tax Cash Fund (MTCF). It is anticipated these funds will continue to serve as the primary funding sources for the TGYS Program. SUMMARY INFORMATION Application Platform: The TGYS grant application is located on a FormAssembly platform. The application may only be submitted via this platform and is located here: TGYS RFA Application Platform. For application webinars, FAQs, and other useful information for the TOYS RFA, visit the TGYS Website. To submit a question about the RFA use the TGYS SFY24-26 RFA Question Submission Form. TGYS SFY 24-26 RFA Information Page oZooga -5577 Anticipated Funding Available: Available funding has ranged from $9.5 - $10.5 million in the previous grant cycle and is contingent upon the annual legislative appropriation. Through Single, Multi-, and Intermediary Agencies across the state of Colorado, TGYS funded 77 grantees with 97 programs during the previous grant cycle with grant amounts ranging from $25,000 to $1,000,000. Because TGYS program funding levels can vary greatly from year to year, this open, competitive RFA process is intended to determine which agencies qualify. There is typically not enough available funding for all qualifying agencies. If additional funds become available during the three-year grant cycle, the TGYS Board may select qualified, unfunded applicants to receive these additional funds. Funding Type: Monthly reimbursement contract. This is a reimbursement grant and may take 6-8 weeks from the time your invoice is submitted to TGYS to receive payment. Estimated Number of Grants to be Funded: Varies depending on number of qualified applicants, funding amounts requested, and annual legislative appropriation. Matching Requirements: Applications for Mentoring programs that meet statute (C.R.S. § 26-6.8-104) require a 20% match. For all other applications, no match is required. Grant Cycle: July 1, 2023- June 30, 2026 Duration of Grant: The TGYS grant cycle is three years. Annual renewable funding is contingent upon grantee program and fiscal performance (both in terms of accomplishing objectives and maintaining grant compliance), the grantee program's continued alignment with the TGYS goals and outcomes, and the availability of TGYS appropriated funding. If TOYS appropriated funding is decreased, reductions in funding for grantees may occur. Eligible Applicants: Any local government; Colorado public or not -for-profit school, including charter schools, group of public or not -for-profit schools, school districts or groups of school districts, boards of cooperative services, and institutions of higher education; the Colorado National Guard; or any private nonprofit or not -for-profit community -based organization are eligible to apply for a TGYS grant. Organizations who receive a TGYS grant must be registered with the Colorado Secretary of State and Federal System for Award Management (SAW to operate in Colorado. Eligible Uses of Funding The TGYS award CAN be used to: • Fund programs that address factors at the individual and relationship level of the socio-ecological model • Fund prevention and intervention programs for youth crime and violence, child abuse and neglect, youth alcohol, tobacco, and other drug (ATOD) use, and student dropout C.R.S. 26-6.8-102(b) • Implement new direct -service programs, with programs providing direct services within six months of award, or continue, enhance, or expand existing direct -service programs • Fund reasonable operating and administrative expenses (e.g., database or financial software, fiscal staff, etc.) that directly support TGYS funded programs TOYS SFY 24-26 RFA Information Page 2 Support program evaluation activities (budget may include 5% for evaluation or $10,000, whichever is lower, per program) Fund programs that provide screenings or assessments and referrals if there are post surveying measures or outcomes that can evaluate effectiveness Prepare communities/local grantees for program implementation and provide staff training, technical assistance, program monitoring, evaluation coordination, and direct service funding to subcontracting agencies (applies to Intermediary Agency applicants only) Provide reasonable administrative oversight of all collaborating partners and support grant management functions provided by a Lead Agency (applies to Multi -Agency applicants only) Ineligible Uses of Funding The TGYS award CANNOT be used to: Fund programs that address factors at the organizational and societal level of the socio-ecological model Support treatment programs such as residential treatment or inpatient mental health treatment Support childcare slots or student scholarships Engage in inherently religious activities including but not limited to worship, religious instruction, or proselytization as a part of the programs or services provided pursuant to this application • Support programs or strategies thorough research has already proven ineffective or harmful • Fund train the trainer model programs • Fund one-time events and activities that are not in conjunction with ongoing programs Apply as both a Single Agency and as part of a Multi- or Intermediary Agency Fund depreciation costs which are not included in indirect costs Minimum Funding Request: $25,000 per program Maximum Funding Request -- Single Agency: $500,000 Maximum Funding Request -- Mult-i or Intermediary Agency: $1,000,000 Maximum Number of Programs per Agency-- Tier 1: One Maximum Number of Programs per Agency-- Tiers 2, 3, 4: Three Funding Reductions: If an applicant receives a qualifying score and is selected to receive TGYS grant funds, funding award amounts will NOT be reduced because of score. *Note: Although funding will not be reduced based on scores, funding may be reduced for the following reasons: • Non -allowable costs such as depreciation, international travel, or other unreasonable or unnecessary costs • TGYS budget allocation reductions by the legislature • Unreasonable budgets for the size and scope of the program TGYS SFY 24-26 RFA Information Page 3 Please be sure your budget is reasonable. Do NOT request 2-3 times the amount of funding you anticipate needing with the expectation your request will be reduced. We ask that you request an adequate but appropriate amcunt of funding for your program. TIERS Tier 1 Tier 2 Tier 3 Tier 4 Total Overall Annual Request Amount* $25,000 $25,001- $100,000 $100,001- $500,000 $500,001 $1,000,000 - Maximum Amount of Funding Allocated to Tier $500,000 (20 grants) Remaining 15% Remaining Remaining 25% 60% Single Agency Applications x x x No Multi -Agency Applications No x x x Intermediary Agency Applications No x x x Evidence Required Based/Evidence Informed Program No No No x Agencies Applying for Funding for 1 Program x x x x Agencies Applying Programs for Funding for 2-3 No x x x Prevention Specific Goals 1 1 2 3 Shared TGYS Goals 1 2 2 3 Implementation Science Training/TA Level 1** Level 2** Level 3** EB or El only Requirement Minimum Qualifying Application Score 70% 75% 80% 85% *Total programs request with per a total applicant/agency request of $125,000, for all programs. the organization For example, would if apply one applicant in Tier 3. applies for 3 **Not required/optional if program is using an evidence based or evidence informed program/curriculum or if program can demonstrate proficiency in implementation science TGYS Approaches Strengthening Families - Approach for programs providing services to children ages 0 to 8 years and their families, which is research -informed with the goals of increasing family strengths, enhancing child development, and reducing the likelihood of child abuse and neglect. It is based on engaging families, programs, and communities in building the following five protective factors: 1. Parental resilience 2. Social connections 3. Knowledge of parenting and child development 4. Concrete support in times of need TGYS SFY 24-26 RFA Information Page 4 5. Social and emotional competence of children Positive Youth Development - An intentional, pro -social approach that engages youth within their communities, schools, organizations, peer groups, and families in a manner that is productive and constructive; recognizes, utilizes, and enhances youths' strengths; and promotes positive outcomes for young people by providing opportunities, fostering positive relationships, and furnishing the support needed to build on their leadership strengths. Positive Youth Development is guided by the following five principles: 1. Strengths -based 2. Inclusive 3. Engaging youth as partners 4. Collaborative 5. Sustainable GOALS OF TGYS The TGYS Board has set goals for TGYS programs for the SFY 24-26 grant cycle (see table below). Applicants will be expected So answer questions about TGYS shared goals for the Tier for which they are applying for funds, as well as prevention area specific goals, again based on the Tier as well as their prevention area. Additionally, funded programs will be required to track outcomes for each goal through the TGYS evaluation. Example: An applicant is applying for funding for 2 programs in Tier 2. Program A is a student dropout prevention program and Program B is a youth crime and violence prevention program. The applicant will have questions about 2 shared TGYS goals for each program and 1 student dropout prevention area goal for Program A and one youth crime and violence prevention area goal for Program B. If the programs are funded, the applicant would be required to track outcomes for each of the goals as well. hype of Goals . Goals T1 T2 T3 T4. TGYS Shared Goals (ALL Prevention Areas) Increase connections to caring adults x x x x Increase connections to positive peer relationships, social networks, and social supports x x x Increase exposure to positive activities, community, and environments x SDOP Goals Promote personal and social skill development x x x x Promote Positive Youth Development (PYD) x x Improve academic performance x TGYS SFY 24-26 RFA Information Page 5 CANP Goals Increase identification of family needs and connections to appropriate services x x x x Increase family and child social and emotional skills x x Increase parent/caregiver & child/youth relationships x ATDOP Goals Promote healthy social emotional development x x x x Increase school engagement & academic performance x x Increase harm avoidance associated with ATOD x YCVP Goals Promote Positive Youth Development (PYD) x x x x Promote family environments that support healthy social emotional development x x Reduce youth exposure to violence x CONDITIONS OF FUNDING Grantee Requirements The TGYS Board may, at its discretion, rescind funding if grantees do not meet these requirements or requests for extensions or alternative options have not been made and approved by program staff. • Attend TGYS annual orientation/grantee meetings • Submit annual mid -year reports via TGYS database • Submit annual year-end report via TGYS database • Submit monthly reimbursement invoices via TGYS database • Maintain a criminal background check policy to minimally include, but not be limited to, completion of a criminal history background check and notifications of convictions that exclude candidates from hire • Participate in a minimum three-hour site visit, which will include: o Work Plan review Program observation Meeting/Interview with program staff, Executive Director, and fiscal agent (Multi- and Intermediary Agencies may have multiple site visits for Partner Agencies at the discretion of TGYS staff) o Spot check on staff and volunteer background checks Attend TGYS evaluation webinar Participate in one annual phone call with the TGYS program evaluation team Administer, through paper surveys or online, the TGYS Evaluation to all children, youth, and families receiving services through each grant funded program TOYS SFY 24-26 RFA Information Page 6 Submit completed TGYS program evaluations to the TGYS program evaluation team on a quarterly basis, when possible Administer the TGYS implementation survey to all staff or volunteers who provide direct services to children, youth, and families through each grant funded program Attend Positive Youth Development (PYD) training (for programs serving youth 9 to 24) Attend Strengthening Families online training (for programs serving children 0 to 8 and their families) Attend TGYS equity, diversity, and inclusion (EDI) trainings Have a Memorandum of Understanding (MOU) with necessary partners for providing services (i.e., school districts, etc.) prior to receiving grant award Have a Memorandum of Understanding (MOU) with each partner agency and submit upon award of funding. There is no maximum limit to the number of Partner Agencies (applies to Multi- & Intermediary Agencies only) Provide and maintain current insurance documentation that must include general liability, worker's compensation, and auto liability policies Potential Requirement: For the sole purpose of providing support to the State's internal C-Stat Strategy, grantees may be required to collect, maintain, and provide additional performance data determined by the CDHS during the grant term to measure and assess the programmatic effectiveness of the grantee's performance in support of the State's internal continuous quality improvement working towards positive outcomes and managing its performance for the betterment of all Colorado residents. Submit renewal documents (years 2 and 3) Non-discrimination Statement CDHS expects all persons who perform work on behalf of or funded by CDHS, including all employees, volunteers, and outside vendors (including subcontractors and grantees), to conduct such work in a manner consistent with this policy and applicable nondiscrimination laws. The Grantee shall agree to use such resources in a manner consistent with this policy and applicable nondiscrimination laws. Programs using TGYS funding shall not discriminate based on race, ethnic group, socio-economic status, national origin, religion, age, sex, sexual orientation*, gender identity or expression*, marital status*, familial status*, mental or physical disability, pregnancy, veteran status, or HIV status. Mandatory Reporting Maintain a mandatory reporting policy, pursuant to C.R.S. 19-3-304, requiring staff and volunteers to report known or suspected child abuse and neglect to the child abuse hotline 1 -844 -CO -4 -KIDS. Jnsurance All Single Agency and Lead Agency applicants are required to meet the State of Colorado insurance requirements and provide and maintain current insurance policy documentation in the TGYS database. Per Colorado Revised Statute § 24-102-206, all TGYS grantees, including Partner Agencies, are required to TGYS SFY 24-26 RFA Information Page 7 disclose information about where services will be performed under the contract. Upon TGYS award notification, grantees are required to upload into the TGYS database their contract certificate. Notification of Open Records Act All materials submitted regarding this grant application become the property of the State of Colorado and are subject to the terms of Colorado Revised Statutes§ 24-72-201 through § 24-72-205.5, Public (open) Records. The State of Colorado has the right to use any or all information/material presented in the grant application, subject to limitations for proprietary or confidential information. Disqualifications or denial of the application do not eliminate this right. Any additional restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself. The contents of the application will become contractual obligations if the program is funded, subject to mutual modifications in the contracting process. APPLICANT TYPES Applicant Types Applicants may only submit one grant application per agency and may only apply as one of the following three types: A. Single Agency - an eligible agency that applies for a TGYS grant independently, despite any programmatic collaboration that may exist with other service providers. Single Agencies may apply for funding for one program in Tier 1 or up to three programs in Tiers 2 and 3. Single Agency Example: • Fairfax County Youth Center The single agency administers the TOYS grant both fiscally and programmatically; handles all invoicing, reporting, and evaluation requirement for the grant; works with youth ages 12 to 14; and implements an evidence -based, life skills curriculum that has been shown to reduce youth violence and improve decision -making skills among participants. B. Multi -Agency - an eligible agency that applies for a TOYS grant as a collaborative, may apply for Tier 2, 3, or 4, and must meet ALL the following requirements: • Has an established collaborative partnership between two or more agencies for the purpose of providing community -based services. Has one Lead Agency subcontracting other agencies, which are referred to as "Partner Agencies" and must meet the criteria for Eligible Applicant (see Page 2). The Lead Agency is expected to: o Serve as the liaison to the TGYS Program as the primary contact and coordinate and submit all required TGYS reports for the Partner Agencies. o Manage and coordinate all TGYS fiscal procedures for the Partner Agencies. TGYS SFY 24-26 RFA Information Page 8 • Conduct program monitoring with Partner Agencies to ensure alignment with the TGYS Program. Coordinate TGYS-related evaluation processes with the Partner Agencies. Allocate 50% or more of the budget to the Partner Agencies. (The Lead Agency may not use more than 50% of the budget for oversight, administrative costs, and providing direct services to clients.) Have a Memorandum of Understanding (MOU) with each Partner Agency participating in the collaborative. If awarded a TGYS grant, Multi -Agency would be required to submit an MOU for each Partner Agency prior to receiving funding. There is no maximum limit to the number of Partner Agencies. Multi -Agency Example: • ABC Youth Collaborative — Lead Agency o Ben Franklin Charter School — Partner Agency o Starz Middle School — Partner Agency o Rocky Mountain Youth Academy — Partner Agency ABC Youth Collaborative oversees and coordinates the collaborative with Partner Agencies to implement the same dropout prevention program for youth ages 9 to 18 in their communities. The collaborative's goals are to increase academic skills and provide weekly interactions with positive adult role models. ABC Youth Collaborative oversees the fiscal and programmatic administration of the TGYS grant including billing, reporting, communication, program monitoring, evaluation coordination, and convening the Partner Agencies on a regular basis to share information and track performance of the collaborative. The Partner Agencies implement effective direct services, administer the TGYS evaluation, provide relevant information to the ABC Youth Collaborative, and participate in regularly scheduled collaborative meetings. None of the Partner Agencies have applied for TGYS funding as a Single Agency for this program or any other program. C. Intermediary Agency - an eligible Lead Agency that applies for a TGYS grant to promote and support evidence -based strategies or programs within other agencies, may apply for Tier 2, 3, or 4 and must meet ALL the following requirements: Interacts with local, community -based organizations as well as with state-wide or nationwide entities to effectively monitor a specific evidence -based strategy or program. Has the capacity (knowledge, skills, and resources) to provide a variety of services to local programs that implement the same specific evidence -based strategy or program. These services include: o Community preparation for program implementation Staff training on the evidence -based strategy or program Technical assistance Program monitoring o Liaison to program developer/national office Evaluation coordination Financial administration through subcontracts TGYS SFY 24-26 RFA Information Page 9 Serves as the fiscal and coordinating entity (Lead Agency) with the intent of subcontracting TGYS-related services with their community providers (Partner Agencies, which must meet the criteria for Eligible Applicant (see Page 2)). Allocates 50% or more of the budget to the Partner Agencies. (The Lead Agency may not use more than 50% of the budget for oversight, administrative costs, and providing direct services to clients.) Has an application process to identify Partner Agencies either prior to submission of the TGYS application or once notification of funding is made. Have a Memorandum of Understanding (MOU) with each Partner Agency participating in the collaborative. If awarded a TGYS grant, the Intermediary Agency would be required to submit an MOU for each Partner Agency prior to receiving funding. There is no maximum limit to the number of Partner Agencies. intermediary Agency Example: • Colorado Mentoring (part of USA Mentoring) — Lead Agency Colorado Mentoring oversees the implementation of the evidence -based Muggle Mentoring program for 20 Partner Agencies. Colorado Mentoring identifies these Partner Agencies and prepares and supports them in the execution of the Muggle Mentoring program through technical assistance, resources from the national office, annual site visits, evaluation efforts, and distribution of grant funds. None of the Partner Agencies have applied for TGYS funding as a Single Agency for this program or any other program. NOTE: Applications for Tiers 2, 3, and 4 may include funding requests for more than one program, with a maximum request of three programs. A separate Program Application and Budget are required for each program for which funds are being requested. For example, Agency XYZ may request TGYS funds in one application to support both the Happy Larks Literacy Program and the Dream Big Youth Mentoring program. However, Agency XYZ must submit an SOW and Budget for the literacy program and another SOW and Budget for the youth mentoring program. Agency XYZ may NOT submit two separate applications. If Agency XYZ applies as a single agency and is a partner agency in Agency ABC's Multi -agency application, both of those applications would be disqualified. Please Note: The two main differences between a Multi- and Intermediary Agency are: 1. A Multi -Agency does not have to use an evidence -based program, whereas an Intermediary Agency must use an evidence -based program, with monitoring program fidelity being the primary responsibility of the Lead Agency. 2. An Intermediary Lead Agency does not provide direct services, whereas a Multi -Agency Lead Agency may provide direct services. TGYS SFY 24-26 RFA Information Page 10 SELECTION PROCESS Rubric & Narrative Rubric: The SFY 24-26 Super Rubric found on the TGYS website includes a PDF of the rubric for each Tier, Agency Type, and Prevention Area. Each rubric is comprehensive and includes all application questions which will be scored and the scores for each question. NOTE: Any questions not included in the rubric will not be scored. Narrative: An optional, unscored narrative will be part of the SFY 24-26 RFA. Applicants may submit a narrative for each program for which they are applying for funding using one of four format options: Video: Maximum of 90 seconds ■ Format may be MP4 ■ iPhone or Android phone videos are acceptable (professional videography not required) Audio: Maximum of 90 seconds ■ Format may be MP3 ■ Professional recording not required Slide Deck (Written): Using PowerPoint or similar slide deck options ■ Format may be PowerPoint or PDF ■ 1 title slide with the name of the organization, name of program, and pictures ONLY ■ 3 information slides with choice of content that may include infographics, pictures, art, data, bullet points, or other relevant information One Pager (Written): Maximum 1- 8 'Ax 11" page Format may be Word or PDF Font type and size are at the discretion of applicant No margin requirements Content that may include text, infographics, pictures, art, data, bullet points, or other relevant information Submissions that exceed the above limits will NOT be included in the review of the application for that program. NO Exceptions. Narratives will NOT be scored, but instead, will be used as a supplement to the application questions to provide an overview of the program. Initial Technical Review Each application will undergo an initial technical review process whereby staff reviewers will determine if applications meet minimum requirements to move on to a comprehensive review. If an application is incomplete or does not meet the requirements of the grant outlined in the pre -application agreements, the application will be disqualified. See the Mandatory Criteria & Technical Review Rubric for details. TOYS SFY 24-26 RFA Information Page 11 Appeals • Applicants will be allowed to appeal Initial Technical Review disqualification. • Applicants will be notified of Technical Disqualification by January 3, 2023. • Appeals for Technical Review Disqualifications are due January 9, 2023 by 5:00pm MST. No exceptions or extensions will be granted. Please be sure to have someone checking your email during this week of appeals. • Specific appeal instructions will be included in the notification of disqualification. • Applicants will NOT be allowed to appeal application scores or funding amounts. Comprehensive Review Applications passing the Initial Technical Review will progress to the comprehensive review. The comprehensive review will consist of a minimum of three independent reviewers who will review and score each of their assigned applications using the scoring rubric. The application will then proceed to a team review where reviewers will reach a consensus score for each application. Reviewers will have expertise in prevention, intervention, grant making, youth development, early childhood, non-profit management, fiscal policies and procedures, and/or evaluation. Reviewers will be asked to self -identify any conflicts of interest before the process begins. A conflict of interest exists when a reviewer is employed by, volunteers for, serves on the Board of, consults with, has founded an applicant organization, or fiscally benefits from TGYS funds as a result of the award. Reviewers will not review and score those applications with which they have a conflict of interest. Minimum Qualifying Scores • Tier 1: 70% • Tier 2: 75% • Tier 3: 80% • Tier 4: 85% Priority Points The TGYS Board has determined the following areas for priority funding consideration. Applicants with qualifying scores whose applications meet the criteria listed below will receive a percentage increase to their final program score. Priority points will not be given to applicants without qualifying scores. Programs are eligible to receive priority points in all of the following areas and can receive up to 6% increases in scoring: 1. Marginalized Communities (2%): Applicant's mission or vision statement must include a reference to one of the seven marginalized communities listed below, or the applicant's program must use curriculum specifically designed for one of the seven marginalized communities listed below. TGYS SFY 24-26 RFA Information Page 12 a. Immigrants, Refugees, and Migrants b. Young People who Identify as LGBTQ+ and/or Gender Non -conforming c. Young People Involved with the Juvenile Justice System d. Young People who are Experiencing Homelessness e. Children & Youth in Foster Care f. Children & Youth who Identify as BIPOC g. Children & Youth from a Lower Socioeconomic Status 2. Organizations Striving to be Representative of the Populations Above (2%) 3. Rural & Frontier Counties and Tribes (2%): A minimum of 20% of the children/youth and families being served by an applicant's program must be from rural and frontier counties and/or tribes. R nl All program applications will receive a comprehensive review score. That score must meet the minimum qualifying score for the Tier in which the program applies, see above. This comprehensive review score becomes the base score for the program. A final score is then tallied using the qualifying base score plus any priority points received. Programs will be ranked from highest to lowest based on the final score. A list of qualified program applications and their final scores will be presented to the TGYS Board for review, and funding decisions will be made based on availability of funds through the annual appropriation made by the Colorado General Assembly. Determination of Funding Amounts The TGYS Board strives to strike a balance across TGYS grantee recipients state-wide, with no single organization receiving more than 10% of the overall TGYS budget. The TGYS Board will make award decisions based upon the final overall score for the program, TGYS Board funding amounts for each tier and prevention area, statute requirements, and other geographic and funding priorities. The TGYS Board will NOT reduce funding based on application scores. Final Approval Final approval of all TGYS grantees is made by the Governor. Important Links TGYS RFA Application Site TGYS SFY24-26 RFA Question Submission Form TGYS Contact Email: cdhs tgysprogramPstate.co.us TGYS Website: https://cdhs.colorado.gov/tong-grampsas-youth-services-program TGYS SFY 24-26 RFA Information Page 13 TGYS Application Page: EE LEMLir __1nnnnnn nnnnnnnnnnnn ❑ Save my progress and resume later I Resume a previously saved form Pre -Application Agreements *Please note: This page runs slowly is due to the page's conditions. Every time a condition is changed/a box is checked, everything is re-evaluated since one selection can depend on another. So it takes time to process the first conditional, and then evaluate again and again with each change. Please do not click the Submit button until all selections are made and boxes are checked on this page. — Eligible Applicant Eligible applicant is any entity, as defined by C.R.S. 26-6.8- 101(2), that is "a local government, a Colorado public or not -for- profit school, a group of public or not -for-profit schools, a school district or group of school districts, a board of cooperative services, an institution of higher education, the Colorado National Guard, or a private nonprofit or not -for-profit community -based organization" are eligible to apply for a TGYS grant. Select your entity's type: * Local Government — Eligible Uses of Funding The TGYS award CAN be used to: • Fund programs that address factors at the individual, relationship, and community level of the socio-ecological model • Fund prevention and intervention services for youth crime and violence, child abuse and neglect, youth alcohol, tobacco, and other drug (ATOD) use, and student dropout (C.R.S. § 26-6.8- 102(b)) • Implement new direct -service programs or continue, enhance', or expand existing direct -service programs • Fund reasonable operating and administrative expenses (e.g. database or financial software, fiscal staff, etc.) that directly support TGYS funded programs • Support program evaluation activities (budget may include 5% for evaluation or $10,000, whichever is lower, per program) • Fund programs that provide screenings or assessments and referrals if there are post surveying measures or outcomes that can evaluate effectiveness. * By clicking here, you acknowledge you have read the Eligible Uses of Funding and agree to abide by these criteria. — Ineligible Uses of Funding The TGYS award cannot be used to: • Fund programs that address factors at the organizational and societal level of the socio-ecological model. • Support treatment programs such as residential or inpatient mental health treatment. • Support childcare slots or student scholarships. • Engage in inherently religious activities including but not limited to worship, religious instruction, or proselytization as a part of the programs or services provided pursuant to this application. • Support programs or strategies thorough research has already proven ineffective or harmful. • Fund train the trainer model programs. • Fund one time events and activities that are not in conjunction with ongoing programs. • Apply as both a single agency and as part of a multi or intermediary agency. Do you agree that funding will not be used for any of the above ineligible uses of funding? Yes — Duration of Grant Funding The TGYS grant cycle is three years, pending availability of funds. Each year a non-competitive renewal application and contract renewal process is required. Funding availability is contingent upon the annual legislative appropriation. Grant funds cannot roll from year to year. e2 By clicking here, you acknowledge funding is dependent upon annual legislative appropriation. — Minimum/Maximum Funding Request • Minimum/Maximum Funding Request Tier 1: $25,000 for only one program. • Minimum Funding Request Tiers 2-4: $25,000 per program for up to three programs. • Maximum Total Funding Request: Maximum Total Funding Request for up to three programs is $500,000 for a Single Agency and $1,000,000 for a Multi or Intermediary Agency. • Maximum Grant Award: No single grantee or organization can receive more than 10% of the TGYS annual budget. • Maximum Number of Programs: An agency may apply for funding for up to three programs. Es By clicking here, you acknowledge that you understand the funding limitations. Tool Tip: Example: If the TGYS budget is $5 million, no one organization can receive more than $750,000 total grant funding. If the TGYS budget is $10 million, no one organization can receive more than $1 million total grant funding because maximum funding for any one intermediary agency is $1 million. — Grantee Requirements • Attend TGYS annual orientation/grantee meetings . Submit annual mid -year reports via TGYS database • Submit annual year-end report via TGYS database • Submit monthly reimbursement invoices via TGYS database • Maintain a criminal background check policy to minimally include, but not be limited to, completion of a criminal history background check and notifications of convictions that exclude candidates from hire. • Participate in minimum three hour site visit which will include: • Work Plan review • Program observation • Meeting/Interview with program staff, Executive Director, and fiscal agent. Multi- and Intermediary Agencies may have multiple site visits for partner agencies at the discretion of TGYS staff • Spot check on staff and volunteer background checks • Attend TGYS evaluation webinar • Participate in one annual phone call with the TGYS program evaluation team • Administer through paper surveys or online the TGYS program evaluation to all children, youth, and families receiving services through the grant funded program • Submit completed TGYS program evaluations to the TGYS program evaluation team on a quarterly basis, when possible Administer the TGYS implementation survey to all staff or volunteers who provide direct services to children, youth and families through the grant funded program • Administer the TGYS implementation survey to all staff or volunteers who provide direct services to children, youth and families through the grant funded program • Attend Positive Youth Development training (for programs serving youth 9 to 24) • Attend Strengthening Families online training (for programs serving children 0 to 8 and their families) • Have a Memorandum of Understanding (MOU) with necessary partners for providing services (i.e., school districts, etc.) to be provided prior to receiving grant award • Have a Memorandum of Understanding (MOU) with each partner agency and submit upon award of funding. There is no maximum limit to number of partner agencies. (Applies to Multi & Intermediary Agencies only) • Submit renewal documents (years 2 and 3) • Provide and maintain required insurance and submit current insurance documents that must include general liability, worker's compensation, and auto liability policies. • Potential Requirement: For the sole purpose of providing support to the State's internal C-Stat Strategy, grantees may be required to collect, maintain, and provide additional performance data determined by the Colorado Department of Human Services (CDHS) during the grant term to measure and assess the programmatic effectiveness of the grantee's performance in support of the State's internal continuous quality improvement working towards positive outcomes and managing its performance for the betterment of all Colorado residents. • Submit renewal documents (years 2 and 3) By clicking here, you acknowledge that you have read and agree to the Grantee Requirements. — Non -Discrimination Statement CDHS expects all persons who perform work on behalf of or funded by CDHS, including all employees, volunteers, and outside vendors (including subcontractors and grantees), to conduct such work in a manner consistent with this policy and applicable nondiscrimination laws. The Grantee shall agree to use such resources in a manner consistent with this policy and applicable nondiscrimination laws. Programs using TGYS funding shall not discriminate based on race, ethnic group, socio-economic status, national origin, religion, age, sex, sexual orientation*, gender identity or expression*, marital status*, familial status*, mental or physical disability, pregnancy, veteran status, or HIV status. * ea By clicking here, you acknowledge that you have read and agree to the Non-discrimination Statement. *see Definitions Page for more information — Mandatory Reporting Maintain a mandatory reporting policy requiring staff and volunteers to report known or suspected child abuse and neglect to the child abuse hotline. 1 -844 -CO -4 -KIDS. O By clicking here, you acknowledge that you have read and agree to the Mandatory Reporting Policy. Notification of Open Records Act Notification of Colorado Open Records Act (CORA): All materials submitted regarding this grant application become the property of the State of Colorado and is subject to the terms of Colorado Revised Statutes § 24-72-201 through § 24-72-205.5, Public (open) Records. The State of Colorado has the right to use any or all information/material presented in the grant application, subject to limitations for proprietary or confidential information. Disqualifications or denial of the application does not eliminate this right. Any additional restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself. The contents of the application will become contractual obligations if the project is funded, subject to mutual modifications in the contracting process. in By clirkind here. you arknowledon any infnrmatinn si.ihmitterl in this grant application is subject to CORA. - Secretary of State Registration Grantees who receive a TGYS grant must be registered with the Secretary of State to operate in Colorado. By clicking here, you acknowledge that your organization is registered with the Colorado Secretary of State or is a government entity not required to register with the Colorado Secretary of State. — Federal SAM Per CDHS procurement rules, grantees who receive a TGYS grant must be registered with the Federal System for Award Management (SAM) regardless of whether they are or are not receiving federal funding.* cg By clicking here, you acknowledge that your organization is registered with the Federal System for Award Management. Deadline for Submission Complete applications must be submitted by the deadline, 5:00 pm MST on Friday, December 9, 2022. There will be NO. exceptions for technical difficulties on the part of the applicant. 51 By clicking here, you acknowledge that you have read and agree to the Deadline for Submission. — Appeals Process Applicants will be notified of technical disqualification via email the week of January 3, 2023 and will be allowed to file an appeal within 4 business days of notification. Details on the appeals process will be provided in the technical disqualification email. Applicants may NOT appeal scores or funding decisions. By clicking here, you acknowledge that you have read and agree to the Appeals Process. Save my progress and resume later I Resume a previously saved form GRANT APPLICATION FOR TONY GRAMPSAS YOUTH SERVICES PROGRAM FOR 2024-2026 AROVED AS TO S TANCE: Official, Department Head, or Deputy Department Head APPROVED AS TO FUNDING: Chief Financial Officer APPROVED AS TO FORM: County Attorney 35-7-7 Houstan Aragon From: Sent: To: Cc: Subject: Attachments: Hi Houstan, Alison Pegg Monday, November 21, 2022 11:36 AM CTB HS -Contract Management PA and documents for Tony Grampsas Application - New Business Item Approved PA - FR Tony Grampsas Grant (Not in CMS).pdf; #2 - TGYS SFY 24-26 RFA Information Page.pdf; TGYS Grant Application Page 2.pdf Thank you to both you and Esther for talking through how this Tony Grampsas Youth Services (TGYS) SFY 24-26 Request for Application (RFA) would be processed as a New Business item. The attached PA has been approved by the BoCC which delegates authority to sign and submit the application to the Family Resources Division Head via the "FormAssembly" platform. As mentioned on the call, this application will need to be submitted by December 9th so the latest date we could have this on the BoCC Agenda is December 7th. As we discussed, the application platform is a multi -page webpage that populates different information as selections are made. To hopefully help with any information you may need to draft the Reso, I have attached an "RFA information page" the State has provided to applicants. Additionally, I have attached page 2 of the application itself, but most of the information in that page 2 seems to be covered in the "RFA information page". Also to briefly recap what we discussed on the phone. First, this Pass Around will be used to get this as a New Business item on the BoCC Agenda, our team will not be routing anything in CMS. Second, as a follow-up, after we have submitted the application, we will submit to CTB what we can of the application. This may be screenshots or hopefully it will be a document with the entire submission. Finally, in the coming months once we receive notice of award or non - award, we will be sure to send a Communication Item to CTB indicating the results of the application. I hope this PA and additional documents are sufficient. Please let me know if you need anything else. I appreciate all of your help getting this item processed. I apologize in the delay in getting the PA to you. Our team had been discussing how this item should be processed and we realized today that it really did need to be a New Business item. Thanks again for your help! Alison Pegg Contract Management and Compliance Coordinator Weld County Dept. of Human Services 315 N. 11th Ave., Bldg A PO Box A Greeley, CO 80632 '2(970) 400-6603 Contract Management Extension: 6556 8 (970) 353-5212 apegg@weldgov.com E -Signature Endorsement Record Record Generated At: 2022-12-09 22:51:02 (UTC) IP Address: 204.133.39.9 Endorsed Response (Page 1 /28) Tony Grampsas Youth Services (TGYS) SFY 24-26 Request for Application (RFA) Thank you for your interest in applying for TGYS grant funds. For access to all of the following documents, visit the SFY 24-26 page on the TGYS website: • RFA Information Page: contains all of the necessary information about the TGYS grant and application. Be sure to read the entire document before applying. • TGYS Tiers and Goals at a Glance: a table of information with the breakdown of four tiers and goals for each tier. • RFA Timeline: the full timeline and important dates. • RFA Definitions Page • RFA Rubrics: not all questions in the application will be scored. Please refer to the RFA Rubrics to see all questions that will be scored, along with their conesponding point values. • RFA Example Applications • RFA Webinars Questions about the RFA may be submitted using the TGYS RFA Question Form • Questions must be submitted by noon on Thursdays • Answers will be posted to the TGYS website every Friday: TGYS Website • The last day to submit questions is December 1, 2022 at noon Application closes Friday, December 9, 2022 at 5:00 pm MST Pre -Application Agreements (Page 2 /28) 'Please note: This page runs slowly is due to the page's conditions. Every time a condition is changed/a box is checked, everything is re- evaluated since one selection can depend on another. So it takes time to process the first conditional, and then evaluate again and again with each change. Please do not click the Submit button until all selections are made and boxes are checked on this page. r Eligible Applicant Eligible applicant is any entity, as defined by C.R.S. 26-6.8-101(2), that is "a local government, a Colorado public or not -for- profit school, a group of public or not -for-profit schools, a school district or group of school districts, a board of cooperative services, an institution of higher education, the Colorado National Guard, or a private nonprofit or not -for-profit community - based organization" are eligible to apply for a TGYS grant. Select your entity's type: Local Government -Eligible Uses of Funding The TGYS award CAN be used to: • Fund programs that address factors at the individual, relationship, and community level of the socio-ecological model. Fund prevention and intervention services for youth crime and violence, child abuse and neglect, youth alcohol, tobacco, and other drug (ATOD) use, and student dropout (C.R.S. § 26-6.8-102(b))• Implement new direct - service programs or continue, enhance, or expand existing direct -service programs- Fund reasonable operating and administrative expenses (e.g. database or financial software, fiscal staff, etc.) that directly support TGYS funded programs. Support program evaluation activities (budget may include 5% for evaluation or $10,000, whichever is lower, per program). Fund programs that provide screenings or assessments and referrals if there are post surveying measures or outcomes that can evaluate effectiveness. - By clicking here, you acknowledge you have read the Eligible Uses of Funding and agree to abide by these criteria. -Ineligible Uses of Funding The TGYS award cannot be used to: • Fund programs that address factors at the organizational and societal level of the socio- ecological model. • Support treatment programs such as residential or inpatient mental health treatment. • Support childcare slots or student scholarships. • Engage in inherently religious activities including but not limited to worship, religious instruction, or proselytization as a part of the programs or services provided pursuant to this application. • Support programs or strategies thorough research has already proven ineffective or harmful. • Fund train the trainer model programs. • Fund one time events and activities that are not in conjunction with ongoing programs. • Apply as both a single agency and as part of a multi or intermediary agency. Do you agree that funding will not be used for any of the above ineligible uses of funding? Yes —Duration of Grant Funding The TGYS grant cycle is three years, pending availability of funds. Each year a non-competitive renewal application and contract renewal process is required. Funding availability is contingent upon the annual legislative appropriation. Grant funds cannot roll from year to year - By clicking here, you acknowledge funding is dependent upon annual legislative appropriation. Minimum/Maximum Funding Request • Minimum/Maximum Funding Request Tier 1: S25,000 for only one program. • Minimum Funding Request Tiers 2-4: $25,000 per program for up to three programs. • Maximum Total Funding Request: Maximum Total Funding Request for up to three programs is $500,000 fora Single Agency and $1,000,000 for a Multi or Intermediary Agency. • Maximum Grant Award: No single grantee or organization can receive more than 10% of the TGYS annual budget. • Maximum Number of Programs: An agency may apply for funding for up to three programs. - By clicking here, you acknowledge that you understand the funding limitations. -Grantee Requirements • Attend TGYS annual orientation/grantee meetings. Submit annual mid -year reports via TGYS database- Submit annual year- end report via TGYS database. Submit monthly reimbursement invoices via TGYS database. Maintain a criminal background check policy to minimally include, but not be limited to, completion of a criminal history background check and notifications of convictions that exclude candidates from hire. • Participate in minimum three hour site visit which will include: • Work Plan review. Program observation. Meeting/Interview with program staff, Executive Director, and fiscal agent. Multi- and Intermediary Agencies may have multiple site visits for partner agencies at the discretion of TGYS staff. • Spot check on staff and volunteer background checks. Attend TGYS evaluation webinar• Participate in one annual phone call with the TGYS program evaluation team Administer through paper surveys or online the TGYS program evaluation to all children, youth, and families receiving services through the grant funded program• Submit completed TGYS program evaluations to the TGYS program evaluation team on a quarterly basis, when possible Administer the TGYS implementation survey to all staff or volunteers who provide direct services to children, youth and families through the grant funded program Administer the TGYS implementation survey to all staff or volunteers who provide direct services to children, youth and families through the grant funded program. Attend Positive Youth Development training (for programs serving youth 9 to 24)• Attend Strengthening Families online training (for programs serving children 0 to 8 and their families). Have a Memorandum of Understanding (MOU) with necessary partners for providing services (i.e., school districts, etc.) to be provided prior to receiving grant award. Have a Memorandum of Understanding (MOU) with each partner agency and submit upon award of funding. There is no maximum limit to number of partner agencies. (Applies to Multi & Intermediary Agencies only) • Submit renewal documents (years 2 and 3)• Provide and maintain required insurance and submit current insurance documents that must include general liability, worker's compensation, and auto liability policies. • Potential Requirement: For the sole purpose of providing support to the State's internal C-Stat Strategy, grantees may be required to collect, maintain, and provide additional performance data determined by the Colorado Department of Human Services (CDHS) during the grant term to measure and assess the programmatic effectiveness of the grantee's performance in support of the State's internal continuous quality improvement working towards positive outcomes and managing its performance for the betterment of all Colorado residents. • Submit renewal documents (years 2 and 3) - By clicking here, you acknowledge that you have read and agree to the Grantee Requirements. —Non-Discrimination Statement CDHS expects all persons who perform work on behalf of or funded by CDHS, including all employees, volunteers, and outside vendors (including subcontractors and grantees), to conduct such work in a manner consistent with this policy and applicable nondiscrimination laws. The Grantee shall agree to use such resources in a manner consistent with this policy and applicable nondiscrimination laws. Programs using TGYS funding shall not discriminate based on race, ethnic group, socio- economic status, national origin, religion, age, sex, sexual orientation*, gender identity or expression*, marital status*, familial status*, mental or physical disability, pregnancy, veteran status, or HIV status. - By clicking here, you acknowledge that you have read and agree to the Non-discrimination Statement. -Mandatory Reporting Maintain a mandatory reporting policy requiring staff and volunteers to report known or suspected child abuse and neglect to the child abuse hotline. 1 -844 -CO -4 -KIDS. - By clicking here, you acknowledge that you have read and agree to the Mandatory Reporting Policy. —Notification of Open Records Act Notification of Colorado Open Records Act (CORA): All materials submitted regarding this grant application become the property of the State of Colorado and is subject to the terms of Colorado Revised Statutes § 24-72-201 through § 24-72-205.5, Public (open) Records. The State of Colorado has the right to use any or all information/material presented in the grant application, subject to limitations for proprietary or confidential information. Disqualifications or denial of the application does not eliminate this right. Any additional restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself. The contents of the application will become contractual obligations if the project is funded, subject to mutual modifications in the contracting process. - By clicking here, you acknowledge any information submitted in this grant application is subject to CORA. '-Secretary of State Registration Grantees who receive a TGYS grant must be registered with the Secretary of State to operate in Colorado. - By clicking here, you acknowledge that your organization is registered with the Colorado Secretary of State or is a government entity not required to register with the Colorado Secretary of State. —..Federal SAM Per CDHS procurement rules, grantees who receive a TGYS grant must be registered with the Federal System for Award Management (SAM) regardless of whether they are or arc not receiving federal funding. - By clicking here, you acknowledge that your organization is registered with the Federal System for Award Management. [Deadline for Submission Complete applications must be submitted by the deadline, 5:00 pm MST on Friday, December 9, 2022. There will be NO exceptions for technical difficulties on the part of the applicant. - By clicking here, you acknowledge that you have read and agree to the Deadline for Submission. —Appeals Process Applicants will be notified of technical disqualification via email the week of January 3, 2023 and will be allowed to file an appeal within 4 business days of notification. Details on the appeals process will be provided in the technical disqualification email. Applicants may NOT appeal scores or funding decisions. - By clicking here, you acknowledge that you have read and agree to the Appeals Process. (Page 4 /28) Choose Tier Tier 1 Tier 2 Tier 3 Tier 4 Total Overall Annual Request Amount* S25,000 S25,001 - S100,000 S100,001 - S500,000 S500,001 - S1,000,000 Maximum Amount of Funding Allocated to Tier 5500,000 (20 grants) Remaining 15:: Remaining 60=: Single Agency Applications Remaining 25% Multi Agency Applications Intermediary Agency Applications Evidence Based/Evidence Informed Program Required Agencies Applying for Funding for 1 Program Agencies Applying for Funding for 2-3 Programs 1 Prevention Specific Goals Shared TGYS Goals Implementation Science Training/TA Requirement Minimum Qualifying Application Score 1 Level 1't 70% 2 Level 2t4 75: 2 Le` et 80:: EB or El only 85% *Total request per applicantiagency for all programs. For example. if one applicant applies for 3 programs with a total request o $125.000. the organization would apply in Tier 3. *vNot required/optional if program is using an evidence based or evenide informed program/curriculum or if program can demonstrate proficiency in implementation science Please select the Tier Tier 3 Agency Information (Page 6 /28) Organizational Legal Name County of Weld DBA Weld County Department of Human Services Phone 9704004000 Website www.weld.gov Fouling Auuress Billing Street 1150 O Street E Billing City Greeley f Billing State IColorado I Billing Zip/Postal code 80632 ;-Shipping Address Shipping Street I PO Box A Shipping City Greeley Shipping State t Colorado Shipping Zip/Postal code 80631 sExecutive Director/CEO Name Phone I Julie Witkowski 9704006777 E Email Ext I witkowjx@weld.goy r -Fiscal Contact Name Phone Tammy Maurer 9704006533 Email Ext maurertk@weld.gQ -Evaluation Contact Name Phone Julie Witkowski 9704006777 Email Ext ui1kowix@weld,goy Agency Level (Page 7 /28) -Organizational Policies & Procedures Provide your organization's Mission Engaging and partnering with the community to improve the safety, health and well-being of individuals and families through the delivery of responsive and collaborative services. Provide your organization's Vision The people of Weld County are connected to the resources needed to thrive in the community and feel safe and empowered. Does your organization have a non-discrimination policy or statement? Yes If yes, please provide and explain how your organization ensures this policy is adhered to. Annual employee evaluations include performance measures on demonstration of respect and participation in required diversity and respect training. Employee evaluations also include feedback from peers, other professionals, and clients. Do you reimburse staff for mileage at the state or federal rate? Other How do you ensure pay equity and staff are being paid a livable wage? How does your organizations strive to be representative any or all of the following How do you ensure populations:a) Immigrants, Refugees, and staff are valued and Migrants;b) Young People who Identify as respected in your LGBTQ+ and/or Gender Non-Conforming;c) List your agency's organization? Young People Involved with the Juvenile Justice policies and Describe ways in How many System;d) Young People who are Experiencing procedures for which you support years has Homelessness;e) Children & Youth in Foster addressing employee well- your agency Care;f) Children & Youth who Identify as secondary trauma being? (flex been in BIPOC; and/org) Children & Youth from a and promoting self- time/flex place existence? Lower Socioeconomic StatusConsider your care. options, staff recruitment policies, accessibility with regards to development & materials and processes, engagement of training, staff stakeholders in hiring staff and recruiting benefits, etc.) volunteers, etc. WCDHS' workforce includes representatives from immigrant & refugee populations, LGBTQ+, Gender Non -Conforming, BIPOC, & people with lived experience navigating homelessness, food insecurity, & foster care. Employees participate in annual Workplace WCDHS offers a Telework & flex Respect trainings & participate in trainings that monthly HR reviews the wage teach how to implement best practices in human Compassion schedules are scale, conducting available. A robust market studies w— services for diverse populations. Employees at all Fatigue Group & benefits package levels of the organization have regular hosts a weekly Weld County comparable public includes health, opportunities to develop leadership skills & virtual self -care was one of employers.The dental & vision influence the workplace through their forum titled the 17 BOCC approves cost in work rou s & committees, "Wellness insurance as well as counties of living raises on a participation g p an employee health ensuring diverse representation in all aspects of Wednesday". established regular basis.Equity WCDHS. Weld County's diverse constituency Employees have clinic, wellness by the first is maintained by includes immigrants, refugees, & migrants & access to a variety campaigns & territorial ensuring all retirement WCDHS has human service programs targeted to of wellness legislature in applicants wha are address their needs & help these community trainings as well as packages. 1861. considered for each Employees position meet stated members in their native languages. Youth free yoga, rec participate in at requirements. involved with Juvenile Justice arc served by center passes, least 20 hours of WCDHS' programs which provide intentional & wellness coaches & annual training. thoughtful support to people who are or have EAP benefits. been in foster care, identify as BIPOC, LGBTQ+, Gender Non -Conforming, experience homelessness, &are from a lower socio-economic status. Hiring practices include a panel interview with diverse internal and external stakeholders. How many total Full Time How many total Full Time Equivalent (FTE) do you anticipate will be on the TGYS program(s) Equivalent (FTE) are for which you are applying for funds? If fewer than 5 total FTE, please explain how you intend to currently in your agency? complete administrative requirements such as time keeping, invoices, mid -year and end year reports, and who will be completing these tasks. WCDHS currently employs WCDHS Wraparound has four full-time Wraparound Facilitators & one full-time Wraparound 481 individuals, 38 of whom Supervisor. The Supervisor along with the Family Resource Division Head & fiscal team will are within the FRD. complete tasks such as time keeping, invoices, and required reports. --Background c Staff Volunteers Board Members Others Yes Yes No No —Staff _ Type of Background Check (e.g. CBI) Frequency (e.g. annually) Fingerprinting must be completed by all WCDHS employees who work with at risk adults and/or children. This includes CBI & FBI checks and results are flagged for future arrests or convictions. In addition, TRAILS and public assistance fraud checks are completed. While employed at WCDHS, employees who are fingerprinted will continue to be monitored for criminal activity. WCDHS is notified by CBI if there is any criminal activity during employment. List Type of Position (e.g. all, direct service staff, contract facilitator) Direct Service Staff and leadership for all programs serving at children and/or at -risk adults. Volunteers Type of Background Check (e.g. CBI) Frequency (e.g. annually) Fingerprinting must be completed by all WCDHS While working with WCDHS, interns/volunteer who work with at risk adults and interns/volunteers who are fingerprinted will children. This includes CBI & FBI checks and results continue to be monitored for criminal activity. are flagged for future arrests or convictions. In WCDHS is notified by CBI if there is any addition, TRAILS and public assistance fraud checks criminal activity during involvement with the are completed. organization. List Type of Position (e.g. all, direct service staff, contract facilitator) Interns and volunteers who work with children and/or at -risk adults. If you indicated that you do not conduct background checks for staff, board members, or volunteers, please explain. Weld County Board of County Commissioners are elected officials. Program 1 Acronyms & Citations (Page 9 /28) List each acronym and/or citation used in Program 1 & provide a definition/citation. Examples: • TGYS = Tony Grampsas Youth Services • 1= https://cdhs.colorado.gov/tony-grampsas-youth-services-program 1 Acronym/Citation Definition The transitions assets scale helps the Wraparound Facilitator determine strengths and needs and serves as Assets Inventory information to support planning to help each family gain needed transition assets. 1. , Acronym/Citation Definition 1 BOCC Board of County Commissioners Acronym/Citation Definition CANS The Child and Adolescent Needs and Strengths tool [ Citation: https://praedfoundation.org/tcom/tcom-tools/the-child-and-adolescent-needs-and-strengths-cans/ Acronym/Citation Definition { CCB Community Centered Board Citation: https://hcpf.colorado.gov/community-centered-boards Acronym/Citation Definition CES Children's Extensive Support https://hcp£colorado.gov/children-extensive-support-waiver- ces#:—:text=A%20waiver%20is%20an%20extra,some%20programs%20may%20have%20waitlists zAcronym/Citation Definition CFT Child & Family Team I i Acronym/Citation Definition s CFTM Child & Family Team Meeting : k Acronym/Citation Definition Children's Habilitation Residential Program https://hcpf.colorado.gov/childrens-habilitation-residential-program- 1 CHRP waiver- chrp#:--: text=The%20Chi ldren's%20Habilitation%20Residential%20Program,out%2Dof%2Dhome%20placement 1 Acronym/Citation Definition COACT Colorado is a system of care for children and youth with behavioral health challenges and their COACT families. This collaborative approach brings professionals and natural supports together, creating effective and efficient solutions for families who have complex needs and are involved in multiple systems. l Acronym/Citation Definition Colorado Wraparound Fidelity published, and collected by COACT; https://sites.google.com/state.co.us/coact- Tool intemal/home/hfw) f Acronym/Citation Definition CPP Crisis Prevention Plan i F Acronym/Citation Definition 1 CSTI Colorado Cross -Systems Training Institute Acronym/Citation Definition FRD Family Resource Division https://www.weld.gov/Government/Departments/Human-Services/Family- Resource , Acronym/Citation Definition HEW High -Fidelity Wraparound Acronym/Citation Definition IDD Intellectual or Developmental Disability https://hcpf.colorado.gov/individuals-with-intellectual- developmental-disabi lities-services-supports Acronym/Citation Definition LCSW Licensed Clinical Social Worker Acronym/Citation Definition RAE Regional Accountable Entity https://hcpf.colorado.gov/accphase2 Acronym/Citation Definition SOAR SSI/SSDI Outreach, Access, and Recovery https://soarworks.samhsa.gov/states/colorado Acronym/Citation Definition TANF Temporary Assistance for Needy Families https://www.hhs.gov/answers/programs-for-families-and- ch ildren/what-is-tanf/i ndex.html Acronym/Citation Definition WCDHS Weld County Department of Human Services https://www.weld.gov/Government/Departments/Human- Services Acronym/Citation Definition WCDHS Wraparound Weld County Department of Human Services' High -Fidelity Wraparound Program Acronym/Citation Definition WCDPHE Weld County Department of Public Health & Environment Application - Program 1 (Page 10 /28) Program Information Please Note: Questions must have written answers. Weblinks will not be considered completed answers and may be grounds for disqualification. Program Name Weld County Department of Human Services' Wraparound Program (WCDHS Wraparound) Funding Amount Requested for this ProgramThe minimum request amount per program is S25,000. (Minimum total request for all programs for this tier is $100,001 and maximum total request amount for all programs for this tier is $500,000) 500000 7 Program Contact Name Phone Rachel Wisdom -Vidal, LCSW 9704006765 Email Ext wisdomre@weldgov.com Provide a short description of your program (2-3 sentences to be used for TGYS website and social media). WCDHS Wraparound engages families who have a child or youth with mental/behavioral health needs who is involved with more than one `system'. Wraparound develops a team of individuals who are committed to supporting the child/youth & their family. Facilitators lead the development of a family centered, strengths -based and culturally relevant individualized plan. Teams meet frequently to check -in and hold participants accountable for agreed upon action steps. Together the team monitors and updates the plan to ensure it addresses child/youth and family needs as well as any system requirements (including court orders). Facilitators ensure the child/youth and their family develop skills to advocate for themselves, navigate systems, plan for the future, and access relevant supports and services. Do you use a specific curriculum for this program? Yes If yes, list the curriculum name. WCDHS Wraparound uses the High -Fidelity Wraparound curriculum developed by the Colorado Cross -Systems Training Institute for guidelines and credentialing. Citation: https://learn.coloradocsti.org/mod/page/view.php?id-518 Select your primary outcome for this program. Child Abuse & Neglect Prevention Are you a mentoring program that meets statue, C.R.S. 26-26.8-104 and agree to adhere to evidence -informed standards of practice and provide proof that your program is in compliance with those standards? No 1. Explain your selection for primary outcome for this program. Be sure to address how this is included in your mission, vision, goals and/or curriculum. (5 Points) Through participation in Wraparound, children who are at -risk of child abuse & neglect experience increased connections to caring adults, positive peer relationships & social supports. Wraparound is governed by 10 guiding principles: Family Voice & Choice, Team Based, Natural Supports, Collaboration, Community Based, Culturally Competent, Individualized, Strengths Based, Persistence (unconditional care) & Outcomes Driven. The Wraparound process encourages enviromnents which support healthy social & emotional development. As the Facilitator engages the family, opportunities to increase their connections to services & access positive activities are identified & pursued. Experiencing the self -efficacy associated with successfully preventing & managing crises, achieving family vision & meeting defined outcomes increases family buy -in which in turn reflects improvement in child/youth social and emotional skills, positive relationships, permanent connections, & positive youth development. Select the level of prevention for this program. TGYS does not fund treatment programs. Intervention Select the framework, from the socioecological model, used for this program. TGYS does not fund programs at the organizational or societal level. Relationship Define your population's primary age range. Select all that apply. - 6-8 - 9-13 - 14-18 - 19-24 -Identified Population Complete the chart identifying the total numbers of unduplicated participants projected to be served. If you do not currently track this information, please provide your best estimate. Your grant score is not dependent on the accuracy of the information provided here. However, if awarded a TOYS grant, you will be expected to track this demographic information throughout the three-year grant cycle. *If included in "Hispanic/Latinx," do not include in any other race category Projected #s to be served - White - Black - Hispanic/Latinx - Asian/Pacific Islander/Native Hawaiian - Native American/ Alaska Native - Two or More Races - Middle Eastern/North African White Children (0-8) - Male 8 Children (0-8) - Female 8 Children (0-8) - Other Youth (9-18)- Male 19 Youth (9-18)- Female 19 Youth (9-18)- Other 19 Young Adults (19-24) - Male 3 Young Adults (19-24) - Female 3 Young Adults (19-24) - Other 3 Parents/Guardians 56 Mentors(Mentoring Grantees Only) Other Community Members —tstacx Children (0-8) - Male Children (0-8) - Female Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians 2 1 8 Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) 2 Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members l 1 Hispanic/Latinx Children (0-8) - Male 7 Children (0-8) - Female 7 Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians 15 3 44 Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) 15 3 Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members 15 2 Asian/Pacific IslandcrrNative Ilawaiian Children (0-8) - Male Children (0-8) - Female Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members Native American' Alaska Native Children (0-8) - Male Children (0-8) - Female Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians 6 Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) 2 Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members 1 1 'TWO or MO, R., Children (0-8) - Male 'Children (0-8) - Female it Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians 2 8 Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) 2 Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members !1 1 Middle Eastern/North African Children (0-8) - Male Children (0-8) - Female Children (0-8) - Other Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members Totals I Children (0-8) - Male 18 Children (0-8) - Female 18 Children (0-8) - Other 0 Youth (9-18)- Male Young Adults (19-24) - Male Parents/Guardians 39 9 122 Youth (9-18)- Female Young Adults (19-24) - Female Mentors(Mentoring Grantees Only) 40 9 0 Youth (9-18)- Other Young Adults (19-24) - Other Other Community Members 37 8 0 TOTAL for Identified Population 300 —Geographic Area Complete the chart identifying the total number of unduplicated participants projected to be served by each geographic region for which TGYS funding is being requested. *Please note the total indicated in this chart should match the total indicated in the previous "Identified Population" table. County Name: Adams Alamosa Arapahoe Archuleta Baca Bent Boulder Broomfield Chaffee Cheyenne Clear Creek Conejos Costilla Crowley Custer Delta Denver Dolores Douglas Eagle El Paso Elbert Fremont Garfield Gilpin Grand Gunnison Hinsdale Huerfano Jackson Jefferson Kiowa Kit Carson La Plata Lake Larimer Las Animas Lincoln Logan Mesa Mineral Moffat Montezuma Montrose Morgan Otero #s to be served: Ouray Park Phillips Pitkin Prowers Pueblo Rio Blanco Rio Grande Routt Saguache San Juan San Miguel Sedgwick Summit Teller Washington Weld 300 Yuma Southern Ute Ute Mountain Ute Total Edit this text 300 2. Describe the identified population served by this program and your agency's success with this population. (5 Points) The population to be served include children/youth with complex mental/behavioral health needs, including individuals with IDD, aggression & criminal justice involvement. FRD, in partnership with Employment Services & Child Welfare work with these underserved & vulnerable populations throughout the community & across WCDHS to empower, improve well-being & reduce isolation. Oftentimes the most vulnerable have unmet behavioral health needs that require immediate access to services and increased natural supports. FRD encompasses the Community Outreach, Prevention, Specialized TANF Case Management, Post Adoption, WCDHS Wraparound, SSI/SSDI Programs & Crisis Services. All programs of FRD approach families in a wholistic, strengths -based manner, partnering with community agencies to ensure families receive the services they need to thrive. In 2021, WCDHS received a Distinguished Performer award for C -Slat in 2020 from CDHS. 3. Using state/community level data, explain the need for your program and how your program prevents the primary prevention area for which you are applying for funding. Data older than 2015 will not be considered. (5 Points) In 2019, WCDPHE conducted a Community Health Assessment which identified access to mental health resources as one of the top 10 health issues. Nearly 30% of residents reported the need for mental health services & only 55% indicated they had sought care. Of the remaining 45%, 56% reported not feeling like they could afford care, 51% didn't believe mental health care was covered by insurance, & 51% reported not knowing how to access care. In addition, leadership within the local community mental health center & juvenile justice have indicated a recognition of a lack of service navigation & high intensity care coordination. Wraparound ensures these needs are met by using the evidence -based process of HFW. More intensive than traditional case management or care coordination, Wraparound moves system -involved families toward improved well-being & self-reliance by providing them with a structured, creative & individualized team planning, decision -making & implementation process. Identify the approximate frequency of your program services. Weekly Identify the approximate length of each service session, in hours. 4 hrs Identify the approximate duration of your program services. More than one school year 4. Explain why this frequency, length, and duration was chosen. (5 Points) A Wraparound Facilitator carries a minimum caseload of 8 families and a maximum of 10. They designate at least 4 hours per case, per week. However, during the Engagement Phase, crisis stabilization, crisis prevention planning, and weeks where the Child and Family Team Meeting's (CFTM) occur, Facilitators spend additional time with families. CFTM's occur once a month or more, as needed, and generally last 2 hours each. Visits in the family's home & community, along with advocacy work easily take 2-3 hours per week. The remaining hours of a 40 -hour work week aro used for documentation, record keeping, written deliverables, following up, team meetings, supervision, training & travel. The duration of an average successful Wraparound case is about 15 months & has been documented & established by the National Wraparound Initiative (NWI). The recommended caseload for Wraparound Facilitators has been established by NWI as well. Citation: Pires, S. A., Fields, S., & McGarrie, L. (2016, May). Identify the program's level of evidence -base if applicable. Promising practice Provide documentation for your selection above. Type NA if there is no documentation or you selected NA. According to the Title IV -E Prevention Services Clearinghouse, High -Fidelity Wraparound is rated as a promising practice because at least one study achieved a rating of moderate or high on study design and execution and demonstrated a favorable effect on a target outcome. Citation: https://preventionservices.acf.hhs.gov/programs/330/show 5. Give specific examples of successful recruitment strategies you are currently using or that you plan to use to recruit participants. How did you determine these strategies? (5 points) WCDHS Wraparound accepts referrals from FRD's Prevention & Post Adoption Programs & from Child Welfare. A screening form directs referring caseworkers & case managers to fill out the eligibility criteria for the identified child/youth. If the child/youth meets eligibility criteria, a referral form is completed & both documents are submitted to the Wraparound team for review. The family is either paired with a Facilitator or placed on a waitlist. Wraparound started accepting referrals through the programs listed above due to their existing work with children/youth who present with severe behavioral/mental health symptoms & behaviors which require intensive intervention. Many of these individuals are involved with multiple systems & are at high -risk for child abuse & neglect as well as higher levels of care. We hope to one day also accept referrals from local community entities. 6. Explain the retention strategies specific to your identified population. How did you determine these strategies? Include your current and/or previous participant retention rates if available. (5 Points) National research on HFW and its efficacy indicate that retention in wraparound programming is tied to: Engagement efforts of the Wraparound Facilitator, Timely resolution of crisis stabilization needs, Effective planning for crisis prevention, • Frequent meetings coordinated such that all stakeholders and the child/youth and family, maintain mutual agreement and understanding regarding needs, plans, desired outcomes, and measures for success, Timely & effective communication for problem solving, • Effective care coordination, • Persistence and encouragement from the Wraparound Facilitator and the rest of the child and family team. WCDHS Wraparound is currently in its first year of operation, and thus, current and/or previous participant retention rates are not yet available for review. 7. Describe community as well as family and/or youth involvement in the project's planning and implementation. (10 points) WCDPHE's 2019 Community Health Assessment surveyed Weld County residents who identified access to mental health services as a top health issue. Likewise, professionals in Weld County's child -serving systems identified a lack of intensive care coordination for individuals with behavioral/mental health needs as responsible for exacerbating issues leading to poor mental health outcomes as well as increased risk for child abuse and neglect. This data & input from community partners, COACT, & CSTI influenced the development, planning, & implementation of WCDHS Wraparound; as did the close work of WCDHS with the local community mental health center, RAE, CCB and juvenile justice entities to solve system navigation challenges faced by Weld County residents. Additionally, diverse community partners sat on hiring panels for the Wraparound Supervisor & Wraparound Facilitator positions. 8. How do you ensure participants arc successful after completing your program? (5 Points) During the 4th & final Transition Phase of Wraparound, the CFT plans for the family's purposeful transition out of formal Wraparound into a mix of formal & natural community supports. Families who reach this phase have increased skills & knowledge to navigate systems, plan, advocate, & manage crises independently. During this phase, an Assets Inventory is conducted, & planning capitalizes on this increased knowledge & strengthened support system. A post -Wraparound crisis management plan is created that includes action steps, specific responsibilities, & communication protocols. Planning includes rehearsing responses to crises. New members are added to the team, per post -transition strategies, services, and supports. The plan outlines the nature of each team member's post -Wraparound participation with the family to support transition & their success after formal Wraparound is completed. 9. Describe your training plan for staff and how you ensure staff implement the program to fidelity or adhere to program standards. (5 Points) WCDHS employs a credentialed HFW coach to work with the WCDHS Wraparound team. The WCDHS Wraparound team consults with COACT & CSTI during monthly community of practice meetings. All team members complete required training & practice elements for credentialing in their respective roles. Wraparound Facilitators must receive 40 hours of coaching per year and are assessed at 3, 6, & 12 month intervals. They must pass required competencies at 85% or higher. Wraparound Facilitators receive weekly supervision & coaching from the Wraparound Supervisor, who is a LCSW. HFW fidelity is measured using the Colorado Wraparound Fidelity Tool. Wraparound Facilitators, family members, youth, and team members from each CFT fill out the relevant Colorado Wraparound Fidelity Tool for their role, following the completion of each phase in the Wraparound process. Application Program 1 continued.. (Page 11 /28) 10. Describe your staff capacity to implement the TGYS evaluation with program participants. Be sure to identify who on your staff will be implementing the evaluation. (5 Points) The WCDHS Wraparound team will prioritize required data collection and evaluation components. Wraparound Facilitators possess the skills necessary to collect accurate data. The Wraparound Supervisor and Family Resource Division Head will track outcomes for each goal through the TGYS evaluation. They will ensure necessary coordination occurs and all required TGYS evaluation components are met. 11. For existing programs: Describe the evaluation procedure or methods currently used for collecting output data (numbers of classes held, number of youth served, etc.) and outcome data (increased self -efficacy or resilience, decreased drop -out rate, etc.). For new programs: Describe your planned evaluation procedure for collecting output and outcome data. (5 Points) CANS data is used for outcomes measurement regarding the child's/youth's functioning across critical life domains, & caregiver resources & needs. To collect baseline data, the Wraparound Facilitator completes the CANS at the beginning of the Wraparound process. It is completed again midway through the Wraparound process & this data reflects Wraparound program & plan efficacy in addressing needs & building strengths. The CANS is completed at the end of the Wraparound process & that data is used to measure outcomes. Using Excel, the Wraparound Supervisor collects output data for each Wraparound Facilitator, & each Wraparound family. Data collected includes the numbers of referrals received, accepted, screened out, closed, & the referral source. Data is also collected regarding family demographics, involvement with child -serving agencies, referrals made to child welfare, legal status, placement status, school/academic status, & referrals to community partners. 12. How is your program culturally relevant to the population you are serving? (10 Points) Cultural and linguistic competence is a major tenet of Wraparound through an individualized, team -based planning process and approach that helps youth and families realize their unique goals. The model promotes youth & family engagement by prioritizing their voice, choice, and preference and ensuring that in all ways possible, strategies used are grounded in their cultures; designed by members of their cultures; and provided by culturally matched staff WCDHS Wraparound uses a comprehensive approach to family & community engagement, an awareness of intergenerational and historical trauma, and places a high premium on relationships and trust building within the CFT. 13. Define how your agency strives for inclusivity both in programming and with staff, board, and volunteers. (10 Points) When designing and implementing programs & trainings, subject matter experts & population representatives with lived experience are consulted. Initial and ongoing feedback from a diverse array of community stakeholders, customers and employees is sought & incorporated. Employees, volunteers & board members participate in mandatory diversity trainings to equip them with awareness & knowledge to identify & support inclusive practices, to respond proactively when inclusivity is challenged. Care is made to ensure that employees & constituents served by WCDHS are addressed with the pronouns, names, & titles of their choosing, in the language &/or medium they are most comfortable using. 14. How do your staff and volunteers (include percentage) reflect the children, youth, and families you serve? (10 Points) According to FRD program data, 46% of the population serviced identify as White, 37% as Hispanic or Latinx, 6% as Black or African American, 6% as mixed race and 5% as American Indian. Additionally, 67% of the population served identify as female, 27% identify as male, and 6% declined to answer. Of the 38 staff employed in FRD, 62% identify as White, and 38% are bilingual Spanish/English speaking and identify as Hispanic or Latinx, 85% identify as female and 15% identify as male. Diverse and varied ages, identities, educations, life experience, and socio-economic statuses are represented among FRD and WCDHS staff Shared TGYS Goals 1,1. Inurase connections to caring adults. Activity to reach Goal There are four (4) phases in the , Wraparound process: The Engagement Phase, The Planning Phase, The Implementation Phase, and the Transition Phase. Activities that increase a child's/youth's connection to caring adults are present in all four (4) phases. Activities: • Create a Strengths, Needs, and Culture Discovery (SNCD) with the child/youth and Expected Outputs and Outcomes (include number of participants, and how it will be tracked) WCDHS Wraparound anticipates serving 60 families per year. Each Wraparound team has the potential to serve children/youth from large, complex, multi -household & multi -generational families. Based on the number of children in a household for the average Child Welfare case in Weld County, WCDHS anticipates increasing the connections of 3 children/youth per case, by at least 2 caring adults, fora total of 180 children/youth with 360 new or increased connections to caring adults per year. This data will be captured by the assigned Wraparound Facilitator at the beginning & end of the Wraparound process. At the beginning of the Wraparound process, they identify & record the number of caring adult connections a child has, & if possible, attempt to scale the quality of that connection, on a scale from 1 to 10. These Explain how these activities will support the shared goal. A natural outcome of developing the SNCD at the forefront of the process is that the information collected is "mined" for opportunities to enhance or build connections to caring adults as part of the process. The Wraparound Facilitator works with the family to bring caring adults onto the Wraparound team. This can involve outreaching potential caring adults with or for the family & supporting them as relationships are repaired & trust & cohesion is built with the new & established caring adults on the team. As the child/youth & the caring adults on their CFT follow through on their action steps & progress towards desired outcomes is made, it has a positive, reverberating impact on that child's/youth's connection to the caring adults in their lives. Wraparound depends on connections to natural supports/caring adults to ensure caregivers. numbers & the quality of the adult connections continued success & sustained positive outcomes o Identify potential will also be identified, measured, & recorded at for the child/youth & family after they are no natural supports and the closure of the Wraparound process & tracked longer working with WCDHS Wraparound. caring adults in SNCD. by the Wraparound Supervisor. • Build the Child & Family Team (CFT) and include natural supports/caring adults. o Work with the family through necessary steps to engage natural supports/caring adults. • Incorporate natural supports/caring adults into Wraparound Plan, Crisis Prevention Plans, and Transition Plans. The Wraparound Facilitator is responsible to complete, monitor and modify each of these activities throughout the lifetime of their involvement with each child and their family to ensure healthy and strong connections. IS -2. Increase connections to positive peer relationships, social nehvorks, and social supports. Activity to reach Goal: Expected Outputs and Outcomes (include number of participants, and how it will be tracked) There are 4 phases in the WCDHS Wraparound anticipates serving 60 families per year. Each Wraparound team Wraparound process: The has the potential to serve children/youth from large, complex, multi -household & multi - Engagement Phase, Planning Phase, generational families. Based on the number of children in a household for the average Implementation Phase, & Transition Child Welfare case in Weld County, WCDHS anticipates increasing the connections of 3 Phase, & activities that increase a children/youth per case by at least 1 positive peer relationship, 1 social network, & I child's/youth's connection to social support, for a total of 180 children/youth with 180 new or increased connections to positive peer relationships, social positive peers, 180 new or increased connections to social networks, & 180 new or networks, & social supports are increased connections to social supports per year. At the start of the Wraparound process, present in all of them. Activities: Facilitators record the number of positive peers, social networks, & social supports a •Create a SNCD with the child/youth has, & attempt to scale the quality of that connection on a scale from 1 to 10 child/youth & caregivers. with the child/youth. This data will also be captured at the end of the Wraparound o Identify potential strengths, process & tracked by the Wraparound Supervisor. interests & opportunities to increase positive peer relationships, social networks, & social supports. •Build the CFT & include positive peers, social supports, & representatives from social networks. o Work with the family through necessary steps to access & reinforce positive peer relationships, social networks, & social supports. o Identify & problem solve barriers to positive peer relationships, social networks, & social supports with the CFT. Incorporate accessing & maintaining positive peer relationships, social networks, & social supports into Wraparound Plan, Crisis Prevention Plans, & Transition Plans. Explain how these activities will support the shared goal. Through the creation of the SNCD, the Wraparound Facilitator & the family will identify potential strengths, interests & opportunities to increase positive peer relationships, social networks, & social supports. With these identified, the opportunities can be pursued in the Wraparound Plan that is developed. As the CFT is built, the Wraparound Facilitator will work with the family to identify positive peers, representatives from social networks, & social supports to incorporate into the CFT. Their participation in the CFT will reinforce the connection they have to the child/youth. If there are barriers to the child/youth having positive peer connections, accessing social networks, or accessing social supports, the team will brainstorm & strategize how to address the barriers & implement the plans via the Wraparound Plan, Crisis Prevention Plan, or Transition Plan, so progress to increasing & maintaining these connections can be made. r- Child Abuse & Neglect Prevention 16-1 CANP. Increase identification of family needs and connections to appropriate services Activity to reach goal The Wraparound Facilitator works with the family to address crisis stabilization needs early in the process and as quickly & } thoroughly as possible. This often involves connection to appropriate services. The SNCD is "mined" for needs that are prioritized by the family & are used to connect them to appropriate services. This process continues when the CFTMs occur, & the Wraparound Plan is built. Through the Wraparound Plan, the family is paired with ideal interventions, treatments, services, & supports to meet their unique needs. These are associated with action steps for CFT members. The Wraparound Facilitator tracks the action steps assigned to CFT members & outcomes, to ensure prioritized needs are addressed. The Wraparound Facilitator is responsible problem solve barriers to accessing services during CFTMs. Wraparound plans incorporate new services, supports, or treatment if current interventions paired with the need are a poor fit, insufficient, or not effective. Expected Outputs and Outcomes (include number of participants, and how it will be tracked) WCDHS anticipates increasing the identification of needs by at least 2 & increasing connections to appropriate services by at least 2 for 60 families per year. Estimated totals are 60 families served, 120 newly identified needs, & 120 connections to appropriate services per year. Data will be collected & analyzed using Excel. Data regarding needs will be gathered during the intake process & by using the CANS. New needs will be identified from `mining' the SNCD & these needs & associated services will be recorded. Service connections will be identified in Wraparound Plans, documented, & tracked. As the Wraparound Plan evolves & the CFT moves through the Wraparound process, identified needs & their associated services & supports will change & data resulting from these changes will be documented. This information will be collected again, when the Wraparound case closes & final numbers for these outcomes will be tracked by the Wraparound Supervisor. Explain how these activities will support the prevention area goal. Every aspect of the Wraparound process supports the revealing of needs, prioritizing the needs while emphasizing family voice & choice, & pairing the family thoughtfully with appropriate treatment, services, & supports. Through the process of engaging families & writing the SNCD, the Wraparound Facilitator, family & the CFT learn & understand the culture of the family so the resulting Wraparound plan with associated services is culturally competent & one that the youth & family will buy into & follow. Needs are "mined" from the SNCD, & these inform the needs that are addressed by the Wraparound plan, & which interventions are most appropriate to connect to the need. The SNCD & the Wraparound Plan are "living" documents & are updated regularly as goals are met, growth is achieved, & needs evolve. The Wraparound Facilitator's role is ensuring that assigned tasks & activities are met between monthly CFTM's and supports initial & ongoing connection of the family to appropriate services. r -Child Abuse & Neglect Prevention 16.2 CANP. Increase family and child social and emotional skills Activity to reach goal The following activities will increase family and child social and emotional skills: Family voice and choice will be solicited, highlighted, and referred to in the Wraparound decision making, planning and implementation process. • The Wraparound Facilitator will encourage and reinforce a spirit of collaboration among the family, and the CFT. • The Wraparound process, the Wraparound and Crisis Prevention Plans, and the CFTM's will be culturally competent. • The Wraparound process and associated plans and interventions will be individualized, and strengths based. • The goals and strategies of the Wraparound Plan will be outcomes based. The CFT will strictly abide by group agreements regarding the CFTM and decision making. The Wraparound process will honor the values of "nothing about me, without me", "people don't fail, plans fail", "do for, do with, cheer on", and "celebrate successes". Expected Outputs and Outcomes (include number of participants, and how it will be tracked) f WCDHS Wraparound anticipates serving 60 families per year. Each Wraparound team has the potential to serve children/youth from large, complex, multi -household & multi -generational families. Based on the number of children in a household for the average Child Welfare case in Weld County, WCDHS anticipates increasing the social & emotional skills of 60 families by at least 2 prosocial skills such as improved communication, improved distress tolerance, improved advocacy skills, & improved conflict resolution skills. Estimated totals are 60 families served with 120 increased social & emotional skills. Family functioning data will be gathered during the intake process using the CANS. Midway through the process & at closure, the CANS will be done again to assess family functioning. Additionally, an Assets Inventory will be "mined" for evidence of increased social & emotional skills. This data will be collected by the Wraparound Facilitator & tracked by the Wraparound Supervisor in Excel. Explain how these activities will support the prevention area goal. The Wraparound process models & teaches social & emotional skills to be practiced and demonstrated by children, youth & families. Wraparound promotes transparency, which builds trust, cohesion, & respect among the CFT. The careful attention to honoring voice & choice, identifying & using strengths, acknowledging change, growth, & successes, and compromising to collaborate is emulated by the family as the Wraparound process progresses. Persistence, because "people don't fail, plans fail", is modeled in Wraparound & after formal Wraparound is complete, families use this social & emotional skill to address problems, meet needs, & navigate tough situations. Wraparound's prioritizing of families' voice & choice & maximizing on their culture & strengths, are social & emotional skills that are emulated by participating families. Finally, greater treatment & service efficacy due to the Wraparound process, results in better social & emotional outcomes. Budget (Page 14 /28) This budget form is designed to make automatic calculations. However, it is your responsibility to double check to ensure accuracy before submitting your final application. Check each of the budget line items for which you will be requesting funding. For example, if you are only requesting Personnel and Indirect, you will only select those options. Once selected, you have the opportunity to add additional lines by clicking the "Add additional response" button. For example, if you are requesting funding for two positions, you will select the Personnel Services Requested box, enter one position in the area provided, then click "Add additional response" to add in the second position. The budget period represented by this template is for the state fiscal year July 1, 2023- June 30, 2024. FormAssembly will require you to complete a separate budget template for each program for which you arc applying for TGYS funds. Please refer to the SFY 24-26 Budget Form Instructions on the TGYS Website for additional help on how to complete the budget. -Budget Programl Budget Period 07-01-2023 to 06-30-2024 Fiscal Year 2024 Budget Line Items - Expenditure Personnel Service Requested - Expenditure Supplies & Operating Requested - Expenditure Travel Mileage Requested - Expenditure Contractual Requested Expenditure Personnel Serxice Requested Position Title Wraparound Facilitator Description of Work Wraparound Coordinator will work to preserve and rehabilitate families while addressing mental and behavioral health needs via the HFW process. Gross Salary Fringe 77301.03 27055.36 % Actual Time on Contract/Purchase Order 75 Match / In -Kind 0 Total TGYS Request 78267.2925 Expenditure Personnel Service Requested Position Title Wraparound Facilitator Description of Work Wraparound Coordinator will work to preserve and rehabilitate families while addressing mental and behavioral health needs via the HFW process. Gross Salary Fringe 75059.76 26270.92 % Actual Time on Contract/Purchase Order 75 Match / In -Kind 0 Total TGYS Request 75998.01 [kuPcsaresrssusctscenssncstet Position Title Wraparound Facilitator Description of Work Wraparound Coordinator will work to preserve and rehabilitate families while addressing mental and behavioral health needs via the HFW process. Gross Salary Fringe 75825.08 26538.78 %Actual Time on Contract/Purchase Order 75 Match / In -Kind 0 Total TGYS Request 76772.895 Expenditure Personnel Service Requested Position Title Wraparound Facilitator Description of Work Wraparound Coordinator will work to preserve and rehabilitate families while addressing mental and behavioral health needs via the HFW process. Gross Salary Fringe 79051.67 27668.07 % Actual Time on Contract/Purchase Order 75 Match / In -Kind 0 Total TGYS Request 80039.805 —Expenditure Personnel Service RequestLd Position Title Wraparound Supervisor Description of Work Wraparound Supervisor who will serve as a systems navigator and advocate in addition to supervising the WCDHS Wraparound team. The Wraparound Supervisor is licensed & involved with Medicaid credentialing, clinical supervision, HFW coaching, and billing. The Wraparound Supervisor is involved with ensuring program sustainability & community outreach on behalf of programming. Gross Salary Fringe 108498.18 37974.35 % Actual Time on Contract/Purchase Order 75 Match / In -Kind 0 Total TGYS Request 109854.3975 —Expenditure Supplies & Operating Requested Item Flex Funding Description of Item Match / In - Kind Flex funding can be used to address concrete economic needs which support family stability and reunification 0 with no other formal or informal resources are available. Total TGYS Request 50000 Expenditure Supplies & Operating Requested Item Telephones Description of Item Match / In -Kind Ongoing expenses for cell and desk phones -77.98 monthly x 5 sets x 12 months 0 Total TGYS Request 4678.8 Expenditure Supplies & Operating Requested Item Supplies & Marketing Material Description of Item Match / to -Kind General office supplies and marketing material for customer and stakeholder engagement. 0 Total TGYS Request 1000 -Expenditure Supplies & Operating Requested Item Functional Assessment Systems Description of Item Match / In -Kind Purchase software needed to implement Empirically based assessments (CAFAS, PECFAS, JIFF and CWL) designed to objectively determine a youth's functioning across important life domains, match their needs with the 0 appropriate intervention or service program and track progress to keep outcomes driven. Total TGYS Request 5000 —Expenditure Travel Mileage Requested Item Mileage compensation Description of Item Mileage funds used to compensate Wraparound Facilitators for travel to and from client's homes, community visits and meetings. Match / In -Kind 0 Total TGYS Request 13388.8 —Expenditure Contractual Requested Item Consultation for Medicaid Credentialing Subcontractor / Entity Name Match / In -Kind Stephanie Farrell, MPA, BSW CEO/Chief Consultant 0 Left Hand Management Total TGYS Request 5000 Total Expenditure Personnel Service Requested 420932.4 Total Expenditure Supplies & Operating Requested 60678.8 Total Expenditure Travel Mileage Requested 13388.8 Total Expenditure Travel Other Requested 0 Total Expenditure Contractual Requested 5000 Total Expenditure Indirect Requested 0 TOTAL REQUESTED 500000 Attachments: 1.) Attach your Organization/Lead Agency W9 -Format may be Word or PDF Please use the following naming convention: W9_ABC Mentoring 2.) Narrative: An optional, unscored narrative may be summitted for each program for which you are applying for funding using one of the following options: Vi eo: Maximum of 90 seconds -Format may be MP4 -iPhone or Android phone videos are acceptable (professional videography not required) *If you encounter an issue uploading an MP4, you may attach a Word Document or PDF with a link to the video Audio: Maximum of 90 seconds -Format may be MP3 -Professional recording not required *If you encounter an issue uploading an MP3, you may attach a Word Document or PDF with a link to the audio Slide Deck (Written): Using PowerPoint or similar slide deck options -Format may be PowerPoint or PDF -I title slide with the name of the organization, name of program, and pictures ONLY -3 information slides with choice of content that may include infographics, pictures, art, data, bullet points, or other relevant information One PagaejWritteo): Maximum one 8.5x 11" page -Format may be Word or PDF -Font type and size are the discretion of the applicant -No margin requirements -Content that may include text, infographics, pictures, art, data, bullet points, or other relevant information Submissions that exceed the above limits will NOT be included in the review of the application for that program. NO Exceptions. Narratives will NOT be scored, but instead, will be used as a supplement to the application questions to provide en overview of the program. Please use the following naming convention: Narrative Wise Wizards Program_ABC Mentoring Narrative Muggle Mentoring Program_ABC Mentoring *Please be sure to attach files via a file on you computer and not a drive, such as Google Drive or OneDrive. Doing so will cause an error when you try to finalize your application. (Page 27 /28) Nondiscrimination Policy_WCDHS Wraparound Program_Weld County Department of Human Services.pdf W9_Weld County.pdf Acknowledgement Page (Page 28 /28) - I certify that my total annual overall request amount for this TGYS Request for Application is between $100,001 and $500,000. - I agree to operate the program as described in the Request for - I acknowledge that the information provided in this Request for Application and in accordance with the Tony Grampsas Youth Application is true and accurate and misrepresentation could Services Program's grant terms. result in disqualification. Your Signature SIGNATURE INITIALS Julie Witkowski NAME JW INITIALS 2022-12-09 22:34:46 DATETIME (UTC) Response Endorsement Record Response Submission Form TGYS Application Form ID Form Version 1641 Response ID 381 Submission Datetime 2022-12-09 20:55:35 Events 2022-12-09 20:55:36 Initialized. E -Signature record created. 2022-12-09 20:55:36 Started. Endorsement process started. 2022-12-09 22:34:46 Endorsed. E -Signature record endorsed by signatory. The response was locked. 2022-12-09 22:37:04 Completed. E -Signature record completed. 2022-12-09 22:37:04 Locked. E -Signature record sealed, notified signatory and form creator. 2022-12-09 22:37:04 Sealed. Signatory Name Julie Witkowski(Respondent) Email Address witkowjx@weldgov.com IP Address 204.133.39.9 Signatory UUID 287e90ac-82b1-4a2e-a31d-861e51a723c1 Record Record UUID 932b8240-cbba-4846-a463-13e8bfc56bc8 Sealed Record Checksum c09213c8678ad252de504dd3321753356edef2cad35796641e622a6ca27b783e Sealed Record Signature Hash 82875a797312dc64635f4dc07968d1d696ebbce73ef61baa641ec4035463c6cb Custodian Signature Hash bb00787460b192ae4912f0e40f7d361518a19697f58e40d9eef002d5b3901485 Hello