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EVALUATION REPORT
FISCAL SUSTAINABILITY AND SYSTEMS CHANGE
JANUARY – DECEMBER 2017

Prepared by Maria Vanderhorst and Kim Puckett, March 2018

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TABLE OF CONTENTS
Foreword 3

Introduction 4

Focus Area 1: Fiscal Sustainability 7

Focus Area 2: Systems Change 12

Evaluation Recommendations 17

Appendix A: Evaluation Framework

Appendix B: Methods

Appendix C: Funding Streams Pursued and Secured by First 5 Humboldt

Appendix D: Media Reference List 2017

Appendix E: 2017 First 5 Association Bill Tracker

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Message from the First 5 Humboldt Executive Director
At the end of 2016, the Humboldt County Children and Families Commission, known as First 5
Humboldt, adopted a strategic plan that reflected a new landscape for First 5s across the state. As we
enter our 20th anniversary year, we see some success related to the original arguments for the creation
of the county commissions. The goals were two-fold: create an entity that would enhance the early
growth experiences of children prenatally through age 5, while at the same time taxing cigarettes which
had demonstrated harmful health effects. The good news is that smoking has decreased in California!
The effect of this on county First 5s is that our revenue from tobacco sales has decreased.

As the Commission worked to formulate the new strategic plan (2016-2020), they realized that First 5
Humboldt needed to re-prioritize two of our long-standing goals: fiscal sustainability and systems
change.

In looking at fiscal sustainability, the Commission first had to wrestle with the fundamental question: is
there a need for First 5 Humboldt in the future? The Commission examined the goals for our community
and found that we believe there is a continued and imperative role for a voice to speak up for young
children and their families, with a focus on prevention, in our community. As you will see in this
evaluation report, a significant part of my work with our committees and the community has focused on
establishing a plan for decreasing our expenditures, while at the same time pursuing alternative revenue
sources which focus on young children, families and prevention. We have made early progress towards
aligning expenditures with revenues, but this is a measured process which requires us to give our
partners time to adjust to funding reductions. The strategy to secure additional funds in intertwined
with the second focus area: systems change.

The needs of very young children are perennially under-represented in our state and local policies, our
legislation and our service systems. First 5s in California began with approximately $200 per child per
year in funding. Currently, First 5s receive approximately $100 per child. This was never an adequate
fund to address all the needs of young children in our state. With the decline in revenue, we have
increased our focus on the most effective use of our limited funds. First 5 Humboldt’s Commissioners
identified “systems change” as the most powerful leverage point for improving the lives of the children
and families. Using this focus, we have engaged new partners regarding the needs of young children. We
have increased the conversations about young children and their families in our Humboldt media. And
we have substantially increased our engagement in policy advocacy related to legislation and budget
expenditures related to the needs of young children. We live in a community that is eager to have a
conversation about how to move upstream and begin to prevent some of the challenges that we
currently face. My hope is that we can continue to elevate children, families, and a focus on prevention
in our local and state conversations, so that we can prompt a fundamental shift in how our young
children and their families are supported.

Mary Ann Hansen

Executive Director, First 5 Humboldt

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First 5 Humboldt’s Vision
All Humboldt County Children thrive in healthy, supportive,
nurturing families and neighborhoods, enter school ready to learn
and become active participants in their communities.

INTRODUCTION
The structure of this report reflects the Evaluation Framework updated in 2017, found in
Appendix A. The Evaluation Framework maps the relationship between the Vision of First 5
Humboldt and the four Focus Areas defined in the 2016 First 5 Humboldt Strategic Plan in order
to measure results. This report presents results for Focus Area 1 – Fiscal Sustainability and
Focus Area 2 – Systems Change. A separate report on Focus Area 3 – Family, Professional and
Community Capacity and Focus Area 4 – Health will be released in April 2017.

This report contains the results of First 5 Humboldt evaluation activities conducted during
calendar year 2017. This period includes the last six months of Fiscal Year 2016-2017 (January–
June 2017) and the first six months of Fiscal Year 2017-2018 (July – December 2017).
Evaluation results are presented according to Focus Area, the Objective under that Focus Area,
the Action associated with the Objective, and the Indicators related to the Action.

First 5 Humboldt (F5H) conducts activities and funds programs that directly impact the
indicators within Focus Areas 1 and 2 as seen in Figure 1. All the First 5 Humboldt activities and
every funded program are not addressed in the main body of this report; this report focuses on
the results of local evaluation activities related to Focus Area 1 and 2 indicators in the
Evaluation Framework and on related data available from county and statewide sources. In
addition, while each First 5 Humboldt program is funded under only one Focus Area, a program
may be tracking indicators under other Focus Areas.

Data presented in this report is collected from various sources using different processes. For a
description of data sources, data collection instruments and protocols, and data analysis
procedures, please refer to the Methods section in Appendix B.

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This report is presented to the Humboldt County Children and Families Commission and to the
First 5 Humboldt Program Evaluation Team (PET). PET members use both Evaluation Reports,
additional individual program data and reports, their knowledge and experience, and
information about the program’s administration and budget to make program
recommendations to the Commission. The Commission will use the recommendations to:

 Acknowledge program leaders, partners, and communities for their achievements and
support of First 5 Humboldt’s vision.
 Provide guidance for improvements to existing fiscal sustainability efforts, systems
change activities, and programs.
 Identify requirements for continued funding of existing programs as needed.
 Determine funding allocations for existing activities and programs within the budget
decision-making process.
 Determine funding decreases for existing programs, and the elimination of funding for
existing programs.

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First 5 Humboldt Strategic Plan Focus Areas

Focus Area 1 Focus Area 2 Focus Area 3 Focus Area 4


Fiscal Sustainability Systems Change
Facilitate the inclusion of primary Family, Health
Develop policies and strategies
to ensure the fiscal sustainability prevention principles in related Professional
of the Humboldt County Children public policy formation and
and Families Commission Community
Capacity
First 5 Humboldt activities that First 5 Humboldt activities that
directly impact Focus Area 1 directly impact Focus Area 2
indicators indicators
 Activities related to stabilizing  Activities related to
the Sustainability Fund promoting strong,
 Activities related to collaborative partnerships
preserving and increasing  Activities related to work to
funding dedicated to early help ensure policies support
childhood. young children and families

First 5 Humboldt funded First 5 Humboldt funded


programs that directly impact programs that directly impact
Focus Area 1 indicators Focus Area 2 indicators
 Infant Family Early Childhood  Humboldt County
Mental Specialists Department of Health and
 0-8 Mental Health Human Services Measure S
Collaborative Partnership
 Infant Family Early Childhood
Mental Specialists
 0-8 Mental Health
Collaborative
 Library Partnership
 Playgroups
 First 5 Humboldt funded
Family Resource Centers
Figure 1

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FOCUS AREA 1: FISCAL SUSTAINABILITY

First 5 Humboldt will develop policies and strategies to ensure


the fiscal sustainability of the Humboldt County Children and
Families Commission

Objective 1.1: The Sustainability Fund will be stabilized at a balance of no less


than $2 million and continue to be a resource for the work of First 5 Humboldt.

Action 1.1.A: Develop and implement a plan to reduce the drawdown of the Sustainability Fund

Indicator 1: An adopted budget where program expenses are matched to revenues and
drawdown of the sustainability fund is limited to administration and evaluation costs.
Indicator 2: The Sustainability Fund maintains a balance of no less than $2 million.

On September 21, 2017, the First 5 Humboldt Children and Families Commission (F5H
Commission) adopted a set of recommendations to guide reductions in program funding. As of
December 31, 2017, the Sustainability Fund balance is $3,740,695.09.
In addition to the activities described in the preceding paragraph, First 5 Humboldt (F5H) Staff
and Commission Members completed a number of additional activities focused on ensuring the
fiscal sustainability of the F5H Commission. These activities included the following:
 Implementation of a new Strategic Plan which has a focus area on fiscal sustainability
 Completion of the 2017 Program Evaluation Team review process which resulted in a
recommendations to reduce funding awards to partner programs These
recommendations were accepted by the F5H Commission to reduce the draw from the
Sustainability Fund. In addition, administrative costs and program funding were
reduced to bring the total reduction in drawdown from the sustainability fund by more
than $160,000
 Implementation of a Parent Family and Support Workshop with F5H funded program
representatives focused on building program capacity to find additional funding sources
 Meeting with St. Joseph’s Health who is the umbrella organization of several F5H funded
programs in order to discuss program funding reductions and the potential for Medical
Administrative Activities (MAA) billing as a potential new source of program funding
 Multiple meetings of the Fiscal Subcommittee to develop funding reduction strategies
 Decision by the F5H Commission to establish the goal of reducing $400,000 in program
funding and expenditures by 2020.

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Objective 1.2: First 5 Humboldt will collaborate with community partners to
advance opportunities to preserve and increase funding streams dedicated to
early childhood.
Action 1.2.A: Pursue additional funding streams.

Indicator 1: # of additional funding streams pursued


Indicator 2: # of additional funding streams secured

Between January to December 2017, F5H pursued 18 funding streams. As of the time of this
report, 13 funding streams were secured and 3 are pending. A major stream of funding
procured by F5H in June 2017 was Measure S Marijuana Tax monies. This 2017-2018 fiscal year
funding consists of $200,000 directly going to F5H and $188,2001 going to the F5H and
Humboldt County Department of Health and Human Services Partnership for activities focused
on children ages 0-5 and their families. Another key funding stream secured in October 2017
was $50,000 from the Vesper Society for F5H Adverse Childhood Experiences (ACEs) and
Resilience work. Appendix C lists all the funding streams pursued and secured by F5H.

Action 1.2.B: By 2019, a framework for decreased First 5 Humboldt funding and increased
partner funding for priority programs will be adopted.

Indicator 1: An approved framework for decreased First 5 funding of programs


Indicator 2: Increase in the percentage of partner funding versus First 5 Humboldt
funding
Indicator 3: Increase in the percentage of funds from long-term sources, such as local
tax levies

On September 21, 2017, the First 5 Humboldt Children and Families Commission approved the
following framework for decreasing F5H funding of programs.

1. Accomplish reductions necessary to align expenditures with revenues by 2019-20.


2. Transition from on-going funding to primarily funding multi-year grants, with minimal
on-going commitments. First 5 will develop a grant application which emphasizes the
Strategic Plan goals. These grants should emphasize:
a. Start-up funding/pilot projects, which emphasize systems changing work, ACES or
resilience promotion,
b. how proposed projects meet the Strategic Plan goals, how they will use matching
funds, and applicants’ plans to sustain the project in the future without First 5 funds,
c. Equitable funding, where consideration is given to a proposal’s unique
characteristics,

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$11,800 of this portion of Measure S Marijuana Tax monies went directly to services for 6 to 8 year-old children.

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d. Clear benchmarks, measurable outcomes and expiration dates,
e. Expectations for increasing matching funds over the term of the grant.
3. Build-in annual reduction in allocations to match declining revenue.
4. Continue to seek additional funding streams and encourage partners to do the same.
a. Offer incentives to partners, particularly in the way of training, to engage in funding
partnership opportunities
5. Engage in public communication to raise awareness of First 5 Humboldt’s work
a. Outreach to businesses, service clubs, and schools/HCOE

Indicator 2: Increase in the percentage of partner funding versus First 5 Humboldt


funding

On December 14, 2017, the F5H Commission approved the playgroup and Family Resource
Center grants to require a 1 to 4 match of First 5 funds; this is a new requirement to ask partner
organizations to share their budgets and demonstrate that they are contributing to the project
F5H is funding.

Indicator 3: Increase in the percentage of funds from long-term sources, such as local
tax levies

First 5 Humboldt continues to pursue additional funds from long-term sources. We have
explored and pursued Mental Health Services Act funding as well as Medi-Cal Administrative
Activities funds. On June 26, 2017, the Humboldt County Board of Supervisors approved
$200,000 to First 5 Humboldt for adverse childhood experiences and prevention-related work.
And additional $200,000 was allocated to community grants focused on children birth to age 8.
This was a one-time allocation. We will continue to advocate for an on-going allocation. On
December 4, 2017, the Board of Supervisors approved a County Legislative Agenda that
included advocating for sustainable funding for early childhood services, which includes First 5
funding.

Action 1.2.C: Advocate/educate for preservation and augmentation of Proposition 10 funds.

Indicator 1: # of events at which preservation and augmentation is discussed


Indicator 2: #of social and other media references

In 2017, the F5H Executive Director participated in 21 events at which the preservation and
augmentation of Proposition 10 funds was discussed. These events were at the local and state
level in order to better position F5H for funding opportunities at both levels. The key events
are presented in Table 1.

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Table 1. Key events at which preservation and augmentation of Proposition 10 funds was
discussed.

Event Name/Description
First 5 Association organized meeting with Senator McGuire in Sacramento
First 5 Open Impact Meetings – An effort to clarify the message of the First 5 network and
position First 5’s for additional revenue. The First 5 Humboldt Executive Director was the
Humboldt County and rural community representative at these meetings.
Humboldt County Board of Supervisors Meetings regarding one-time Measure S Marijuana
Tax Funding
First 5 Association Policy Committee Proposition 64 funding related meetings
Meeting with St. Joseph’s Community Benefit representative regarding Providence Health
Grant Programs
Facilitated the meeting of stakeholders to help draft a Mental Health Services Act request
Meeting with Humboldt County Department of Health and Human Services regarding MAA
billing pilot project

F5H’s work to preserve and augment Proposition 10 funds generated media coverage in 2017.
The media coverage related to F5H activities included 5 print articles and 12 social media
references. Figure 2 presents excerpts from one of the print articles. For a complete list of
media references, please see Appendix D.

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Excerpts from Time-Standard Article
First Five Humboldt childhood program facing cuts
First Five Humboldt hopes pot tax will help bridge the gap
by Will Houston
Saturday, June 17, 2017
A decline in California tobacco tax revenue will result in cuts to free early childhood
developmental services used by thousands of Humboldt County families, according to officials.
First Five Humboldt Executive Director Mary Ann Hansen said their agency is already planning
to make $140,000 in cuts starting in July to the Betty Kwan Chinn Day Center, the Redwood
Community Action Agency’s oral health care program and a family resource center, and has
already eliminated a support group for mothers of preschool children. Nearly half of First
Five’s state revenue funds county progams, Hansen said.
“Our programs are beginning to feel the cuts,” Hansen said, “…Counties are really going to
feel the pinch if First Five funding is decreased.”
Hansen is now looking to the county Board of Supervisors to make up for these losses through
revenue generated by the marijuana cultivation tax passed by voters through Measure S last
November…
___________________
Department of Health and Human Services Director Connie Beck said the loss of the early
childhood services will cause the community to continue to struggle.
“We have to work together to break the multigenerational impacts of violence, drug abuse,
child abuse and neglect that continue to overwhelm the services the county provides,” Beck
said in a statement to the Times-Standard on Friday.

For the complete Times-Standard article go to http://www.times-standard.com/general-


news/20170617/first-five-humboldt-childhood-programs-facing-cuts

Figure 2

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FOCUS AREA 2: SYSTEMS CHANGE

First 5 Humboldt will facilitate the inclusion of primary prevention


principles in related public policy formulation.

Objective 2.1: First 5 Humboldt will promote strong, collaborative partnerships


Action 2.1.A: Collaborate with community organizations around primary prevention for
children 0-5 and their families.

Indicator 1: # of collaborations and partnerships

During 2017, F5H had 68 partnerships and collaborations that focused on primary prevention
for local children ages 0-5 and their families. Figure 3 presents a list of the major partnerships
and collaborations.

First 5 Humboldt’s Major Partnerships and Collaborations


 Quality Counts Consortium
 Live Well Humboldt
 Adverse Childhood Experiences (ACEs) Town Hall with Senator McGuire
 Pediatric Oral Health Leadership Team
 Alliance for Infant Mental Health
 North Coast Grantmaking Partnership
 Prenatal Alcohol and Other Drug Prevention
 Child Abuse Prevention Coordinating Council
 Humboldt County Department of Health and Human Services
 Humboldt County Court
 Humboldt Community Health Trust
 Humboldt County Library
 St. Joseph’s Health including Blue Lake Family and Willow Creek
Community Resource Centers
 Manila Family Resource Center
 Mattole Valley Resource Center
 McKinleyville Family Resource Center
 Humboldt County Office of Education
 Redwood Community Action Agency
 16 Playgroup Partnerships

Figure 3

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A major collaboration for F5H in 2017 was the Humboldt Department of Health and Human
Services (DHHS) Measure S Partnership which resulted in the implementation of the following:
 Development of the DHHS and First 5 Humboldt Partnership ACEs grant program
including the evaluation protocol for funded projects
 SEEDS (Social-Emotional EDucator Supports) Program
 Augmentation of Early Childhood Mental Health Specialist support to outlying F5H
Playgroups in Southern and Eastern Humboldt
 Development of a countywide ACEs/Resilience messaging campaign

Additional key collaborations in 2017 were with the North Coast Grantmaking Partnership to
establish the ACEs/Resilience Stakeholders Group who is creating the strategy for addressing
ACEs in Humboldt County, Humboldt Community Health Trust (sponsored by the Independent
Practice Association) who focuses on substance abuse disorder work, Humboldt County Court
who is forming the Joint Jurisdiction Court/Family Wellness Court, and the Alliance for Infant
Mental Health who is working on increasing children’s access to mental health services.

Objective 2.2: First 5 Humboldt will work with organizations and local and state
governments to help ensure policies support young children and families.

Action 2.2.A: Create public awareness of the needs of young children

Indicator 1: # of social and other media references to First 5 Humboldt


Indicator 2: A yearly public awareness plan is developed and implemented
Indicator 3: # of presentations to boards, organizations and groups regarding the needs
of young children and their families.

In 2017, F5H completed a number of activities in order to create public awareness of the needs
of young children. Raising awareness about primary prevention and how early childhood is the
best time to shift the trajectory of a person’s health is integral to the success of F5H’s mission.
The initial draft of the public awareness plan (Figure 4) was developed on October 15, 2017.
F5H staff completed a total of 10 presentations to boards, organizations and groups regarding
the needs of young children and their families. The F5H Executive Director completed a
presentation on ACEs and Resilience to the North Coast Grantmaking Partnership and a
presentation on Trauma and Resilience at the Day of Hope Workshops for local foster families.
She also met with representatives from the Humboldt County Office of Education, California
Center for Rural Policy, and the North Coast Grantmaking Partnership to discuss coordinating
work around policy change regarding prevention and intervention. In addition to presentations
and meetings, F5H Staff collaborated with North Coast Grantmaking Partnership to develop a
media messaging campaign on ACEs, continued to build its relationship with local media
representatives, and increase the organization’s social media reach.

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First 5 Humboldt
Proposed Public Awareness Plan for Strategic Plan 2016-2020

Objective 1: Increase understanding of the needs of young children and their families
and the power of primary prevention in fostering healthy individuals, families and
communities
Action: Present to policy makers at the state and county levels
Action: Use social media platforms to share information and resources.
Action: Engage with print media when appropriate.
Action: Keep the website updated, responsive, navigable, and connected to social
media.
Objective 2: Increase collaboration among partners who share the goals of First 5
Humboldt
Action: Engage with allied organizations and initiatives
Action: Communicate regularly with funded partners
Action: Encourage funded partners to engage with First 5’s social media platforms and
our website.

Figure 4

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F5H’s public awareness activities resulted in multiple media references to F5H, six newspaper
article on ACEs and one online news article on ACEs, First 5 Humboldt Playgroups and the 0-8
Mental Health Collaborative. Figure 5 presents an excerpt from one of the print articles.

Excerpt from Time-Standard Article


A deadly addiction: Report shows Humboldt County’s overdose rates worsening

Report: Humboldt County’s overdose rates three times higher than rest of state
Former addict: ‘People helped me. I was willing to open up and receive help.’

by Will Houston

Saturday, February 4, 2017

For First 5 Humboldt Executive Director Mary Ann Hansen, childhood trauma is not only one of
the leading causes of future drug abuse, but of other related issues such as depression and
suicide.

She called these traumas – formally known as adverse childhood experiences – the “biggest
public health threat that Humboldt County is facing right now.”

“If we can, as a community, come together to better address this issue, we will be making an
investment in a better Humboldt County future,” she said.

For the complete Times-Standard article go to http://www.times-


standard.com/article/NJ/20170204/NEWS/170209924

Figure 5

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Action 2.2.B: Engage policy makers to ensure public policies support the optimal development
of children and their families to meet their potential

Indicator 1: # of meetings/contacts with policy makers


Indicator 2: # of policy proposals focusing on children and families.
Indicator 3: # of public policies adopted which are supportive of young children and
families and/or primary prevention

In 2017, F5H staff had a total of 35 meetings/contacts with policy makers. The F5H Executive
Director engaged policy makers at the local and state level to ensure that public policies are
supportive of young children and their families. She had 8 meetings with policy makers such as
Senator McGuire and the Humboldt County Board of Supervisors to discuss topics such as the
development of the 2018 Town Hall event. F5H was involved in 20 policy proposals/advocacy
actions during the year. Seven policies are still in the legislative process and eight policies were
adopted. On August 31, 2017, First 5 Humboldt, the DHHS legislative analyst and the analyst
from the County Administrator’s office met with representatives of Assembly Member Wood
and Senator McGuire to jointly advocate against a measure which would have impacted First
5’s ability to serve the community. This was the first joint advocacy action of its kind. In
addition, in December, the County of Humboldt, for the first time, included children’s issues
related to trauma, prevention, family services and child care in their legislative agenda,
enabling First 5 Humboldt to partner with the County on legislative advocacy. In addition to the
preceding activities, the F5H Executive Director participates on the Executive Committee, as the
Northwest representative, of the First 5 Association which advises legislators and supports a
number of bills focused on the optimal development of children and their families. Appendix E
contains the 2017 First 5 Association Bill Tracker.

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EVALUATION RECOMMENDATIONS
1. Revise and update Evaluation framework and indicators to ensure consistency between
actions and indicators and all funded programs/activities.
2. Continue to work on how best to evaluate First 5 Humboldt’s collaborative partnerships,
including developing appropriate indicators to better measure partnership/collaboration
and meet the focus areas of the strategic plan.
3. Continue to work with other community groups/agencies to develop appropriate methods
to share relevant data.

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Appendix A

Focus Area 1: Fiscal Sustainability


First 5 Humboldt will develop policies and strategies to ensure the fiscal sustainability of the
Humboldt County Children and Families Commission

Objective 1.1: The Sustainability Fund will be


stabilized at a balance of no less than $2 million
and continue to be a resource for the work of
First 5 Humboldt.

Action 1.1.A: Develop and implement a plan to reduce the drawdown of the Sustainability Fund
Indicator 1: An adopted budget where program expenses are matched to revenues and drawdown of the
sustainability fund is limited to administration and evaluation costs. First 5 Humboldt (F5H)
Indicator 2: The Sustainability Fund maintains a balance of no less than $2 million. F5H

Objective 1.2: First 5 Humboldt will collaborate with community partners to advance
opportunities to preserve and increase funding streams dedicated to early childhood.

Action 1.2.A: Pursue additional funding streams.


Indicator 1: # of additional funding streams pursued F5H
Indicator 2: # of additional funding streams secured F5H

Action 1.2.B: By 2019, a framework for decreased First 5 Humboldt funding and increased partner
funding for priority programs will be adopted.
Indicator 1: An approved framework for decreased First 5 funding of programs F5H
Indicator 2: Increase in the percentage of partner funding versus First 5 Humboldt funding F5H
Indicator 3: Increase in the percentage of funds from long-term sources, such as local tax levies F5H

Action 1.2.C: Advocate/educate for preservation and augmentation of Proposition 10 funds.


Indicator 1: # of events at which preservation and augmentation is discussed F5H, Specialists, 0-8
MHC
Indicator 2: #of social and other media references F5H

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Focus Area 2: Systems Change
First 5 Humboldt will facilitate the inclusion of primary prevention
principles in related public policy formulation.

Objective 2.1: First 5 Humboldt will


promote strong, collaborative
partnerships among service
providers.
Action 2.1.A: Collaborate with
community organizations around
primary prevention for children 0-5 and
their families.
Indicator 1: # of collaborations and
partnerships F5H, Library
Partnership (LP), 0-8MHC,
Playgroup, FRCs, Measure S

Objective 2.2: First 5 Humboldt will work with organizations and local and state governments to help
ensure policies support young children and families.

Action 2.2.A: Create public awareness of the needs of young children


Indicator 1: # of social and other media references to First 5 Humboldt F5H
Indicator 2: A yearly public awareness plan is developed and implemented F5H
Indicator 3: # of presentations to boards, organizations and groups regarding the needs of young
children and their families. F5H, Specialists, 0-8 MHC

Action 2.2.B: Engage policy makers to ensure public policies support the optimal development of children
and their families to meet their potential
Indicator 1: # of meetings/contacts with policy makers F5H, Specialists, 0-8 MHC
Indicator 2: # of policy proposals focusing on children and families. F5H
Indicator 3: # of public policies adopted which are supportive of young children and families and/or
primary prevention F5H

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Methods

APPENDIX B

METHODS

Data Collection

Data for the Local Evaluation Report: Fiscal Sustainability and Systems Change (Focus Areas 1 and 2) was
collected through a variety of sources described in the following sections. As applicable, information on data
collection implementation is included with the particular data source.

I. Strategic Plan Indicator Tracking Forms


First 5 Humboldt Program evaluators developed a Strategic Plan Indicator
Tracking Form to track indicator activities. First 5 Humboldt staff, including the
Executive Director, program staff and consultants updated their forms throughout
the reporting period.

II. Reports
First 5 Humboldt funded programs and consultants submitted Interim and Final progress reports to
First 5 Humboldt. The reports included information on program or consultant activities. These
reports are available for review at the First 5 Humboldt office.

III. Key Informant Interview


A First 5 Humboldt Program evaluator collected qualitative data through a key informant interview
with the First 5 Humboldt Executive Director. The key informant interview questionnaire consisted
of 7 open-ended questions focused on collecting information about fiscal sustainability and systems
change activities completed by the organization during the reporting period.

IV. Media Records


Throughout the reporting period, First 5 Humboldt collected media records in which First 5
Humboldt was cited. Records were used to measure progress
towards meeting Strategic Plan Focus Area indicators.

Data Analysis

I. Data analyses completed include


 Frequency calculations
 Content analyses of quantitative data collected through key informant interviews, reports, and
media record review.

II. The following programs used for data analyses included


 Microsoft Excel

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Appendix C
Funding Streams Pursued and Secured by First 5 Humboldt

Description of Funding Streams Pursued in 2017 Source Funding


Stream
Secured

Humboldt BRIDGES Partnership Grant for Children's Mental Health Humboldt County Y
Summit
Exploring an Upstream Infant-Family and Early Childhood Mental Health Humboldt Area Foundation Y
Approach for Preventing and Addressing the Impact of ACEs in Humboldt
County
Exploring an Upstream Infant-Family and Early Childhood Mental Health North Coast Grantmaking Y
Approach for Preventing and Addressing the Impact of ACEs in Humboldt Partnership
County
Measure S Marijuana Tax monies to F5H Humboldt County Y
Measure S Marijuana Tax monies to F5H/DHHS partnership Humboldt County Y
MHSA funding for early childhood services Mental Health Services Act Pending
Partner funding for Steve Graner Training Changing Tides Family Services Y
Pints for First 5 Humboldt Redwood Curtain Brewery Y
MAA billing Medi-Cal Pending
Continuation of funding for 0 to 8 Mental Health Collaborative Training Humboldt County Office of
Coordinator Education N
IMPACT Hub Funding for ASQ train-the-trainers IMPACT Hub Y
ACES related grant funding Vesper Society Y
IMPACT Hub Funding for Abriendo Puertas IMPACT Hub Y
County funding for prevention (used to be referred to as Measure S, now
designated general funds) Humboldt County General Fund Pending
California Inclusion and
Funding for ECMH consulting to ECE Settings Behavior Consultation Network N
Funding for Teen Parent Group McLean Foundation Y
Funding for Trauma Responsive Environments Everywhere (TREE) Project Humboldt County Office of
Coordination Education Y
Exploring an Upstream Infant-Family and Early Childhood Mental Health
Approach for Preventing and Addressing the Impact of ACEs in Humboldt
County - Phase II Humboldt Area Foundation Y

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Appendix D
Media reference list 2017

Media Reference List 2017


A. Print Articles

1. February 4, 2017: Times Standard: A deadly addiction: Report shows Humboldt County’s overdose
rates worsening http://www.times-standard.com/article/NJ/20170204/NEWS/170209924
2. June 6, 2017 Times Standard: Supes vet spending options for $374m budget, approve help for pot
permit processing. http://www.times-standard.com/general-news/20170606/supes-vet-spending-
options-for-374m-budget-approve-help-for-pot-permit-processing
3. June 17, 2017 Times Standard: First Five Humboldt childhood programs facing cuts:
http://www.times-standard.com/general-news/20170617/first-five-humboldt-childhood-programs-
facing-cuts
4. June 23, 2017 Mad River Union: Smoking & First Five Humboldt’s funding dilemma:
http://www.madriverunion.com/smoking-first-five-humboldts-funding-dilemma/
5. June 24, 2017 Times-Standard: Supes to adopt $377m budget, allocate pot tax, Measure Z funds:
http://www.times-standard.com/general-news/20170624/supes-to-adopt-377m-budget-allocate-
pot-tax-measure-z-funds
6. August 27, 2017 Times-Standard: Humboldt County foster youth, family seek to improve system from
within: http://www.times-standard.com/article/NJ/20170826/NEWS/170829878

B. Social Media Refences


1. 3/21/2017 Social Media Reference Re: Open Budget Meetings
2. 3/22/17 Social Media Reference Re: Open Budget Meetings
3. 3/23/17 Social Media Reference Re: Open Budget Meetings
4. 3/24/17 Social Media Reference Re: Open Budget Meetings
5. 3/30/17 Social Media Reference Re: Open Budget Meetings
6. 3/31/17 Social Media Reference Re: Open Budget Meetings
7. 4/2/17 Social Media Reference Re: Open Budget Meetings
8. 6/1/17 Social Media Reference Re: Open Budget Meetings
9. 6/12/17 Social Media Reference Re: Open Budget Meetings
10. 6/13/17 Social Media Reference Re: Open Budget Meetings
11. 6/18/17 Social Media Reference Re: Open Budget Meetings
12. 6/20/17 Social Media Reference Re: Open Budget Meetings

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Appendix E
First 5 Association Bill Tracker

2017 First 5 Association Bill Tracker


Updated: February 21, 2017
Questions? Contact Margot Grant Gould at margot@first5association.org or 510.227.6968.

Family Strengthening

Bill Author Description Notes Staff


Number Recommen
dation

AB 5 Gonzalez Employers: Opportunity to Work Act. Part of secure Support


Fletcher scheduling
Would require an employer with 10 or more efforts.
employees to offer additional hours of work to an
existing nonexempt employee before hiring an
additional employee or subcontractor.

SB 16 Wieckowski Wage garnishment restrictions: exempt earnings: Support


student loans.

Would establish a reduced maximum amount that


can be garnished of earnings when any part of the
order is based on a claim for debt on a student loan
that is not made, insured, or guaranteed by the
United States Government pursuant to the Federal
Family Education Loan Program or the William D.
Ford Federal Direct Loan Program.

AB 34 Nazarian Student financial aid: Children’s savings account Spot bill; Monitor
program. determining how
these accounts
Would establish a universal statewide 529 will be set up.
children’s saving account program to ensure CA’s
children foster a college- or work-bound identify and
practice education-related financial planning.

AB 60 Santiago/ Subsidized Child Care and Development Services: Same as AB Support


Gonzalez 12 month Eligibility Period 2150, which the
Association

23
Fletcher Would require eligibility redetermination periods for supported last
subsidized child care to be set for not less than 12 year; First 5 CA is
months and limit mandatory reports during the co-sponsor
eligibility period. The bill would also update
eligibility rules to the most recent state median
income (SMI) data published by the Census
Bureau.

SB 62 Jackson Unlawful employment: family care and medical Same as last Support
leave. year’s SB 654,
which was vetoed
This bill would prohibit an employer from refusing to by the Governor.
allow an employee to take up to 12 weeks of
parental leave to bond with a new child within one
year of the child’s birth, adoption, or foster care
placement. The bill would also prohibit an employer
from refusing to maintain and pay for coverage
under a group health plan for an employee who
takes this leave. Applies to business with less than
50 employees.

AB 164 Arambula Food assistance. Support

Would establish a new chapter in Welfare and


Institutions code which would provide for a state
funded anti-hunger CalFresh benefit to be issued
under prescribed circumstances, such as drought,
disaster or in the case of federal SNAP ineligibility,
and to be issued using the EBT system.

AB 231 Chavez Subsidized Child Care Eligibility Author has No Position


committed to
Updates child care eligibility by: 1) increasing state taking out the 8
reimbursement rate and regional market rates for year cap; This bill
contracted facilities to 75%; 2) increases income is the Rep
eligibility cap for state-funded child care from 70% alternative to AB
to 75% SMI; Between 76% - 85% of SMI, a family 60.
will receive a phased out assistance; 3) Implements
12 month eligibility; 4) limits subsidies to 8 years.

AB 230 Chavez Child Care Tax Credits BOE may Monitor


sponsor another
This bill would increase the amount of the child care tax
applicable state credit percentage and revise credit bill; Hold off

24
adjusted gross income amounts, as provided: until we see
more.
Adjusted Gross Income: % of
credit:

2
0
0
$100,000 or less ........................................ %

1
0
0
Over $100,000 but not over $125,000 ……. %

5
0
Over $125,000 but not over $150,000 ......... %

0
Over $150,000 .............................................. %

AB 244 Cervantes Maternal Mental Health Spot bill Monitor

Would direct the legislature to enact legislation to


address the shortage of treatment options for
women suffering from maternal mental health
disorders, including postpartum depression and
anxiety disorder. This bill would encourage the
implementation of a single county telepsychiatry
referral pilot program that would help build capacity
of health providers serving pregnant and
postpartum women up to one year after delivery.

AB 236 Maienschein CalWORKs: housing assistance Co-sponsored by Support


the County
This bill would ease the welfare-to-work rules for Welfare Directors
CalWORKs recipients who are working towards the Association and
completion of a high school diploma or its the Coalition of
equivalent. California Welfare
Rights
Organizations

25
AB 273 Aguiar-Curry Child Care Services Eligibility Support

To receive a child care subsidy, families must meet


at least one requirement in each of 2 specified
areas, including why the family has a need for the
child care service.

This bill would include in the area relating to need,


as a requirement that may be satisfied for purposes
of eligibility, that the family needs the child care
services because the parents are engaged in an
educational program for English as a second
language learners or to attain a high school diploma
or general educational development certificate.

SB 320 Leyva Women’s Health Spot Bill Monitor

Existing law imposes various functions and duties


on the State Department of Public Health with
respect to the administration and oversight of
various health programs and facilities relating to the
prevention of disease and the promotion of health.
Existing law requires the department to develop a
coordinated state strategy for addressing the
health-related needs of women, as prescribed. This
bill would make technical, nonsubstantive changes
to that provision.

AB 992 Arambula CalWORKs: Baby Wellness and Family Support Sponsored by Support
Home Visiting Program Western Center
This bill would establish the Baby Wellness and on Law & Poverty
Family Support Home Visiting Program that would
require the State Department of Social Services to
award funds to counties for the purpose of
implementing or contracting with specified early
home visiting programs to provide voluntary
maternal, infant, and early childhood home visiting
programs approved by the department and would
authorize the funds to be used to coordinate early
home visiting services with, among others, diaper
bank services. The bill would require the
department, in consultation with specified persons
and entities, to collect specified data and compile
and distribute the data to the appropriate policy and
fiscal committees of the Legislature, as specified.
The bill would require counties to identify persons
eligible for the program and invite them to
participate in the program. The bill would require
counties to either implement the program or

26
contract with third parties to administer the
program.

AB 1164 Thurmond Funding For Foster Care Placement Sponsored by Support


Children Now
This bill would establish the Child Care Bridge
Program for Foster Children (bridge program). The
bill would authorize, contingent upon an
appropriation of $22,000,000 annually, county
welfare departments to administer the bridge
program and distribute vouchers to children
between birth and 4 years of age, placed with an
approved resource family or the child of a young
parent involved in the child welfare system. The bill
would require, for counties that choose to
participate, that county welfare departments
determine eligibility for the bridge program and
provide a monthly voucher for child care for up to 6
months following the child’s initial placement,
unless the child and resource family are able to
access long-term, subsidized child care prior to the
end of the 6-month period. The bill would allow
eligibility for a child care voucher to be extended for
6 months, at the discretion of the county welfare
department, if the child and resource family have
been unable to access long-term, subsidized child
care during the initial 6-month period. The bill would
require that each child receiving a monthly child
care voucher be provided with a child care
navigator, as specified.

AB 1175 Ting Child Care Development Services Spot Bill Monitor

Existing law requires the Superintendent of Public


Instruction to develop standards for the
implementation of quality child care and
development services programs, as specified. This
bill would make nonsubstantive changes to these
provisions.

AB 1467 O’Donnell Child Care Spot Bill Monitor


Existing law requires the Superintendent of Public
Instruction to develop standards for the
implementation of quality child care and
development services programs, as specified. This
bill would make nonsubstantive changes to these
provisions.

27
AB 1498 Mayes CalWORKs Eligibility Spot Bill Monitor
Existing federal law provides for allocation of
federal funds through the federal Temporary
Assistance for Needy Families (TANF) block grant
program to eligible states. Existing law provides for
the California Work Opportunity and Responsibility
to Kids (CalWORKs) program, under which,
through a combination of state and county funds
and federal funds received through the TANF
program, each county provides cash assistance
and other benefits to qualified low-income families.
Under the CalWORKs program, certain recipients
are required to participate in specified welfare-to-
work activities.
Early Identification & Intervention

Bill Author Description Notes Staff


Number Recommen
dation

AB 340 Arambula Would require, consistent with federal law, that Spot bill Monitor
screening services under the EPSDT program
include screening for trauma, as defined by the bill.
The bill also would require the department, in
consultation with the State Department of Social
Services and others, to adopt, employ, and
develop, as appropriate, tools and protocols for
screening children for trauma and would authorize
the department to implement, interpret, or make
specific the screening tools and protocols by means
of all-county letters, plan letters, or plan or provider
bulletins, as specified.

SB 192 Bealle This bill would amend the MHSA by instead Keeps MSHA Support
requiring that any funds allocated to a large or dollars in mental
medium county, as defined, that have not been health services.
spent for the authorized purpose within 3 years,
and any funds allocated to a small county, as
defined, that have not been spent for their
authorized purpose within 5 years, to revert to the
state for deposit into the newly established Mental
Health Services Reversion Fund. The bill would
require the commission to establish and administer
a grant program, as specified, to fund prevention
and early intervention or innovative programs that
are consistent with mental health funding priorities
established by the Legislature and the Mental
Health Services Act. The bill would continuously
appropriate the moneys in the Mental Health
Services Reversion Fund to the commission to fund
the grant program.

28
AB 1340 Maienschein Continuing medical education: mental and physical Spot Bill Monitor
health care integration
This bill would require the board to consider
including in its continuing education requirements a
course in integrating mental and physical health
care in primary care settings, especially as it
pertains to early identification of mental health
issues in children and young adults and their
appropriate care and treatment.

Oral Health

Bill Author Description Notes Staff


Number Recommen
dation

AB 15 Maienschein Denti-Cal Reimbursement Rates Increases. Association


already
This bill would require the State Department of voted to
Health Care Services to increase Denti-Cal provider support
reimbursement rates for the 15 most common
prevention, treatment, and oral evaluation services
to the regional average commercial rates.

AB 753 Caballero Denti-Cal Improved Access Support

Would appropriate $191 million to Denti-Cal


services from Proposition 56 funding. Funding
would increase reimbursements rates for the 20
most common pediatric diagnostic and restorative
services.

SB 707 Cannella Denti-Cal Advisory Group Monitor

This bill, until January 1, 2023, would establish the


Denti-Cal Advisory Group in the Department of
Health Care Services, as specified, for the purpose
of studying the policies and priorities of Denti-Cal
with the goal of raising the Denti-Cal utilization rate
among eligible child beneficiaries to 60% or greater,
providing assistance and advice to the department,
the Legislature, and the Governor to ensure that
proposed decisions relating to the Denti-Cal
program are based on the best available evidence,
and studying and evaluating how Denti-Cal

29
program policies align with and support the
implementation of the state oral health plan. The bill
would prohibit the advisory group from taking a
position on legislation. The bill would make related
legislative findings and declarations.

Quality Early Learning

Bill Author Description Notes Staff


Number Recommen
dation

AB 11 McCarty Trauma-Informed Care in Child Care Spot Bill Monitor

AB 26 Caballero Child Care: Family Child Care Home Education Spot bill focused Monitor
Networks on family, friends,
and neighbors

AB 258 Arambula Fresno County’s Child Care Subsidy Program First 5 Fresno Support
partner on the bill
Would Fresno County with the flexibility needed to
utilize their unearned child care funding. Flexibilities
are allowed in: 1) family eligibility; 2) family fees; 3)
reimbursement rates; 3) methods of maximizing the
efficient use of subsidy dollars & contracts.

AB 300 Caballero Monterey, Santa Cruz, and San Benito’s Counties’ First 5 Monterey Support
Child Care Subsidy Program partner on the bill

Would allow counties with the flexibility needed to


utilize their unearned child care funding. Flexibilities
are allowed in: 1) family eligibility; 2) family fees; 3)
reimbursement rates; 3) methods of maximizing the
efficient use of subsidy dollars & contracts

AB 377 Frazier Solano County’s Child Care Subsidy Program First 5 Solano Support
partner on the bill
Would allow Solano County with the flexibility
needed to utilize their unearned child care funding.
Flexibilities are allowed in: 1) family eligibility; 2)
family fees; 3) reimbursement rates; 3) methods of
maximizing the efficient use of subsidy dollars &
contracts.

AB 435 Thurmond Contra Costa County’s Child Care Subsidy First 5 Contra Support
Program Costa partner on
the bill
Would allow Contra Costa with the flexibility needed

30
to utilize their unearned child care funding.
Flexibilities are allowed in: 1) family eligibility; 2)
family fees; 3) reimbursement rates; 3) methods of
maximizing the efficient use of subsidy dollars &
contracts.

SB 441 Cannella APP Supplemental Payments Monitor

Would establish a base supplemental


reimbursement for Alternative Payment Providers
that operate programs under $3 million annually.

AB 676 Limon CalOSHA Training for early education providers Margot to find out Monitor
more information
This bill would, effective July 1, 2018, require an and impetus for
early educator to attend a one-time, two-hour, peer- the bill.
led training on occupational health and safety risks
specific to the child care profession, and on how to
identify and avoid those risks. The bill would require
the Department of Industrial Relations to select an
entity to provide this training. The bill would require
that entity to develop the curriculum for the training
and to provide periodic updates on health and
safety issues for early educators who have
completed the training, as specified. The bill would
require the State Department of Social Services to
administer the contract with the entity selected to
provide the training and to provide the entity with
contact information for early educators who have
and have not attended the training.

AB 1106 Weber Child care and development services: alternative Monitor


payment programs: military families.

This bill would require an alternative payment


program to have no less than 36 months to expend
funds allocated to that program in any fiscal year,
and would require the Superintendent of Public
Instruction to develop a contracting process that
provides alternative payment programs no less than
36 months to expend funds allocated to that
program in any fiscal year. This bill would not
include military housing allowances when
determining eligibility.

31
System Sustainability and Reach

Bill Author Description Notes Staff


Number Recommen
dation

SB 18 Pan Bill of Rights for Children and Youth in CA: Sponsored by Support
Common Sense
(1) The right to parents, guardians, or caregivers Kids Action. More
who act in their best interest. holistic than just
(2) The right to form healthy attachments with education.
adults responsible for their care and well-being.

(3) The right to live in a safe and healthy


environment.

(4) The right to social and emotional well-being.

(5) The right to opportunities to attain optimal


cognitive, physical, and social development.

(6) The right to appropriate, quality education and


life skills leading to self-sufficiency in adulthood.

(7) The right to appropriate, quality health care.

Would determine and obtain the revenue necessary


to fund evidenced-based policy solutions that fulfill
the bill of right by 2022.

AB 43 Thurmond Taxation: prison contracts: goods and services Author believes Support
Levies a tax on private companies that contract with approximately
the corrections industry to provide goods and $500 m in
services. Directs funding a Prevention Fund to contract signed
support programs that prevent incarceration, annually (not all
including preschool, higher education, and poverty for-profit); First 5
reduction. Association sits
on a working
group for the bill.

AB 274 Cristina Garcia Defines the term “snack” for the purposes of sales Spot bill; Member Monitor
and use tax. intends to use
taxes to fund
health programs.

SB 300 Monning Sugar-sweetened beverages: health warnings. Defines: “Sugar- Monitor


sweetened
Sugar-Sweetened Beverages Health Warning Act – beverage” as any
Requires sugary beverages to bear the following sweetened
warning: “STATE OF CALIFORNIA SAFETY nonalcoholic
WARNING: Drinking beverages with added beverage,
sugar(s) contributes to obesity, type 2 diabetes, and carbonated or
tooth decay.” noncarbonated,
intended for

32
human
consumption that
This bill would also create the Sugar-Sweetened has added caloric
Beverages Safety Warning Fund for the receipt of sweeteners and
all moneys collected for violations of those contains 75
provisions, which would be appropriated by the calories or more
legislature. per 12 fluid
ounces.
Exemptions:
100% natural fruit
juice or vegetable
juice; “dietary
aides”, principal
ingredient is
animal milk,
substances used
for a medical
condition, baby
formula.

Tobacco Cessation (Suggested change: Tobacco & Marijuana Regulation)

Bill Author Description Notes Staff


Number Recommen
dation

AB 175 Chau Adult-use marijuana: marketing: packaging and Support


labeling.

Requires the Bureau of Marijuana Control to


determine whether the edible marijuana packaging
and labeling are in compliance with the
requirements of this division, including the
requirements that the packaging be child resistant
and not attractive to children

AB 350 Salas Marijuana edibles: appealing to children Support

Edibles Appealing to Children - specifies that a


marijuana product is deemed to be appealing to
children or easily confused with commercially sold
candy if it is in the shape of a person, animal,
insect, fruit, or in another shape normally
associated with candy, but would not prohibit a
licensee from making an edible marijuana product
in the shape of the licensee’s logo.

33

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