Community Action Plan (CAP) - Community Action Partnership of
Transcription
Community Action Plan (CAP) - Community Action Partnership of
Community Action Partnership of San Luis Obispo County 2016-2017 Community Action Plan California Department of Community Services and Development Community Services Block Grant PURPOSE The Community Action Plan (CAP) serves as a two (2) year roadmap demonstrating how Community Services Block Grant (CSBG) eligible entities plan to deliver CSBG services. The CAP identifies and assesses poverty related needs and resources in the community and establishes a detailed plan, goals and priorities for delivering those services to individuals and families most affected by poverty. CSBG funds may be used to support activities that assist low-income families and individuals, homeless families and individuals, migrant or seasonal farm workers and elderly low-income individuals and families by removing obstacles and solving problems that block the achievement of self‐sufficiency. Community Action Plans must adhere to the following federal and state laws: COMPLIANCE WITH FEDERAL LAW To comply with the Community Services Block Grant (CSBG) Act, Public Law 105‐285, Section 678B (11) eligible entities must complete a Community Action Plan (CAP), as a condition to receive funding through a Community Services Block Grant. Federal law mandates the eligible entities to include a community‐needs assessment in the CAP for the community served. COMPLIANCE WITH STATE LAW To comply with California Government Code 12747 pertaining to the Community Services Block Grant Program, Community Action Plans are to be developed using a processes that assess poverty-related needs, available resources, feasible goals and strategies, and that yield program priorities consistent with standards of effectiveness established for the CSBG program. The CAP should identify eligible activities to be funded in the program service areas and the needs that each activity is designed to meet. Additionally, CAPs should provide for the contingency of reduced federal funding. COMPLIANCE WITH CSBG ORGANIZATIONAL STANDARDS As described in the Office of Community Services (OCS) draft Information Memorandum (IM) dated March 24, 2014, CSBG eligible entities will comply with implementation of the Organizational Standards effective January 1, 2016. Additionally, States will report on the development and implementation of the Standards to OCS beginning January 1, 2016. STATE PLAN AND APPLICATION REQUIREMENTS As required by the CSBG Act, Public Law 105-285, states are required to submit a state plan as a condition to receive funding. Information provided in the CAP by eligible entities is included in CSDs State Plan. STATE ACOUNTABILITY MEASURES Alongside Organizational Standards, the state will be reporting on State Accountability Measures in order to ensure accountability and improve program performance. Information provided in the CAP may be used to meet the requirements of the new measures. June 30, 2015 June 30, 2015 1 TABLE OF CONTENTS The CAP is to be arranged in the order below. Please include the appropriate page numbers for reference. Additional attachments are to be added as appendices. (Insert Page Numbers) Cover Page and Certification 1 Checklist 2 Vision Statement 4 Mission Statement 4 Community Information Profile 5 Comprehensive Community Needs Assessment 8 Documentation of Public Hearing(s) 77 Federal Assurances 81 State Assurances 94 Individual and Community Eligibility Requirements 95 Monitoring and Evaluation 96 Data Collection 98 CSBG/National Performance Indicator CAP Projections………………………………………… 100 Appendices (Optional) 101 2 2016-2017 Community Action Plan Checklist The following is a check list of the components to be included in the CAP. The CAP is to be received by CSD no later than June 30, 2015: ☒ Cover Page and Certification ☒ Table of Contents ☒ Vision Statement ☒ Mission Statement ☒ Community Information Profile ☒ Comprehensive Community Needs Assessment ☒ Documentation of Public Hearing(s) ☒ Federal Assurances ☒ State Assurances ☒ Individual and Community Eligibility Requirements ☒ Monitoring and Evaluation ☒ Data Collection ☒ CSBG/National Performance Indicators (NPI) CAP Projections ☒ Appendices (Optional) 3 VISION STATEMENT Provide your agency’s Vision Statement which describes your agency’s values. The vision is broader than one any one agency can achieve; the agency collaborates with others in pursuit of this vision. All people should have an equal chance in life to achieve economic self-sufficiency and self-determination for themselves and their families. As a result of increased self-sufficiency, the community and its citizens will reap the benefits of a more productive, responsible and economically viable society. MISSION STATEMENT The Mission Statement describes the agency’s reason for existence and may state its role in achieving its vision. The following Organizational Standard 4.1 references the Mission Statement for private and public entities. Private Entities The governing board has reviewed the Organization’s mission statement within the past 5 years and assured that: 1. The mission addresses poverty; and 2. The Organization’s programs and services are in alignment with the mission. Public Entities The tripartite board/advisory body has reviewed the Department’s mission statement within the past 5 years and assured that: 1. The mission addresses poverty; and 2. The CSBG programs and services are in alignment with the mission. Provide your agency’s Mission Statement Mission Statement (Insert Statement) The Community Action Partnership of San Luis Obispo County is committed to eliminating the causes of poverty by empowering low-income individuals and families to achieve self-sufficiency through a wide array of community-based collaborations and programs. 4 COMMUNITY INFORMATION PROFILE The Community Information Profile describes the CAA’s service area, target population and current economic conditions (i.e., major business in the area closed affecting employment status of community members, or, destructive fires in the service area impacting business, health, water supply, etc.). The profile provides a summary of the most impactful conditions affecting the community and the conditions the community members are facing. In the space provided, describe the Community Profile in approximately 2 pages. Community Information Profile (Insert Narrative) Community Information Profile begins on page 6. 5 COMMUNITY INFORMATION PROFILE San Luis Obispo County Service Area: San Luis Obispo (SLO) County is approximately equidistant between San Francisco and Los Angeles, on California’s Central Coast. Neighboring counties are Monterey to the north, Santa Barbara to the south, and Kern to the east. San Luis Obispo County is considered semi-rural and medium-sized, with a total area of 3,299 square miles, 80 miles of coastline, and a total population of 274,106. i SLO County is the 16th largest in California. The county has four distinct geographic regions: North Coast, North County, Central County, and South County. The North County includes two cities, Paso Robles and Atascadero, and the communities of Santa Margarita, Templeton, San Miguel, Shandon, Creston, Heritage Ranch, Lake Nacimiento, Cholame, Pozo, and California Valley. The entire region has approximately 95,100 people, including 43,356 in Paso Robles and 28,613 in Atascadero. The Cuesta Grade separates North County from the rest of the county, and represents a significant geographic and psychological barrier for people without dependable, personal transportation. The North Coast includes one city, Morro Bay, and the communities of San Simeon, Cambria, Harmony, Cayucos, and Los Osos/Baywood Park. The entire region has 35,326 people, including 10,322 in Morro Bay. The Central County includes one city, SLO, with a population of 45,584. The entire region has approximately 62,846 people, including California Polytechnic State University, Avila Beach, areas around Cuesta College to the west, and the airport and Edna Valley to the south. The South County includes three cities: Pismo Beach, Arroyo Grande, and Grover Beach. These three cities and the communities of Shell Beach and Oceano make up the “Five Cities” area. South County also includes the communities of Nipomo and Huasna. The entire region has approximately 78,822 people including 7,746 in Pismo Beach, 17,411 in Arroyo Grande, and 13,253 in Grover Beach. Population Demographics (The most recent, reliable data is used throughout.) ii San Luis Obispo County Population by Race and Ethnicity Race Total Persons % of Population Countywide Population 274,106 100% White 230,917 84.2% African-American 6,101 2.2% American Indian and Alaska Native 2,398 0.9% Asian 10,092 3.7% Native Hawaiian and Other Pacific Islander 270 0.1% Some other race 14,993 5.5% Two or More Races 9,335 3.4% Ethnicity Total Persons % of Population Non-Hispanic or Latino 215,244 78.5 % Hispanic or Latino 58,862 21.5% i ii U.S. Census, ACS Demographic And Housing Estimates 2011-2013 American Community Survey 3-Year Estimates. U.S. Census, 2011-2013 American Community Survey 3-Year Estimates 6 i San Luis Obispo County Population by Age Age Total # % of Population Countywide Population 274,106 100% Under 5 years 13,436 4.9% 5 to 19 years 50,112 18.2% 20 to 44 years 90,901 33.2% 45 to 64 years 75,141 27.4% 65 to 74 years 24,324 8.9% 75 and older 20, 192 7.4% The population was 51% male and 49% female; 14.3% of county residents lived in poverty and 14.3% % of children under age 18 lived in poverty. iii iv Current Economic Conditions: SLO County’s economy continues to improve, despite the ongoing drought. In 2013, economic output increased by 3.8%, and current economic indicators suggest that the economy will continue to grow at a robust rate in the coming years. Consumer spending in 2014 surpassed expectations, with much of the growth attributed to the local wine industry. Increased global demand for wine boosted the county’s agriculture sector and spurred an influx of enotourism. Many tech-related businesses (software development and e-commerce) moved into the county. v The composition of employment by industry has changed drastically since the start of the recession. Several export-serving industries have more prominent roles in the local labor market, while a few localserving industries, such as retail trade and construction, have diminished roles. Nonetheless, these localserving industries are adding workers and showing signs of recovery. vi Home prices grew by 9.6 % over the past year, but at a slower rate than prices in the rest of the state. The lack of affordable housing has deterred migration into the county, which in turn places downward pressure on the county’s population growth and causes concern for local economic growth. New residents raise the demand for goods and services, housing, and jobs, so a faster rate of population growth generally leads to faster rate of economic growth. In 2014 the population declined by 0.04% due to tepid growth in natural population increase (births minus deaths) and net migration. Growth will depend on a consistent flow of migrants into the county, which will in turn depend on the number of affordable housing units built in the near future. Population is projected to grow by 0.7% in 2015 and 0.8%-1% per year through 2019. vii The county is in its fourth year of "exceptional drought," a drought so severe that it causes widespread loss of agricultural production and grazing land and depletes reservoirs. viii The central coast, including SLO County, has been one of the most drought-stricken regions of the state due to heavy reliance upon ground water for irrigation. ix Please see the Community Needs Assessment: Employment and Local Economy for more information about the drought. iii ibid. U.S. Census, 2009-2013 American Community Survey 5-Year Estimates, Poverty Status in Past 12 Months. v Beacon Economics, 2014 Central Coast Economic Forecast, November 2014. vi ibid. vii ibid. viii The Tribune, SLO County Still Dry a Year after Drought Emergency Declared, March 11, 2015. ix Battany, M., Bianchi, M., et al, 2014 Drought: Impacts on San Luis Obispo County Agriculture, San Luis Obispo County Cooperative Extension. iv 7 COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT Public law 105‐285 requires the state to secure from each eligible entity, as a condition to receive funding, a CAP which includes a community-needs assessment for the community served. Additionally, state law requires each CSBG eligible entity to develop a CAP that assess poverty-related needs, available resources, feasible goals and strategies, and that yields program priorities consistent with standards of effectiveness established for the program (California Government Code 12747(a)). Organizational Performance Standards Eligible entities will comply with implementation of the Organizational Performance Standards set forth by OCS. Compliance with Organizational Standards will be reported to OCS. In the section below, agencies are asked to provide a narrative description on the Community Needs Assessment. In this section agencies should address how they will comply with the Organizational Standards, specifically those standards pertaining to the Comprehensive Community Needs Assessment, which are outlined here. CSBG Organizational Performance Standards click here CONSUMER INPUT AND INVOLVEMENT Standard 1.2 organization/department analyzes information collected directly from low-income individuals as part of the Community Assessment. COMMUNITY ENGAGEMENT Standard 2.2: Organization/department utilizes information gathered from key sectors of the community in assessing needs and resources, during the community assessment process or other times. This sectors would include at minimum: community-based organizations, faithbased organizations, private sector, public sector, and educational institutions. COMMUNITY ASSESSMENT Private Agency - Standard 3.1: Organization conducted a Community Assessment and issued a report within the past 3 year period. Public Agency - Standard 3.1: Department conducted a Community Assessment and issued a report within the past 3 year period, if no other report exists. Standard 3.2: As part of the Community assessment the organization/department collects and analyzes both current data specific to poverty and its prevalence related to gender, age, and race/ethnicity for their service area(s). Standard 3.3: Organization/department collects and analyzes both qualitative and quantitative data on its geographic service area(s) in the Community Assessment. 8 Standard 3.5: The community assessment includes key findings on the causes and conditions of poverty and the needs of communities assessed. STRATEGIC PLANNING Private Agency Standard 6.4: Customer satisfaction data and customer input, collected as part of the Community Assessment, is included in the strategic planning process. Public Agency Standard 6.4: Customer satisfaction data and customer input, collected as part of the Community Assessment, is included in the strategic planning process, or comparable planning process. The Needs Assessment captures the problems and conditions of poverty in the agency’s service area based on objective, verifiable data and information gathered through various sources. Identified problems and conditions must be substantiated by corroboration through public forums, customer questionnaires, surveys, statistical data, evaluation studies, key informants, and/or other reliable sources. The Community Needs Assessment should be comprehensive and serve as the basis for the agency’s goals, and program delivery strategies as reported on the CSBG/National Performance Indicators (NPIs). The Community Needs Assessment should describe local poverty-related needs and be used to prioritize eligible activities offered to lowincome community members over the next two (2) years. In the space below, provide a narrative description of the causes and conditions of poverty affecting the community in your service area such as: child care, community housing, crime, educational achievement, employment/unemployment, income management, healthcare, homelessness, nutrition, and other factors not listed. In particular, describe how the agency ensures that the Community Needs Assessment reflects the current priorities of the lowincome population in the service area, beyond the legal requirement for a local public hearing of the CAP. Agencies should describe the methods and strategies used to collect the information and should include a use a combination of activities and tools such as: focus groups, surveys; community dialogue, asset mapping, interviews, and public records. 9 Helpful Resources United States Census Bureau Poverty Data State of California Department of Justice Statistics by City and County U.S. Department of Housing and Urban Development Homelessness Assistance click here click here Employment Development Department Unemployment Insurance Information by County click here California Department of Education Facts about California Schools Using DataQuest click here click here Bureau of Labor Statistics Labor Data California Department of Finance Housing Estimates click here Community Action Partnership Community Needs Assessment Tool click here click here click here California Department of Public Health Statistical Data A Community Action Guide to a Comprehensive Community Needs Assessment click here Comprehensive Community Needs Assessment (Insert Narrative) Needs Assessment begins on page 11. 10 COMMUNITY NEEDS ASSESSMENT: COMPLIANCE WITH ORGANIZATIONAL STANDARDS Standard 1.2: In addition to the information collected from low-income individuals as part of the Community Assessment process, CAPSLO collects customer feedback on a year-round basis. In 2013, CAPSLO began implementation of an agency-wide policy and process to systematically collect and analyze customer/constituent feedback about agency programs and services. In addition to low-income customers, feedback data is obtained from partners/stakeholders, investors/funders, and staff. A standardized client survey was developed and an annual calendar set for each program to administer the survey to their clients during a pre-designated month of each year. In some cases, an additional programspecific survey was attached. The survey is available in English and Spanish. Results are reviewed by the Board Planning Committee and reported to the full Board, at minimum, once yearly with any recommendations made at that time. Information collected as part of the Community Assessment is reviewed with the Board Planning Committee, with applicable action steps documented. Standard 2.2: A part of the Community Assessment process, CAPSLO regularly collects stakeholder information from other community-based organizations, faith-based organizations, private and public sector agencies and educational institutions. In 2014, CAPSLO obtained information from: family and center-based child care providers, women’s shelters, County Departments of Social Services, Mental Health, and Drug and Alcohol Services, “one-stop” employment centers, the local Housing Authority, faith-based institutions involved in providing homeless services, educational centers and other sectors of the community as part of its ongoing needs assessment process. In addition to the ongoing data collection from low-income customers, this stakeholder data is valuable in helping the CAPSLO Board and management better assess and develop services in the community. Standard 3.1: CAPSLO conducts a formal Community Assessment every two years, with the most recent completed report submitted in June 2013. Standard 3.2: CAPSLO collects and analyzes data specific to poverty and its prevalence related to gender, age, and race/ethnicity. Surveys, focus groups and interview data will be collected, as well as applicable census and demographic data, to include: federal poverty levels, age, employment, race/ethnicity, gender, educational status, housing status, childcare needs and transportation. Standard 3.3: Together with the quantitative data, the “voices” of the low-income individuals interviewed paint the picture of conditions in San Luis Obispo County. As part of the Board Planning Committee process, both quantitative and qualitative data will be discussed, by geographic area. Information derived from focus groups, interviews and the Community Assessment Public Hearing will be discussed as well as supporting “back-up” information, including census data and other applicable demographic data. Standard 3.4: The Community Action Plan includes key findings on the causes and conditions of poverty and the needs of the communities assessed. Separate sections on “Conditions” were included in the 20142015 document and will be included in the new 2016-2017 document. “Causes,” such as lack of affordable housing, inadequate transportation, and low-paying jobs, are also reflected in the document. Standard 6.4: Customer satisfaction data collected as part of the Community Action Plan as well as satisfaction data collected on a year-round basis by each program within the agency and will be reviewed by the staff and the Board. The CAPSLO Strategic Plan (approved in March 2015) Goal #1 states: “Review customer satisfaction data and customer input collected as part of the Community Action Plan and 11 ongoing satisfaction data. Make recommendations to Board Planning Committee on ideas that strengthen agency/program procedures, improve accountability, and meet community needs.” NEEDS ASSESSMENT PROCESS Planning staff conducts a two-year comprehensive needs assessment process. In 2014, an extensive needs assessment survey was distrubted to low-income individuals who were accessing a variety of services across San Luis Obispo County (Please see Attachment A for a copy of the survey and raw survey data). The purpose of the survey was to learn about what the greatest unmet and/or urgent needs in the county are and to gain insight into what the barriers are for low-income indivuals in obtaining greater self suffcieny. In all, 574 individuals completed the survey, including 58 from the North Coast, 180 from North County, 195 from South County, and 139 from Central County. Of the total respondents, 77% were female and 23% were male. Additionally, 3% were under the age of 18, 9% were 18-23 years of age, 56% were 24-44 years, 14% were 45-54, 13% were 55-69, and 3% were 70 years or older. Between February and May, 2015, Planning staff conducted interviews and focus groups with more than 60 low-income individuals and 40 service providers across the county, and researched the most current local level data about the areas of greatest need that create challenges for low-income individuals and their families. The information obtained from the surveys, interviews, focus groups, and research was shared with the CAPSLO Board of Directors and has been compiled into the following report. Voices from the stakeholders can be found at the beginning of each section. Information from the surveys will be included as appropriate. INCOME and SELF-SUFFICIENCY: CONDITIONS “Everything is connected, if you have a low salary, you have to share a house so that you pay less rent, so that you have enough money for food and utilities.” Fifty-eight percent of survey respondants identified “Access to Living Wage Jobs” as a major or minor issue for their family. Annual Household and Family Income: The U.S. Census American Community Survey measures both the median family and household incomes. According to the U.S. Cenus website FAQ: “a family consists of two or more people (one of whom is the householder) related by birth, marriage, or adoption residing in the same housing unit. A household consists of all people who occupy a housing unit regardless of relationship. A household may consist of a person living alone or multiple unrelated individuals or (related) families.” The 2009-13 ACS 5-year estimate median household income for the county was $58,697, where the family household income was $74,885. 1 1 U.S. Census, 2009-2013, American Community Survey, Inflation-Adjusted Median Household Income 12 Inflation-Adjusted Median Annual Household vs. Family Income2 Geographic Area Household Income Family Income California $61,094 $69,661 San Luis Obispo County $58,697 $74,885 San Luis Obispo (city) $45,032 $79,286 San Miguel $45,164 $40,738 Atascadero $65,344 $76,763 Paso Robles $58,976 $65,441 Morro Bay $49,470 $62,936 Arroyo Grande $63,802 $81,638 Grover Beach $47,207 $57,830 Nipomo $60,226 $70,744 San Miguel is the only community in the county where the median household income exceeds the family income. The City of SLO had a median household income of $45,032; however, this figure is skewed by the large number of college students in the workforce who earn minimum wage (median income for households with a householder ages 15-25 in the city was $20,078, but jumped to $61,374 when the householder was between ages 25-44). Additionally, the median income data for households and families can mask the fact that there are concentrated pockets of households throughout the county that have significantly lower income averages as evidenced by the number of K-12 students participating in free and reduced lunch programs. In 2013-2014, countywide, approximately 46% (16,081) of enrolled students ages 5-17 were participating in the Free and Reduced Program. 3 The following table reflects the 2015 U.S. Department of Housing and Urban Development’s (HUD) income categories (with percentage levels). HUD’s income categories are updated yearly and are based on American Community Survey 3 year estimates: Categories of San Luis Obispo County Median Income Percentage of County Median Income4 Income Range $77,100 Extremely Low-Income $23,130 or less (30% or less of median) Very Low-Income $23,391 - $38,550 (31% to 50% of median) Low-Income (51% to 80% of median) $39,321 - $61,680 Moderate (81% to 120% of median) $62,451- $92,520 Above Moderate (121%+ than median) $93,291 and over Poverty: Poverty is officially measured by the Federal Poverty Level (FPL) as determined by the Department of Health and Human Services (DHHS). Although some federal programs have their own guidelines for determining eligibility, most federal programs follow FPL guidelines. In 2015, the FPL for an individual is $11,770 annually, for a family of four it is $24,250, and for a family of six it is $32,570. Therefore, if a couple were trying to support their family of six on $33,000 annually, based on FPL standards, they would not be considered to be in poverty. 2 U.S. Census, 2009-2013 American Community Survey, Inflation-Adjusted Median Household Income. California Department of Education, Dataquest, Free and Reduced Price Meals, 2013-2014. 4 U.S. Department of Housing and Urban Development, FY 2015 Income Limits, San Luis Obispo County, www.huduser.org 3 13 2015 Federal Poverty Guidelines - Monthly Income CSBG guidelines per U.S. Department of Health and Human Services Family Size Annual Income Monthly Income up to 30% Monthly Income as a Percentage of the Federal Poverty Guidelines 31% to 51% 76% to 81% to 101% to 126% to 150% to 50% to75% 80% 100% 125% 150% 175% 176% to 200% 1 $11,770 $981 $294 $490 $736 $785 $981 $1,226 $1,471 $1,716 $1,962 2 $15,930 $1,328 $398 $664 $996 $1,062 $1,328 $1,659 $1,991 $2,323 $2,655 3 $20,090 $1,674 $502 $837 $1,256 $1,339 $1,674 $2,093 $2,511 $2,930 $3,348 4 $24,250 $2,021 $606 $1,010 $1,516 $1,617 $2,021 $2,526 $3,031 $3,536 $4,042 5 $28,410 $2,368 $710 $1,184 $1,776 $1,894 $2,368 $2,959 $3,551 $4,143 $4,735 6 $32,570 $2,714 $814 $1,357 $2,036 $2,171 $2,714 $3,393 $4,071 $4,750 $5,428 7 $36,730 $3,061 $918 $1,530 $2,296 $2,449 $3,061 $3,826 $4,591 $5,356 $6,122 $40,890 $3,408 $1,022 $1,704 $2,556 $2,726 $3,408 $4,259 $5,111 $5,963 $6,815 *8 *For family units larger than eight members, add $4,164 to the annual income for each additional member. Located in a rural and coastal area, SLO County’s economy is largely centered around agriculture and tourism, resulting in a high percentage of low-paying jobs: 25% of all county jobs earn $1,875 or less per month. 5 This equates to an income of no more than $22,506 a year, which would be at or near poverty level for a single adult trying to support a family size of 3 or 4 people. The following tables provide a demographic snapshot of poverty in SLO County and specific cities/areas within the county. 6 Poverty in San Luis Obispo County- ACS 5 Year Estimate 2009-2013 Age, Gender and Ethnicity Under 18 years Related children under 18 years*** 18 to 64 years 65 years and over Male Female White, non-Hispanic Hispanic or Latino origin 5 6 County Population* 256,119 49,677 49,467 Population in Poverty** 36,588 7,119 6,909 % in Poverty 14.3 % 14.3% 14.0% % Change from 2007-2011 +1.1 + 1.7 +1.8 164,558 41,884 127,451 128,668 183,335 53,987 26,884 2,625 17,954 18,634 21,808 11,293 16.3% 6.3% 14.1% 14.5% 11.9% 20.9% +1.1 +1.1 +1.0 +1.2 +1.0 +1.9 California Employment Development Department 2014 First Quarter Wages. U.S. Census, 2009-2013 and 2007-2011, American Community Survey 5-Year Estimates, Poverty Status in the Past 12 Months. 14 * Population for whom poverty status is determined ** Not all numbers or percentages will add to to 100% ** *Includes all people in a household under the age of 18, regardless of marital status, who are related to the householder. Does not include householder's spouse or foster children, regardless of age. Area California San Luis Obispo County San Miguel Atascadero Paso Robles San Luis Obispo Morro Bay Grover Beach Nipomo % of Population Living in Poverty by Area 2009-13 2007-11 15.9% 13.2% 14.3% 13.6% 22.1% 18.5% 10.5% 10.1% 12.1% 10.2% 32.4% 31.5% 13.8% 13.9% 12.4% 14.3% 11.5% 9.6% Change +2.7 +0.7 +3.6 +0.4 +1.9 +0.9 -0.1 -1.9 +1.9 Department of Social Services (DSS) Public Assistance Utilization FY 2013-14 Monthly Caseload Averages for County CalWORKS 2,118 Medi-Cal 22,614 General Assistance 216 Non-Assistance CalFresh (Supplemental Nutrition Assistance Program) 8,542 Child Welfare Referrals 362 Region North County North Coast Central County South County Totals* CalWORKs Caseload by Region Quarterly Average 1,112 139 188 673 2,167 % of County Total 42% 6% 9% 31% CalFresh (non-assistance) Caseload by Region Quarterly % of County Total Average 3,891 41% 1,011 11% 1,493 16% 2,895 31% 9,461 *County totals include 12% zipcodes unknown Self-Sufficiency: The Self-Sufficiency Standard for California is an alternative way to measure a family's ability to meet basic needs. The standard provides a more complete picture than the FPL by taking into account family composition, age of children, and the geographic cost-of-living. SLO County’s high cost of living, particularly housing, creates a significant discrepancy between the FPL and the self-sufficiency standard. 15 San Luis Obispo County Self-Sufficiency Standard (SSS) vs. FPL 7 Family Size San Luis Obispo County SSS Hourly Wage* SSS Monthly Amount SSS Yearly Amount FPL Yearly Amount 1 1 Adult $11.98 $2,109 $25,305 $11,770 2 3 3 3 3 4 1 Adult, 1 Infant 2 Adults, 1 Preschool 2 Adults, 1 School-age 1 Adult, 2 Teenagers 1 Adult, 1 Preschool, 1 School-age 2 Adults, 1 Preschool, 1 School-age $26.59 $14.08 $11.97 $16.92 $28.95 $16.23 $4,679 $4,958 $4,214 $2,978 $5,095 $5,713 $56,149 $59,491 $50,566 $35,732 $61,142 $68,560 $15,930 $20,090 $20,090 $20,090 $20,090 $24,250 *Hourly wage equivalent needed for each adult in household working 40 hrs/week, 52 weeks/year Monthly Expenses for San Luis Obispo County 1 Adult 1 Adult, 1 Infant 2 Adults, 1 Preschool 2 Adults, 1 School-age 1 Adult, 2 Teenagers 1 Adult, 1 Preschool, 1 School-age 2 Adults, 1 Preschool, 1 School-age Housing $941 $1,215 $1,215 $1,215 $1,215 $1,215 $1,215 Child Care $0 $1,344 $1,086 $514 $0 $1,600 $1,600 Food $244 $363 $600 $664 $671 $557 $765 Transportatio n $278 $287 $543 $543 $278 $287 $543 Health Care $137 $397 $456 $472 $464 $423 $482 Miscellaneous $160 $361 $390 $341 $263 $408 $461 Taxes $348 $847 $801 $599 $382 $870 $914 $0 $0 $0 $0 ($128) $0 $0 $0 ($50) ($50) ($50) $0 ($100) ($100) $0 ($83) ($83) ($83) ($167) ($167) ($167) $2,109 $4,679 $4,958 $4,214 $2,978 $5,095 $5,713 Earned Income Tax Credit (-) Child Care Tax Credit (-) Child Tax Credit (-) Monthly Total The self-sufficiency standard income needed to pay for monthly expenses does not account for expenses such as payment of debts (including student loans) or saving for retirement. It merely represents the lowest amount of income needed to pay cost of living expenses in the region. 7 Insight Center for Economic Development, Self-Sufficiency Standards 2014. 16 INCOME and SELF-SUFFICIENCY: RESOURCES Income and Poverty: Service providers and community partners agree that it will take a concerted effort at all levels of government to mitigate the impacts of poverty. Locally, there are numerous public and nonprofit organizations and churches that provide emergency assistance for rent, utility payments, food, and other basic needs. The goal of SLO County's CalWORKs program is to provide wrap around support for families in the community who need help to become self-sufficient. California's version of the federal Temporary Assistance for Needy Families (TANF) program, CalWORKs, provides time-limited monthly cash payments to families with children under 19, who qualify until graduation from high school. At least one child in the home must need cash aid because of death, illness, injury, unemployment, or continued absence of one or both parents. CAPSLO has several recurring contracts with the county to provide specific program services to CalWORKs clients: rapid rehousing assistance; providing subsidized child care services; assisting pregnant and parenting teens in completing education goals; accessing medical care; learning appropriate parenting skills and healthy life choices; and providing parent education and direct services (e.g. emergency items for children: food, clothing, bedding, etc.). While there are sources of financial assistance such as Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) for eligible individuals, the application process is long and complicated. Homeless persons may be eligible, but without help to navigate this process, many of them simply give up. SLO Benefits-ARCH (Advocacy and Resource Connections for the Homeless), a collaboration of local agencies that serve the homeless, has been meeting since December 2008 to streamline this lengthy process. Their efforts have begun to show results – an increasing number of homeless and/or disabled persons have been able to receive a decision on benefits in six months. These improvements will ultimately ease the nightmare of accessing local and federal resources needed to stabilize income for these vulnerable populations. Financial Literacy: Regarding financial literacy and saving, according to United Way of SLO County's website, 49% of all Americans are not saving anything towards retirement. 8 More than 40% of American families have less than $1,000 in a liquid, nonretirement savings account, and 43% of American families spend more than they make. These troubling statistics show why United Way of SLO County's focus on improving financial stability starts with teaching young people how to make sound economic decisions that lead to a secure financial future. United Way's Money Talks for Teens program was designed to help youth understand the importance of financial skills and provide a basis that they can use for lifelong development of personal financial literacy. A five-class series for high school seniors presents accurate, unbiased information and hands on experiences in financial literacy – tools that young people can learn and take with them through early adulthood and beyond. The Housing Authority of SLO operates a Family Self-Sufficiency Program for residents of their various housing programs, supporting client families to improve their employment and income, improve their financial literacy, reduce their dependence on public assistance, and save toward family housing goals. To help low-income households make better use of their limited resources, financial literacy education is provided by SurePath Financial Solutions (formerly Consumer Credit Counseling Services), a nonprofit 8 www.unitedwayslo.org 17 financial counseling agency with a local office. They provide debt, credit and bankruptcy counseling, housing/foreclosure solutions, and financial workshops. Legal Services: California Rural Legal Assistance (CRLA) in San Luis Obispo, known traditionally as Legal Aid, is one of 23 law firm offices in California. Its mission is “to fight for justice and individuals right alongside the most exploited communities of our society.” CRLA has been providing services to lowincome SLO County residents since the 1980s. Typical cases include landlord tenant issues, debt defense, wage/hour, and mortgage modifications. CRLA’s bilingual staff can provide services to monolingual Spanish speaking clients and conduct outreach to the most marginalized of individuals. The Cal Poly Low-Income Taxpayer Clinic represents low-income taxpayers involved in controversies with the Internal Revenue Service and provides education and outreach services on the rights and responsibilities of U.S. taxpayers to individuals who speak English as a second language. Services are free. The Family Law Facilitator at the SLO County Court assists with the completion of courts forms and provides a list of legal resources, including non-profit agencies, legal, mediation, and referral services at low- or no-cost. HOUSING: CONDITIONS “We have to work more than one job to afford housing and then we never get to see our children.” “Why are the requirements, rules, and regulations for low-income apartments so stringint and difficult to follow? Why can’t someone helps us understand all these rules and regulations?” Over half of the survey respondants (56%) identified “Supply of Safe and Affordable Housing” as a major or minor issue for their family. Cost of rent payment, costs of utilities and/or rental deposit, and housing size were identified as three biggest challenges among respondents. Affordability: Housing affordability is a major concern in San Luis Obispo County, which the Housing Opportunity Index (HOI) listed as the fifth least affordable area nationally for metropolitan areas of populations under 500,000 for the 4th quarter of 2014. 9. The HOI reports that only 26.6% of the housing units sold during that quarter were affordable to residents earning the area’s median family income. The 4th quarter median price of new and existing housing sold in the county was $435,000, still less than the peak price of $550,000 in the 2nd quarter of 2006, when affordability was a mere 5.9 %. In its recently adopted Consolidated Plan, SLO County identifies four major factors contributing to the unaffordability of housing for several income levels, including low- and moderate-income households: 1) the strong demand for the limited supply of housing units, which drives up the housing prices; 2) the location of the county being on the coast and between Los Angeles and San Francisco; 3) the region’s natural beauty and Mediterranean climate, making it a desirable place to live; 4) and the willingness of most residents to earn less in order to have a higher quality of life. 10 9 National Association of Homebuilders/Wells Fargo Housing Opportunity Index (HOI) (2/19/2015) County of San Luis Obispo 2015-2019 Consolidated Plan, April 14, 2015, www.slocounty.ca.gov 10 18 The county based its Consolidated Plan on the following breakdown of households in accordance with HUD Area Median Family Income (HAMFI). Total Households Small Family Households Large Family Households Households w/ at least 1 person 6274 yrs of age Households w/at least 1 person age 75 or older Households w/1 or more children 6 yrs old or younger Number of Households 11 0-30% HAMFI (Very Low) 11,640 2,268 >30-50% HAMFI (Low) >50-80% HAMFI (Moderate) >100% HAMFI 15,215 5,364 >80-100% HAMFI(Middle Income) 8,945 3,545 11,020 3,660 475 550 1,259 608 3,120 1,769 1,653 2,530 2,074 10,575 1,718 2,329 2,727 1,223 4,313 1,095 1,938 2,332 1,208 4,345 46,230 23,220 According to this data, there are 22,660 households in San Luis Obispo County which are considered lowor very low-income. This total includes 6,953 small and large family households and 7,469 households with at least one person who is at least 62 years old or older. These two groups comprise two-thirds of the low and very low-income households. Housing “cost burden” is the percentage of household income spent by owners for property expenses, including mortgage or rent and utilities. According to HUD, households spending more than 30% of income on housing are considered “cost burdened” and households spending more than 50% are considered “severely cost burdened.” According to the U.S. Census Bureau’s American Community Survey 2009-2013 5 year estimates, 49.7% of the owners who occupied housing with mortgages, 14.6% of the owners who occupied housing without mortgages, and 58.9% of renters in SLO County spent 30% or more on housing costs. According to the county’s Housing Element, while the unincorporated areas of Cambria, Los Osos, Shandon, and Templeton have cost burden percentages below the county averages for owners and renters, the communities of Nipomo, Oceano, and San Miguel with higher proportions of Hispanic residents have percentages which exceed the average cost burden for the unincorporated region of the county. 12 In formulating the Consolidated Plan, the county gathered data demonstrating that 11% of Hispanics have a disproportionately greater need regarding a housing cost burden of over 30%. 13 This plan also cites that 80% of low- and very low- income renter households are severely cost burdened. 14 For fiscal year 2015, the Fair Market Rent (FMR) in SLO County for a two bedroom apartment is $1,309. 15 To afford rent and utilities without spending more than 30% of income, a household must earn a minimum of $52,350 annually. Assuming a 40-hour work week, and 52 weeks/year, this income level 11 ibid. County of San Luis Obispo General Plan, 2015-2019 Housing Element, June 17, 2014, www.slocounty.ca.gov 13 County of San Luis Obispo 2015-2019 Consolidated Plan, April 14, 2015, www.slocounty.ca.gov 14 ibid. 15 Housing and Urban Development, FY 2015 Fair Market Rents, San Luis Obispo County, www.huduser.org 12 19 translates into a household wage of $25.17/hour; however, a minimum wage worker in California earns $9.00/hour. In order to afford the FMR for a two bedroom apartment, a minimum wage earner must work 112 hours/week, 52 weeks/year. A local household then needs 2.8 minimum wage earners, each working 40 hours/week, year-round, in order to afford the FMR for a two bedroom apartment. If SSI is a person’s sole source of income, 30% of the $899.40 SSI monthly payment for a disabled or aged individual living independently in California, the highest amount for affordable rent would be $266.8. 16 Yet, the county’s FMR for a one bedroom is $1,014. 17 According to the American Community Survey, 87.7% of the rental units in SLO County were $750/month or more. 18 Supply: The California Department of Finance reported the following housing unit estimates and vacancy rates in January 1, 2014: Number of Housing Units by Type 19 Total Units SLO County 119, 032 Single Detached 80,712 California 13,845,281 8,038,217 Single Attached 6,502 Two to Four 9,097 Five Plus 12,021 Mobile Homes 10,700 972,976 1,119,175 3,154,907 560,000 Vacancy Rate and Persons per Household 20 Vacancy Rate Persons per Household SLO County 13% 2.47 California 8.0% 2.95 The data from the Department of Finance also indicates that the vacancy rate for SLO County has remained the same since 2010. During the same time period, the persons per household rate for SLO County has varied by no more than .02, both increasing and decreasing in size. However, it was reported that the county had the lowest multifamily vacancy rate in the nation at 1.9%, and a rental vacancy rate of 1.7%. The lack of affordable housing impedes local economic development and causes a myriad of social and health problems. 21 The rate of household growth in SLO County has slowed over the past fifteen years. The table below illustrates that the annual household growth rate in the unincorporated region is projected to have decreased to 0.3% from 2010 to 2015 from the annual rate of 2.0% in 2000. 22 Year 2015 Projection 2010 2000 Household Growth, Unincorporated County 23 Households 41,622 40,377 35,296 Growth Change 1,245 5,081 5,894 Annual % Change 0.3% 1.4% 2.0% 16 Social Security Administration, Supplemental Security Income (SSI )in California,, SSA Publication No. 05-11125, January 2015, www.ssa.gov 27 Housing and Urban Development, FY 2015 Fair Market Rents, San Luis Obispo County, www.huduser.org 28 U.S. Census, 2013 American Community Survey, 1-year estimate. 29 State of California, Department of Finance, E-5 Population and Housing Estimates for Cities, Counties, and the State-January 2011-2014. Sacramento, California, May 2014. 30 ibid. 21 Housing Trust Fund, San Luis Obispo County Housing Market, 2013. 22 County of San Luis Obispo General Plan, Housing Element 2015-2019, June 17, 2014, www.slocounty.ca.gov 23 Housing Element 2014-2019, Table 5.5. 20 The county anticipates a smaller average household size countywide due to an increasing percentage of retired age residents caused by an in-migration of retired people, a drop in the natural birth rate, and an exodus of young professionals with families. This reduction in household size could then create a higher demand for housing units. 24 The Consolidated Plan sets forth the foregoing reasons for this increase and confirms that there is a growing need for smaller housing units for seniors and small family households. 25 According to RealtyTrac, in March 2015, the number of properties in Paso Robles that received a foreclosure filing was 6% lower than the same time last year; in Nipomo the foreclosing filing was 8% lower than in March 2014. 26 There has been a decline in foreclosure activity which has corresponded with the rise in home sales prices. Substandard Housing: SLO County’s Consolidated Plan states that after the high cost burden for very lowincome homeowners and renters, the second most important issue for these households is the substandard housing quality, such as housing units lacking complete plumbing and kitchen facilities. Overcrowding is also a serious issue, with a third of low-income renters living in overcrowded conditions and almost half of low-income homeowners living in severely overcrowded conditions. A housing unit is classified as being overcrowded when there is more than one person per the number of rooms in the housing unit. When there are more than 1.5 persons per room, the unit is considered to be severely overcrowded. 27 Substandard Housing-lacking complete plumbing or kitchen facilities Severely Overcrowded- with >1.51 people per room (and complete kitchen & plumbing) Overcrowded-With 1.01-1.5 people per room 28 RENTERS 0>30%30% 50% AMI AMI >50%80% AMI 225 89 159 185 60 254 4 209 430 434 135 >80%100% AMI OWNERS 0>30%30% 50% AMI AMI >50%80% AMI >80%100% AMI Total 19 10 40 15 84 503 0 45 42 10 97 1,208 30 19 115 50 214 Total Number of Households 60 533 24 County of San Luis Obispo General Plan, Housing Element 2014-2019, June 17, 2014, www.slocounty.ca.gov County of San Luis Obispo, Consolidated Plan, April 14, 2015, www.slocounty.ca.gov 26 RealtyTrac, San Luis Obispo County Real Estate Trends & Market Info, May 2015, www.realtytrac.com 27 County of San Luis Obispo, Consolidated Plan, April 14, 2015, www.slocounty.ca.gov 28 ibid. 25 21 HOUSING: RESOURCES Affordability and Supply: Regional Housing Needs Plan: The State Department of Housing and Community Development approved the Regional Housing Need Plan (RHNP), which was adopted by the San Luis Obispo Council of Governments (SLOCOG) in 2013. For the time period of January 1, 2014 to June 30, 2019 the RHNP allocates 4,090 new housing units for the entire county, with 1,347 units assigned to the unincorporated region and 2,743 units designated for the incorporated areas. 29 The unincorporated region’s share is broken down into income categories as follows: Income Category Very Low Low Moderate Above Moderate Total Number of New Units 336 211 237 563 1,347 % of New Units 25.0 15.7 17.6 41.8 100 The assigned share for the seven cities is broken down into income categories as follows: 30 City Arroyo Grande Atascadero Grover Beach Morro Bay Paso Robles Pismo Beach San Luis Obispo Total Very Low 60 98 41 39 123 38 285 684 Low 38 62 26 24 77 24 179 430 Moderate 43 69 29 27 87 27 201 483 Above Moderate 101 164 69 65 206 64 478 1,147 Total New Units 242 393 166 154 493 153 1,143 2,743 San Luis Obispo County Housing Trust Fund (HTF) provides technical assistance and financing to non-profit organizations, private developers, and government agencies for the purpose of increasing the supply of affordable housing for very low, low, and moderate households in SLO County. Since 2005, the HTF has lent over $16 million, which has helped finance the creation or preservation of 572 units of affordable housing. HTF reports that 2014 was its most productive year both in terms of the number and value of loans closed in a single year. In 2014, the HTF closed $5 million in loans for ten affordable housing projects. The non-profit housing developers in San Luis Obispo County are Peoples’ Self-Help Housing, Paso Robles Housing Authority, and San Luis Obispo Non-Profit Housing Corporation. Rental Housing: Peoples’ Self-Help Housing (PSHH), the largest affordable housing developer on the Central Coast, is celebrating its 45th anniversary in 2015. PSHH has developed 1,149 owner-built homes and 1,571 rental units that it manages in San Luis Obispo, Santa Barbara, and Ventura counties. In October 2014, PSHH opened a new 36-unit complex in Arroyo Grande in South SLO County. Its upcoming projects 29 30 Housing Element 2014-2019, Regional Housing Needs Plan adopted by SLOCOG, 2013, Table 3.1, p. 3-2. Housing Element 2014-2019, Regional Housing Needs Plan adopted by SLOCOG, 2013, Table 3.2, p. 3-2. 22 include a 30 unit complex in Templeton in North County and a 33 unit development in Cambria on the North Coast. PSHH operates the Supportive Housing Program (SHP), which employs eight social workers who served 247 households in 2014. All PSHH tenants are eligible for these services, which are free, confidential, and voluntary. PSHH also offers an after-school education program called Youth Education Enhancement Program (YEEP) for students in kindergarten through the eighth grade. Paso Robles Housing Authority is committed to transitioning out of Public Housing into an affordable housing project in 2012. In a four phase redevelopment project, the Housing Authority is in the process of demolishing 148 deteriorating rental units at Oak Park and replacing them with 302 new units of familystyle affordable housing. The first phase, consisting of 80 units, has already been completed. These units are available to families with incomes between 30% and 60% of AMI, with 32 units designated for projectbased housing vouchers and 20 units for farmworker families. YouthWorks, a job skills program located at Oak Park for elementary school through college students, is a program of the Paso Robles Housing Authority. San Luis Obispo Non-Profit Housing Corporation has developed projects by using a variety of funding sources, including tax credit, Community Development Block Grants (CDBG), the California Housing Finance Agency (CFHA), Higher Education Loan Program (HELP) loans, bonds, and state financing. The majority of the housing units are tax credit developments. These units, which are managed and maintained by the Housing Authority of San Luis Obispo, are classified as affordable, but not “lowincome,” with rents ranging from $700 to $1,200 monthly. Housing Authority of San Luis Obispo (HASLO) also owns 168 units on 13 sites in the City of SLO. The Housing Authority is continually working on building or acquiring more housing. On 3/19/15, it broke ground for a 43 unit complex on SLO’s South Street, which is expected to be ready for occupancy in early 2016. HASLO maintains an interest list for tax credit affordable units, with rents ranging from $600 to $1,200. Although these units are not considered “low-income,” Housing Choice Vouchers are accepted. These units are located in the North County cities of Paso Robles and Atascadero. HASLO also operates the Housing Choice Voucher Program countywide. The Executive Director of HASLO sees a need to expand the Housing Authority’s Family Sufficiency Program (FSS) and to define it more broadly than previously. The purpose of the FSS is to help persons “become economically independent and self-sufficient by working together to overcome barriers, build self-esteem, and establish and attain goals.” Participation in this program is voluntary and open to both Housing Choice Voucher holders and residents of public housing. FSS participants sign a five-year contract and follow a training and service plan, which outline employment goals, education and/or job training, and necessary services. If the participants meet their goals within the five years, then they will receive the funds deposited in an interest-bearing escrow account, which represent a percentage of their increased contribution to their rent due to their increased income. The Housing Choice Voucher Program (also known as Section 8), which is operated countywide by HASLO serves over 2,200 low income households. In September 2014, the waitlist for this program was opened for the first time in over four years. In order to better meet the needs of the community, the application time was extended to three weeks instead of the prior four-day period. The application process was also made more accessible by conducting it through an online application instead of having applicants competing to get through on jammed phone lines. The procedures for handling the applications were modified so that 500 names, the amount which HASLO estimates that it might reach in a single year, were 23 selected by lottery from all the applicants. HASLO also eliminated its points system for characteristics, such as disability, homelessness, and domestic violence victims. Instead, it substituted a referral allotment for agencies who serve homeless persons and victims of domestic violence. In order to increase the pool of landlords who accept these vouchers, HASLO is training its staff on conducting personal outreach to landlords to increase the number of units available to voucher holders. HASLO administers a program in partnership with French Hospital Medical Center in San Luis Obispo, which leases units for medically fragile persons who have been discharged from its hospital. In partnership with CAPSLO, HASLO also operates countywide a “master leasing” program for CAPSLO Homeless Services program clients. CAPSLO’s Chief Executive Officer (CEO) serves on the HASLO Board. Affordable housing units for seniors are located throughout the county, including Judson Terrace which has 107 rental units in San Luis Obispo, Parkview Manor which has 61 apartments in Arroyo Grande, and Chet Dotter Senior Housing which has 40 apartments in Paso Robles. Transitional Housing: Among its several transitional housing services for mentally ill persons, TransitionsMental Health Association (TMHA) provides transitional housing for 24 disabled adults who are currently or potentially homeless. The goal of this program is to transition them to successful independent living within 12 months. The SLO County Women’s Shelter provides transitional housing to 36 persons who are victims of domestic violence and their children. Family Care Network offers transitional housing programs for foster youth who are developing the skills to live successfully on their own and for 18 to 21 years olds participating in therapeutic treatment with the SLO County Behavioral Health Department. Affordable Home Ownership: The SLO County affiliate of Habitat for Humanity International helps lowincome families build their own homes. Since 2006, it has completed 17 houses in the county and it currently owns 15 properties on which houses may be built. PSHH also assists low-income families with “sweat equity” home ownership. The county operates the First Time Homebuyer Program (FTHB), which assists qualified, low-income families with down payment, mortgage, and closing costs to purchase their first home. Moylan Terrace, located in the City of SLO, has 19 of the 80 units set aside for qualified buyers through the Affordable Housing Program. Substandard Housing: Low-income persons who are facing the possibility of having their utilities cut off due to lack of payment may apply to the REACH program (Relief for Emergency Assistance through Community Help), which is sponsored by PG&E and administered by the Salvation Army. It is a one-time payment program that may be accessed only once in an 18-month period, although exceptions may be made for seniors, physically challenged persons, and terminally ill persons. Catholic Charities’ Family Supportive Services includes the provision of financial assistance for utility bills. CAPSLO provides utility assistance services, which are funded through the Federal government’s Low Income Home Energy Assistance Program (LIHEAP). These programs offer once a year payment assistance to keep low-income households connected for gas, electricity; it will also pay for propane bills. PG&E and Southern California Gas Company are required to provide weatherization assistance to low-income households in the communities they serve. The utility companies have partnered with CAPSLO Energy Services to fulfill these requirements in SLO County. CAPSLO’s Energy Services Division also helps lowincome and senior households maintain safe homes by providing minor home repair, weatherization, and conservation services. 24 HOMELESSNESS: CONDITIONS “We are seeing a continual increase in homeless individuals seeking services, especially at the Maxine Lewis Memorial Shelter and Prado Day Center. Our numbers go up each year. Sometimes it’s a little bit of an increase, but if you look over a longer time span, it’s quite huge.” “Common issues that homeless individuals face include mental illness, substance-abuse, lack of jobs, struggling to get on to disability, the SSI process, and lack of low-income housing.” More than 16% of survey respondents were homeless, citing lack of skills, education, employment and the high cost of housing as contributing issues. The “deinstitutionalization” of mentally ill patients began in 1963 when President Kennedy signed the Mental Health Act, and had a direct effect on the increase of homeless individuals suffering from mental illness. In 1967, Governor Reagan signed the Lanterman-Petris-Short Act, which released massive numbers of psychiatric patients from institutions during the 70s and 80s. The United States went from 550,000 mental hospital patients in 1955 to just 40,000 today. (To put this in perspective, the general population nearly doubled during that same period). It is estimated that those displaced patients now represent between 30%-50% of the American homeless population. 31 In January 2013, community-based organizations, faith-based groups, community volunteers, county and city staff conducted the bi-annual countywide homeless enumeration; a “point-in-time” survey of those living in the county who lack shelter. Using HUD-approved protocols, enumerators counted 2,186 homeless individuals, a 3% increase over 2011. It was estimated that nine out of ten homeless individuals were unsheltered – 89%. It was also estimated that 3,497 persons were homeless at some point in time over the course of a year. It was reported that 26% of those counted and surveyed were chronically homeless, 49% reported experiencing some form of mental illness, and 12% were veterans. Regional distribution of homeless individuals was: 21% in the North County, 34% in San Luis Obispo, 38% in South County, and 6% in the Coastal Region. 32 A 26-question survey was administered to every fifth homeless adult in order to gain an in-depth understanding of the issues of local homelessness. The needs of homeless veterans, chronic and episodic homelessness, health and mental health impacts, and other important issues were recorded to inform and guide local systems of care. Mental illness and alcohol/drug abuse is significantly intertwined with homelessness. “Case management statistics show that 64% of those seeking help are found to be clinically mentally ill, with many of those abusing alcohol or drugs.” 33 According to 2014 data collected through the CAPSLO’s intake process for Homeless Services, 38% of clients receiving services suffered from some form of mental illness and 21% were physically disabled. For these individuals, navigating the complex mental health and/or drug and 31 SLO Life, Understanding Homelessness in SLO, August/September 2012. 2013 Homeless Enumeration Report, www.sloplanning.org. 33 The Tribune, Life under the bridge: Homeless and mentally ill in SLO County, 8/10/11. 32 25 alcohol system alone, is a near impossibility. Limited case management/supporting services and long waiting lists often leads to a sense of helplessness and hopelessness. The increasing difficulty and expense of securing and maintaining housing in SLO County’s high-cost market has pushed many low- and middle-income households into homelessness. Many of these individuals and families “couch-surf” with friends and families for as long as possible before resorting to motels and then, as their money runs out, homelessness. Higher rents, coupled with below-living wage jobs places households on the brink each month, and the phrase “you are only a paycheck away” takes on real meaning. HOMELESSNESS: RESOURCES Oversight and Coordination: The Homeless Services Oversight Council (HSOC) was created to lead, facilitate, and provide oversight for the implementation of San Luis Obispo (SLO) County’s 10-Year Plan to End Homelessness. As a planning and policy development forum, HSOC brings together local jurisdictions, public and private service providers, and other community stakeholders to increase local awareness and participation, and service coordination and efficiency. Membership of the HSOC includes representatives from: Board of Supervisors; each City Council; county departments of Behavioral Health, Public Health, Planning and Building, Social Services, and Veterans Services; nonprofit service providers, including CAPSLO; affordable housing developers; business organizations; law enforcement; academia; health care; faith communities; and interested community members, especially those experienced with homelessness. CAPSLO’s Homeless Services staff is prominent in the HSOC leadership. In part due to President Obama’s "Opening Doors," a "Federal Strategic Plan to Prevent and End Homelessness," the federal Housing and Urban Development (HUD) has begun shifting funding to focus more on prevention of homelessness and rapid re-housing rather than sheltering of homeless. The county also needs much more permanent supportive housing. Of the different housing models, what kind of housing is needed? How many units are needed for homeless families and the chronically homeless? And housing alone isn’t enough. There is increasing recognition that the community needs to strengthen the supportive systems and service-enriched supports needed to help people to both avoid eviction and be successful tenants. HSOC membership includes representatives from the Board of Supervisors; each City Council; County Departments of Mental Health, Drug and Alcohol, Public Health, Planning, Social Services, Veterans Services, and Probation; nonprofit service providers; affordable housing developers; businesses; law enforcement; academia; health care; faith communities; and interested community members, preferably experienced with homelessness. CAPSLO’s Deputy Director, and Homeless Services staff are prominent in the HSOC leadership. FACILITIES The largest overnight shelter in SLO County, the Maxine Lewis Memorial Shelter, is operated by CAPSLO. Located in the City of SLO, the MLM Shelter has 49 beds to accommodate homeless individuals and families. In 1992, to assist with the increasing need for sheltering, and to provide a safe and secure environment for women and children, the Interfaith Coalition (ICH) for the Homeless was formed to 26 provide overflow shelter services for this population. ICH consists of 14 faith-based groups who take turns hosting at a different church or synagogue each month. In the North County, the El Camino Homeless Organization (ECHO) provides an overnight shelter with 35 available beds. Both shelter programs provide dinner, showers, client screening/intake for shelter beds, client information/referral, and access to intensive case management services. Transitional Food and Shelter (TFS) also in the North County provides temporary shelter for the medically fragile homeless. CAPSLO, in partnership with another nonprofit, Friends of the Prado Day Center, operates Prado Day Center, the only homeless day center in the county. Due to the economy, lack of transitional/affordable housing, and limited shelter beds, the number of people living in their cars in SLO County has increased in recent years. In 2012, numerous complaints were being reported to the City of SLO from local businesses and residents about vehicles “camping” on their streets, and complaints from community members about the police ticketing homeless individuals with camping violations. On March 20, 2012 as a first step towards addressing this issue, the San Luis Obispo City Council approved an agreement with CAPSLO to provide a Safe-Parking Pilot Program at the Prado Day Center. The program provides five parking spaces that are gated off at night; video surveillance and restroom facilities are also provided. In order to qualify, participants must participate in CAPSLO case management services and remain alcohol and drug free. Because of its success, the City of San Luis Obispo has increased the slots available in the Safe Parking Program. In the City of San Luis Obispo, CAPSLO operates the Maxine Lewis Memorial (MLM) Shelter, which provides 49 beds nightly to homeless men, women and children. CAPSLO partners with the Interfaith Coalition for the Homeless (ICH), 14 faith-based groups, to host the “overflow” clients. The Prado Day Center is CAPSLO’s day facility for serving the homeless with meals, showers, access to case management, a mobile health van run by Community Health Centers of the Central Coast, and access to mail, phone, and email. Since Prado Day Center opened in 1997, it has become the major point of daytime contact for local providers to serve the homeless and working poor families and individuals. The Center operates seven days a week, year-round, providing breakfast and lunch to an average daily census of 84 persons and other services to a daily average of 132 persons. Prado Day Center offers restrooms and shower facilities; laundry service; local phone use; mail service; newspapers for employment listings; a reading/writing area; children’s playroom and play yard; a community garden; and bus tokens. The Prado Day Center is the only center in the county that provides this vast array of services to our homeless population. Both MLM and the Prado Day Center have exceeded their capacity. Additionally, MLM’s facilities are in a state of decline and have been used beyond the estimate life of the modular building that houses it. The Prado Day Center’s lease with the City of SLO will end in 2018 to allow for the expansion of the city’s water reclamation facility. With this in mind, CAPSLO, the Homeless Foundation of SLO County, the Interfaith Coalition for the Homeless, the County and City of SLO, State of California, and Friends of the Prado Day Center have been diligently working to find a suitable site to build a new, all-in-one facility. In the fall of 2014, CAPSLO and the Regional Transit Authority jointly purchased a parcel of land that will house transportation operations and the new, consolidated homeless services center. Construction of the up to 150 bed facility is expected to begin in 2016. 27 In North County, the El Camino Homeless Organization (ECHO) provides an overnight shelter for the homeless. Both shelter programs provide dinner, showers, client screening/intake for shelter beds, client information/referral, and access to intensive case management services. Transitional Food and Shelter (TFS) in North County provides temporary shelter for the medically fragile homeless through the use of motels. Homeless individuals and families with vehicles became an issue with the city after complaints from local businesses and residents started coming in about vehicles “camping” on their streets. These individuals and families, it was claimed, disrupted normal business and neighborhoods. In conjunction with the city, CAPSLO developed a Safe Parking Program at the Prado Day Center that could accommodate up to five vehicles. Participants in the program must agree to enroll in case management services. The program has been very successful and the City of SLO is in the planning stages to increase the Safe Parking Program due to its success. The Prado Day Center also functions as a Warming Station for individuals and families during inclement weather situations Supportive Services: Case management is provided by CAPSLO for its own clients. The goals of CAPSLO case managers are to help clients stabilize their income, secure permanent housing, and build the independent living skills needed to maintain income and housing. There are a number of programs in the county to assist with homeless case management. These programs include the Transitions Mental Health (TMHA) 50Now program, the DSS Housing Support Program for CalWorks families, The Link, Peoples’ SelfHousing, Women’s Shelter Program, RISE, Catholic Charities, Salvation Army, Transitional Food & Shelter, and CAPSLO’s Supportive Services for Veteran Families Program. TMHA and CAPSLO provide permanent supportive housing services to chronically homeless individuals and families with funding support from the County of San Luis Obispo. TMHA also provides transitional housing services to their clients. ECHO provides case management support for clients accessing their shelter services in the North County and 5 Cities Homeless Coalition provides rapid re-housing and other supportive services for south county individuals and families. Case managers across the network of service providers work cooperatively to ensure that homeless persons receive all eligible benefits and help. There are numerous community meal programs serving homeless and low-income community members. Meals are provided in the City of San Luis Obispo: breakfast at Prado Day Center and MLM Shelter; lunch provided by the Peoples’ Kitchen at Prado Day Center; and dinner provided by the community at MLM Shelter. In the North County, breakfast and dinner are served at the ECHO Shelter in Atascadero; the Second Baptist Church of Paso Robles is the host site used to serve lunch, provided by Christ’s Kitchen, and dinner is provided by the North County People’s Kitchen. The South County Peoples’ Kitchen provides lunch in Grover Beach. Throughout the county, Salvation Army, Catholic Charities, Grass Roots II, Paso Robles Loaves and Fishes, Atascadero Loaves and Fishes and numerous churches provide food pantries and offer crisis intervention services. These separate efforts are provisioned and supported by the county’s Food Bank Coalition who also provides food through the two warehouse locations in North and South County. Many homeless and/or disabled persons are probably entitled to SSI benefits, but applying for benefits is labor-intensive and can take years. SLO Benefits-ARCH, a collaboration of local agencies that serve the homeless, has been meeting since December 2008 to streamline this arduous process. 28 EMPLOYMENT and LOCAL ECONOMY: CONDITIONS “The on-going drought is the biggest threat to the county’s economy” – CEO, San Luis Obispo Economic Vitality Corporation “There is work if you want to work, but it is hard to find a job that offers benefits like sick leave, vacation time, and health insurance.” “You can find a job, but minimum wage doesn’t cover the cost of living.” Of survey respondants who said that “Access to Living Wage Jobs” was an issue for their family, 56% cited “Lack of Good Paying/Living Wage Jobs” as a problem. Employment and Unemployment: In March 2015, SLO County’s unemployment rate was 4.6%, down from its peak of 10.7% in July 2010. While the declining rate is welcome news, and SLO County has historically had one of the lowest unemployment rates in California – hovering at 3-4% for almost a decade – many of the new jobs available in the continued economic recovery are leaving workers under-employed, with part-time jobs and/or wages that make it difficult to afford the county’s high cost of living. A closer look at March 2015 employment data shows the county’s unemployment rate ranked sixth lowest out of 58 counties, lower than the state jobless rate of 6.1%, and the national rate of 5.5%. 34 While most communities within the county also saw falling unemployment rates between 2013 (the last Community Needs Assessment) and 2015, the northern most communities of San Miguel and Shandon both saw 2.5% increases in the unemployment rate. Area California San Luis Obispo County Paso Robles Shandon Cayucos San Luis Obispo San Miguel Oceano Nipomo March 2015 6.1% 4.6% 5.2% 6.5% 3.5% 4.9% 8.7% 3.8% 4.2% May 2013 8.1% 5.7% 6.8% 3.0% 3.5% 6.3% 6.2% 10.9% 7.6% Change -2 -1.1 -1.6 +3.5 nil -1.4 +2.5 -7.1 -3.4 Conventional wisdom says that unemployment is usually the last economic signpost to improve after a recession. However, despite a growing number of jobs and gains in most job sectors, head of household jobs and jobs that pay “self-sufficiency” wages are still out of reach for many low- to moderate-income households. SLO County’s economy is largely service oriented. The county’s weather, wine regions, beaches, proximity to San Francisco and Los Angeles, and inclusion on many “Top Ten” lists, make the area a popular tourist destination. With a booming tourism industry follows many low wage and/or part-time jobs in local 34 California Employment Development Department, March 2015, www.edd.ca.gov 29 restaurants, hotels, shops, and other local businesses catering to this population. What the Department of Labor classifies as “service jobs” account for 38% of the county’s market; however, the true service sector is larger because it is inclusive of the public sector and much of the finance, insurance, and real estate sector. In March 2015, there were 134,900 people in the county counted among the employed, out of a total civilian labor force of 141,500. The number of county jobs in all industries totaled 117,300, indicating that at least 17,600 individuals were employed outside the county (more if accounting for out-of county workers commuting into the county). 35 Job Sectors and Salary: The county’s job sector grew by 13.1% between 2012 and 2015, with exceptional growth of 18.9-20.9% growth in three sectors: Education and Health Services, Mining and Construction, and Finance, Insurance, and Real Estate. 36 San Luis Obispo County Employment by Sector Job Sector Number of Jobs 2015 Number of Jobs 2012 Public Sector 22,800 21,500 Farmworkers 4,600 4,200 Leisure and Hospitality Services 16,900 15,600 Education and Health Services 15,000 12,400 Mining and Construction 6,900 5,800 Finance, Insurance, and Real Estate 5,200 4,300 Trade, Transportation, and Utilities Services 20,800 19,900 Manufacturing 6,900 6,400 Information Services 1,400 1,200 Total All Industries 117,300 103,700 Percent change +6.2% +9.5% +8.3% +20.9% +18.9% +20.9% +4.5% +1.8% +16.6% +13.1% According to the local Business and Career One-Stop Center, since 2008, wages in SLO County have gone down in a number of job sectors, and many employers are filling full-time jobs with part-time employees – and they are offering limited or no benefits. With the Affordable Health Care Act (ACA) requiring that businesses with 50 employees or less provide health insurance for full-time employees beginning in the next couple of years, many small businesses are considering reducing the number of hours per week that their employees work because they cannot afford to pay the insurance costs. Active sectors, like health care, continue to change, with trained medical billers, licensed vocational nurses, and certified nursing assistants unable to find work, while up and coming positions in the medical field remain unfilled. The county continues to suffer from an inadequate numbers of physicians, in large part due to the lower Medi-Cal and Medicare reimbursement rates paid to physicians as a result of the county's designation as a “rural” area. This shortage is being felt more accurately as the number of insured, and therefore those seeking a primary care physician, has increased through the ACA. Employment partners report that some job seekers are recovering from “affluenza” and are now focused on meeting their basic needs, while earning far less than they did before. They lack many basic computer skills that younger workers take for granted and are overwhelmed by the amount of training and skills they now need to be competitive. 35 36 ibid. California Employment Development Department, Labor Market Information, May 2015. 30 Wages: Wages and Percentage of Total Employment in SLO County compared to United States, 2013 37 Percent of total employment Major occupational group Total, all occupations United States Mean hourly wage San Luis United San Luis Percent Obispo States Obispo difference* 100.0% 100.0% $22.33 $21.58 -3 Management 4.9 4.6* 53.15 45.80* -14 Business and financial operations 5.0 3.4* 34.14 32.48 -5 Computer and mathematical 2.8 1.6* 39.43 32.32* -18 Architecture and engineering 1.8 1.9 38.51 40.18 4 Life, physical, and social science 0.9 1.1* 33.37 35.28 6 Community and social services 1.4 2.3 21.50 23.89* 11 Legal 0.8 0.5* 47.89 43.36 -9 Education, training, and library 6.3 6.5 24.76 26.59* 7 Arts, design, entertainment, sports, and media 1.3 1.3 26.72 20.98* -21 Health care practitioner and technical 5.8 5.3 35.93 40.11* 12 Health care support 3.0 2.3* 13.61 14.87* 9 Protective service 2.5 2.9* 20.92 30.71* 47 Food preparation and serving related 9.0 11.3* 10.38 10.90* 5 Building and grounds cleaning and maintenance 3.2 4.3* 12.51 12.67 1 Personal care and service 3.0 3.6 11.88 12.85* 8 Sales and related 10.6 12.0* 18.37 16.36* -11 Office and administrative support 16.2 15.1* 16.78 17.25* 3 Farming, fishing, and forestry 0.3 2.3* 11.70 11.20 -4 Construction and extraction 3.8 4.5* 21.94 25.00* 14 Installation, maintenance, and repair 3.9 3.3* 21.35 23.76* 11 Production 6.6 4.6* 16.79 17.35 3 Transportation and material moving 6.8 5.2* 16.28 14.00* -14 * The percent share of employment or mean hourly wage for this area is significantly different from the national average of all areas at the 90% confidence level. 37 U.S. Bureau of Labor Statistics, 2013, http://www.bls.gov/ro9/oessanl.htm#tablea.f.1 31 Dependent Care to Support Employment: The availability of affordable, quality dependent care is essential to support a productive workforce. This includes care of infants, toddlers, and preschoolers; before- and after-school care; youth programs; and day care for dependent/fragile adults. Barriers to accessing care for county families include cost and availability. The California Child Care Portfolio 2013 reported more than 23,139 children, ages 0-12, with parents in the county workforce; yet there were only enough slots in licensed child care centers for 36% of these children. Fulltime requests reached 93% for children 0-5 years old, yet only 72% of center-based providers and 88% of family child care homes offered full-time care. Requests for care during the evening, weekends, or overnight in the county were up 34%; however, the schedules of care available revealed that only 1% of child care centers and 45% of family child care homes offer care during non-traditional hours. 38 Despite the ongoing need for child care, the cost of care makes many low- to moderate-income families struggle to work and pay for this vital employment support. The cost of full-time infant care is between $9,491 and $12,795 per year, depending on whether the child is in a licensed center or a licensed family care home. Full-time preschool and toddler care costs range between $8,669 and $9,158 per year for licensed care. For parents working for low wages or with multiple young children, paying for licensed childcare on top of living expenses is simply unaffordable. 39 Additionally, an increasing number of families are finding themselves in need of care for elderly family members who cannot safely remain at home alone while their family caregivers work. The Adult Day Center in Paso Robles saw a 40% increase in the number of hours of care provided each month between September 2011 and September 2012. A waitlist has since been established due to demand. Spotlight on the California Drought: On January 15, 2014, the U.S. Department of Agriculture declared San Luis Obispo County, along with 27 other counties in the state, to be a “primary natural disaster area” due to prolonged drought conditions. 40 On March 10, 2015, the San Luis Obispo County Board of Supervisors also declared a drought emergency, making the county the 17th in the state to do so. 41 This declaration came after another year of below average rainfall, with different regions of the county receiving rainfall between 26% and 64% of the yearly average. The following table shows the current capacity of local water reservoirs: 42 Reservoir % of Capacity Nacimiento (North) 29% Whale Rock (North Coast) Lopez (South) Salinas (North East) 43% 39% 17% 38 2013 California Child Care Portfolio, www.rrnetwork.org ibid. 40 http://www.fsa.usda.gov/FSA/newsReleases?area=newsroom&subject=landing&topic=edn&newstype=ednewsrel&type=detail &item=ed_20140115_rel_0007.html 41 http://www.sanluisobispo.com/2014/03/11/2966875_drought-emergency-slo-county.html?rh=1 42 San Luis Obispo County Monthly Drought Update April 21, 2015 http://agenda.slocounty.ca.gov/agenda/sanluisobispo/4583/QXR0YWNobWVudCAxIJYgTW9udGhseSBEcm91Z2h0IFVwZGF0ZS AucGRm/12/n/43056.doc 39 32 The Department of Water Resources announced that expected water deliveries for 2015 for most water customers of the State Water Project (SWP) will be about 20% of requested amounts. The San Luis Reservoir near Pacheco Pass, which receives water from the SWP) is currently at 68% capacity. The following communities have been labeled by the County of San Luis Obispo as being vulnerable water systems: • Santa Margarita • Shandon • Cayucos • Avila Valley • Chorro Valley Institutions (inclusive of Men’s Colony, Animal Services, County Operations, Camp San Luis, Cuesta College, and the County Office of Education) • Cambria • San Simeon • Heritage Ranch • Rural Paso Robles residents Each of the identified communities is working diligently to identify short and long term water supply solutions, including water reclamation, mandatory cutbacks, and trucking in of water if necessary. Agricultural and Economic Impacts: The U.S. Drought Monitor classifies San Luis Obispo County as experiencing an exceptional drought, or a D4, the most severe designation-- meaning “the county is experiencing significant impacts from the drought including loss of agricultural production, drinking water shortages and an increase in wildfire danger.” 43 While 93% of the state is in a D2 or greater designation, 44% of the state has been designated D4. In 2014, the economic output for all agricultural sectors in SLO County was valued at $902,991,000. This represents a 2% decrease from 2013 and was attributed directly to drought conditions. 44 While the drought had negative year-over impacts on the economic value of some agricultural commodities, others benefited from increased demand and prices: • Alfalfa and Barley: planting decreased by 6,000 acres; however, high demand for feeding livestock created at 3% increase in crop value. • Wine Grapes: grape tonnage decreased 13% and economic value decreased 8%. Warm and dry weather conditions resulted in an unusually early harvest season. • Avocado: Considered the most severely impacted crop for 2014, with a 50% reduction in yield. Farmers say it will take several years to increase production to previous levels. • Nursery Products: 14% decrease in value attributed to down turn customer demand due to reduced water use in home gardens. • Vegetable crops: 18% decrease in overall value, attributed to increased soil salinity from prolonged drought conditions and damage from invasive African Bagrada Bug • Citrus: shortages throughout the state created increased demand for local citrus. Value of lemon crop increased 27% and Valencia oranges increased 47%. • Strawberries: warm weather created ideal growing conditions, leading to 157 new acres of planted berries. 43 44 ibid San Luis Obispo County Monthly Drought Update April 21, 2015 33 Many of the drought’s economic impacts may not be quantifiable until the next year or two. The county’s Workforce Investment Board (WIB) will be implementing a drought impact survey to assess the ripple effect of drought conditions on local businesses. 45 EMPLOYMENT and LOCAL ECONOMY: RESOURCES Employment and Training Partners: The county’s Business and Career One-Stop Center, located in the City of SLO, is operated by America’s Job Center of California in connection with Goodwill IndustriesShoreline Workforce Development Services. The Workforce Investment Act (WIA), enacted in 1998, consolidated numerous federal and state employment programs. A local Workforce Investment Board (WIB) coordinates job training and employment services through the One-Stop. The One-Stop is the bridge between job seekers and employers; it helps job applicants develop basic skills, identify employment opportunities, and market themselves to potential employers; and works with employers to recruit and screen job applicants. Creation and support of the One-Stop has been very collaborative, and CAPSLO has been a longtime partner, along with other nonprofit service providers, public agencies, SLO County Office of Education, local colleges, SLO Housing Authority, SCORE, and representatives of the WIB. CAPSLO's CEO is a member of the WIB. Central California is home to many rural disadvantaged populations facing significant barriers to accessing business development assistance. Minority-owned businesses account for 12.5% of businesses in SLO County compared to 13.5% in Kern County and 22.9% in Monterey County. 46 Mission Community Services Corporation and their Women's Business Center mission is to enhance opportunities for potential entrepreneurs and small-business owners to become self-sustaining, successful contributors to their community, with special assistance for low-income, minority, and nonprofit businesses. They teach basic budget skills, credit repair, and starting and growing your own business. Services are offered in Spanish and English in SLO as well as other counties. CAPSLO’s CEO serves on the Board of Mission Community Services Corporation. The Economic Vitality Corporation (EVC) of SLO County is partnering with the SLO County Community Foundation to support local economic development with a new endowment fund. This new fund has already garnered $100,000 in gift commitments from its "Founders Circle" of ten businesses who have committed $10,000 each. Its purpose is to help stimulate the local economy through increased investment and business support. The fund’s interest will be used to create more EVC programs and resources for local businesses and entrepreneurs once there is enough income as deemed by the board of directors. Additionally donors are welcome to join as contributers to the fund through Leaders Circle ($5,000) or Buisness Circle ($2,500) donations. The EVC currently supports small businesses with access to capital and technical assistance. Cuesta College created the Customer Service Academy to teach essential employability skills, thereby enhancing workplace readiness and employee performance. The Academy focuses on time and stress management, team building, values and ethics, dealing with change, communication and customer 45 46 ibid http://www.mcorp.org 34 service, and trainings on professional skills and behaviors. The One-Stop, in partnership with Cuesta College, provides space for and helps advertise classes. Job training programs, such as the Youth Employment Opportunity Program and Senior Community Service Program, are tailored to meet the educational and vocational needs of specific populations. Other community resources for employment include PathPoint, formerly known as the Work Training Program. PathPoint offers a variety of supported employment and housing services to help persons with disabilities overcome barriers. Transitions Mental Health Association operates nursery and retail businesses to provide job training and support for their clients. TMHA's Growing Grounds Farms and Store offer a variety of work experiences where participants develop job skills and confidence. The Supported Employment Program provides job support services necessary for individuals with mental illness to choose, obtain, and maintain employment. Achievement House provides a wide variety of vocational services and supported employment opportunities for persons with developmental disabilities to enhance their independence in the workplace and community. Achievement House offers training for janitorial, food service, retail thrift stores and nursery, and an array of mailing and clerical services. Camp SLO, home to the California National Guard, also hosts the California Conservation Corps’ Los Padres Center. Corpsmembers are trained as emergency responders to fight fires and floods; and to respond to earthquakes, oil spills, and agricultural emergencies. The residential program provides academic support and life skills training for the 80 corpsmembers. Dependent Care to Support Employment: To develop child care priorities and services countywide, the local Child Care Planning Council was established by the Board of Supervisors, County Superintendent of Schools, CAPSLO, and PG&E in 1997. Capacity-building to increase the supply of child care providers has been a high priority. Child Care: CAPSLO’s Child Care Resource Connection (CCRC) contracts with the state to subsidize childcare costs for the county’s eligible, such as CalWORKs participants and other low-income families. Help with child care costs enables these families to remain in the workforce and obtain necessary training for self-sufficiency. CCRC maintains a list of licensed child care providers and provides referrals to help families of all income levels, throughout the county choose care that meets their needs. CCRC also supports providers with a food program; training in child development, behavioral health, and running a child care business to enhance self-sufficiency; and a toy/resource lending library. Before- and after-school care and youth programs: Supervised care of school-age children and youth before- and after-school is provided through a range of options, from child care provider homes, to relative care, to programs operated by organizations, such as the YMCA, city recreation centers, and Boys and Girls Clubs. Adolescents and youth need safe and positive after-school environments. A very limited number of programs exist in the county. Project Teen Health, a no-cost, after-school teen obesity prevention program, provides activities for teens four to five days per week at Arroyo Grande High School. The Teens at Work Program, offered through The Link in Atascadero, helps teens design and grow their own businesses with the support of adult mentors. It is currently funded by their own activities, grants, and donations. 35 Adult Day Care: Other than the full-day adult care program operated by CAPSLO in Paso Robles (North County), there are no other full-day day care services available. The only other not for profit center, which was located in Cambria and only open part time, is currently closed. The CAPSLO Adult Day Center provides services to adults with moderate to severe dementia. The program maximizes the daily living skills and stimulates the cognitive abilities of participants, while providing much-needed respite for working family caregivers. The center staff works with families to assist with transportation to and from the center when possible. Spotlight on the California Drought: The drought declaration from the Board of Supervisors provides county administrators three immediate benefits: 1) it allows the county to make immediate purchases or fund work projects to deal with emergency situations without the normal budget allocation process; 2) it allows county personnel to be assigned more quickly to drought-related activities, and 3) it gives the county higher priority for state and federal drought assistance. The County Administrative Officer assembled a County Drought Task Force to coordinate drought monitoring, impact assessments, responses to emergency health and safety, and public communication and outreach. The Drought Task Force is comprised of multiple County departments, including: Administrative Office, County Office of Emergency Services, Public Works Department, County Fire, County Agricultural Commissioner, General Services, County Planning and Building, Farm Advisor, County Health Agency, and County Counsel. The Task Force has created a webpage that provides information on current drought conditions, water conservation resources for residents, drought assistance for farmers, and updates on action being taken at the county and local levels. 47 EDUCATION: CONDITIONS Low-income kids need support to seek higher education; it’s not as encouraged (as it is for their higher income peers). Nearly half (47%) of survey respondants had a high school equivalency or less. Almost 20% cited lack of education being an issue for their family. Enrollment: The table below reflects enrollment numbers as reported by the California Department of Education shows a 2014-2015 county student enrollment of 34,776 in public K-12 programs. The county has the following number of public schools across 10 districts: 45 elementary; nine middle schools; and eleven high schools. The County Office of Education provides students with alternative education, including Court and Community Schools, Special Education, and the alternative Grizzly ChalleNGe charter school at Camp San Luis, the local State National Guard military base. 48 47 48 http://www.slocounty.ca.gov/admin/Drought_Update.htm San Luis Obispo County Schools Annual Education Report 2014. 36 SLO County Public School K-12 Enrollment Grade Level Total Enrollment Kindergarten 2,779 Grades 1 to 3 7,792 Grades 4 to 6 7,862 Grades 7 to 8 5,076 Grades 9 to 12 11,264 Total 34,776 Low Income 1,256 3,861 3,713 2,246 4,275 15,351 % Low Income 45% 49% 47% 44% 38% 44% The preschool enrollment was 4,046 during this same time period. According to the San Luis Obispo County Schools 2014 Annual Education Report, enrollment in the county’s public schools has remained level over the past few years. The college and graduate school enrollment for 2009-2013 was 34,800. 49 The graph below shows the change in K-12 enrollment numbers over the years: 50 K-12 ENROLLMENT 38000 37000 36000 35000 34000 33000 32000 2001-2002 2006-2007 2011-2012 2012-2013 2013-2014 All students are required to take the California High School Exit Exam (CAHSEE) in order to receive a diploma. According to the 2014 Annual Education Report, “Historically, classes that graduate from our high schools have a [CAHSEE] passing rate of over 95%.” The Academic Performance Index (API) is the cornerstone of California’s Public Schools Accountability Act, measuring the performance and growth of schools on a number of academic indicators, and scoring them from a low of 200 to a high of 1,000. California’s API target for all schools is 800. SLO County schools continued to improve their API score and are 34 points above the state average. Seven out of 10 school districts (70%) have reached the 800 target and one has surpassed the 900 mark. 51 In the 2013-14 and 2014-15 school years, county schools began the transition to the new Common Core standards and phased out the STAR testing used to calculate API. The new standardized test, the Smarter Balanced Assessment Consorticum (SBAC), was piloted among small groups of local students during the spring of 2014 and was fully implemented in the spring of 2015. The 2014 Annual Education Report notes that in the 2012-2013 school year, 15% of the student population were English Language Learners (ELL) and 36% were Hispanic. This report “shows that students who are English language learners and those living in poverty are 15 to 40 percentage points lower in academic achievement than their peers.” The county still ranks behind the state average in the 49 U.S. Census, 2009-2013 American Community Survey 5-Year Estimates ibid. 51 ibid. 50 37 number of Hispanics and ELL, but those numbers continue to grow. Addressing the needs of ELL students will be a major issue in closing the academic achievement gap in the county. The 2014 Annual Education Report data indicates approximately 10.5% of the county’s K-12 students qualify for Special Education services, and the percentage with various disabilities is similar to the state profile. The county currently has 4,165 students, ages 3-18, with a disability, enrolled in the school system. 52 A very large number of college undergraduates are enrolled at California Polytechnic State University (Cal Poly) and Cuesta College. In the fall of 2012, Cal Poly enrolled 18,679 students: 94.7% were undergraduates, .7% were post-baccalaureate students, and 4.7% were graduate students. 53 Cuesta College had an enrollment of 9,325 students in the fall of 2013. 54 Truancy: K-12 school truancy (defined as three full-day, unexcused absences) results in lower academic achievement for students and lost revenues for schools. Truancy continues to be an issue in SLO County: in the 2013-2014 school year, 42.9% of students (15,458) were truant, an increase of 7.74% from the previous year. 55 The county’s truancy rate is 11.7% higher than the state average of 31.14%. Unlike truancies, suspensions and expulsions have decreased during the last two school years. During the 2013-2014 school year, suspensions decreased by 29% (from 1,975 to 1,389) and expulsions decreased significantly by 69% (from 84 to 26). The California Department of Education also reported an improvement in dropout rates for SLO County, decreasing from 2.3% in 2010-2011 to 2% in 2012-2013. 56 Literacy: The San Luis Obispo County Literacy Council estimates there are 25,000 functionally illiterate adults countywide. Adult literacy is very difficult to quantify because national literacy surveys “fail to survey literacy in languages other than English, thereby equating literacy with English literacy. This omission inflates the perception of the extent of the literacy crisis and stigmatizes those who are literate in languages other than English.” The degree of functionality at work, school, home, and in the community is the most telling measure of literacy. Achievement: According to the 2009-2013 American Community Survey 5-Year Estimates, educational attainment of the 182,307 SLO County residents, ages 25+, was: Educational Attainment Geographic Area % No High School Diploma % High School Only % Some College % Associates % Bachelors % Graduate or Professional San Luis Obispo County 10.4% 20.9% 27.8% 9.4% 19.8% 11.7% California 18.08% 20.7% 22.1% 7.8% 19.4% 11.2% 52 San Luis Obispo County Schools Annual Education Report 2014. Institutional Planning and Analysis, Cal Poly State University, San Luis Obispo, Poly View, Fall 2012, www.ipa.calpoly.edu 54 San Luis Obispo County Schools Annual Education Report 2014. 55 California Department of Education Data Reporting Office, DataQuest, Suspension, Expulsion, and Truancy Rates 2013-2014 and 2012-2013, http://dq.cde.ca.gov 56 ibid. 53 38 Median Earnings based on Educational Attainment 57 Education Level Median Earnings for past 12 months Difference from Median All Levels $36,039 -- Less than high school graduate $20,810 -$15,299 High school graduate (or equivalent) $29,486 -$6,553 Some college or associate’s degree $33,837 -$2,202 Bachelor’s degree $49,515 +$13,476 Graduate degree $64,155 +$28,116 Educational attainment, specifically completing a 4 year degree or beyond, is the spring board to self sufficiency. The annual median earnings for an individual with a bachelor’s is $28,705 greater than that of an individual who has not finished high school and $20,029 greater than that of somone with only a high school equivalency. EDUCATION: RESOURCES Ten school districts and the SLO County Office of Education (SLOCOE) serve the K-12 student population. SLOCOE is an active partner in the Children’s Services Network, Homeless Services Oversight Council, and local First 5 Commission. In each of these collaborations, SLOCOE advocates for the needs of children – from infancy through teens – including a healthy start, a sound education, and school readiness skills for life-long learning. SLOCOE administers the county's special education program (SELPA) as well as Community Schools for students unable to function in the traditional school setting and a Court School for incarcerated youth. SLOCOE has expanded the involvement of local K-12 schools in providing special educational services to help homeless children succeed academically. They have also embraced an annual enumeration of homeless school children as the basis for quantifying need and drawing McKinney-Vento resources to the community. The SLO Literacy Council provides English as a Second Language (ESL) and English Literacy programs. ESL is geared toward those who understand little or no English; the English Literacy program is for native English speakers who have limited ability in reading or writing. California Polytechnic State University (Cal Poly) and Cuesta College have many partnerships throughout the county to foster student learning and community well-being. Many of CAPSLO’s programs utilize college interns to provide supervised direct service experiences to support their classroom activities. Early childhood education programs offer support and college credit for ongoing training and professional development. CAPSLO staff frequently present in college classes that focus on poverty issues, early child development, social service planning, and related topics. 57 U.S. Census, 2009-2013 American Community Survey 5-Year Estimates, Median Earnings in the Past 12 Months by Sex and Educaitonal Attainment 39 Cuesta College has campuses in San Luis Obispo and Paso Robles and centers in Arroyo Grande and Nipomo. Students from Cuesta’s programs are able to transfer to Cal Poly to complete their educational career track. Both institutions offer extensive class listings in order to encourage and support life-long learning. Beginning in the 2014-15 academic year, all graduating seniors from San Luis Obispo County who chose to attend Cuesta College are able to take advantage of the new “Cuesta Promise Scholarship.” The “Cuesta Promise” waves tuition fees for the first year of classes and is funded by a generous donation by the Charles and Leeta Dovica Family Trust. In collaboration with DSS and the Business and Career One Stop Centers, Cuesta College provides programs that support educational and career opportunities for persons transitioning from CalWORKs, being released from the local jail (and Sheriff’s Honor Farm), and other adults and youth with barriers to employment. Cuesta College supports county residents’ access to and success in education and work experience (subsidized and unsubsidized) with the objective of promoting skill acquisition leading to selfsufficiency. Cuesta College offers an array of career technical education programs, from nursing and automotive to early childhood education and business. Cuesta currently also serves 400-500 adults a year (mostly in North County) with noncredit English as a Second Language and some vocational exposure. Cuesta College is looking to ensure that it offers educational opportunities that reflect the workforce needs of the local economy. This is driving the need for a system-wide change at the community college level – to balance universal services with intensive services, and strengthen resources across systems. Though career-focused technical education is challenging, it is an effective and essential stepping stone for vulnerable adults and youth to find their way into meaningful employment and self-sufficiency. Until June 2015, Cuesta College had also been administering the Work Investment Act (WIA) Youth Employment Program, the Successful Launch Program, and the Independent Living Program (ILP) primarily serving youth who are in foster care, homeless, or have multiple barriers. Youth receive training, leadership, workforce readiness support, tutoring for GED, building career access, vocational training, and placement for work experience aligned with their interests. ILP has since transferred to the Family Care Network. TRANSPORTATION: CONDITIONS The service hours at the bus stops are not easy for some people. If you have to pick up your child at a certain time at school, sometimes you miss out on the bus. If you have an appointment and the bus is late, you might miss that appointment and have to reschedule it. Twenty-nine percent of survey respondants indicated that transportation was an issue for their family, with the of cost buying and maintaining a car and limited public transporation and/or inconvenient routes and schedules being the top issues. The 2013 American Community Survey one-year estimates reported that 95.5% of SLO County households had regular access to at least one private vehicle, with 66% of households having regular access to two or more vehicles. 40 Means of Transportation to Work (All workers over the age of 16) Drive alone Carpool Percentage 74% 11% Median Earnings $32,480 $26,989 Median Age 43 39 *Other includes taxi, motorcycle, bicycle, and walking Public 1% $11,530 30 Other* 7% Unavailable Unavailable Work from Home 7% Unavailable Unavailable Commute Time to Work <20 minutes 55% 20-34 minutes 34% 35-59 minutes 8% 60+ minutes 4% Low-income families, especially during this period of extended economic difficulty, are more likely than higher income workers to lack access to reliable transportation and/or are disproportionately affected by the county’s high fuel costs. On May 5, 2015, a gallon of regular gasoline in the SLO County Metro Area was among the most expensive gas prices in California, averaging $3.799 for a gallon of unleaded, regulargrade gasoline. On the same day, the state average was $3.711 and the national average was $2.628. 58 Public Transportation: According to the county’s 2014 Transit Needs Assessment Update, total ridership for all fixed-route public transit over the preceding year grew by 32.9% between 2000 and 2014 (from 1.63 million to 2.609 million rides per year). 59 While less than 1% of all county workers report using public transportation to get to work, those who do use public transportation have median earnings that are 64% less than someone who drives alone to work. Public transportation is essential for helping low-income workers get to work, but there are often not enough routes or enough hours to provide adequate transportation for this population. For many farmworkers living in rural areas or isolated areas of the county, access to public transportation is limited, often with several hours between buses. Days and hours of service and frequency of buses vary with routes running anywhere from every 30 minutes to just two-three times/day. Further, public transit routes often stop too early for workers in the hospitality sector. Fares vary significantly for bus and shuttle services, depending on whether service is fixed-route or doorto-door service. Students, seniors, youth, individuals with disabilities, and others may qualify for free/reduced fares and/or frequent user discounts. Half of the participants at the SLOCOG 2014 Mobility Summit expressed need for increased public transit services, including more frequent services, more predictable/reliable connections to decrease travel time, and expanded services in underserved areas. 60 The 2014 Transit Needs Assessment Update also found the following “areas of deficiency” in regards to public transit: 1) intercommunity travel options; 2) insufficient services hours and days; 3) fare choices and information (“fare-related barriers”); 4) fully accessible bus stops and strategically placed regional stops; 5) visibility, service awareness, and understanding (quality information); and 6) more shuttle services. 58 http://fuelgaugereport.aaa.com/states/california/california-metro 5/5/2015 2014 Transit Needs Assessment Update, SLOCOG http://slocog.org/sites/default/files/2014-transit-needs-assessmentupdate.pdf 60 ibid. 59 41 TRANSPORTATION: RESOURCES Most SLO County transit systems focus on local travel needs. Regional Transit Authority (RTA) and Ride-On are the only transportation operators providing service throughout the county. The RTA fixed-route system serves the entire county and extends into Santa Maria, the northernmost city in neighboring Santa Barbara County. The cities of SLO and Paso Robles have their own fixed-route systems. The South County Area Transit fixed-route system serves the communities of Arroyo Grande, Pismo Beach, Oceano, Shell Beach, and Grover Beach. In addition to the fixed-route systems, the RTA and several communities offer Dial-a-Ride or on-demand shuttle services. The San Luis Obispo Council of Governments (SLOCOG) administer the county’s RideShare transportation resource program to help educate residents and visitors about transportation resources across the county. The flyer on the following page is available in English and Spanish and provides a summary about the different transportation options across the county. The charts on the following page shows which public transportation options are available in each community: 61 Jurisdiction Long Distance Inter-City Arroyo Grande Local Fixed Route X replaced by RTA Atascadero Local Dial-aRide X Regional Fixed Route Senior Services X X X X X M, F Avila Beach X X Tu,Th X X X M,W Cayucos X X X M,W X X X Los Osos/Baywood Morro Bay X Nipomo X Oceano Paso Robles X X M,W X X X M,W X X X Tu,Th X X X X X X X X X T, W, F Santa Margarita X X X M,W San Miguel X X X M,W San Luis Obispo X Shandon X Templeton Cal Poly (Main) X X M, W X Tu, We, Th X X X X X X T, W, F X X little demand X little demand X X X M,W X Cuesta College (Main) Cuesta College (North) X X X Tu, We, Th X Pismo Beach X X X greatly scaled back X Tu, We, Th X X Local Trolleys X Tu, We, Th Cambria Grover Beach 61 ADA X ibid. 42 Ride-On has 16 years of assisting social service agencies in finding transportation for their clients. The mobility coordinator is dedicated to meeting transportation challenges for seniors, people with disabilities, children, and other people served by social service agencies. The coordinator works with all the transportation providers in SLO County to find ways for people who do not have access to, or are unable to use public transportation to get around their community. Additionally, Ride-On provides services for specialized users including: • Senior Shuttle, which provides county residents, ages 65+, with rides throughout four areas of the county from 9:00am-4:00pm. Seniors pay a flat rate of $3.00 each way for door-to-door service. Prior reservations are required. Smaller shuttles for special populations (senior and disabled) operate limited schedules on weekdays and are by reservation only. • Veteran’s Shuttle, which provides monthly trips to area veteran’s clinics. • Medi-Cal and CenCal transportation for individuals who cannot use public transportation to get to their medical appointments. For approved Medi-Cal riders, Ride-On provides transportation to medical appointments at no cost. Ride-On bills the state for the cost of this service, which is available only for medical purposes. • Hospital transfers and other transportation for those with specific medical needs. • Agricultural Vanpool program is designed to provide transportation for workers living or working in SLO County. The program was developed to benefit the farmworker communities across the county by providing safe, reliable, and affordable transportation to their worksites. • Emergency Ride Home program may be used by any worker who commutes to work by vanpool, carpool, bus, bike, walking, or any means other than driving alone. Ride-On will take you to any location in SLO County or into Santa Maria for $5. 43 All of the RTA regional buses are equipped with wheelchair lifts. RTA also provides a para-transit service, Runabout, which provides Americans with Disabilities services that complement all fixed routes in the county. Youth throughout the county may ride fixed-route public transit at no cost during the summer months. Typically, school bus transportation is available for elementary school students living one mile or more from school, middle school students living two miles or more, and high school students living three miles or more. In recent years, the three largest school districts in the county (Paso Robles, San Luis Coastal Unified, and Lucia Mar Unified) made significant changes to school bus transportation in response to increasing budget cuts and shortfalls and have either started charging for bus services or have increased their costs. Costs per students range from $180-$270/student. There are discounted prices available for certain circumstances: low-income families, special education students, foster children, etc. Many CAPSLO programs provide bus tokens and daily/monthly passes to clients to facilitate effective use of public transit. To the extent possible, all CAPSLO programs also attempt to train and empower clients to use public transit, including teaching limited-English clients to identify bus routes, read bus schedules, and transfer between buses. CAPSLO staff represents and advocates for the low-income and homeless on the Social Services Transit Advisory Council, which acts as an advisory body to SLO Council of Governments. HEALTH and ACCESS TO HEALTH CARE: CONDITIONS “The local system has definitely been impacted with the increase in Medi-Cal patients. CenCal enrolled approximately three times the members they thought would sign up for Medi-Cal.” “Navigating the ACA system is still a huge challenge (for individuals). The positive is that more people have gotten insured.” Respondants ranked “Access to Affordable Health Care Services” as the third greatest need facing their families with 53% reporting it as a major or minor issue for their families. Top health care related issues were lack of income to pay for medical treatment, dental treatment, and/or prescriptions; long waiting lists for medical and dental services; and challenges findings providers who will accept insurance (including CenCal and Medicare). Health Snapshot: In 2014, the California County Health Rankings and Roadmaps placed SLO County 9th out of 58 counties (1-14 = healthiest) in health outcomes defined as length of life and quality of life (birth outcomes, physical and mental health). This is an improvement over 2011 when the county's ranking was 13. Just as it did in 2011, the county ranked 6th in health factors (health behaviors, such as tobacco and alcohol use, diet and exercise, and unsafe sex; access to and quality of clinical care; socioeconomic factors, such as poverty, employment, education, social support, and community safety; and the physical environment, such as structural environment and environmental quality). 62 62 County Health Rankings and Roadmaps: Building a Culture of Health, County by County, San Luis Obispo County, 2013. http://www.countyhealthrankings.org/app 44 California County Rankings and Roadmaps reports that 12% of SLO County residents were in poor or fair health and 3.1% had poor physical health days. 63 According to ACTION for Healthy Communities Vital Signs 2013 report, 91.7% of county residents stated that their health was "good," "very good" or "excellent," compared to 86% in 2013. 64 Health and Poverty: It is widely recognized that the emotional, financial, and social costs of poor health are significantly linked to poverty. Poverty increases the risk of many conditions, such as low birth weight, poor nutrition, diabetes, cognitive and developmental delays, decreased mental well-being, poor academic achievement, unaffordable and inaccessible health care, unemployment, and inadequate housing. Death rates for people below the poverty level are much higher than those above it. Low socioeconomic status is also associated with higher risks of infectious diseases, accidents, and homicides. 65 Mental Health: According to Rankings and Roadmaps, 3.8% of county residents experienced “poor mental health days” compared to 3.6% statewide. 66 ACTION for Healthy Communities reported that 85.9% of respondents rated their mental health as "good," “very good,” or "excellent." Additionally, 14.5% of respondents stated that they wanted to discuss problems or situations with a mental health professional but did not have the money or insurance to do so. From January through October, 2014, 1,376 individuals received mental health services; 698 received substance use disorder services; and 1,163 were provided with mobile crisis services. 67 The Mental Health Services Act (MSHA) now serves the most vulnerable populations with greatest need – those with severe anxiety, schizophrenia, and bipolar disorder. However, according to a behavioral health analyst, “Anyone who calls for services who is not critical is referred to private therapists.” He adds that “veterans’ mental health issues are ‘big.’” According to the local CenCal representative, “The Holman Group, subcontractor through CenCal for mental health services, has a standard for mental health service response of 24 hours for urgent needs and 10 days for non-urgent needs. However child psychiatry is heavily impacted with over a 30-day wait for services.” County Behavioral Health is in the process of integrating mental health services with alcohol and drug services due to the number of co-occurring disorders. Some drugs/alcohol therapists have been reclassified as mental health therapist to bridge the gap. In 2014, the California Healthline reported that the “While hundreds of thousands of California children have mental health needs, about 70% never receive treatment, according to a policy brief released by the UCLA Center for Health Policy Research.” This is attributed to issues navigating the health care system; language difficulties; and stigmas associated with receiving mental health treatment. 68 63 ibid. Applied Survey Research, Action for Healthy Communities, Vital Signs – Understanding San Luis Obispo County, 2013. 65 San Luis Obispo County Health Status Report, 2011, San Luis Obispo County Public Health Department. 66 County Health Rankings and Roadmaps: Building a Culture of Health, County by County, San Luis Obispo County, 2013 http://www.countyhealthrankings.org/app 67 County of San Luis Obispo 2014 Annual Report, Behavioral Health at a Glance. http://slocountyannualreport.com/delivering-results/#health-human-services 68 CaliforniaHealthline, Most California Children with Mental Illnesses Do Not Receive Treatment," July 25, 2014. 64 45 In 2013-2014, SLO County Special Education Local Plan Action (SELPA) programs served 193 students, ages 0-22, who have an emotional disturbance and 422 students who have autism. 69 According to the local CenCal representative, “autism services have seen the most positive increases in service access as part of the Affordable Care Act (ACA) mental health service expansion.” 70 In 2009, 7.6% of children in the central coast region had a serious emotional disturbance; 4.3% of adults in the central coast region have a serious mental illness; and 15.9% of California adults According to the 2013-2014 California Healthy Kids Survey, the following students reported: 71 Question Chronic sad or hopeless feelings, past 12 months Seriously considered attempting suicide, past 12 months th 7 graders 24% NA th 9 graders 31% 19% th 11 graders 32% 18% NT* 41% 25% *Non-traditional students, such as those in Community and Court schools Interviews with Teen Sexual Health Collaborative and health educators who work with teens revealed that anxiety, stress and depression are major issues among youth, frequently resulting in prescription drug use/abuse. Multiple Teen Academic Parenting Program (TAPP) clients have been sexually assaulted and emotionally abused by family members and demonstrate PTSD. “DSS child welfare workers are aware that certain families have a reputation of being troubled, but nothing is done.” Another CaliforniaHealthline reported that hospitalizations for mental health issues among California residents ages 21 and younger increased by 38% between 2007 and 2012 – from 34,000 two 47,000. Emergency Department visits because of attempted suicide increased by 20%; because of a mental health crisis by 50%; and recurring admissions to a mental health and facility within the same year increased by 27%. Young people are not receiving adequate treatment for mental health issues before crisis begins and when they returned from the hospital after being treated for mental health issue. 72 Dental Health: In 2013, Action for Healthy Communities Vital Signs reported that 65.5% of respondents received a routine checkup from their dentist in the past year. According to Children Now’s California County Scorecard 2014-2015, 86% of children visited a dentist in the last year, down from 88% in 2012. Tooth decay is a bacterial disease process affecting both children and adults. Even though the prevalence of tooth decay has declined in the US over the last 30 years, it remains the most prevalent yet easily preventable disease known to man. Certain groups suffer disproportionately, including both low-income and minority children. The impact of dental decay on children is devastating, affecting eating, chewing, smiling, laughing, and learning. During the 2010-11 and 2012-13 school years, First 5 SLO completed a countywide oral health survey of public school children in kindergarten and 3rd grade. More than 1,600 children received a dental screening in 2010-11 and 1,700 children were screened in 2012-13. 73 69 California Department of Education, Dataquest, San Luis Obispo County, Special Education Enrollment by Age and Disability 2013-2014. 70 70 Interview with Teresa Scott, CenCal, 3/16/15 71 West Ed, California Healthy Kids Survey, San Luis Obispo County Secondary Main Report, 2013-2014 72 CaliforniaHealthline, "California Youth Mental Health Hospitalizations Rose by 38%," February 4, 2014. 73 Phipps, K., SLO Smiles: The Oral Health of SLO County Children 2010 and 2012, Children and Families Commission of San Luis Obispo County, June 2013. 46 • • • • • • Most county elementary school children are receiving the restorative dental care they need; 13% have untreated decay compared to 28% statewide. Too many children experienced tooth decay: 40% of kindergartners and 60% of 3rd graders. Over 40% of 3rd graders have dental sealants, which means that 60% could potentially benefit from this preventive service. In 2012, 3rd grade children attending lower income schools had a significantly higher prevalence of dental sealants (49%) compared to children attending higher incomes (34%). However, disparities still exist: low-income and minority children are more likely to have tooth decay (62%) compared to higher and middle income students (38% and 47% respectively). County children have better oral health than their peers in the rest of the state regarding decay (50% versus 63%); untreated decay (13% versus 28%); and sealants (43% versus 28% – 3rd grade only). SLO County has met or exceeded the Healthy People 2020 oral health objectives. According to Community Health Center (CHC) leadership, “Dental services are booked out much further than medical appointments.… There is a huge need for dental services… I don’t think it’s adequate for anybody in the county, especially for children… I think it’s very hard to get dental services… We are doing the best we can….We are trying to expand services and hours.… We can’t keep up with the demand and the need.… More dental providers for low-income people are needed… Both adults and kids have severe dental needs.” Head Start parents agree: “It is difficult to find a dentist that accepts Medi-Cal.” “You have to wait a long time to see a dentist and then they will only treat for one thing at a time – and then you have to wait again for another appointment.” “The dentists at CHC are good, but the staff are not – they can be very rude.” Alzheimer’s and Dementia: Currently, there are 588,208 Californians 55 and over living with Alzheimer’s disease; 1/10 of the nation’s Alzheimer’s patients reside in the state. By 2030, this number will nearly double to over 1.1 million adults. Due to a rapidly aging population, the number of California’s Latinos and Asians living with Alzheimer’s disease will triple and African-Americans will double by 2030. Among the states baby boomers aged 55 and over, 1 in 8 will develop Alzheimer’s and 1 in 6 will develop dementia. Alzheimer’s disease is now the 6th leading cause of death in California. 74 Estimated number and percent change of people 55+ with Alzheimer’s disease in SLO County 75 2008 2015 2030 Total 6,082 6,831 10,836 % Change 08-15 12% 15-30 59% 08-30 78% White 5,435 5,855 8,862 Hispanic 369 582 1238 African-Am. 45* 63* 99* Asian/PI 121 155 405 Native Am. 36* 54* 114 *Estimate is unreliable; race/ethnicity population for specified group less than 1,000 individuals Multi-race 78* 122 240 Lifetime risk for SLO County baby boomers aged 44-62 to develop Alzheimer’s is 9,409 and dementia is 12,652. From 2003-2005, SLO County had relatively high death rates of 23-45.2 per 100,000, slightly higher than California’s rate at 22.1. 76 In every case, Alzheimer disease results in a progressive decline of one’s ability to care for oneself, ultimately leaving the individual dependent on others for help with basic activities of living. As a result, caring for a person with Alzheimer’s is often very difficult and poses physical, emotional, and economic 74 Alzheimer's Association, Alzheimer's Disease Facts and Figures in California: Current Status and Future Projections, 2009. ibid. 76 ibid. 75 47 challenges. Most care is delivered at home by families. Traditionally, most caregivers have been the wives or adult daughters of the individual with dementia. With more women participating in the workforce, there has been a decrease in the number of women available to fill these caregiving roles. In addition, family members are increasingly likely to live far apart from one another. These changes have significant implications for families, businesses and society at large. Disproportionately high percentages of caregivers report being forced to miss work (21%), reduce their work hours (8%), quit their jobs (11%), or change jobs due to caregiving demands (4%). California’s employers experienced an estimated $1.4 billion loss of productivity from full-time employed caregivers alone. California caregivers provide 952 million hours of unpaid care per year with an economic value of slightly more than $10 billion. In 2015, informal community care for an individual depending on the severity is estimated between $62,916-$71,686 and formal community care is estimated between $17,936- $38,309. Institutionalized care is estimated at $10,918-$96,675. The cost to the Medi-Cal program for an individual with Alzheimer’s or dementia is 2.5 times greater than the cost for an individual not having these diagnoses. Most of the Medi-Cal cost difference is accounted for by nursing home expenditures, which are almost three times greater for those with Alzheimer’s/dementia compared to other patients. Long-term care costs in California are increasing more rapidly than in the rest of the nation, 44% from 2004-2008 compared to a 17% nationwide cost increase. 77 Substance Abuse: According to County Health Rankings and Roadmaps, 9% of county adults smoked cigarettes in 2014 compared to 13% in California and 14% nationwide. Eighteen percent drank excessively compared to 10% in California. Of note, alcohol impaired driving deaths was 41% compared to 32% statewide. According to the ACTION for Healthy Communities Vital Signs 2013 report, 18% of pregnant women, ages 15-44, drank alcohol at some time during their first trimester nationwide. In SLO County, 36% of pregnant women reported drinking and 25% reported smoking at least once in the last month, according to 20042012 cumulative data. Drug and alcohol use among adolescents, which is often associated with unprotected sex, is on the decline. According to the California Healthy Kids Survey, administered to 7th, 9th and 11th graders every other year in San Luis Obispo County, rates of alcohol use, binge drinking, and marijuana use have all decreased from 2011-2014 in each grade. SLO County Use in past 30 days Alcohol Binge drinking Marijuana th 7 grade 12 % 6% 5% 1% 6% 2% 2011 – 2014 th 9 grade 24% 20% 15% 11% 16% 13% th 11 grade 38% 36% 27% 25% 26% 25% The San Luis Obispo Tribune reported in July of 2012 that there was a 43% increase (from 72 to 103) in heroin treatment admission in the county and a 22% increase (from 36 to 44) in heroin seizures by the SLO County’s Sheriff’s Department. The article also reported a rise in heroin overdose deaths and deaths related to prescription drugs. In 2007, there was one death attributed to heroin; in 2011 that number rose to four. Overall prescription drug deaths rose from 32 in 2009 to 44 in 2011, a 37.5% increase. According to the behavioral health analyst interviewed, “Although the ACA has increased the number of people who are Medi-Cal eligible to receive substance abuse treatment (and a 20% increase in staff to 77 ibid. 48 accommodate this), there are not enough sober living or recovery resources in the county. These individuals, especially women, need to be in safe housing to recover.” Obesity: According to the ACTION for Healthy Communities Vital Signs 2013 report, over 48% of county adults 25+ were either overweight or obese compared to almost 60% in California. Eighty-two percent of survey respondents reported that they participated in moderate physical activity at least three times per week and 48.2% ate the daily recommendation of fruits and vegetables. County Health Rankings and Roadmaps reports that 20% of county adults are obese compared to 23% in California; 15% of residents are physically inactive compared to the state at 18%; and 87% had access to exercise opportunities compared to 91% statewide. In 2014, 67.9% of county 5th, 7th and 9th graders were at a healthy weight or underweight compared to 61.7% statewide. SLO County white children were significantly more likely to be at a healthy weight (73.4%) than Hispanic/Latino children (59.1%). 78 Fewer county females were identified as being overweight than males. The amount of sugary drinks consumed by county youth declined by 67% since 2003, from 32% of youth consuming two or more sugary drinks a day in 2003 to 10% in 2009. This reduction may be attributed to state legislation that bans soda sales in elementary, middle and high schools. 79 Youth spending 10 or more hours engaging in physical activity increased 7% between 2010 and 2013. 80 However, health educators note how sedentary teens are: “The school day is spent sitting, PT is lame, and there is a disconnect between what they eat, how they move, and how they feel.” While new offerings of salads and low-fat foods served at schools over the past five years may be lowering overweight and obesity rates, several stakeholders interviewed noted the poor quality of food choices offered by schools and choices that adolescents make. Communicable Diseases: In 2014, there were 1,034 cases of Chlamydia up from 1004 in 2013; 153 cases of Gonorrhea up from 58 in 2013; 328 community cases of Hepatitis C up from 271 in 2013; 5 cases of syphilis and 5 in 2013; 9 cases of HIV/AIDS and 10 in 2013; 15 cases of E. coli and 13 cases in 2013; 40 cases of salmonella and 42 cases in 2013; 3 cases of tuberculosis and 4 in 2013; 18 cases of viral meningitis compared to 22 in 2013; and 7 cases of bacterial meningitis up from 2 in 2013. 81 Timely and Adequate Prenatal Care: The health of the SLO community begins with the health of expectant mothers. Timely and adequate prenatal care can prevent poor birth outcomes, especially by identifying women who are at high risk, and providing counseling to mitigate risks such as use of alcohol, tobacco, and other drugs. Investing in prenatal care is cost-effective: every $1 spent on prenatal care saves $3.33-$7 on hospital bills, birth complications, and low birth weight babies. 82 78 kidsdata.org, Students Who Are at a Healthy Weight or Underweight by Grade and Ethnicity, 2014. California Health Interview Survey (CHIS), UCLA Center for Health Policy Research, Percent of Youth Consuming Two or More Sugary Drinks within the past Day. 80 Applied Survey Research, ACTION for Healthy Communities, Vital Signs – Understanding San Luis Obispo County, Basic Needs, 2013. 81 San Luis Obispo County Health Agency, Public Health Bulletin, Winter, 2015. 82 Lu MC et Al., Elimination of public funding of prenatal care for undocumented immigrants in California: a cost/benefit analysis, American Journal of Obstetrics and Gynecology, 2000, 182 (1, pt.1): 233-239. 79 49 According to Children Now’s California County Scorecard 2014-2015, 82% of pregnant women receive prenatal care in their first trimester, the same as it was in 2012. California’s rate was 83.8 in 2012. Approximately 79% of newborns are breast-fed exclusively while in the hospital, up from 74% in 2012. 83 84 Teen Births: A comprehensive community needs assessment conducted in 2014 revealed that 95% of 400 adults and teens considered both teen pregnancy and sexually transmitted infections to be a problem for the community. Trend: San Luis Obispo County’s teen birth rates mirror state and national trends, with the county experiencing a significant drop of 56.7% from 1998 to 2011. In 2014, the teen birth rate was 12.8, down from 14.6 in 2012, compared to California at 25.7. 85 Twenty-seven percent of 2014 births were to teens 15-17 and 73% were to 18-19-year-olds. Despite teen births decreasing in all regions, the North County’s share has consistently been the highest (57% in 2014), with Paso Robles as the county‘s hotspot. San Luis Obispo County Births to Teens 12-19 year olds – 2008-2014 Total 86 2008 2009 2010 2011 2012 2013 2014 215 170 203 147 154 142 133 % 2014 Regional Differences in Teen Births – 2014 San Luis Obispo 8% Coast 6% South County 29% North County 57% Although Hispanics comprised only 21.7% of SLO County’s population in 2013, births to Latina teens comprised 56% (down from a high of 69% in 2011). 87 Since 2001, the county has experienced a 38% increase in Latina teen births, while California experienced a 30.34% decrease from 2008-2011, and the nation experienced a 10% decrease from 2012-2013 and a 60% decrease since 1991. 88 89 83 Children Now, 2014-2015 California County Scorecard, San Luis Obispo County. kidsdata.org, Infants Whose Mothers Received Prenatal Care in the First Trimester, 2012. 85 kidsdata.org, Teen Births, 2012. 86 San Luis Obispo County Public Health Department Vital Statistics and State Department of Health Services, 2012. 87 San Luis Obispo County Public Health Department Epidemiologist, 2013. 88 The National Campaign to Prevent Teen and Unplanned Pregnancy, National and State Data, 2013. 89 California Department of Public Health, California Teen Birth Rates 1991-2011, 7/13. 84 50 In 2014, 85 expectant and parenting teens were served, down from 151 in 2012 due to state funding cuts in the State Adolescent Family Life Program (AFLP). In 2013, the national repeat birthrate was 17%; it was 3.5% in SLO County. 90 Teen pregnancy and STIs are expensive and deeply challenging for individuals, families and communities. Public costs of teen births include prenatal care, labor and delivery, postpartum care, and one year of medical care for infants. Social costs of teen births include the greater likelihood of welfare dependency, unemployment or underemployment, incarceration, low birth weight infants, and child abuse/neglect. The CDC estimates that young people represented 50% of the nearly 20 million cases of STIs in 2013; this costs the American health care system $8 billion for those ages 15-24 alone. 91 Programs that help teens make wise choices regarding their sexual health have great economic and social value. For every dollar spent on publicly-funded family planning clinics that provide prevention, taxpayers save $3.74. 92 93 Cost of Teen Births to Taxpayers San Luis Obispo County – 2010 $4.3 million California – 2010 $956 million United States – each year $9.4 billion Based on community assessment findings, local data, and best practices, the roadmap forward to ensure continued progress should include a combination of the following: 1. Comprehensive sexual health education in every school district countywide that includes: • accurate, current information on contraception/condoms and health care resources • the components of a healthy relationship • age-appropriate content for multiple stages/grades • culturally-appropriate content • content that is inclusive and sensitive to LGBT youth 2. Parent education on parent-teen communication about sexual health issues available countywide 3. Youth engagement, development and leadership opportunities available in schools and community programs countywide, and especially for the most vulnerable, low-income and minority youth 4. No-cost teen-friendly reproductive health services available countywide 5. Support for youth in relationships, including education, counseling and support groups Childhood Immunizations: According to DHHS, vaccines can prevent debilitating as well as fatal effects of infectious diseases. Organisms that cause polio, measles, and rubella have not disappeared; rather, they have receded and will re-emerge if the vaccination coverage drops. Vaccines protect more than the vaccinated individual; they protect society as well. Of the 2,928 kindergartners attending public or private schools throughout the county, only 5.3% of parents filed a personal belief exemption for the 14-15 school year, according to California Department of Public Health data. In the 13-14 school year, 8.26% of students had personal belief exemptions on file, the highest the county has seen in more than a decade. The drop in immunization exemptions coincides with 90 The National Campaign to Prevent Teen and Unplanned Pregnancy, National and State Data, 2013. Centers for Disease Control and Prevention, CDC Fact Sheet, Incidence, Prevalence, and Cost of Sexually Transmitted Infections in the United States, February 2013. 92 Frost, J.J, Henshaw, S.K, & Sonfield, A. (2010). Contraceptive needs and services: National and state data, 2000 update. New York, NY: Guttmacher Institute. 93 Jerman, P. Constantine, N., Nevarez, C., Public Health Institute, No Time for Complacency, Teen Births in California 2012 Spring Update. 91 51 a new state law that took effect in January. The new law requires parents filing a personal belief exemption to have a doctor or other authorized medical providers sign a form stating the parent has been informed of the benefits and risks of immunization and the health risks of specific communicable diseases so that parents are appropriately informed with substantiated facts before they make the decision to forgo vaccination of their children. Another reason for increased immunization rates may be the recent outbreaks of whooping cough, meningitis and measles that makes the public more aware that their children are susceptible to infectious diseases. 94 According to the local CenCal representative, the following are gaps in health services. • “Annual well exams are not timely in access.” • “Access to a physician of their own choice; not having a consistent physician, especially for children.” • “There are specialty care problems, especially in the areas of neurology, endocrinology, gastrointestinal, and dermatology. Dignity and Tenet are bringing on specialty clinics so hopefully there will be an improvement in the coming year.” • “A lot of providers won’t take Medi-Cal.” • “Patients are still having difficulty navigating the [ACA] system. There is lots of wait time and complicated paperwork leads to people giving up and going to the ER instead.” • “Hospitals are feeling the weight of ER use. They are developing a navigation assistance program that will help patients link to their primary care physician after leaving the hospital.” • “Not understanding/utilizing the primary care physician – it’s still a lot easier just to go to the ER. Colocating medical, dental and behavioral health at some clinics should see an improvement in this area.” • “Post-discharge no-shows at primary care clinics are big – at one local hospital, 705 patients discharged were no-shows for their post-discharge visit, even after being given transportation vouchers or funds for medically necessary transportation.” • “Customer service at CHC is the real issue – things are better than they were two years ago but there could still be improvement.” 95 Interviews with Head Start parents indicate more satisfaction with CHC services than in 2013. However, not all their clinics have pediatrics, and transportation to clinics outside of the communities they reside in makes access more difficult. Also, “Sometimes it takes forever – over an hour – to see the physician.” “They don’t document allergies in your chart despite telling them repeatedly.” “There is no follow-up if a problem is detected.” “There are different rules for different people; with some patients, being late is okay but with others it isn’t.” “They only tell you after you arrive if a doctor is sick or must leave early.” “Staff are rude, stuck up, and unprofessional, especially if you are on Medi-Cal.” “At CHC, you have to wait longer to get an appointment because of their increased caseload.” Health Insurance Uninsured: According to 2009-2013 American Community Survey 5-year estimates for San Luis Obispo County, 36,385 (13.8%) individuals were uninsured; 8.2% were children. However, in 2013 kidsdata.org reported that 5.3% of children 0-17 had no health insurance coverage. The discrepancy may be that the survey has not yet captured those now covered by the ACA, a.k.a Covered California. 94 95 The Tribune, Kindergarten Immunization Rates Rise in San Luis Obispo County as New Law Kicks in, December 13, 2014 Interview with Teresa Scott, CenCal, 3/16/15 52 San Luis Obispo County Uninsured 96 Age Under 18 years of age 18 to 64 years of age 65 years and older Ethnicity White Hispanic or Latino Employment Status Employed Unemployed (in labor force) Not in Labor Force Income Under 138% of the FPL 138 to 199% of the FPL 200% and + of the FPL Estimate Number (%) of Uninsured 4,166 (8.2%) 31,832 (18.6%) 387 (0.9 %) 27,916 (12.4%) 14,308 (25.9%) 21,162 (17.3%) 3,778 (34.5%) 7,279 (9.1%) 12,665 (24.1%) 8018 (28.4%) 15,196 (8.7% Insured: Of the total civilian non-institutionalized population in SLO County 227,676 (86.2%), individuals have health insurance coverage. 97 This is confirmed by ACTION for Healthy Communities Vital Signs survey respondents: 82.1% of had health insurance. Children Now’s California County Scorecard 2014-2015 reported that 93% of children had health insurance for the entire year, up from 89% in 2012. The following table provides the breakdown of health coverage sources from 2009-2013 for individuals in SLO County who were insured: 98 Health Coverage by Type Health Coverage Source % of Population Private health insurance 10.8 Employment-Based 7.2% Direct-purchase insurance 8.2% TRICARE/military coverage 9.4% Public health coverage 10.3% Medi-Cal coverage 9.1% Medicare 5% VA Health Care 9.3% Covered California is the state’s health care exchange or marketplace where uninsured people and small businesses can buy insurance online. Depending on income, federal subsidies are available only through the exchange to help with premium costs. Federal subsidies are for individuals and families with incomes 100%-400% of the federal poverty level ($16,105-$46,680 for an individual and $32,913-$95,400 for a family of four. The amount of the subsidy depends on income and family size. Medi-Cal expansion is covered by the federal government to cover uninsured people with incomes below the 133% federal poverty level – $16,105 for an individual and $31,322 for a family of four. Residents can apply for Medi-Cal through Covered California. SLO County Medi-Cal cases increased 49.2% from September 2013 to September 2014 (12,250 to 24,868) because people between ages 18-64 became 96 U.S. Census, American Community Surveys, 2009-2013 5-Year Estimates, Health Insurance Coverage Status. U.S. Census, 2009-2013 American Community Survey, 5-Year Estimates, Health Insurance Coverage Status. 98 California Health Interview Survey, 2009, http://www.askchis.com. 97 53 eligible for Medi-Cal and others, who didn’t know whether they were eligible or not, decided to apply and find out. According to the local CenCal representative, CHC is the primary care provider for approximately 88% of all low-income providers. Each site can have up to 2,000 members per physician, so a clinic of five physicians could have as many as 10,000 patients. Only Anthem Blue Cross and Blue Shield of California sell plans in SLO County; there is an ongoing concern in the County that many doctors, particularly specialists, won’t take this insurance. All insurance plans must cover 10 essential health benefits, including emergency care, hospitalization, prescriptions, mental health, maternity and newborn care, and pediatrics. Four levels of insurance are offered; the lowest level, bronze, has the cheapest monthly premiums but requires higher co-pays and covers about 60% of medical costs. The more expensive premiums cover 80-90% of costs. Approximately 12,256 county residents bought individual and family policies through Covered California as of November 2014. Ninety percent who signed up for coverage in 2014 received a federal subsidy to help them cover the cost of their premiums. Local, private insurance agencies have seen “across-theboard increases of 8%” in the county. 99 100 San Luis Obispo County County Medi-Cal Caseload Statistics Intake Cases Continuing Cases March 2013 974 11,581 March 2014 2534 15,568 March 2015 1701 24,706 The 51% increase in Medi-Cal from 2013 and 2014 could be due to proactive ACA enrollment by DSS and other county agencies. According to2014 CenCal member data, 53% of Medi-Cal cases are white and 28% are Hispanic; 21% are ages 0-5; 20% are ages 6-11; 21% are ages 12-21; 16% are ages 22-24; 13% are ages 45-64; and 9% are ages 65 and over; 32% of cases are in South County; 24% are in Mid County (City of SLO and coast); and 43% are in North County. 101 The following table reflects the number of Medicare participants in SLO County: 102 SLO County Medicare Enrollment, 2011 Persons Over 65 Receiving Medicare Disabled Persons Receiving Medicare Total Persons Receiving Medicare 39,443 6,162 45,605 Accessing Health Services: According to the ACTION for Healthy Communities, 83.2% of survey respondents had a source of primary health care. Children Now’s California County Scorecard 2014-2015 reports that 93% of children have a usual source of health-care, up from 91% in 2012. 99 The Tribune, Covered California Officials Promote Open Enrollment in SLO, November 17, 2014. San Luis Obispo County, Medi-Cal Caseload Statistics, 2011-2012, 2012-2013, and 2014-2015, www.slocounty.ca.gov/dss/medi-cal 101 CenCal Health, Member Demographic Data, All Programs, 2014. 102 U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Medicare County Enrollment Report, 2011. 100 54 Medical and Dental Professionals: California County Rankings and Roadmaps reported that in 2014 there was one primary care physician to every 1,271 persons in the County, a ratio higher than top U.S. performers (1,051:1). California County Rankings and Roadmaps reported that in 2014 there was one dentist to every 1,341 persons in the County, a ratio slightly higher than top U.S. performers (1,392:1). However, stakeholders report that while Medi-Cal expansion has increased 51%, the number of physicians and dentists accepting Covered California is decreasing due to low reimbursement rates due to the County’s rural status. HEALTH and ACCESS TO HEALTH CARE: RESOURCES “A priority for Ron Castle [CEO] and Dr. Khan [medical director] is improving the quality of care. CHC is going down the roads of quality and quantity at the same time. Access is still a huge concern – ‘trying to get everyone in fast enough.’” Medical Care: Medical services for low income: According to CHC leadership, “CHC has numerous clinics countywide take care of adults and children. The barometer is the third next available appointment and limited same-day appointments. CHC has expanded its hours in its supercenters: Arroyo Grande -Station Way, San Luis Obispo, Paso Robles and Nipomo. These locations are open until 7:00 PM and on Saturdays. CHC is evaluating the need to stay open till 9:00 PM and on Sundays but probably not until the end of the year. Arroyo Grande Urgent Care Clinic is open seven days a week. Patients are encouraged to call the sites to verify available services.” CHC leadership reports, “Overall patient encounters increased by 10% since the expansion of ACA MediCal eligibility. Expanded Medi-Cal clinics now conduct a health exam at the first appointment and rank needs according to priority; the provider makes a list of what needs to be done, including referrals. Call centers (fully up and running as of 9/14) are scheduling initial health exams for newly assigned persons from the CenCal list. In SLO County, most CenCal adults are assigned to CHC. Previously, the majority of these patients did not have continuity of care, so now CHC is hooking them up for treatment, but it is challenging.” CHC started a pilot chronic care clinic in Atascadero one afternoon per week and anticipates opening more at the supersites. They also offer specialty clinics in Nipomo once a month for gastroenterology, nephrology and cardiology. Additionally, they provide ophthalmology and rheumatology care. They also have arrangements for orthopedic and infectious diseases, including HIV and Hepatitis C. Pain management is on-site at several clinics. Substance abuse treatment services are on their radar. CHC’s Migrant Farm Worker Grant covers primary care and behavioral health, but their mandate to care for patients regardless of ability to pay means that they will see everyone whether or not the grant covers their care. Now, with the drought and changes in agriculture, not as much land as being farmed, so some areas are reporting fewer migrants, but a decrease has not been noted here at CHC. Mental Health: SLO County Behavioral Health Services is responsible for treating adults and children with serious mental illness, such as schizophrenia, bipolar disorder, personality disorder, debilitating anxiety, and severe depression. Services include: outpatient mental health assessment and counseling; case management; individual, group and family therapy; medication; crisis intervention; residential services; inpatient; mobile crisis; homeless support; and other specialized programs. 55 In accordance with the Medi-Cal guidelines, one of the conditions necessary for receiving mental health services through the county is "medical necessity," which means that a doctor or other mental health professional must determine, based upon a set criteria if there is a medical need for services, and if the individual can be helped by the services if they receive them. However, due to increasingly limited funding, Behavioral Health Services is not able to meet all the needs. Children with serious emotional disturbances who are not progressing developmentally are served by the Youth Services component, whose primary goal is to reduce the psychiatric symptoms and behaviors so that a child can remain safe at home, in school, and out of trouble. The treatment team provides outpatient therapy, school-linked outpatient intensive treatment services, and case management services to seriously emotionally disturbed youth ranging in age from preschoolers to age 18. Services are provided in SLO, Atascadero, and Arroyo Grande. Transitional Age Youth Services provide intensive, integrated mental health services with access to care 24/7. Serving 20 transitional aged youth, 16-21, the program focuses on mental health, housing, employment services, substance abuse treatment, and independent living skills. The target population is youth who have a history of involuntary 5150 (being a “danger to self or others”) commitments; mental health hospitalizations/ER visits; law-enforcement or juvenile justice involvement; dual diagnoses; foster youth with multiple placements, or aging out/have aged out of services; and/or been recently diagnosed with a mental health issue. Prevention and Early Intervention (PEI) programs offer prevention and intervention for children in the areas of suicide prevention, teen anxiety, texting while driving, and more. CAPSLO's CCRC program has a PEI grant to enhance the social-emotional competencies of young children in childcare and kindergarten utilizing the curriculum, I Can Problem Solve. The county also provides innovation grants between fiscal year 2010-2015 that promote positive mental health and reduce the negative impacts of mental illness. 103 County Behavioral Health works closely with other service providers to better coordinate care and treatment, including Transitions-Mental Health Association, CHC, hospital emergency rooms, the criminal justice system and law enforcement, homeless services, schools, housing providers, and vocational services. Transitions-Mental Health Association (TMHA) is a nonprofit organization committed to eliminating the stigma of mental illness and promoting recovery and wellness for people with mental illness through work, housing, community, and family support services. TMHA operates housing, family, community, and work programs for children and adults throughout SLO and Santa Barbara counties, with the goal of reducing the stigma associated with mental illness. • TMHA works in collaboration with County Behavioral Health to provide case management, outreach, community housing and mental health rehabilitation, and referrals to individuals coping with mental illness, including the Family Services Program (serving all members of the family); the Full Services Partnership (outreach and case management to hard-to-reach community members); the Youth Treatment Program (YTP), a 9-bed state licensed group home serving youth, ages 11-17, with 24/7 supervision and therapeutic care; the Supported Employment Program, which provides ongoing job support services for individuals with mental illnesses; and the SLO Hotline, the county's 24-hour suicide prevention, mental health, and emotional support hotline. 103 San Luis Obispo County Health Agency, Behavioral Health Division, Innovation Plan. 56 • • • TMHA also implements outreach and education programs, including "In Our Own Voice"," “Peer to Peer", and “SLOtheSTIGMA,” a campaign to reduce the stigma of mental illness, as well as peer support groups, dual recovery groups, advocacy, etc. TMHA is the lead for the 50Now contract to serve the 50 most vulnerable homeless individuals in the county. They are working with the Housing Authority, ECHO, 5 Cities Homeless Coalition, CAPSLO, County Mental Health, and CHC to identify, screen, provide housing and case management, and other essential services. THMA has plans to renovate a dilapidated county-owned building to provide housing for the mentally ill. Community Health Centers sees the mild to moderate cases through the Holman Group, who is contracted with CenCal to provide mental health services, while County Behavioral Health treats severe mental health diagnoses. CHC submitted a grant to offer primary care services to County Behavioral Health’s patients. They are also working on a partnership with the Community Counseling Center. CHC has LCSWs and are constantly looking for psychiatrists, but this is challenging due to the high cost of living in SLO County and competition with CMC and Atascadero State Hospital regarding salaries and benefits. Because medical management has been an issue, CHC hired several psychiatric nurse practitioners. They work in tandem with the primary care physician and psychiatrist and float at the supercenters and CHC Grover Beach Homeless Center. One alternative CHC is examining to meet this challenge is telemedicine. The Community Counseling Center provides short-term, low-cost professional counseling for individuals, couples and families who would not otherwise be able to afford it. Most clients have no insurance and a low to moderate income. Sliding scale fees are based on client's ability to pay; there is a small fee for the initial intake session. No one is denied service because of their inability to pay. SAFE (Services Affirming Family Empowerment) is a community-based, school-linked program designed to bring services to children and families throughout San Luis Obispo County. SAFE’s goal is to focus on family strengths and work with families to keep children safe, healthy, at home, in school, and out of trouble. SAFE provides prevention and intervention assistance for families at no cost. Staff from a number of agencies, including County Behavioral Health, schools, CAPSLO, and The Link work in partnership with other organizations to ensure that families receive all the services they may need. Five Cities Head Start parents rave about SAFE: “It’s an amazing program, they are always there for you. Local schools should give parents information about SAFE!” A 96 bed mental health hospital to treat adults, children and seniors is proposed in the community of Templeton. The hospital would treat a variety of mental conditions, such as depression, anxiety disorder, suicidal thoughts, schizophrenia, social phobias, posttraumatic stress disorder in veterans, attention deficit hyperactivity disorder in children, and eating disorders. A typical stay would average from 7-10 days and a person would be able to sign themselves out similar to a hospital. 104 A mental health facility at the California Men’s Colony opened in 2013 to fulfill a federal mandate calling for improved care of the incarcerated mentally ill. A licensed 50-bed correctional treatment center provides temporary care for inmates suffering a mental health crisis. 105 104 105 The Tribune, At-Will Mental Health Hospital Proposed, November 15, 2014. The Tribune, $23 Million Facility at Present Designed to Temporarily Age Mentally Ill Inmates, July 26, 2013. 57 Dental Health: Tolosa Children's Dental Center provides a dental home and comprehensive dental care for underserved children in SLO County. They have clinics in Paso Robles on weekdays and in San Luis Obispo on Thursdays Services include preventive and restorative treatment, oral health education, emergency care, and hospital-based services. Head Start parents are pleased with Tolosa’s care: “The dentists and staff are great in dealing with children.” CHC has walk-in adult and pediatric dental clinics in Templeton and Nipomo two mornings a week and some Saturdays. A mobile dental van is parked once a week at Bishop Street in San Luis Obispo. With a grant from the Five Cities Homeless Coalition, CHC has a full denture program for low-income persons who cannot afford paying for dentures. The state is responsible for providing dental coverage for children. In this regard, CenCal provides fluoride and other specialized treatments. Access should not be an issue if the patient can get in to see their primary care physician for a referral. The SLO County Public Health Department’s Oral Health Program provides direct dental services aimed at reducing cavities and finding a permanent dental home for county children, and works with the Children’s Oral Health Coalition to ensure that SLO County is an orally healthy community. They provide dental disease prevention programs, information on fluoride for the prevention of cavities, and information on oral health for adults. Substance Abuse: County Drug and Alcohol Services (DAS) offers a variety of services and programs to individuals with drug and alcohol problems, including public walk-in clinics, prevention programs, youth and adult programs, and court-mandated programs. Clinics are available in the North and South County and SLO. Walk-in consultation includes screening for intensity of the services needed, level of placement for care, and a treatment plan of services for each individual. Clinics also offer coordination and referral to other services, such as detoxification, HIV and Hepatitis C testing and counseling, sober living environments, or residential treatment. Some of the programs DAS provides include: • Drinking/Driving (two month-18 month-long programs depending on the age of the individual, the blood-alcohol level, and the number of previous DUI offenses) • Perinatal Outpatient Extended Group • Proposition 36 (substance abuse and crime prevention) • Drug Dependency Court • Deferred Entry to Judgment • Services for children, ages 0-5 who are affected by methamphetamines. These children participate through the Dependency Drug Court and receive play therapy and attachment therapy. In addition, the family participates in a healthy living curriculum. • Co-occurring disorders (individuals who are treated for both drug and/or alcohol addiction along with a mental health disorder) • Behavioral Health Treatment Court (mental illness and crime). • AB 109 (prison realignment individual and group substance abuse counseling provided in jail and in the community upon release • Drug testing DAS also provides prevention and early intervention services and administers the Friday Night Live (FNL) prevention and leadership programs in the schools. SLO County has FNL chapters at each middle and high school across the county where young people come together and make positive changes in their schools and communities. Operating under a youth development framework, the programs provide support and 58 opportunities for young people to develop meaningful skills. This is done while addressing pertinent youth issues, such as underage drinking (24-Hour Relay, Every 15 Minutes) other drug use, school climate (No Place for Hate campaigns), violence, bullying, and mental wellness. Bryan’s House in Paso Robles is a new detox facility for recovering pregnant and parenting women; they are referred by the County’s Drug Dependency Court. 106 There is another recovery home in Grover Beach that helps some of the county’s top repeat offenders. 107 A needle exchange program run by the County Public Health Department since 2006 accepts contaminated needles and sells back clean needles in a safe, no questions asked environment to protect users – many of them drug addicts – from contracting or spreading HIV and hepatitis C. More syringes are being collected and distributed, indicating that fewer dirty syringes on the street. 108 CAPSLO Health Services: The Health Navigator Program is one example of how CAPSLO partners with a variety of health programs and professionals to coordinate service delivery. CAPSLO also delivers health services to meet the needs of low-income children, teens, adults, and seniors, exemplified by the following: • Homeless Services collaborates with CHC to provide a mobile health van at the Prado Day Center twice a week; services include TB testing, basic health screenings, HIV/Hepatitis C education. Each month, a CHC dental van comes to the Prado Day Center and provides preventative care, extractions, and some tooth repair. • Early Head Start and Head Start programs link parents, including pregnant women, and children to appropriate medical, dental, and mental health providers in the area. • The Center for Health and Prevention Division's reproductive health clinics in SLO and Arroyo Grande serve low-income women, men, and teens. Teen-friendly, peer-provided teen clinics help prevent teen pregnancy and sexually transmitted diseases by fostering responsible behaviors and choices. • Health educators provide comprehensive, medically-accurate, evidence-based sex education programs in county schools. • Project Teen Health is a childhood obesity prevention program at Arroyo Grande and Santa Maria high schools that instills wellness among youth by encouraging healthy eating and exercise habits. Funded by CHC, Project Teen Health provides students with an after-school boot camp fitness program, nutrition support, interactive workshops, and a health fair. • Adult Wellness and Prevention Screening is a mobile health screening program that brings monthly prevention and maintenance services to clinic sites countywide where adults and seniors already gather. Services included various health screening tests, counseling, education, and referral services. Healthy Eating for Successful Living in Older Adults™ is an evidence-based nutrition education workshop series that is provided to seniors at various senior community centers in the county. • Liberty Tattoo Removal Program provides laser removal of anti-social and/or gang-related tattoos that create barriers to economic, social, and health opportunities. Clients must volunteer 16 hours of community service at a nonprofit of their choice prior to each clinic visit. Sierra Vista Regional Medical Center provides their space and supplies for the clinics and medical physicians and nurses volunteer their time to perform the treatments. 106 Tribune, Housing Help for Mothers Coming to Paso, August 15, 2013. The Tribune, Sober, Safe and Secure, April 15, 2014. 108 The Tribune, Needle Exchange Is Making Its Point, July 17, 2014. 107 59 • Teen Academic Parenting Program links pregnant teens to prenatal care and parenting teens to well-baby care and family planning services to prevent subsequent pregnancies. FOOD STABILITY and NUTRITION: CONDITIONS "As we drive through our county, we see fields of luscious vegetables, farmers markets teeming with people, grocery stores full of every conceivable item, and restaurants at every corner. Our local farmers produce enough to provide every county resident with 7.5 pounds of fruit and vegetables a day. Yet, we face a paradox of plenty." 109 We can’t always afford fresh food. If Farmer’s Markets accepted EBT cards, that would help. One quarter of survey respondants indicated that “Access to Food” was an issue for their families. Transportation to buy food, not enough income to purchase food, and running out of food assistance before the end of the month were cited as the top barriers for respondants. Economics: A strong correlation exists between those living in poverty and those facing food insecurity – i.e. not having enough food or enough income to ensure a balanced diet. According to the American Community Survey estimates, 14.3% of county residents lived in poverty and 14.3% % of children under age 18 lived in poverty. 110 The combination of high housing costs and low-wage jobs leave families with fewer financial resources for other important necessities, such as food, clothing, transportation, and health care. As a result, over 23% of SLO County residents were not able to afford enough food in 2012 (42% in California), down from 30% in 2003 (34% in California). 111 With an economy driven by agriculture and tourism, many of the jobs in the county pay low wages. Ironically, residents of rural communities, where agricultural production can be bountiful, are often at higher risk of hunger. 112 CalFresh (a.k.a. SNAP – Supplemental Nutrition Assistance Program is still underutilized, evidenced by the fact that SLO County placed 51st out of 58 in CalFresh utilization (58 = lowest utilization) in 2012. 113 During this year, 39,899 individuals were eligible to receive CalFresh based on their income, but only 16,966 did so. Additional economic activity with full CalFresh participation would represent $48,200,000 for the county. CalFresh utilization has increased slightly locally due to ACA enrollment by the SLO County Department of Social Services (DSS), who is now required to screen for Medi-Cal, CalWORKs and CalFresh simultaneously. (Before, eligibility workers were only screening for one or two of these.) During March 2015, DSS aided 18,279 persons and 9,906 families with CalFresh equaling $2,593,312 in benefits. The program currently issues approximately $30 million annually in CalFresh benefits. 114 109 Paradox of Plenty: A Community Roadmap for Overcoming Hunger in San Luis Obispo County, Food Bank Coalition of San Luis Obispo County, San Luis Obispo County Food Systems Coalition, September 2012. 110 U.S. Census, 2009-2013 American Community Survey 5-Year Estimates, Poverty Status in Past 12 Months. 111 California Health Interview Survey, 2003 and 2011-12. 112 Cadigan, J., Hungry no more: A Food System Study and Hunger Free Community Plan for San Luis Obispo County, June 2012. 113 California Food Policy Advocates, 2012 San Luis Obispo County Nutrition and Food Insecurity Profile. 114 Suzanne Garcia, CalFresh, GA and Child Care Program Manager, Department of Social Services, 4/16/15. 60 However, according to outreach workers from other agencies, “DSS still utilizes practices that present barriers, such as mailing forms instead of emailing them, which slows things down and is frustrating when families move frequently. They do not provide same-day EBT clinics as other more innovative, proactive counties do. They won’t make an effort to do anything that is non-mandated – they are too busy doing ACA.” “DSS leadership resists any new systems and rebuffs efforts to speed the application process along. This won’t be fixed until new leadership arrives.” According to the Food Bank, approximately 45,000 people in 2014 struggled with hunger, a slight increase from 2013 (44,000). They report that 1 in 6 is food insecure, often not knowing where their next meal will come from. Forty percent are youth, 18 or younger, and 15% are seniors, often on a fixed income. 115 Many are working parents who are faced with choosing to pay for utility bills or buy groceries for their family. “We are seeing more people and new faces even though the recession is over – the economy is not showing the trickle-down effect. Also, communication between food supply agencies needs to be improved – some agencies don’t know that other agencies are distributing food. Communication could improve distribution.” Vulnerable Populations: Children, ages 0-19, are disproportionately affected by food scarcity: they constitute 23.4% of the county's population, but remain 40% of Food Bank clients. Of course, sufficient food and adequate nutrition are essential for optimal child growth and development. Nationally, 1 in 5 (16 million) U.S. children received SNAP assistance in 2014, the highest number since the nation’s economy tumbled in 2008; in 2007, 9 million children received assistance. However, participation and spending appear to be decreasing, as spending is currently down 8% from last year’s $76 billion. Participation is expected to decrease over the next 10 years, though higher food costs could keep spending up. 116 Seniors are a growing population, now over 12% of Food Bank clients, due to the increasing number of baby boomers. This is an emerging trend. Food Bank staff state, “There are pockets of seniors that don’t have transportation, especially in the rural areas. We are trying to reach them through existing services to seniors.” Hispanics are also disproportionately affected. Almost 17% of local Spanish speaking parents experienced food insecurity for their family, up from 8.3% in 2010. 117 “Migrant workers in the rural areas are especially vulnerable.” Thirty-one percent of homeless persons were food insecure in 2013 compared to 25% in 2010. 118 Nutrition: Hunger not only addresses the quantity of accessible food, but also the nutritional quality of food most available to low-income populations. Residents with limited financial resources often have higher intake of unhealthy food: high caloric food is often cheaper and can stretch further than nutritious food. Thus, it is not uncommon for those who face hunger to also be overweight or obese. Diet can also influence the risk of health conditions and diseases, such as diabetes, heart disease, stroke, colon and breast cancer, osteoporosis, hypertension, and depression. 119 In SLO County, 4.7% of adults were ever diagnosed with diabetes in 2009 compared to 8.3% of adults statewide. 120 Of these diagnoses, more than 115 2015 Food Bank Fact Sheet The Tribune, "Census: 1 in 5 US Children Receives Food Stamps," January 29, 2015. 117 ACTION for Healthy Communities, Face-To-Face Surveys, 2010 and 2013. 118 ibid. 119 ibid. 120 California Health Interview Survey (CHIS) for, UCLA Center for Health Policy Research, Adults Ever Diagnosed with Diabetes 2009. 116 61 88% are Type II (higher than 83% for California), which is often associated with a lack of physical activity or overweight. According to a field poll conducted for the California Endowment, nearly 60% of California voters believe that unhealthy eating and a lack of physical activity are the top two health risks for children in the state, and 73% of voters said it was important for communities to hire health workers to promote healthy lifestyles and help prevent and manage diabetes in children. 121 Access to Fresh Food: A significant part of a healthy diet is eating enough fruits and vegetables. A high intake of fruits and vegetables is important for optimal child growth, weight management, and chronic disease prevention. According to the National Cancer Institute, eating 5-9 servings of fruits and vegetables a day as part of a healthy, active lifestyle reduces the risk of diet-related diseases. In 2013, 60% of local youth ate 5 or more servings of fruits and vegetables every day. 122 Fresh, healthy food is a priority for the Food Bank Coalition, and staff see barriers to access, particularly in the schools. “Although the quality of school food meets USDA guidelines, it is not nutritious. Large food companies reformulate foods like Coco Puffs to meet the guidelines, but that doesn’t make them nutritious. Kids get used to eating these foods and reject fresh foods.” Head Start parents confirm this: “School food is horrible, but Head Start’s food program is awesome.” Some parents admit that they “can’t always afford fresh food.” According to food Bank staff, “Although it may seem that messages about healthy eating and fresh fruit are prevalent, it’s not getting down to the grassroots. However, SNAP Ed is making a difference.” (See below.) CAPSLO health educators state that teen participants lack education about healthy food. “Teens are dead in the morning; they don’t eat breakfast, and lunch or snacks consist of chips or doughnuts. Their bodies can’t be properly nourished to grow and learn.” Teens love the raspberries that staff bring to meetings, but “their parents could never afford to buy them.” FOOD STABILITY and NUTRITION: RESOURCES CalFresh: A number of community resources refer to DSS’ CalFresh program, including CAPSLO's Head Start/Early Head Start and Teen Academic Parenting Program; Community Health Centers; Public Health Department; Catholic Charities; and the Food Bank Coalition. The Food Bank provides bilingual outreach, education, and prescreening and application assistance for CalFresh to enable families to purchase nutritious and healthy food at its food distribution sites countywide. Five of the 21 farmer’s markets operating in the county that sell fresh produce to the public are now are equipped with EBT machines to accept CalFresh benefits. SNAP-Ed: (Supplemental Nutrition Assistance Program Nutrition Education) provides low-income individuals and those eligible up to 185% of the federal poverty level with education and support to consume healthy foods and beverages, reduce consumption of less healthy foods and beverages, and increase physical activity. These behavioral outcomes are expected by the U.S. Department of Agriculture (USDA) because they have the potential to reduce the prevalence of obesity and onset of related chronic diseases in the SNAP Ed population. The program is funded by the USDA and administered by the 121 CaliforniaHealthline, "Poll: California Kids Unhealthy Eating, Inactivity Are Top Health Concerns," February 13, 2014. Applied Survey Research, ACTION for Healthy Communities, Vital Signs – Understanding San Luis Obispo County, Basic Needs, 2013. 122 62 California Department of Public Health Nutrition Education Obesity Prevention Branch (locally the Public Health Department). CAPSLO’s Project Teen Health and Child Care Resource Connection receive funding to implement strategies that align with SNAP-Ed’s objectives. WIC: (Supplemental Nutrition Program for Women, Infants and Children) participation has declined slightly on a monthly basis from 4,903 in 2011-2012 to 4,550 in 2014-2015. WIC participation is comprised of approximately 9% prenatal women; 15% postpartum women (11% breast-feeding and 4% formula feeding); 21% infants, birth-11 months; and 55% children, 1-5. 123 Food Bank Coalition: The Food Bank Coalition of SLO County administers a variety of food resource programs that are used to support local initiatives to address the nutritional needs of children, families, and seniors. With a mission to see that no one in SLO County goes hungry, the Food Bank distributed 6.1 Million pounds of food in 2014 out of two warehouses in Paso Robles and Oceano; 50% is fresh produce harvested by their GleanSLO program. For every dollar donated, the Food Bank provides $10 worth of food, allowing provision of the highest level of nutrition. They are searching for a central location in the City of SLO to reduce overhead costs and will provide mobile trucks to take food to North and South County when this occurs to minimize barriers. The Food Bank Coalition works with a network of over 200 community partners, including 120 agency partners with charitable food programs and youth meal site partners that host their children’s programs. There are 56 mobile distributions countywide, including underserved areas such as Creston, California Valley, Carissa Plains, San Miguel, and Nipomo. Over 1,800 volunteers keep help keep the Food Bank’s overhead at 6%. 124 A new Food Bank Coalition program is a Children’s Farmer’s Market, which provides 15 pounds of produce monthly to each child at school sites and after-school programs where more than 50% of children qualify for free/reduced meals. Nutrition related activities are provided. Brilliant Beginnings is a pilot project that provides a healthy breakfast in the classroom to all students regardless of income to avoid stigma. It occurs in the first 10 minutes of class along with a nutrition education-related activity. Schools may resist continuing this program due to the economic challenge of providing all students with a healthy breakfast. Other Food Bank Coalition programs include: • GleanSLO unites farmers, health advocates, food providers, backyard gardeners, and community volunteers to harvest and donate produce gleanings into the food system. • BackPack Snack provides low-income children with free, nutritious snacks in after-school programs to aid in their learning process. • Senior Brown Bag provides groceries for seniors on fixed incomes. • Emergency Food Assistance provides a bag of non-perishable items along with nutritious produce to qualified individuals at countywide distribution sites. • Harvest Bag delivers fresh, non-perishable food throughout the county. • Healthy Food for Local Families: In partnership with county schools, this program provides qualified families with food assistance, nutrition education, and other resources. • Lovin Lunchbox: In collaboration with the Summer Feeding Service Program and agencies that serve children, nutritious meals are provided during the summer months to children who received free and reduced lunch during the school year. 123 124 Linda McClure, Director, San Luis Obispo County Public Health Department WIC Program. 2015 Food Bank Facts 63 Harvest Bag runs seven countywide programs, each of which holds regular distributions under the umbrella of the Food Bank Coalition. A New Times article in 2012 reported that “On any given day, somewhere in the county, hundreds of volunteers are likely to get through to the people who need it. It’s a vast network comprising hundreds of moving parts, and in the end may go easily unnoticed to anyone who isn’t a part of the system were dependent on it. Each program does things its own way, but typically people start arriving before dawn; they collect their ticket; go back to their car to wait; lineup according to their number; and then take whatever food is available.” 125 School Nutrition Programs: 46.3% (16,081) of enrolled county students, ages 5-17, were enrolled in the Free and Reduced Price Meals program in 2013-2014. 126 Approximately 33% (5,096) of low income students participated in the national school breakfast program each day and 57% (8,784) of low-income children participated in the school lunch program. Additional economic activity generated from increased breakfast participation would bring $1,177,000 to the county. 127 In the summer months when school is out of session, many children are still in need of meal assistance. In 2012, only 9% (801) of low income children participated in the summer meal program. 128 Farm to School Programs: School age children have increased opportunities to consume fruits and vegetables through increasing farm to school programs, school gardens and salad bars in schools. Farm to school programs connect schools and local farms by buying and serving fresh farm food in school cafeterias, teaching children about regional agriculture and seasonality, and providing experiential learning opportunities through school gardens, farm tours, classroom sessions, chefs in the classroom, and culinary education. Of 11 school districts (80 schools), 82% of districts served local farm to school food; 74% of schools had gardens; and 77% of schools had salad bars at least monthly (in some cases using vegetables grown in the garden). 129 Project Teen Health in CAPSLO’s Health and Prevention Division is an adolescent obesity prevention program at Arroyo Grande and Santa Maria high schools that encourages healthy eating and exercise habits. Funded by CHC, the program provides students with an after-school boot camp fitness program, nutrition support, interactive workshops, and health fairs. Child and Adult Care Food Program (CACFP): CACFP is a meal reimbursement and nutrition education program that helps providers serve nutritious and safely prepared meals and snacks to children and adults in day care settings. Licensed child care facilities in SLO County reached approximately 2,519 children with the program in 2014. 130 The Senior Nutrition Program and Meals on Wheels provide congregate and/or home-delivered meals to seniors in need. Participation in the senior nutrition program is limited to those at least 60 years of age and their spouses of any age. Community Meal Programs: Refer to Homeless Resources. 125 New Times, "The Long Hard Line: Hundreds of Local Volunteers Work Year Round to Help Thousands of Hungry SLO Residents, January 19, 2012. 126 California Department of Education, Dataquest, Free and Reduced Price Meals, 2013-2014. 127 California Food Policy Advocates, 2012 San Luis Obispo County Nutrition and Food Insecurity Profile. 128 Paradox of Plenty: A Community Roadmap for Overcoming Hunger in San Luis Obispo County, Food Bank Coalition of San Luis Obispo County, San Luis Obispo County Food Systems Coalition, September 2012. 129 Goldberg, A. and Feenstra, G., Assessing the San Luis Obispo County Food System, UC Davis, Agriculture Sustainability Institute, January 2014. 130 California Food Policy Advocates, 2012 San Luis Obispo County Nutrition and Food Insecurity Profile. 64 CRIME and DISCRIMINATION: CONDITIONS “It feels like crime is increasing locally, but maybe there’s just more media coverage when something serious does happen?” “I wish that schools would teach racial sensitivity. Both teachers and students need to have better cultural awareness about groups that are different from them.” A significant percentage of survey respondants indicated that crime (22%), domestic violence (23%), gang violence (25%), and/or discrimination (29%) were issues for their families. Crime Rate: From 2010 to 2013, in SLO County there was a 16.8% decrease in violent crime; a .42% decrease in property crimes, and a 43% decrease in larceny-theft of items over $400. During the same period, California saw an 11.2% decrease in violent crimes, a 10.8% decrease in property crimes, and a 20% decrease in in larceny-theft of items over $400. 131 Total juvenile felony arrests decreased countywide by 39% and misdemeanors decreased by 25.73 % between 2010 and 2013. However, arrests for violent behavior rose by almost 50% and assault violations increased by 50% for the same time period. 132 Of the 454 juveniles who were referred to Probation in SLO County in 2013-14, 42% were in North County and 26% in South County. 133 Traffic 2.0% 2013-14 Juvenille Referrals to Probation by Crime Type Probation Violation 27.5% Weapons 2.9% Drugs / Alcohol 18.9% Against Persons 22.6% Against Property 26.0% 131 California Department of Justice, Office of the Attorney General, CJSC Statistics: Crimes and Clearances, 2010-2013, http://oag.ca.gov 132 California Department of Justice, Office of the Attorney General, CJSC Statistics: Arrests, 2002-2011, http://oag.ca.gov 133 San Luis Obispo County Juvenile Probation Annual Statistical Report, 2013-2014 65 Domestic Violence: Domestic violence calls have seen a downward trend going from 3.6 per 1,000 in 2010 to a rate of 3.1 per 1,000 in 2013. California has experienced a similar downward trend going from 6.6 per 1,000 to 5.9 per 1,000 for the same period. 134 Child Abuse: As of April 2014, for fiscal year 2013-2014, SLO County Child Welfare Services reported an average of 3,975 child welfare referrals, which included 1,181 family maintenance cases and 2,310 family reunifications. This was an increase of 64% over 2010. During the 2013, the child abuse rate was 12.2 per 1,000 for SLO County compared to 8.9 per 1,000 for California. During this period, 71% was attributed to general child neglect, 14.9% to physical abuse, and 8.5% to sexual abuse. 135 Gang Involvement: Between 2001 and 2008, the number of county arrests that included gang enhancements increased 383%. By 2013, 28 street gangs with 944 documented gang members were identified by the San Luis Obispo Sheriff’s Department. 136 Since 2011, authorities report that there have been 30 gang-related shootings and stabbings in the county, including 13 in 2013 alone. Gang-related assaults, home invasions and other violent crimes not included in those numbers have also occurred in recent years, according to county statistics. Three homicides since 2011 have been gang-related, according to the Sheriff’s Office, out of a total 16 homicides, according to DA’s Office records. In the first six months of 2014, there were two nonfatal alleged gang-related stabbings and two shootings. 137 Officials say that Northern California gangs in Monterey County are increasingly clashing with San Luis Obispo County’s traditionally Southern California groups as they jockey for control over illegal activities and get into random skirmishes around the county line. 138 Nipomo and Oceano, in South SLO County, are home to the greatest number of gang members, with 300 and 250 known gang members respectively. Paso Robles, in North County, has 250 known gang members and 69% of gang-related violent crimes were in Paso Robles. Neighboring counties to the north, south, and east report rates of gang involvement as 1 in 82 residents (Monterey County); 1 in 125 residents (Santa Barbara County); and 1 in 126 residents (Kern County). Bordering SLO County, Santa Maria in northern Santa Barbara County, has a gang involvement rate of 1 in 34 residents. Because neighboring counties are home to rival northern and southern Latino gangs, SLO County’s gang population is a mixture of both, and the county is at risk for becoming a hot spot for both intra- and inter-county gang conflicts. 139 According to the 2013-2014 California Healthy Kids Survey, the following students reported: 140 Question Do you consider yourself a member of a gang? *Non-traditional students, such as those in Community and Court schools th 7 graders 5% th 9 graders 7% th 11 graders 7% NT* 14% Hate Crimes: According to the Office of the Attorney General, the national Hate Crimes in California 2013 report shows that SLO County had nine hate crime events, 12 offenses, 12 suspects, and six victims. In 134 www.kidsdata.org/topic/12domesticviolence-rate www.kidsdata.org/topic/4/childabuse-reports-type 136 The Tribune, “SLO County Gangs: a real problem, or just politics?” July 19, 2014. 137 ibid. 138 ibid. 139 Information provided by County of SLO Sheriff’s Department, Gang Task Force, Pedro Arroyo, 2011. 140 West Ed, California Healthy Kids Survey, San Luis Obispo County Secondary Main Report, 2013-2014 135 66 2012, there were a total of four convictions. In March 2011, an 11-foot cross, stolen from a local church, was burned outside the bedroom window of a 19 year-old black woman in Arroyo Grande. Homeless individuals are at risk of experiencing discrimination and violence. The 2013 Vulnerable to Hate: A Journey of Hate Crimes and Violence Committed Against Homeless People (National Coalition for the Homeless) reported 1,437 documented “hate motivated” attacks on homeless individuals between 1999 and 2013, with 375 of homeless individuals losing their lives. Attacks have been documented in 47 states, with California being home to the greatest number of hate crimes against the homeless in the nation. 141 The 2010 report contained a case study about an online post threatening violence against homeless residents in SLO. Between 2010 and 2011, SLO County had at least two incidents of violent assaults against homeless individuals, who were targeted in part due to their homelessness. Providers report an uptick in violence against the county’s homeless, but also that the SLO police and County District Attorney are actively prosecuting perpetrators. Bullying and Discrimination: Bullying is thought to be one of the most prevalent types of school violence and it has risen to the forefront of our nation’s consciousness since 2000. The high profile suicides of bullied teens of every race, gender, and sexual orientation have served as a wake-up call for educators and youth-serving organizations. Unfortunately, there is not enough data to measure at the national, state, or county level just how widespread bullying is. In today’s highly connected world, bullies use social networks, texting, and other anonymous means to harass victims during and outside of school hours. “Sexting,” or sending text messages of a sexual nature between portable mobile devices, has become a major problem among middle- and high-school age youth. A survey done by the National Campaign to Prevent Teen and Unplanned Pregnancy found that 20% of teens, ages 13-19, had sent a nude/semi-nude photo to someone else via text; 39% had sent a sexually explicit written text message, and 40% had seen a “sext” (photo or message) of which they were not the intended recipient. 142 When a private, sexual message or photo gets forwarded to an unintended recipient, it can spread like wildfire, devastating the original sender of the message. Technology is constantly evolving, offering more ways for people to connect with each other. Youth feel pressured to keep up or be left out, and parents and other caring adults are at a loss as to how to keep youth safe without completely cutting them off from technology. According to the 2013-2014 California Healthy Kids Survey, the following students reported: 143 Question Cyber bullying, past 12 months Harassed due to being gay or lesbian or someone thought you were, at least once Any verbal or physical harassment** th th th 7 graders 24% 8% 9 graders 31% 9% 11 graders 32% 8% NT* 41% 10% 37% 38% 32% 28% *Non-traditional students, such as those in Community and Court schools **Harassment due to race, ethnicity, national origin, religion, gender, sexual orientation, physical or mental disability The ACTION for Healthy Communities 2010 telephone survey of 1,000+ county residents found that 61.4% of respondents felt that locally racism was a serious or very serious concern. In the same survey, 9.5% of respondents reported experiencing discrimination in the past year. Race, disability, and income were the three most frequent reasons for experiencing discrimination. 144 141 National Coalition for the Homeless, Hate Crimes against the Homeless: Violence Hidden in Plain View, January 2012. Sex and Technology: What is Really Going On, National Campaign to Prevent Teen and Unplanned Pregnancy, 2011. 143 West Ed, California Healthy Kids Survey, San Luis Obispo County Secondary Main Report, 2013-2014. 142 67 Drugs: Drugs arriving in SLO County are on the rise. From May 2012-May 2013, five panga boats were found off the SLO County coastline. Panga boats are used by drug smugglers coming up from Mexico to smuggle marijuana into the country. These panga boats having increasingly moved up the California coast to find areas to come ashore, to avoid detection by authorities. The latest panga boat was discovered on May 29, 2013 loaded with 1,909 pounds of marijuana, for an estimated street value of $1.3 million. 145 Prison Realignment: In Spring 2011, the California Legislature passed Assembly Bill 109 (AB 109), which provided for the realignment of funding and supervision for certain low level offenders, adult parolees, and juvenile offenders from state prisons and institutional facilities to the local jurisdiction – County Probation and Sheriff Departments. California changed, or “realigned,” the way it manages felons convicted of low-level crimes — “non-serious, non-violent, non-sexual” offenses. The state is redirecting approximately 30,000 recently convicted low-level felons who would have gone to state prisons before realignment to county jails, and shifting after-prison supervision of more than 50,000 offenders from state parole agents to county probation officers. This redirection will continue gradually through 2015. The state also changed its policies and procedures surrounding sentencing, parole, good-time credit, and other related concerns. Altogether, these changes represent the largest shift in California criminal justice policy in decades. Aside from cost savings to the state budget, this realignment is also intended to make available services and supports to facilitate rehabilitation and assimilation into the community, thus, reducing recidivism and the restart of the incarceration costs on the state. What this means for the SLO County jail is an increase of 200 more inmates per day. This is extremely challenging on multiple levels in terms of places for inmates to sleep, eat, and do activities, and to provide programming for a larger population. Early reports indicate that there are some struggles for counties to accommodate the more 1,000 inmates that have been or will be re-aligned. In the local SLO Tribune article (3/1/13), “California’s county jails house 1,100 long-term prisoners,” it reported that “(T)he oversight of so many long-term inmates is presenting challenges for county sheriffs…the number of longterm inmates represents less than 2% of the 77,000 prisoners” but “command a disproportionate share of money and attention.” Realignment enactment has significantly impacted County Jail capacity over the past three (3) years. Each group of AB109 offender potentially spends time in local jail either as a revocation of supervision or for conviction of a new criminal offense, sentenced to County Jail rather than state prison. The annual snapshot counts presented in Figure 1 were taken on June 30th of each year, thus June 2010 and June 2011 represent the Jail’s population prior to the enactment of AB109 in October 2011. The jail population has increased 57% between 2010 and 2014, yet the rate of increase has decreased each year compared to the previous year. It is estimated that between 30-35% of the jail population at any given time is an AB109 offender. 144 145 ACTION for Healthy Communities 2010, “Social Environment,” Applied Survey Research. KSBY News: 15 people arrested after panga boat discovery, May 31, 2013, www.ksby.com 68 County Jail Population Annual Snapshots, 2010-2014 800 700 600 500 400 300 200 100 Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Source: Sheriff’s Office, Jail Case Management System (JCMS) The growth in the jail population has required both an increase in custody staffing, funded through AB109, and considerable re-organization of existing space to create more bed capacity. The County Jail has created more bed capacity by re-locating the Women’s Honor Farm; modifying the housing criteria at the Men and Women’s Honor Farm to allow more inmates; adding extra beds to every housing area; expanding capacity in alternative custody programs; and accelerating releases of inmates as authorized by state law. These steps have allowed the Sheriff’s Office Custody Division to manage the growing population while they eagerly await the completion of the Women’s Jail Facility that will provide new bed and program space. Additionally, the environment of the County Jail has changed as more inmates serve their incarceration time locally in lieu of state prison. Increase in assaults, violence, gang politics, and a large protective custody population is the result of more criminally sophisticated inmates. These realities often drive housing decisions and hamper inmates’ access to available treatment programs. CRIME and DISCRIMINATION: RESOURCES With the California AB109 Prison Realignment in effect, more inmates have been assigned to county jails. SLO County is focused on rehabilitation programs in order to decrease the recidivism rate and reduce the increasing number of individuals entering county jail. In order to do this, there is a focus on providing new resources both internally, through the county jail system, and on the outside, through safety net and rehabilitation programs. The county is looking to provide the resources that inmates and ex-offenders need in order to prevent them from making the same mistakes and falling back into the system, and to assist them to properly reintegrate and become successful community members. More evidence-based programming is taking place in the jails in order to prepare inmates for when they are released from custody and to increase their chances of successful reentry. A big issue is trying to get offenders to recognize how they see themselves in a certain way (their role in society, etc.) and how that way has gotten them into trouble in the past. Some examples of the programming in jails includes: 69 Thinking for a Change, a cognitive behavioral change therapy approach that builds social and problem solving skills; Moral Recognition Therapy, which teaches inmates to recognize the reasoning for their behavior and consequences (what were their thinking processes in the past that got them into trouble); and Alternatives to Violence Project, which teaches inmates to rethink their reactions and how to deal with anger in order to be successful. In the Alternatives to Violence Program, inmates become peer counselors for the program and can continue doing so once they leave custody. All programs are voluntary, but participation levels are high because inmates do not want to sit in their cell all day – they want something to do. Community agencies, the key players that provide services to this population, are coming together in the community to do something positive to deal with ex-offenders. New collaborative groups, Jail to Jobs and the Community Corrections Partnership, are working to provide the services needed in order for them to become self-sufficient and successful in society. Key players that make up this partnership include: Drug and Alcohol Services, Probation, Behavioral Health, Sheriff’s Department, DSS, the District Attorney, county Courts, and CAPSLO. The goal is to connect ex-offenders to resources they need in order to keep them on track – obtaining medical services, drug and alcohol therapy, job assistance and skills training, housing, etc. Even assisting ex-offenders with small things like obtaining their driver’s license or social security cards is a huge step toward reaching their goals. In order to access social services programs or career opportunity programs, the individual needs to have proper identification. For example, formerly incarcerated individuals can access One Stop services to work on their resume, to take classes, etc., but if they do not have proper identification they cannot sign up for services. Recently, the Sheriff’s Department, in partnership with DMV, transports soon-to-be released inmates to the local DMV office before the office opens to obtain identification. This has been a major barrier for many ex-offenders in trying to successfully re-enter the community. CAPSLO is also a key player in the re-entry rehabilitation process. • Homeless Services case management program enables released prisoners to secure housing. • Liberty Tattoo Removal Program is a rehabilitation program that removes anti-social, gang related, and/or visible tattoos that act as a barrier for the individual in positively moving forward in their life. In order to receive laser treatment services, participants must complete 16 hours of volunteer service at a nonprofit of their choice. The volunteer component assists participants in developing proper social and job skills to assist them in finding employment or a better paying job. These volunteer opportunities also enhance self-confidence. There are a variety of county youth-serving programs to keep youth out of trouble and off the streets (after school), and to reduce their chances of involvement with drugs, alcohol, and gangs. • Youth In Action is a prevention program offered by the SLO County Probation Department. At-risk youth ranging from ages 10-16 are empowered through this year-long school-based program to see their potential, while building strength and resilience to resist gang involvement and delinquency. • STOP (Sheriff’s Teen Outreach Program) brings inmates and their experiences to youth to make them aware of the daily life of incarceration, drug use, and how their life choices have affected others. This outreach program is to help “stop” youth from making the same mistakes. • The Asset Development Network of San Luis Obispo County conducted a two-year anti-bullying campaign, which involved community performances of the play, "Hear Our Voices," and a conference, "It Starts with Me: Building a Community without Bullying." • The local Anti-Defamation League sponsors "No Place for Hate" activities on middle and high school campuses, which are coordinated by the SLO chapter of Friday Night Live. 70 The Women's Shelter Program in San Luis Obispo response to the communities need for comprehensive, multicultural domestic violence and child abuse services. They provide crisis intervention, or emergency shelter, advocacy, treatment, prevention, and education. The North County Women's Shelter and Resource Center and the Sexual Assault Recovery and Prevention Center recently merged into a new organization, which will serve both domestic violence and sexual assault victims and their families. This merger is an important step in providing comprehensive services to victims of violence in our community. COMMUNITY INVOLVEMENT: CONDITIONS “A 50-year old gang member decided he wanted to get out the gangs. He started getting his tattoos removed and after awhile he got his first job—at age 50!—at Wal-Mart in the back stocking items. As his tattoos were removed his confidence increased, and he got a higher paying job. He also increased the number of community service hours he gave back in the Liberty Tattoo Program, mentoring other gang members who wanted to get out of the gang lifestyle. What was vital was that someone was willing to give this man a job – a chance at a new life.” A lot of youth are doing things that aren’t positive or aren’t making good choices. But there aren’t a lot of things for teens to do that are positive. If there’s nothing to do, then we will find something to do, and it isn’t always good. SLO County is home to more than 1,000 nonprofit 501(c)(3) organizations. From volunteer directors who guide their boards, to volunteers who support programmatic and administrative efforts, nonprofits are dependent on the generosity of the community’s “person power.” Without a steady supply of volunteers, some organizations would close or divert finite resources to staff salaries. The county has benefited from retirees and “trailing spouses,” who follow a well-paid spouse to the area and have marketable skills but do not need to contribute to their household income. The ACTION for Healthy Communities 2013 Report found that 43.5% of telephone respondents reported volunteering in the past month. Forty seven percent of respondents reported volunteering in the last month provided more than six hours per month, and 22% reported volunteering more than 21 hours per month! 146 Many schools are now integrating service-learning opportunities into the curriculum. In the 2013-14 California Healthy Kids Interview Survey, 7th, 9th, 11th, and alternative education students reported low perception in the availability of meaningful opportunities for involvement at the. Eighteen percent of 7th graders, 12% of 9th, 15% of 11th, and 9% of alternative education students reported high levels of opportunity for meaningful involvement at school. In the 2009 edition of the survey, 58% of county teens reported doing volunteer work or community service in the previous year. 147 The county had 158,603 registered voters during the 2012 presidential election and 150,139 registered voters for the 2014 general election. Approximately 70% of the population over the age of 18 is registered to vote. During the 2012 presidential election, 80% of registered voters submitted ballots, down 3% from the previous presidential election. From 1980 to 2014, local voter turnout for general elections, including presidential elections, has ranged between 58-83%, higher than the state participation range of 50-79% 146 147 Applied Survey Research, ACTION for Healthy Communities 2013, Social Environment. WestEd, California Health Kids Survey, San Luis Obispo County Unweighted 2011-12 Survey Report. 71 during the same period. The 2014 general election had a voter turnout rate of 58%, the lowest recorded turnout between 1980 and 2014 148 COMMUNITY INVOLVEMENT: RESOURCES Many groups engage in community service activities, including California Conservation Corps, AmeriCorps VIP Program, and the Retired and Senior Volunteer Program, and many Cal Poly student groups (Greek system, clubs, and other student associations). Service clubs, such as Rotary, Lions, and Kiwanis, frequently raise funds and/or sponsor activities to support nonprofits that serve low-income individuals and families. K-12 schools and college/university students are encouraged and/or required to participate in community service experiences. The Cal Poly website The Cal Poly Service Learning program connects college students with local nonprofits. Each quarter, service learning courses place up to 300 students in over a dozen nonprofit agencies in SLO County. Cal Poly’s SustainSLO is another program that links students with community organizations to conduct volunteer work. Students in service learning courses provide over 10,000 hours of service to the community each year. The United Way of SLO County hosts the website VolunteerSLO.com, which matches nonprofit organizations with volunteers by posting available volunteer opportunities and event calendars. In 2014, CAPSLO’s Youth Program’s launched a teen resource website called theSLOdown.org so that local teens would have a central resource to turn to to find no-to-low cost teen-friendly activities and community resources. Every week, there are multiple fundraisers, awareness events, community service, and other opportunities for residents to get involved and give back to the community. In 2014, a total of 107,318 volunteer hours were contributed to CAPSLO by 6,097 individuals; 68,843 of those volunteer hours (64%) were contributed by low-income volunteers. CAPSLO youth and family development programs promote participation in a broad range of civic efforts. Program youth and parents receive leadership training on topics, such as identifying community issues and concerns; community outreach and peer education; getting involved in planning and decision-making activities; and running effective meetings. 148 County of San Luis Obispo, Office of the County Clerk-Recorder, San Luis Obispo County Voter Turnout History. http://www.slocounty.ca.gov/assets/cr/elections/pdfs/voter+turnout.pdf 72 Community Needs Top Needs Description of Programs/Services Directly Provided by Your Agency Affordable Housing Agency Priority (Yes/No) Yes Self Sufficiency Wage Yes • • Homeless Case Management, Family Support Housing Support Program and the Supportive Services for Veteran Families programs work with homeless/at-risk families and/or homeless/at-risk veteran families to find affordable, permanent housing solutions. Current and former Head Start and Migrant Coordination Efforts • All programs provide clients with referrals to affordable housing resources and work closely with community providers. • CEO is a board member of the local housing authority. • Deputy Director is on the Homeless Services Oversight Council. CAPSLO Board member is chair of this council. • Child Care Resource Connection (CCRC) director is on the Housing Authority Family SelfSufficiency Group. • CAPSLO Board member on Homeless Advisory Committee. • CEO is a board NPI(s) 1.2 H 6.4 C 4.1 1.1 D 73 Jobs • • • Affordable/Accessible Health Care Yes • • • and Seasonal Head Start (MSHS) parents are guaranteed an interview for employment vacancies for which they are qualified. Jobs are announced on parent bulletin boards at each site and parents are encouraged to apply. Supportive Services for Veteran Families program funds a fulltime veterans’ job coach at the local America’s Job Center. Agency provides comprehensive benefit package to employees (30% in addition to base salary) Agency gives priority to low-income applicants Health and Prevention Division is one of the leading providers of health prevention and education programs for low-income individuals in the county. Programs include: two reproductive health care clinics, a mobile health screening and education program for seniors, a tattoo removal program, and a variety of health enhancing programs for youth throughout the county. First Five Health Navigator Program connects families with children ages five and under with affordable health care coverage and enrollment support, and, perhaps more critically, with accessing affordable health providers who accept clients’ health plans and/or alternative payment options. Head Start Programs assist families with obtaining health coverage for their children, ensuring that immunizations are completed on time, and finding a permanent health and dental home. These programs also provide physical and mental health evaluations for children and help families access appropriate • • • • member of the local Work Force Investment Board and Mission Community Services, a non-profit devoted smallbusiness development. Planning staff assist in developing folios on self-sufficiency as part of ACTION For Healthy Communities’ biennial community reports. The agency has convened the Teen Sexual Health Collaborative (formerly the Teen Pregnancy Prevention Task Force) since 1986. The Child, Youth and Families Services (CYFS) Area Manager for Health, the Health and Prevention Division Director and the Clinic Director are members of the local Health Services Advisory Committee. Clinic Director is also a member of the local Affordable Care Act Planning Group, Reproductive Health 1.2 A, B, C 2.1 A & B 4.1 1.1 G 6.4 D 6.3 1 4.1 74 • • Affordable Child Care Services Yes • • and affordable follow up care. The Adult Day Center provides biannual health evaluations for clients that can be shared with physicians. The Community Health Centers of the Central Coast provide care through one of their mobile clinic at the Prado Day Center and Maxine Lewis Memorial Shelter for the homeless 3 days per week. Agency provides Head Start, Early Head Start, Migrant and Seasonal Head Start, State Child Development, and subsidized child care slots for more than 1,380 children in San Luis Obispo County. Additionally, CCRC maintains a list of licensed child care providers that is available to the public and provides training and resources for local child care providers. In 2014, CCRC made more than 1,500 child care referrals. • • Collaborative, the Commercially Sexually Exploited Children Taskforce, and Foster Youth Pregnancy Prevention Collaborative. She is the regional provider representative to the California Family Health Council and a presenting member of the National Family Planning and Reproductive Health Association. Board member on Homeless Advisory Committee (they deal with health care/ access) CEO is a board member of the local Children’s Service Network and serves as a member of the board for the National Head Start Association. CYFS Division Director is Treasurer for the National Head Start Association Board of Directors and President of the National MSHS Board of Directors. Family Support Services Program Manager is a 1.2 D & E 6.4 A & B 4.1 75 • • Affordable higher education and workforce development programs Yes • • • • Head Start and MSHS programs provide educational reimbursement and educational leave to staff working on obtaining AA, BA/S, and/or MA/S degrees in child development and related fields. Early Head Start provides no-cost child care for parents participating in educational or job training programs. CYFS division provides a Child Development Associate certification program for home child care providers working with the Migrant and Seasonal Head Start, Early Head Start, and Head Start Programs. CCRC’s Alternative Payment Program provides child care subsidies to those attending college and seeking employment. Commissioner for First 5 of San Luis Obispo County. CCRC program convenes the local Child Care Planning Council. Board member on Homeless Advisory Committee (they deal with child care) CEO is a member of the Work Investment Board 1.2 A, B, & C 4.1 76 Insert Narrative (Explain why need will not be met.) N/A DOCUMENTATION OF PUBLIC HEARING(S) California Government Code 12747(b)-(d) requires all eligible entities to conduct a public hearing in conjunction with their CAP. In pursuant with this Article, agencies are to identify all testimony presented by the low-income and identify whether or not the concerns expressed by that testimony are addressed in the CAP. Provide a narrative description of the agency’s public hearing process and methods used to invite the local community to the public hearing(s), and the methods used to gather the information about the low-income community’s needs. Examples include: Surveys, public forums, and secondary data collection. Note: Public hearing(s) shall not be held outside of the service area(s). Public Hearing Process (Insert Narrative) CAPSLO held a public hearing on Thursday, May 14, 2015 in the SLO Library Community Room, located in the heart of downtown SLO. The hearing was held between 5:30pm-7pm, and was open for individuals to drop in as convenient. This site was selected because it is a well-known and well utilized location and it is situated directly next to the local and regional transit centers; allowing for easy access for those utilizing public transportation. The hearing was advertised in the local newspaper, The Tribune (Sunday, May 10 and Wednesday, May 13); on the newspaper’s website, www.sanluisobispo.com; and on CAPSLO’s website and Facebook page. Flyers in English and Spanish were distributed to every CAPSLO program director and manager to post in offices, main waiting rooms, and lobbies; and to pass on to clients directly. Other community-based organizations and county offices were also notified and asked to post the flyer. A flyer was posted at the front desk of CAPSLO’s main office and placed on the table at the front desk lobby area. For those individuals that were unable to attend the public hearing, an e-mail address and phone number were listed on both flyers and advertisements allowing for additional opportunities for low-income community members to share their issues, needs, and concerns. Below is an example of a diagram that can be used to capture and identify testimony of the low income. Comment/Concern Job training needs Was the concern addressed in the CAP? Yes If so, indicate the page # If not, indicate the reason 32 77 Transportation needs No in ABC, CA N/A N/A Due to limited funding, agency meets 50% of the transportation needs in ABC, CA. Attachments • Provide a copy of each public hearing notice published in the media. • Provide a summary of all testimony presented by the low-income population: Please see Attachment B for copies of public hearing notices and flyers. CAPSLO Community Action Plan Public Hearing May 14, 2015 – 5:30 PM San Luis Obispo City Library 3 community members, 4 CAPSLO staff. CAPSLO Deputy Director briefly reviewed agency services and purpose of Community Action Plan. Health Care Received ACA subsidy but deductible was too high to use the coverage Note on provider’s door stating that they were no longer accepting Covered California patients (Pismo Beach) Not enough providers for expanded Medi-Cal; dental providers are even worse (more and more people are qualifying for Medi-Cal but fewer providers are taking it) Not enough bilingual physicians, dentists or mental health providers; CAPSLO family advocate has to drive a family to Santa Inez to access bilingual services Head Start parents don’t get help accessing services during furloughs Affordable Housing Rents are increasing $1,000 or more beyond previous cost when an apartment or house becomes vacated in SLO Housing is more available and rent more reasonable in North County There is little inventory in South County so prices are increasing Families are doubling up due to housing shortages and prices Had to wait a year in Templeton for housing Section 8 is now a one-time per year lottery so if you don’t get on, you have to wait another year Employment and Income It’s an expensive county; the cost of living is the same as LA where they pay more 78 The cost of living doesn’t change to match what the jobs are paying I am debating quitting my job because child care is so expensive; I applied for four jobs today I applied to CAPSLO for years and finally got a teaching job in Head Start, but furloughs are tough Child Care Child care is $1,200 per month Young babysitters now get $10 per hour; nannies are $11-$15 per hour Parents need full day, full-year child care, including non-traditional hours (evenings and weekends) because they work these hours Due to limited funding, there is a long wait list for child care subsidies CCRC has long wait list and no non-traditional hours. Prioritizing criteria actually punishes – if I get a raise, it could knock me out of the priority list Many providers don’t accept special needs children Quality of family child care seems good – the provider I interviewed was bilingual, licensed and knowledgeable Cost of Living Cost of commodities (milk , eggs, gas) has gone way up Student loan burden – I will have to pay for the rest of my life Food is available but people need to know where to go to get it Churches and WIC provide decent quality/fresh food Homeless families can’t store or carry food; South County has no shelter and it’s hard to find meal sites so they end up spending vouchers on fast food, which is unhealthy 5-6 farmers markets are now accepting EBT (CalFresh) cards WIC provides a $10 voucher once per year for fresh food at Farmer’s Markets Without Food Bank giveaways, people would be in real trouble; they line up hours ahead of time in Nipomo When the Food Bank moves to SLO, agencies that get their food from the Food Bank fear that it will be more difficult to get emergency food to North and South County 50% of the Food Bank’s food is fresh Transportation A lot of Head Start absences are due to transportation; parents have to be at work early in the morning and it doesn’t always work in a relative’s schedule to drop a child off Transportation is well used, especially in SLO with Cal Poly Nipomo FRC gives a lot of clients gas cards; one client lives in Oceano and just got a job in Paso Robles it takes hours to get somewhere on a bus and the routes are too complicated Education and afterschool opportunities for children LMUSD has a PIQUE program that helps parents understand their children’s education. They learn how to ask a teacher specific questions, such as “What grade reading level is my child 79 at?” as opposed to “How is my child doing?” so they can help their child. The program is part of a realignment of state money to bring to school districts that qualify (Title I). The money must be spent on parent involvement and foster, homeless and special needs children There are not enough after-school programs Some free programs, such as Bright Futures, require that children stay until 6:00 PM; if parents want to pick their children up sooner than that, they can’t participate In some Parks and Rec programs, parents line up around the block to enroll their child, and at some school sites, it fills up in the first day; Sun and Fun is only $4/hour but it can be tough to get in depending on the school site (San Luis Coastal schools in City of SLO) YMCA programs are expensive Adult education and job training A lot of Head Start parents are in school Cuesta is great; it provides early childhood education, phlebotomy and EMT training as well as financial aid San Luis Coastal Unified Adult School provides parent participation classes and other programs One-Stop closed in Grover Beach and there isn’t anything else in South County to help people with job stuff Quality of Life Crime: one participant lives in a Paso Robles housing complex and finds young people unsupervised, swearing a lot with nothing for them to do so they turn to negative activities like graffiti and fighting. Eight-year-old kids are hanging out with 15-year-olds Perception that crime is increasing but is this due to increased media coverage or actual increases? Could be an increase in assaults because of mentally ill transients. In Nipomo, there has been an increase in burglaries Participants knew about two middle school students in different parts of the county that are wearing ankle bracelets Crime doesn’t seem to be an issue for Head Start parents There has been an increase in the use of heroin, and marijuana; among youth it has skyrocketed Increase in the number of “vap” shops Positive activities Libraries have great resources for families and their hours have increased There are free concerts all over the county; Boo-Boos has music The SLO mission has activities and fairs, Dinosaur Caves, the Bob Jones’ trail Lots of activities in downtown SLO; the Children’s Museum is free once per month during Farmers Market Would like to see more kid-oriented activities, but not in April (Month of the Child when there are already a lot of activities) Family runs incur a minor expense 80 Special Populations It is extremely difficult for previously incarcerated adults to find housing and jobs. How are they supposed to reenter without these? Good Will provides them with the job and gives them a chance. There are no resources for the homeless in South County. There is no shelter and the lunch program may be closing in Ramona Gardens. Homeless population in Morro Bay seems to be increasing Seasonal workers are replacing migrant workers in the county There are fewer resources for pregnant and parenting teens with budget cuts to AFLP FEDERAL ASSURANCES Public Law 105‐285 establishes programmatic assurances for the State and eligible entities as a condition of receiving CSBG funds. Provide a detailed narrative describing the activities your agency will conduct that will enable low-income families and individuals to achieve the programmatic purposes listed below. (Federal Assurances can be found on Public Law pages 2736-2739) 1. Programmatic Purposes (A) to support activities that are designed to assist low‐income families and individuals, including families and individuals receiving assistance under part A of Title IV of the Social Security Act (42 U.S.C. 601 et seq.), homeless families and individuals, migrant or seasonal farm workers and elderly low‐income individuals and families, and a description of how such activities will enable the families and individuals— (i) to remove obstacles and solve problems that block the achievement of self‐ sufficiency, (including self‐sufficiency for families and individuals who are attempting to transition off a State program carried out under part A of title IV of the Social Security Act); In following the agency’s mission and vision, CAPSLO helps individuals and families develop the skills needed to be self-sufficient. CAPSLO provides an array of community-based prevention, intervention, and support services to low-income households while advocating for their needs and influencing community change. Obstacles and problems are created by any mixture of internal and external issues and/or circumstances. Obstacles may include a lack of affordable housing, unemployment, mental health, drug/alcohol addiction, family stability, lack of accessible health care or education, and the need for proper nutrition or adequate childcare. Depending upon the presenting issue, CAPSLO services can include emergency assistance (sheltering and utility assistance), case management, health 81 services/education, parenting classes and child care, senior day services and advocacy to address the root causes of problems contributing to instability. Even though some of CASPLO services are emergency focused, even these services focus on moving clients out from their emergency situation and into services to help them gain self-sufficiency. (ii) secure and retain meaningful employment; Clients are referred to America’s Job Centers (AJC) which provides career counseling, vocational testing, job training, and job seeking services. The CAPSLO Homeless Services Program case Managers work closely with the AJC to incorporate job training and job seeking skills into the case management plans for clients. Together with the Case managers and AJC staff, clients are provided with the tools and training to not only prepare for employment but to maintain it. The new Supportive Services to Veterans Families Program links veterans and their family members with a full-time Job Developer at the AJC who works to link clients with employers and then continues to follow-up to ensure success in maintaining employment. CAPSLO’s Child Care Resource Connection is the primary trainer of community childcare providers, teaching providers how to create quality environments for children, and develop sound business skills that ensure their success and longevity in the childcare field. The program also facilitates the licensing process for those interested in becoming providers. CCRC also subsidizes childcare services for qualifying families, enabling them to obtain/maintain employment and/or education (iii) attain an adequate education, with particular attention toward improving literacy skills of low‐income families in the communities involved, which may include carrying out family literacy initiatives; CAPSLO has long-focused on parent education as the path to family economic and social selfsufficiency, and family literacy as the most effective way to support child literacy. In CAPSLO’s Head Start Programs many parents lack basic literacy skills and are encouraged to take literacy classes and/or ESL classes to facilitate language acquisition and expand their employment opportunities. One component of the MSHS Program’s Long Range Goals and Objectives for 2014-2017 is to increase English Language skills. A recent survey of MSHS parents asked them for their ideas to help with parents’ acquisition of English. Ideas included having English classes in the evening and using the Ingles Sin Barreras home kit to improve English. Other family literacy programs such as Raising a Reader provide books and literacy activities to stimulate love of reading. These family literacy projects are supported in Spanish and English. 82 MSHS and Child Care Resource Connection have built up lending libraries for parents to borrow books and other materials, to read to their children or themselves, both of which strengthen a parent’s own literacy and English skills. Both programs also have take-home book packs with books and activities to support home learning activities. (iv) make better use of available income; CAPSLO programs help low-income clients access benefits and learn skills to assist them in becoming economically self-sufficient. In the Homeless Services Program, the Maxine Lewis Memorial Shelter stabilizes clients by addressing their basic needs for food, shelter and support, giving them “breathing room” to then enter the Case Management Program. Persons staying at the shelter are encouraged to enroll in case management in order to achieve eventual permanent housing. Staff works with clients to learn how to develop a budget and begin saving for housing. Households are linked to other needed services in order to help them most efficiently utilize their limited funds. (v) obtain and maintain adequate housing and a suitable living environment; CAPSLO Homeless Case Management Services provides assists clients in searching and obtaining permanent housing. Case managed clients can access the Tenant Based Rental Assistance Program (TBRA) operated by the SLO Housing Authority to obtain first and last month’s rent and security deposits. TBRA assistance can be extended in six month increments on a case-by-case basis. In addition, rental assistance can be obtained through several new funding sources in the County, including case management and rental assistance for lowincome veterans and their families; low-income families with young children, and intensive case management and rental subsidy for chronically homeless individuals. ( v i ) obtain emergency assistance through loans, grants or other means to meet immediate and urgent family and individual needs; and The Homeless Case Management Services Program provides financial assistance to prevent individuals and families from becoming homeless or helps those who are experiencing homelessness to be quickly re-housed and stabilized. (vii) achieve greater participation in the affairs of the communities involved, including the development of public and private grassroots partnerships with local law enforcement agencies, local housing authorities, private foundations, and other public and private partners to; (I) document best practices based on successful grassroots intervention in urban areas, to develop methodologies for widespread replication; and; 83 CAPSLO participates in a number of community partnerships – including spearheading a Homeless Services Advisory Committee, which consists of representatives from county departments, the local housing authority, law enforcement, faith-based and grassroots organizations, and other public and private partners from throughout the county. This group meets monthly to discuss innovative approaches to addressing homelessness in a collaborative manner. CAPSLO partners with County Department of Social Services, local law enforcement, the local Housing Authority, and another non-profit organization, Transitions Mental Health Association, to implement the 50 Now Program, which targets the top 50 chronically homeless individuals in San Luis Obispo County. This program is modeled upon the best-practices ACT (Assertive Community Treatment) "total team” interdisciplinary program of assessment, service planning, and intervention in which all of the staff work with all of the participants, under the supervision of a mental health professional who serves as the team's leader. (II) strengthen and improve relationships with local law enforcement agencies, which may include participation in activities such as neighborhood or community policing efforts; CAPSLO, together with local law enforcement and the City of San Luis Obispo, developed a Good Neighbor Policy for the proposed new Homeless Services Center (HSC) which will consolidate the three currently separate day center, overnight shelter, and “overflow” locations into one 24/7 services center. This policy ensures that the neighborhood surrounding the new facility will be regularly monitored by staff and police, and that quarterly meetings will occur with neighbors to mitigate any issues that may arise with clients coming into the neighborhood. CAPSLO already has an excellent relationship with local law enforcement’s Community Action Team. 2. Youth (B) To address the needs of youth in low‐income communities through youth development programs that support the primary role of the family, give priority to the prevention of youth problems and crime, and promote increased community coordination and collaboration in meeting the needs of youth, and support development and expansion of innovative community‐based youth development programs that have demonstrated success in preventing or reducing youth crime, such as— (i) programs for the establishment of violence‐free zones that would involve youth development and intervention models (such as models involving youth mediation, youth mentoring, life skills training, job creation, and entrepreneurship programs); and CAPSLO’s Youth Programs implements several highly innovative youth development projects that address family support, prevention of problems, etc. The Teen Monologues Theater 84 Project is a realistic, candid series of monologues about the challenges of navigating sexuality and sexual decision-making. Monologues are written by a diverse team of local teens so that they continually evolve to incorporate new themes and current topics. These include teenparent communication (to support parents as the primary sex educators of their children), teen pregnancy, communication between sexual partners, dating violence and sexual assault, drug and alcohol abuse, turning one’s life around from crime with good decision-making, LGBT inclusivity/sensitivity, and bullying. Teens have opportunities to develop their writing and acting skills and are exposed to all aspects of a theatrical production, building employment skills and self-confidence. They are mentored by a professional acting director. They provide positive peer influence. Local school nurses and other professionals act as parents in the production. Teen Monologues was honored to be invited to perform at the annual nati and onal Office of Adolescent Health conference in Washington DC in 2014 to 1,000 youth-serving professionals. A Youth Advisory Group, comprised of low-income and minority youth countywide, participate in a variety of meetings, trainings and activities to: ensure that the department’s outreach and marketing is culturally relevant, teen-friendly, and current; participate in local and regional conferences and trainings, such as the Asset Development Network and Gang and Youth Violence Prevention conferences, and LGTBQ and Community Leadership Institute trainings; practice advocacy and leadership skills to increase community engagement, connection, social justice, and self-confidence; refer their peers to local family planning services and reinforce prevention messages; and participate in community events, such as Pride in the Plaza, Take Back the Night, AIDS Walk for Life, Walk a Mile In Her Shoes, and the Children's Summit. TheSLOdown.org , a teen resource website which debuted in summer 2014, is another significant youth development strategy that builds skills, community knowledge, and selfconfidence. It is described in #3 below as an example of community coordination. (ii) after‐school childcare programs The Child Care Resource Connection provides after school childcare subsidies to qualifying lowincome families and connects families to available after-school care services as needed. 3. Coordination (C)To make more effective use of, and to coordinate with, other programs (including State welfare reform efforts) An example of such coordination is TheSLOdown.org is a youth-driven, comprehensive teen resource website, which provides San Luis Obispo County youth with a safe and reliable space online where they can access accurate, supportive and inclusive information, local resources, 85 and free to low-cost events and resources. Featured resources address a multitude of youth concerns and needs including: sexual health, drugs and alcohol, mental health, job and community service opportunities, and a diversity of extracurricular opportunities. Recruitment efforts have resulted in over 70 agencies providing their resources on the website by creating their own webpage, FAQs and links. A subcommittee of Youth Advisory Group members serve as the website’s “Youth Admin Team.” The youth administrators provide content for the “What’s Up” blog, recommendations for new resources and groups, outreach and marketing; community presentations; and evaluation of the website. Communication and coordination with website partners occurs through monthly Constant Contact email newsletters. Members are invited to be a featured resource at monthly Youth Admin and Youth Advisory Group meetings and to be part of the website evaluation through focus groups. SAFE (Services Affirming Family Empowerment) is an example of a rich partnership between community-based non-profit organizations, public entities, such as Department of Social Services and Behavioral Health, and school districts that supports state welfare reform efforts. Family Advocates work with families to help them access community services and monitor the services that they receive. Team meetings are conducted which include the family, service providers and other resource staff present in order to discuss the strengths of the family, concerns and develop a plan of action with the family to help find solutions to the concerns. A final example of coordination is the Asset Development Network (ADN), which CAPSLO staff co-chair. Not only do a variety of nonprofits and public member agencies and schools promote the 40 developmental assets, which serve as building blocks for healthy development and help young people grow up to be healthy, caring, and responsible (Search Institute, 1997), ADN was instrumental in coordinating with First 5 SLO to create a Children’s Bill of Rights for the County. This in turn created even more coordination with county agencies and entities to bring the Bill of Rights to Life (Attachment C). 4. Emergency Food and Nutrition Describe how your agency will provide emergency supplies and services, nutritious foods, and related services to counteract conditions of starvation and malnutrition among low-income individuals. Crisis intervention/food stability: The CAPSLO Direct Services/Parent Education Program serves families referred by Child Welfare Services and provides crisis intervention services to relieve the stressors that cause child abuse and neglect including food instability. Families in need receive food vouchers to ensure that children have adequate nutrition. Community meals to prevent malnutrition: CAPSLO Homeless Services provides breakfast, lunch and dinner each day at the day center and overnight shelter. At the Day Center the People’s Kitchen (a grassroots organization) provides the free lunch every day, year-round. 86 The CAPSLO Adult Day Center (ADC) provides a nutritionally complete hot lunch, provided by the Paso Robles Culinary Academy, including a light breakfast and afternoon snack to senior participants suffering from Alzheimer’s disease or other forms of dementia. CAPSLO’s Child Care Resource Connection Program (CCRC) participates in the California Child Care Food Program, a state and federally funded program that gives financial aid to licensed childcare centers and daycare homes. The objectives of the program are to improve the diets of children under 13 years of age by providing the children with nutritious, well-balanced meals and help develop good eating habits in children that will last through later years. Commodities distribution and access to food stability: When possible, case managers and family advocates (through various CAPSLO programs) provide commodities as needed and educate clients about available food resources in the community including free community meal programs, free/reduced school meal programs, summer/weekend meals for children , and Food Bank Coalition programs, including enrollment in CalFresh. CAPSLO partners with the Food Bank to provide breakfast, fruit, and other healthy snacks at sites where emergency and crisis intervention services are delivered. 5. Employment and Training Describe how your agency will coordinate with, and establish linkages between, governmental and other social services programs to assure the effective delivery of services and avoid duplication; and describe coordination of employment and training activities under the Workforce Investment Act of 1998. CAPSLO has close ties with the America’s Job Center (AJC) through sharing of clients, collaboration for service provision, and implementation of the Workforce Investment Act. CAPSLO’s CEO serves on the Workforce Investment Board, representing the low-income community and advocating for job development and training, especially for head-of-household jobs, youth employment, retraining to help workers move out of agriculture, and supported work opportunities for persons with special needs. In 2014, CAPSLO contracted with the AJC to employ a full-time Job Developer to assist lowincome veterans and family members with job development/training and employment assistance. 6. Low-Income Home Energy Assistance Describe how your agency will ensure coordination between antipoverty programs in each community in the State, and ensure, where appropriate, that the emergency energy crisis intervention programs under title XXVI (relating to low‐income home energy assistance) are conducted in the community. CAPSLO Energy Services Division provides the following home energy assistance programs: Low-Income Energy Efficiency Programs: Free weatherization services are funded by Pacific Gas 87 & Electric Company and Southern California Gas Company. Services include attic insulation, door weather-stripping, duct system testing, and installation of energy and water saving devices. Both programs are targeted at lower income residents of SLO, Monterey, Santa Cruz and Santa Barbara counties. LIHEAP (Low-Income Home Energy Assistance Program) and DOE Weatherization: This program has three main components: 1) weatherization services, which include minor home repairs; replacement of water heaters, windows, and doors; attic insulation, weather-stripping; combustion appliance safety testing; and duct system and blower door testing; 2) heating and cooling services, which include repair and replacement of furnaces, evaporative coolers, air conditioners, and water heaters; and 3) utility payment assistance through the Home Energy Assistance Program which provides a once a year payment for low-income households in crisis; payments can be for gas, electric, or propane. Home Repair Services: CAPSLO administers a senior home repair program that provides free minor home repairs for seniors in SLO and Northern Santa Barbara counties. Other home repair services include, on a limited basis, installation of wheelchair ramps and lifts, handicapped access improvements, and larger repairs like roofing, drywall, and carpentry offered through Community Development Block Grant and redevelopment agency funding. Energy Services Division staff work closely with other for-profit and non-profit organizations that provide similar services to ensure non-duplication of services. 7. Faith-Based Organizations, Charitable Groups, and Community Organization Partnerships Describe how your agency will to the maximum extent possible, coordinate programs with and form partnerships with other organizations serving low‐income residents of the communities and members of the groups served by the State, including religious organizations, charitable groups, and community organizations. CAPSLO has long-standing ties to the faith-based community through the development and implementation of homeless overnight shelter and day services programs. Together with the Interfaith Coalition for the Homeless (ICH), a coalition of 12 groups that rotate the provision of overnight “overflow” sheltering to single women and families, CAPSLO works to ensure a safe shelter for those most vulnerable. CAPSLO’s Adult Wellness and Prevention Screening coordinates outreach with many county churches and uses several churches as service sites for on-going health clinics. CAPSLO’s Adult Day Center uses church property as a day care center for frail seniors and also works collaboratively with various church staff and volunteers to provide lunch to homeless individuals and families every Saturday. Services Affirming Family Empowerment (SAFE) is another example of a rich partnership between community-based non-profit organizations, public entities and school districts. CAPSLO Family Advocates work with families referred by these organizations to help them 88 access community services and stabilize their lives. Weekly SAFE Team meetings are conducted which include the family, service providers and other resource staff in order to discuss the strengths of the family, concerns and then develop a plan of action with the family to help find solutions to those concerns. 8. Establishment of Procedures for Adequate Board Representation Describe your agency’s procedures for establishing adequate board representation under which a low‐income individual, community organization, religious organization, or representative of low‐ income individuals that considers its organization, or low‐ income individuals, to be inadequately represented on the board (or other mechanism). CAPSLO has a tripartite Board, with equal representation from low-income communities, the private sector, and elected officials. The five seats held by elected officials are filled by appointment; one is always held by a County Supervisor and the other four seats are rotated between the cities and community service districts to allow representation from each region. As low-income or private sector seats become available on CAPSLO’s Board, vacancies are publicized through Public Notices, Public Service Announcements, and flyers. Information flyers are distributed to community organizations encouraging application for Board service. If any low-income individual, community or religious organization, or representative, believes they are inadequately represented on CAPSLO’s Board of Directors, they may meet with CAPSLO’s Executive Assistant to discuss their concerns and review CAPSLO’s bylaws. They will be given information about composition, membership, and terms of office of the current Board, as well as information about applying for membership when vacancies occur. 9. Participation in ROMA, or Alternative System for Measuring Performance Does your agency participate in ROMA? Yes ☒ No ☐ Describe how your agency addresses ROMA or another performance measure system which the Secretary facilitated development pursuant to section 678E(b), or an alternative system for measuring performance and results that meets the requirements of that section, and a description of outcome measures to be used to measure eligible entity performance in promoting self-sufficiency, family stability, and community revitalization. CAPSLO participates in the Results Oriented Management and Accountability (ROMA) system of performance measurement for the Community Action Plan service outcomes. In some programs, funders require use of an alternative performance measurement system; however, all alternative systems are required to produce demographic and outcome data to meet the requirements of CSBG reporting. All CAPSLO programs are evaluated by the Planning Committee and Board on an annual basis 89 to examine the relevance (need) and impact the program has in the community, including program sustainability. As part of the review process, each program must identify how it addresses the ROMA goals, and whether it continues to align with the agency’s mission and vision statements. As of 2012, a CAPSLO Planning Specialist in the Planning Department has become a Certified ROMA Trainer. The Trainer will be utilized to not only provide trainings for CAPSLO internally, but also extend ROMA trainings to other Community Action Agencies inside and outside of California. In addition, CAPSLO volunteered and was selected to be one of the agencies to work with the Community Services Block Grant (CSBG) Organizational Performance Standards Pilot Testing. The agency will assist the state Department of Community Services and Development to strengthen organizational standards for Community Action Agencies. 10. Cost and Accounting Standards Describe how your agency will ensures that cost and accounting standards of the Office of Management and Budget apply to a recipient of the funds. The Finance Department maintains budgetary control procedures, accounting systems, and reports in accordance with generally-accepted accounting principles and pertinent federal and state rules and regulations, including relevant Office of Management and Budget circulars and amendments. These practices ensure integrity, accountability and proper stewardship of local, state, federal, and private foundation funds. A separation of financial functions is implemented at every level to safeguard assets. All systems are flowed charted, documented in a boardapproved Finance Policy/Procedure manual, and reviewed internally for strong preventive and detective controls. Financial reports are generated and reviewed by agency management and CAPSLO's Board of Directors. Ongoing monitoring occurs through: annual self-assessment; two independent annual audits; various reviews and monitoring by local, state, and federal agencies; monthly meetings with the Board's finance committee; and annual in-depth budget reviews of all CAPSLO programs. CAPSLO also has an audit committee which provides oversight of the annual audit and other relevant issues. Finance staff are trained in OMB and knowledgeable about federal regulatory and grant requirements. 11. Service Delivery System Provide a description of your agency’s service delivery system, for services provided or coordinated with CSBG funds targeted to low‐income individuals and families in communities within the State. CAPSLO monitors the service delivery systems across the spheres of influence that most impact low-income community residents. Over the years, CAPSLO has responded to existing or emerging needs through creation of pilot programs and projects to test effective delivery strategies. Collaboration among service providers is the norm in SLO County, and the 90 appropriate and effective use of mainstream resources is a high priority. CAPSLO offers a full array of services for low-income individuals and families throughout the lifespan in SLO County; several programs are also offered in other central and southern California counties. Services provided or coordinated with CSBG funds targeted to low-income individuals and families in communities within the State include: Adult Day Center which provides quality adult day care in North SLO County for adults with moderate to severe dementia, while giving respite to their family and community caregivers. CAPSLO staff coordinate service delivery with: Coast Caregiver Resources, Alzheimer’s Association, Cuesta College, Cal Poly University, and Atascadero State Hospital (use of interns), Paso Robles Culinary Academy (meal provision), and private caregiver support group providers. Energy Services coordinates home repair, weatherization and utility assistance service delivery with private partnerships such as PG&E and the Southern California Gas Company. As an example, Energy Services staff works with PG&E to provide emergency utility payments to clients needing this once yearly assistance. The Family Support Services Program provides one of the most concrete examples of the coordination of service delivery through its Systems Affirming Family Empowerment (SAFE) Program. SAFE is a community-based, school-linked program designed to bring services to children and families in South SLO County. SAFE focuses on family strengths and works to keep children “Safe, Healthy, At Home, In School, and Out of Trouble”. Working in partnership with many other agencies, including County Departments of Mental Health, Drug & Alcohol, Public Health, Probation, and Social Services; other non-profit organizations; local school districts, and others, SAFE provides free prevention and intervention assistance for families at the community and more intensive levels. CAPSLO Family Advocates work with families and collaborative partners to help them access services and monitor assistance. Weekly SAFE team meetings, which include the entire family and all involved service providers, ensures that the family receives the comprehensive and coordinated “wraparound” services needed to help these at-risk families achieve stability. The CAPSLO Health Services Division includes the Adult Wellness and Prevention Screening Program which provides mobile health screening, education, referrals, and follow-up for seniors at 14 countywide sites. All locations (including churches, senior nutrition centers, senior living locations) are provided free of charge to CAPSLO. The part-time nurse coordinates with numerous other health and human services providers, including community health clinics, hospitals, private physicians, the local Area Agency on Aging, among others, to provide seniors with the information and support that they are often unable to receive from their physicians due to time and monetary constraints. Homeless Services provides an array of programs that feed, shelter, support, and case manage homeless people to help them achieve stability and self-sufficiency. The Maxine Lewis Memorial Shelter offers overnight shelter, meals, and showers, and Prado Day Center offers meals, showers, health screening, and critical on-site services to homeless individuals and 91 families. Case Management Services are offered countywide, providing intensive support to help families and individuals secure health care, social services, and permanent housing. Coordination with other service providers is essential, and include: County Departments of Social Services, Mental Health, and Drug & Alcohol; Transitions Mental Health Association; Veterans Services; local hospitals; the Housing Authority of San Luis Obispo; SLO City Police and City Parks & Recreation; and other non-profits serving the homeless, including numerous faithbased groups. 12. Linkages Describe how linkages will be developed to fill identified gaps in services, through the provision of information, referrals, case management, and followup consultations. The entire community of public and private service providers shares the task of identifying gaps in services. CAPSLO serves on county planning entities, including the Homeless Services Oversight Council, Child Care Planning Council, Adult Services Policy Council, and Reproductive Health Collaborative. The planning entities continuously monitor available services, identify gaps in services, and make recommendations to address gaps. In addition to other vehicles used to obtain low-income voices and needs, in 2014 the CAPSLO Board formally adopted the following external advisory groups to assist in identifying the most salient, mission-aligned issues to address through an annual assessment process: Adult Services Policy Council; Housing Authority Family Self-Sufficiency Group; Child Care Planning Council; Latino Outreach Council; Children’s Services Network; Teen Sexual Health Collaborative; Youth Advisory Group; Homeless Services Oversight Council; United Way Advisory Committee; and Head Start Parent Policy Council. Agencies that have reached their service capacity or exhausted their service resources refer clients to other local resources when they exist. Collaborative case management between service providers (with client permission) occurs in several venues in order to resolve the impacts of service gaps. It is hoped that client needs will be met through creative short-term strategies, while long-term service delivery systems are modified, augmented, or expanded to meet emerging needs. To meet the needs of low-income people throughout the county, the Homeless Services Oversight Council developed a countywide listing of basic services and resources, including programs, addresses, contact information, and hours of operation. The database is maintained on the County's website where users can locate and map each service location by region, community, or service category; print out customized resource maps; and link directly to other local providers’ websites, including public transit information. The Adult Services Policy Council has created a similar listing of agencies that provide services to seniors and disabled individuals. Computers with internet access are available in public locations such as the library, DSS offices, One-Stop Career Centers, other community service sites, and at CAPSLO’s Prado Day Center so that vulnerable populations can be trained to use the website for real-time, self-navigation of 92 the safety net service system. CAPSLO case managers and family advocates assist clients in accessing these sites. While this information is also available through a 24 hour Hotline information/referral telephone service, the ability to print maps and access direct links to other provider sites is extremely useful to low-income users. Case managers and family advocates throughout CAPSLO provide information, referrals, case management, and follow-up consultations for their clients seeking community resources, which often may exist within the larger CAPSLO organization. 13. Funds Coordination Describe how CSBG funds will be coordinated with other public and private resources. All resources received to support CAPSLO programs are used as directed by the grantor. Whenever possible, resources are braided together to complement or enhance the level of service provided. Mainstream resources are always the first to be accessed or used, as appropriate. CAPSLO uses unrestricted discretionary funds, when available, to augment existing resources, seed new projects, or leverage additional financial support. 14. Innovative Community and Neighborhood Initiatives (Including Fatherhood/Parental Responsibility) Describe how your agency will use funds to support innovative community and neighborhood-based initiatives related to the purposes of this subtitle which may include fatherhood and other initiatives with the goal of strengthening families and encouraging parental responsibility. CAPSLO’s Male/Father Engagement Project This project brings together men (fathers, grandfathers, uncles, friends, etc.) to actively participate, and learn how to resolve paternal challenges and ways to support the growth and development of their children. The Male/Father Engagement meetings/activities are open to any male/father who is important in the life of a Head Start child, whether the child is served by a center or a licensed family childcare provider. In large part due to the success of this project the Family Support Services Division is applying to the Department of Health and Human Services for a Responsible Fatherhood Grant, which is designed to help fathers establish or strengthen positive parental interaction by providing activities that develop and improve relationship, communication and parenting skills, and contribute to the financial well-being of their children by providing job training and other employment services. 93 STATE ASSURANCES California State Law establishes assurances for the State and eligible entities. Provide narrative descriptions of how your agency is meeting each assurance. California Government Code 12747 (a): Community action plans shall provide for the contingency of reduced federal funding. Contingency for reduced federal funding: The agency’s 2015-2017 Strategic Plan includes a goal that addresses future reductions in federal or state funding: Goal 5: Fund development and resource planning Objective 1: Increase the agency's unrestricted funding resources to build a reserve for programs in need and reduce future reliance on specific government funding during challenging economic conditions. Objective 2: Research the addition of a marketing, outreach and fund development staff position and provide findings and recommendations to the executive leadership team. Objective 3: Review individual program fundraising and agency-wide fundraising and provide findings and recommendations to the executive leadership team. Objective 4: Explore the use of an agency-wide purchasing card for cashback unrestricted funds and provide findings and recommendations to the ELT. Strategic Plan Goal 3 addresses enhancing agency efforts to increase public awareness, which will help with awareness and recognition of agency programs and services among donors and funders. Activities include improving consistency in improving consistency and quality in outreach materials and efforts and the agency website. These efforts could alleviate potential reductions in funding in the future. In addition, CAPSLO will continuously explore opportunities for reducing costs as well as generating new financial resources. CAPSLO is committed to expanding organizational capacity to generate needed resources; increasing community fundraising efforts to avoid any reduction in services; pursuing private sector, corporate, and foundation sources for additional funding. CSBG funding has been critical to help sustain essential services without interruption when other funding fluctuates. For example, this past year CSBG funds filled a critical gap in the Homeless Services Division, specifically for the Maxine Lewis Memorial Shelter. Additionally, clinic revenues filled a gap in Teen Wellness services by continuing to employ peer providers when The California Wellness Foundation funds were discontinued. California Government Code § 12760: Community action agencies funded under this article shall coordinate their plans and activities with other eligible entities funded under Articles 7 (commencing with Section 12765) and 8 (commencing with Section 12770) that serve any part of their communities, so that funds are not used to duplicate particular services to the same 94 beneficiaries and plans and policies affecting all grantees under this chapter are shaped, to the extent possible, so as to be equitable and beneficial to all community agencies and the populations they serve. CAPSLO coordinates plans, activities, and service delivery with agencies in the service areas, especially those that receive federal or state funding to serve the same or similar populations. The programs refer to, and receive referrals from, such local programs as: Department of Social Services provides an array of safety net services including Medi-Cal, food stamps, foster care, Cal Learn, and child welfare services, and support to CalWORKs families and individuals on General Assistance; Coast Caregiver Resources provides respite to caregivers of individuals dealing with the effects of early Alzheimer’s disease and other forms of dementia. Community Health Centers of the Central Coast refers patients to the CAPSLO Health and Prevention Division Clinic as well as the Adult Wellness and Prevention Screening Program. CAPSLO’s Energy Services operates the Low-Income Home Energy Assistance Program in the SLO County service area, and coordinates service delivery with Salvation Army and food pantrytype service providers that also offer utility assistance. California Government Code §12768: Migrant and Seasonal Farmworker (MSFW) entities funded by the department shall coordinate their plans and activities with other eligible entities funded by the department to avoid duplication of services and to maximize services for all eligible beneficiaries. If you are not an MSFW, write “not applicable”. Not applicable. CAPSLO’s Migrant and Seasonal Head Start Program (MSHS) does not receive funds from the department. However MSHS does coordinate plans and activities on an ongoing basis with school districts, special education programs (SELPA), regional centers, and many other entities. The Migrant and Seasonal Head Start program serves migrant farmworker families by providing child care services and early childhood education and keeping children out of the fields and in a nurturing and educational environment so they can be school ready. INDIVIDUAL AND COMMUNITY ELIGIBILITY REQUIREMENTS Describe how your agency verifies participant income eligibility: ☒ Pay Stubs ☒ Social Security Award Letters 95 ☒ Bank Statements ☒ Tax Statements ☒ Zero-income Statements ☒ Unemployment Insurance Letters ☒ Qualification for other need-based program, describe Verification of participant income eligibility varies depending up the program. All of the above verification methods are used, and verification is almost always a requirement of the program funder. ☐ Other, describe: Income eligibility for general/short term services: For services with limited in-take procedures (where individual income verification is not possible or practical), describe how your agency generally verifies income eligibility for services? An example of these services is emergency food assistance. In those cases where individual income verification is not possible or practical, clients will selfreport. Community-targeted services: For services that provide a community-wide benefit (e.g. development of community assets/facilities; building partnerships with other organizations), describe how your agency ensures the services target low-income communities? When evaluating new, community-wide partnerships/opportunities, CAPSLO evaluates the mission compatibility of any activities to be undertaken. CAPSLO has numerous partnerships with other organizations, and in all cases CAPSLO represents the low-income community we serve. As part of the recently approved Strategic Plan, CAPSLO is developing a formal structure for evaluating our financial and non-financial partnerships (through reviews of Memorandums of Understanding as an example) in order to better assess the success and contribution of the partnerships and their alignment with the agency’s mission. MONITORING AND EVALUATION CSBG eligible entities are required to be actively involved in the evaluation of your community action programs. Provide a narrative description of the specific method(s) of evaluation, 96 frequency, and monitoring conducted that ensures high standards of program and fiscal performance. 1. Describe your methods for evaluating programs and services. Monitoring and evaluation are built into all CAPSLO programs in order to track and measure program performance and achievement of outcomes in accordance with stated goals and objectives. Collecting data to substantiate program success is a formalized process in every program at monthly, quarterly, semi-annual, or annual points. Agency-wide tools include annual client satisfaction/needs surveys; annual employee satisfaction/needs surveys; biennial partner/funder/community group surveys; annual external advisory groups; biennial surveys with clients in between CAP years; and semi-annual national performance indicators. CAPSLO is in the process of developing an agency-wide performance scorecard and risk assessment tool that will be administered annually. Fiscal monitoring by the Finance Department is ongoing, with formal, monthly reviews by the CAPSLO Board Finance Committee and annual audits by an independent certified public accountant. The Finance Department is responsible for timely submittal of fiscal reports for CSD contracts. Program tools include biennial program assessments by Board Planning Committee; annual client/parent/ participant/teacher satisfaction surveys (more in-depth than what is mentioned above); and annual client/participant focus groups. 2. Describe the frequency of evaluations conducted. See above 3. Describe specific monitoring activities and how they are related to establishing and maintaining the integrity of the CSBG program. A sampling of monitoring activities follows: Program assessments monitor an individual program’s compatibility with the agency’s mission of self-sufficiency; ability to maintain funding without CSBG or administrative assistance (sustainability); efficacy with partners in the community; adequacy and maintenance of IT systems and facilities; employee turnover rate; other community organizations that conduct similar activities or have the ability to assume these activities or strengthen collaboration; risk factors, such as Worker’s Comp claims; evidence of lowincome participation in program planning; and Employee Council assessment regarding lowincome participant feedback and staff development opportunities. Client surveys monitor satisfaction with timeliness of services; treatment by staff 97 (welcoming, respectful); cleanliness of facilities; services provided; information provided about other CAPSLO or community services; familiarity with other CAPSLO programs, etc. Employee surveys monitor staff satisfaction with job-related training; supervision, top-down and bottom-up communication; compensation; safety; understanding of mission and strategic plan; and more. Partner surveys monitor satisfaction with CAPSLO program staff competency, quality and creativity; level of collaboration; program strengths and areas for improvement; and how CAPSLO benefits their organization. Head Start and Migrant and Seasonal Head Start parent and teacher surveys monitor satisfaction with specific quality indicators of the program (child development, safety, parenting skills, discipline); program characteristics (hours, location, adult-child ratios, language spoken, equipment and materials, cultural activities, environment, nutrition); family needs (literacy, learning English, nutrition); and suggestions for improvement. Every CAPSLO case management program monitors the well-being of each client through an initial, baseline assessment and quarterly assessments to determine whether the client is progressing toward greater self-sufficiency. Weaknesses in a client’s work plan are identified and addressed, and successful strategies are identified. All information is analyzed (see below) and used for agency and program improvement in a multitude of ways. DATA COLLECTION The success of the CSBG Network relies heavily on the quality and relevance of data collected on individuals and families served. To comply with the requirements set forth by OCS with the State and Federal Accountability Measures, provide a narrative description on your agency’s data collection and reporting process. Explain how your agency ensures accurate data is collected and reported on ALL agency activities, not just CSBG funded activities. Describe the system(s) your agency has in place to ensure accuracy, and review the data prior to submission to the State, and how the data is used, analyzed and acted on to improve agency programs and services. Describe the data collection process. Currently data collection is program-specific, and in large part based upon funder requirements. Each CAPSLO program is responsible for accurate, timely recordkeeping, and integration of statistical data into a meaningful format to measure client well-being. The Planning Department is responsible for timely submittal of programmatic reports for CSD contracts. In 2013 CAPSLO purchased a client database software system called ClientTrack, which will enable the agency to produce an unduplicated client county organization wide. Since mid2014, all clients who are served by CAPSLO programs, as well as their family members, are entered into the system by each program. The exception to this is Head Start programs, which 98 have their data exported from their current database, and imported directly into ClientTrack. The system has many functions built into it that can help programs track information and report out in ways that could replace current systems that are currently in place. Moving forward with ClientTrack, we expect the system will do more for us than simply providing an unduplicated client count. With its customizable features, we will be looking into modifying the interface of ClientTrack to fit the needs of individualized programs. Fiscal monitoring by the Finance Department is ongoing, with formal, monthly reviews by the CAPSLO Board Finance Committee, and annual audits by an independent certified public accountant. The Finance Department is responsible for timely submittal of fiscal reports for CSD contracts. Describe the data reporting process. In order to capture the unduplicated client count, a general CAPSLO common intake form was developed, which included all of the information needed to produce the CSBG 295 report. Every CAPSLO program goes through an evaluation review at the monthly Board of Directors Planning Committee meeting, which is then reported at the full Board meeting. In addition to reporting to the full Board and CSBG, every program has a number of program reporting procedures based upon funder requirements. Describe how the data is used, analyzed and acted on to improve agency programs and services. Monitoring and evaluation are built into all CAPSLO programs, in order to track and measure program performance and achievement of outcomes, in accordance with stated goals and objectives. Collecting data to substantiate program success is a formalized process in every program at either the monthly, quarterly, six-month, or yearly point. The agency is in the process of purchasing a new client tracking database (by June 2013) that will provide for an integrated, system-wide process for data collection and CSBG reporting. As mentioned previously, each CAPSLO program goes through an evaluation review at the monthly Board of Directors Planning Committee meeting, which is then reported at the full Board meeting. This process takes into consideration how successful the program is and examines client demographics, number of individuals/families served, fiscal considerations, and whether outputs and outcomes are being met. Within every CAPSLO case management program, the well-being of each client is assessed at the time the client enters the program. The client’s status at the initial assessment becomes the baseline status. Quarterly assessments compare the client’s current status to the baseline status, to determine whether the client is progressing toward greater self-sufficiency. 99 Weaknesses in a client’s work plan are identified and and addressed, and successful strategies are identified. CSBG/NATIONAL PERFORMANCE INDICATORS (NPI) CAP PROJECTIONS (CSD 801) The National Performance Indicators (NPI) were created collaboratively within the CSBG Network to enable the more than 1,000 Community Action Agencies in 52 States and territories to present a more uniform and coherent national picture of the work and accomplishments. This reporting process is an important component of the broader CSBG initiative to use resultsfocused management principles to strengthen the entire CSBG Network. The NPIs contains 16 broad outcome measures or indicators that will capture the universal accomplishments of the various local and state CSBG agencies in our Community Services Network. The indicators are crucial in telling the story of what community action accomplishes as a national Network. At the same time, these indicators have been designed to evaluate performance of community action in assessing the needs of our communities and to address poverty alleviation in a comprehensive way. As part of the CAP process, each agency is asked to review and identify the appropriate National Performance Indicators, and develop two years of projections/goals and strategies. These National Performance Indicators were developed using the six National Goals and Outcome Measures. The CSBG/NPI CAP Projections (CSD 801 CAP) will be monitored and evaluated by CSD Field Operations Representatives. 1. To access the CSBG/NPI CAP Projections (CSD 801 CAP) visit the CSD Provider’s Website at http://providers.csd.ca.gov/CSBG under the tab “Forms”. 2. When complete, save the Excel spreadsheets and include the workbook as an attachment to the CAP. Helpful resources to complete the CSBG NPI CAP Projections (CSD 801) are the CSBG Information System (IS) Instruction Manual for National Performance Indicators (NPI) and the NASCSP Targeting Field Manual. 100 APPENDICES (OPTIONAL) All appendices should be labeled as an appendix (i.e., Appendix A: Community Survey Results) and submitted with the CAP. List of Appendices: Appendix A: Needs Assessment Survey Results Appendix B: Public Hearing Ads and Notices Appendix C: San Luis Obispo County Children's Bill of Rights 101 Appendix A: Needs Assessment Survey Results 2014 San Luis Obispo County Needs Assessment Survey 574 total responses Thank you for taking the time to complete this important survey; the results will be included in the agency’s Community Action Plan (CAP) report. The CAP report addresses the issues of low-income individuals and families in the community and identifies needed services. Your responses will be kept ANONYMOUS and CONFIDENTIAL. The survey will take approximately 15-20 minutes to complete. Thank you for sharing your information and being a part of this important process. 1. Where in San Luis Obispo County do you live? North Coast: 58 (10.1%) North County: 180 (31.4%) South County: 195 (34%) Central: 139 (24.2%) ____________________________________________ 2. What is your race/ethnicity? (check all that apply) 3(0.5%) American Indian/Alaska Native 179(31.8%) White/Caucasian 4(0.6%) Asian 10(1.7%) Other 3. What is your age? 18 (3%) Under 18 years 84 (14%) 45 to 54 years 4. What is your gender: 3(.05%) Native Hawaiian/Pacific Islander 38(6.6%) Multi-Racial 53 (9%) 18 to 23 years to 69 years 75 (13%) 55 124(23%)Male 13(2.3%) Black/African-American 318(55.4%) Hispanic/Latino 320 (56%)24 21 (3%) to 44 years 70 years or older 407 (77%)Female 5. Which of the following categories describes your employment status? Can reply to more than one category 21(3.75) Self-Employed 198(35%) Full-time (30 hours or more) 96 (16.7%) Part-time (less than 30 hours) 139(24.2%) Unemployed 38(6.6.%) Retired 55(9.6%) Disabled 20 (3.5%) Other 48(8.4%) Student 6. What is the highest level of education you have completed? 237(41.2%) High School Diploma/GED 210(37%) Have not completed high school/GED 51(8.8%) Professional/Technical Certificate or License 39(6.7%) Associates Degree 9(1.5%) Master/Doctorate Degree 21(3.7%) Bachelors Degree 7. Which of the following categories best describes your housing status? 65(11.3%) Homeowner 325(56.6%) Renter 62(10.8%) Living with family/friend for free 93(16.2%) Homeless 27(4.7%) Other 8. Which of the following categories best describes your household? 128(22.3%) Single Person 148(25.8%) Single Parent with children under 18 201(35%) Two parent family with children under 18 31(5.4%) Two or more adults with no children 26(4.5%)Grandparent(s) raising grandchildren 35(6.1%) Other 9. How many people currently live in your household? Average size: 3.7 persons 10. What is your estimated monthly household income?Average Income: $1,569.70 102 Appendix A: Needs Assessment Survey Results 11. Do you have a phone? 515(89.7%) Yes 34(5.9%) No 12. Do you own a computer? 229(39.9%) Yes 291(50.6%) No 13. Do you have internet access: 358(62.4%) Yes 199(34.7%) No 14. What are the greatest issues for you or your family? (Please check one box for each issue) Issue Supply of safe and affordable housing Access to living wage jobs Affordable health care Supply of affordable child care services Affordable and accessible public transportation Quality of K-12 Education Availability of affordable higher education and workforce development programs Availability of senior services Availability of youth services Gang Violence Domestic Violence Drug Addiction Teen Pregnancy Availability of emergency food resources Availability of emergency clothing resources Availability of emergency overnight shelter services Crime (other than gang or domestic violence) Discrimination Other Major Issue 216 179 152 108 69 62 99 55 63 64 62 59 56 64 57 68 58 66 13 Minor Issue 64 107 103 85 99 71 107 56 68 59 51 50 41 101 96 57 49 71 14 Not an Issue 220 205 234 287 308 336 262 369 346 369 373 376 391 318 333 358 376 336 198 15. Is employment or income an issue for you or your family? 239(41.6%)Yes 252(43.9%) No 66(11.4%)Not Sure If you answered “Yes” above, why is employment or income a problem for you or your family: (check all that apply) 86 Lack skills and/or education to obtain a job 84 Unable to find job in the area 140 Lack of good paying/living wage jobs with benefits 73 Lack of child care during the hours needed 87 Cost of child care 56 Lack of computer skills 85 Lack of transportation or cost of transportation 103 Appendix A: Needs Assessment Survey Results 16. Is education an issue for you or your family? 110 (19.2%) Yes 408(71%)No 42(7.3%)Not Sure If you answered “Yes” above, why is education a problem for you or your family: (check all that apply) 46 Lack of access to programs for obtaining a GED 37 Lack of programs for gaining computer skills 30 Lack of transportation or cost of transportation 68 Lack of funds to pay for tuition and/or other education related costs 12 Threats of violence in schools 23 Lack of dropout prevention programs 17. Is housing an issue for you or your family? 226(39.3%) Yes 314(54.7%) No 25(4.3%) Not Sure If you answered “Yes” above, why is housing a problem for you or your family: (check all that apply) 172 Cost of rent/house payment 136 Cost of utility/rent deposit 67 Housing size doesn’t meet family needs 24 18 39 41 Need weatherization services to lower utility bills (weather-stripping, caulking, insulation, etc.) Need repairs (roof, foundation, plumbing, etc.) Where housing is available, conditions are not acceptable Lack of shelters for emergency situations (homeless/domestic violence) 18. Is access to food an issue for you or your family? 124(21.6%) Yes 414(72.1%) No 51(8.8%) Not Sure If you answered “Yes” above, why is food access a problem for you or your family: (check all that apply) 35 Lack of transportation to available grocery stores 42 Not enough income to purchase food 52 CalFresh (food stamps) run out before end of month 39 Do not know what resources are available 26 Not eligible for CalFresh (food stamps) 26 Alternative food resources not available (food distribution sites) 20 Lack of nutrition education 19. Is managing your money an issue for you or your family? 124(21.6%) Yes 381(66.4%) No 51(8.9%)Not Sure If you answered “Yes” above, why is managing your money a problem for you or your family:(check all that apply) 36 Do not have a checking or savings account 67 Lack of knowledge of budgeting 81 Difficulty with money management 32 Lack of free tax preparation services 38 Lack of knowledge or use of the EITC (Earned Income Tax Credit) 104 Appendix A: Needs Assessment Survey Results 20. Is transportation an issue for your or your family? 161(28%) Yes 374(64.8%) No 21(3.7%)Not Sure If you answered “Yes” above, why is transportation an issue for you or your family: (check all that apply) 22 Lack of knowledge on how to buy a car 80 Cost of buying/down payment for a car 76 Lack of credit to buy a car 89 Cost of maintaining a car (monthly payments, insurance, and/or repairs) 105 Cost of gasoline 28 Lack of help in learning to drive or getting license 31 Limited public transportation 32 Cost of public transportation 54 Public transportation routes/schedules are not convenient 21. Is health an issue for you or your family? 207(36%) Yes 319(55.6%)No 21(3.7%)Not Sure If you answered “Yes” above, why is health a problem for you or your family: (check all that apply) 22 Doctors will not accept Medicare 57 Doctors will not accept Medical 17 No clinics or doctor offices in my town 98 Lack of resources for dental treatment 83 Waiting list too long for dental services 62 Waiting list too long for medical services 21 Hospital/emergency room not available in same town 24 Lack of transportation 84 Lack of insurance 81 Lack of income to pay for prescriptions 96 Lack of income for medical treatment 111 Lack of income for dental treatment 25 Lack of resources for alcohol or drug abuse treatment 38 Lack of resources for mental health treatment 105 Appendix A: Needs Assessment Survey Results 22. Would you like to receive a brochure regarding available Community Action Partnership programs and services (your name will not be connected to your answers)? Yes No If “yes”, please list your contact information below and information will be mailed to: Name: _________________________________________________ Address: _______________________________________________ City: ___________________________________________________ Zip Code: _______________________________________________ 23. If you have questions regarding the surveys or would like to drop off your survey directly at the office, please use the following phone number/address: Attention: Planning Department Community Action Partnership of San Luis Obispo County 1030 Southwood Drive San Luis Obispo County, CA 93401 (805)544-4355 106 San Luis Obispo SLO-The Tribune Appendix B: Public Hearing Ads and Notices 700 San Luis Obispo Customer Payor Customer COMMUNITY ACTION PARTNERSHIP COMMUNITY ACTION PARTNERSHIP Customer Account Payor Account 346766 346766 Customer Address Payor Address 1030 SOUTHWOOD DR, , 1030 SOUTHWOOD DR, , SAN LUIS OBISPO CA 93401 USA SAN LUIS OBISPO CA 93401 USA Customer Phone Payor Phone 805-544-4355 805-544-4355 700 19.00 Sales Rep. [email protected] Order Taker [email protected] PO Number Payment Method Blind Box Tear Sheets Proofs Affidavits 0 0 0 Net Amount Tax Amount $550.00 Total Amount $0.00 Payment Amt $0.00 Ad Number Ad Size 0001708711-01 3.0 X 5.0000" Product Information $550.00 Amount Due $550.00 Color Black+3 # Inserts Cost Placement/Classification Position Run Dates Run Schedule Invoice Text SLO-The Tribune:Print: 1 $100.00 1 $100.00 SLO-Local - Local SLO-Any Local-Anywhere in Local 5/10/2015 Public Hearing SLO-The Tribune:Print: SLO-Main - Daily Main Paper A Section SLO-Any Main-Anywhere in Main 5/13/2015 Public Hearing 6/11/2015 1:31:50PM 107 Appendix B: Public Hearing Ads and Notices 108 Appendix B: Public Hearing Ads and Notices On-line advertisement: 30,000 impressions on www.sanluisobispo.com 109 Appendix B: Public Hearing Ads and Notices 50 Years of Comm unity Action! Let Your Voice Be Heard! You are invited to a Public Hearing regarding the issues facing Low-Income Individuals & Families in San Luis Obispo County. Date: Thursday, May 14 Time: 5:30 p.m. Location: SLO County Library Community Room 995 Palm Street, SLO The Community Action Partnership of San Luis Obispo County, Inc is gathering public input for the development of its 2016-2017 Community Action Plan. Please join us to share your feedback: • What are the significant issues that low-income families and individuals face? • Are services available to meet the needs? • What additional services are needed? A Spanish speaking translator will be present to provide assistance to monolingual speaking participants. If you are unable to attend, you may email comments to [email protected] OR mail comments to: Community Action Partnership - Planning Division, 1030 Southwood Drive, San Luis Obispo, CA 93401 www.capslo.org 805.544.4355 110 Appendix B: Public Hearing Ads and Notices 50 Years of Comm unity Action! ¡QUE SE OIGA SU VOZ! Le invitamos a una audiencia pública subvencionada por: Community action partnership of san luis obispo county, inc. Fecha: Hora: Sitio: Jueves 14 de Mayo 5:30 p.m. Bibiloteca del Condado de SLO Community Room 995 Palm Street, SLO La Community Action Partnership of San Luis Obispo County convoca una audiencia pública para juntar datos para desarrollar su Plan de Acción Comunitaria 2016-2017. • ¿Cuáles son los asuntos significantes que enfrentan las familias/individuos de bajos ingresos? • ¿Cuáles servicios están disponibles para resolver estos asuntos? • ¿Cuáles servicios adicionales se necesitan? Habrá intérprete bilingüe disponible para ayudar a los participantes monolingües. Si no puede asistir, puede enviar sus observaciones por e-mail a [email protected] O enviar sus observaciones por correo a: Community Action Partnership – Planning Division, 1030 Southwood Drive, San Luis Obispo, CA 93401 www.capslo.org 805.544.4355 111 Appendix C: SLO County Children's Bill of Rights As the adults of San Luis Obispo County... One of our greatest hopes as a community is that our children grow up with healthy minds, bodies and spirits that enable them to maximize their potential. As endorsers of the Children’s Bill of Rights, we collectively pledge to work together toward this vision. May we, together, demonstrate daily that our youth are our highest priority, as evidenced by our collective commitment of time, money, sustained effort and unified support. May we cultivate our understanding of child development and use it to nurture, guide, challenge, and encourage our children along their many paths. As the children and youth of San Luis Obispo County, may we each... 1 2 3 4 5 6 7 Live in a stable, comfortable home surrounded by parents, family and other caring adults who nurture us throughout childhood. 8 Explore a variety of experiences – in arts, nature, culture and music – that illuminate the world’s natural beauty, richness and human creativity. Eat healthy and plentiful meals every day. 9 Make and keep healthy relationships with friends. Have the basics for our daily life – clothing, transportation, and supplies for school, outside interests, and activities. Be and feel safe, everywhere we go. Enjoy daily physical activity and time outdoors. Visit a doctor, dentist or counselor when needed to help us stay physically and mentally healthy. Learn and master ideas and skills in and out of school that inspire us, help us understand and be ready for our place in the world. Adopted: First 5 San Luis Obispo County | January 23, 2013 10 Know that adults and peers listen and support us as individuals while we grow, and respect our diverse cultures, backgrounds, circumstances, talents, sparks, and passions. 11 Have opportunities to contribute in meaningful ways to our community by voicing our ideas, sharing in decisions and offering service to others. 12 Be encouraged to dream big, to grow through challenge and mistakes, and to always live with hope and aspiration. 112 Appendix C: SLO County Children's Bill of Rights Youth Should Be a Community’s Highest Priority During the 2011-15 strategic planning process, First 5 San Luis Obispo County kept this goal in mind, and formulated the idea for a SLO County Children’s Bill of Rights. After the initial decision, a Steering Committee comprised of adult and youth members alike began constructing the Bill of Rights. Their meetings consisted of discussion on themes, strategies, and other basic aspects of the document, group meetings to provide direction for community input, as well as a final meeting to approve the completed Bill of Rights. Many local organizations contributed to this effort including: Collaborative Partners Leading Endorsers Early Learning for All (ELFA) Asset Development Network San Luis Obispo County Child Abuse Prevention Council Partnership for Excellence in Family Support Local Childcare Planning Council HEAL-SLO San Luis Obispo County School Nurses SLO Oral Health Coalition Oceano and Georgia Brown School Readiness Neighborhood Teams First 5 Funded Partners District 24 PTA San Luis Obispo County United Way Youth Board YouthWorks Paso Robles CAPSLO Youth Advisory Group Boys and Girls Club Keystone Club Bakari Project 4-H Regional Board Montessori Children’s School San Luis Obispo Parent Representatives from North and South County San Luis Obispo County Community Foundation San Luis Obispo County Office of Education San Luis Obispo County Administrative Office South County Family Resource Center Paso Robles Housing Authority San Luis Obispo Department of Social Services San Luis Obispo County Probation Department Youth in Action South County Community Action Partnership of San Luis Obispo County San Luis Obispo County Board of Supervisors First 5 San Luis Obispo County Children’s Services Network San Luis Obispo County Board of Education San Luis Obispo County Health Commission San Luis Obispo County United Way Youth Board With their help, and the help of the community, The SLO County Children’s Bill of Rights has been created to provide specific rights for children, 0-18, based on their age and developmental status. These rights honor children’s value to the community as well as their dignity as fellow individual human beings. Key Contacts for more information: First 5 San Luis Obispo County: (805) 781-4058 Asset Development Network: Sally Rogow (805) 547-9465 Shannon White Bond (805) 782-7272 113 Appendix C: SLO County Children's Bill of Rights Parents and caregivers can Build Positive Relationships and Self-Confidence by helping their children develop self-respect and showing them that they enjoy being with them • Talk with their children about their day • Acknowledge their accomplishments • Stay calm when their children are upset so they feel safe Foster a Love of Learning • Help their child get a library card and start using it. • Read or look at books together for at least 15 minutes each day. Early Childhood Educators can Encourage Parent Involvement and Support • Hold parent meetings outside of school hours and provide child care during meetings to allow working parents to participate. Engage in activities that improve the quality of early learning environments, teacher practices, and curriculum. • Participate in local professional development and quality support programs Schools (Pre-K-3) can Collaborate in the planning for children’s school success • Promote and support expanded investments in high-quality early learning programs that prepare children and their parents for a successful transition to elementary school. Business leaders can Advocate for the benefits of preschool and support employees with young children • Adopt policies and practices to support working parents with young children such as part time schedules, telecommuting, lactation (breast feeding) support, paid sick time, and paid parental leave time. • Support health & wellness, education, and other services for employee’s children and families (e.g., provide workshops on flexible spending accounts, counseling, health services, flu shots for employees and families, and nutrition classes). 114 Appendix C: SLO County Children's Bill of Rights Support Early Childhood Education • Meet with state and local officials about the positive long-term effects of high-quality early childhood care and education as a valuable return on investment, helping society, including businesses and the economy (e.g., reduced welfare use, increased incomes and more taxes generated • Adopt a preschool site through financial and in-kind support. Local government and service agency leaders can: Advocate for policies representing the interests of young children • Incorporate the values of the Children’s Bill of Rights into their organization’s Strategic Plan and Quality Improvement processes. • Create environments that support healthy children and families. • Encourage the development of community gardens and healthy food choices. State policy makers can: Acknowledge the benefits of investing in quality early childhood development • Support funding for statewide child care or preschool facilities. • Highlight an issue that affects children in public remarks or constituent newsletters. Last but not least YOUTH can be advocates for utilizing the Rights in policy and decision-making and educating others about their importance. ALL OF THE ABOVE LINK BACK TO, IMPACT, OR AFFECT THE 12 RIGHTS BY MAKING CHILDREN OUR COMMUNITY’S HIGHEST PRIORITY. If today’s children of all races, ethnicities, and income levels are not adequately prepared, are not well educated, and their health needs are not addressed, they will not have the capacity to contribute productively to the future workforce. Children’s issues are everyone’s issues and we see The Children’s Bill of Rights for San Luis Obispo County as a lens whereby county residents can share a common vision of SUCCESS for all children and youth. 115