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| COUNTY OF SAN MATEOInter-Departmental Correspondence | 
| Health Department | 
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| DATE: | April 25, 2005 | 
| BOARD MEETING DATE:         | May 17, 2005 | 
| SPECIAL NOTICE/HEARING: | None | 
| VOTE REQUIRED: | Majority | 
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| TO: | Honorable Board of Supervisors | 
| FROM: | Charlene A. Silva, Director, Health Department Brian Zamora, Director, Public Health & Environmental Protection | 
| SUBJECT: | Grant Agreement with Peninsula Community Foundation | 
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| RECOMMENDATION:   | 
| Adopt a Resolution authorizing the President of the Board to execute a grant agreement with Peninsula Community Foundation in the amount of $150,000 for the term of February 1, 2005 through January 31, 2006. | 
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| VISION ALIGNMENT: | 
| Commitment: Ensuring basic health and safety for all. | 
| Goals 5 & 6: Residents have access to healthcare and preventative care; Children grow up healthy in safe and supportive homes and neighborhoods. | 
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| This grant contributes to these goals by assuring collaborative services provided by County departments achieve good outcomes. | 
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| Measure | FY 2004-05Projected
 | FY 2005-06Projected
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| Percent of mothers who are breastfeeding | 92% | 92% | 
| Percent of mothers who show serious symptoms of depression on assessment instrument | 13% | 13% | 
| Percentage of parents who show an increase in parent function and parent child interaction between birth and 6-10 weeks after birth on assessment instrument | 68% | 69% | 
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| BACKGROUND: | 
| The explosion of knowledge about how infants and toddlers develop has led to a new appreciation of ways in which a baby’s earliest experiences set the stage for later emotional competence and achievement.  With the support of the Board of Supervisors and private funders like the Peninsula Community Foundation, Pre-3 has grown into a nationally recognized early intervention program.  Since Pre-3 started in 1996, the Board of Supervisors has accepted yearly grants from Peninsula Community Foundation that have generously supported general operating costs.  The current grant extends the funding for a ninth year. | 
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| DISCUSSION | 
| This grant will allow Pre-3 to continue to provide multi-disciplinary home visiting, parenting classes, and parent support groups to families on Medi-Cal with children up to age five years.  Families facing high-risk situations, such as mental illness or substance abuse, are offered more intensive and longer-term services than families who are coping well with obstacles that they face in their lives. Pre-3 also offers regular training on health and early child development issues to healthcare and child care providers working in San Mateo County. | 
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| County Counsel has reviewed and approved the Resolution and Agreement as to form. | 
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| FISCAL IMPACT: | 
| The grant of $150,000 is to be used during the period from February 1, 2005 through January 31, 2006. $63,000 has been included in the adopted FY 2004-05 budget; the remaining $87,000 will be included in the recommended FY 2005-06 budget.  This grant funding is a part of the local match that allows Pre-3 to leverage federal Medi-Cal funding from the Targeted Case Management program.  There is no net County cost. |