HUCKLEBERRY HOUSE Cultural and Unified Support For San Francisco’s At-Risk Youth
MONICA N. CLEMENS
Student: 1212327062
Arizona State University
College of Integrative Sciences & Arts Grant Writing for TWC 443 Dr. Schnoll
*Report Form and Style Licensed by Commons 559 Nathan Abbott Way, Stanford, California 94305 USA. Created by Keith A. Watson, CISSP on 3/1/2005
Table of Contents
Request for Exemption from Electronic Filing ...... 3 Abstract ...... 4 Huckleberry House History ...... 5 Logic Model ...... 7 Need for Assistance ...... 7 Social and Emotional Balance ...... 8 Ethnicity, Gender and Age ...... 8 Goals and Objectives ...... 10 Always Home – Always On ...... 12 Program Performance Evaluation Plan ...... 14 Conclusion ...... 15 Bibliography ...... 18 Appendices ...... 19 Legal Status of Applicant Entity ...... 19 Organizational Chart ...... 19 OMB Forms...... 19-28
Request for Exemption from Electronic Filing
June 25, 2019
Department of Health and Human Services Administration for Children & Families 330 C Street, SW Washington, DC 20201 Email: [email protected]
Re: Huckleberry House San Francisco Application for Street Outreach Program Discretionary Grant HHS-2019-ACF-ACYF-YO-1554
Dear Mrs. Grantor,
Huckleberry Youth Programs Inc. (Huckleberry House) of San Francisco is a collaborative youth services facility who manages triage and street outreach programs to approximately 7,000 teenage runaways per year. Our organization has been in operation since 1967 when we opened our first crisis center for teens on Haight Street in San Francisco.
This year Huckleberry House dutifully requests the opportunity to compete for the Health and Human Services Street Outreach Program (HHS-SOP) grant by paper. We request exemption from electronic filing of our grant application because earlier this year (February 6, 2019) a contractor working in the neighborhood started a fire which caused water damage to Huckleberry House’s administrative offices. Because of the water damage our regular office equipment is in the repair shop. Thus, we are currently using donated equipment and cannot process the forms or files required to compete for this grant. Therefore, Huckleberry House requests permission to file our grant application by paper.
Thank you!
Monica N. Clemens Grant Writer for Arizona State University In re Huckleberry House
Huckleberry House Unified Support for At-Risk Youth 4
Abstract
San Francisco is one of the wealthiest cities in the world. It is home to billion-dollar
technology companies such as Apple, Facebook and Google.1 It is also home to approximately 7,000 teenage runaways on any given year. Runaways are defined in our City as children who run away from unhealthy family dynamics at home including: predatory sexual abuse, verbal and emotional abuse and neglect brought on by drug addiction or the absence of parents. These defective home situations are the most reported reason why teenagers decide their living conditions are intolerable at home and run. San Francisco, with all its amazing wealth also has one of the highest homeless populations in the Nation.
The Health and Human Services Department Street Outreach Program grant (HHS-SOP) is aware of the shortcomings of city planning when it comes to teenage runaways. It pledges to follow the wishes of the people and Congress as outlined in the Runaway Homeless Youth Act (RHYA) (1974) and has designated monies to care for its at-risk youth. In this regard, HHS-SOP and Huckleberry House are similar as both agencies seek to intercept youth who may already be runaways or who are involved in activities on the streets, and who need shelter and care. California Senate Bill 160 presents staggering facts about the need for youth shelter and draws light to the fact that only “20 Counties out of California’s 58 Counties fully address the needs of young people.” It counts 76.3 percent of the runaways in the State as being homeless and further clarifies that “the number of emergency beds available to homeless youth have dropped from 587 beds in 1990, to 555 beds in 2010.” Adding to the shortage of teen help is the fact that there is only one teen telephone hotline in
1 S. Tibken (2018). Apple Becomes A Trillion-Dollar Company. CNET [Electronic Resource] https://www.cnet.com/news/apple-becomes-a-trillion-dollar-company/
1 S. Pichai (2019). $1 Billion For 20,000 Bay Area Homes Pledged By Google CEO. Google Blog [Electronic Resource] https://blog.google/inside-google/company-announcements/1-billion-investment-bay-area-housing/
Huckleberry House Unified Support for At-Risk Youth 5
the State of California available for random calls and teen crisis response.2 That means a single dispatch system cares for teens who “have a disproportionate share of health, behavioral, and emotional problems because they lack sufficient resources to obtain care” for themselves.3 Huckleberry House is a good candidate for the HHS-SOP grant4 because it also has a 24 hour hotline, although it’s not part of the State’s dispatch system it is accountable to San Francisco and Marin Counties. It is a full spectrum collaborative agency that focuses on getting teens off the street as quickly as possible by providing emergency shelter and safe access to resources necessary for emotional, spiritual and physical recovery.
Currently, Huckleberry House is creating an additional model for more intensive case management and outreach in San Francisco and Marin Counties. In so doing, Huckleberry will trace the shadows of the City’s current homeless navigation centers while providing satellite access to separate shelters for teens. The following pages of this grant application present Huckleberry’s ideas.
Huckleberry House History
Since its inception in 1967, more than 200,000 at-risk youth have benefited from intervention and resources provided by Huckleberry House. It is a fifty-one-year-old licensed teen crisis intervention center with locations in San Francisco and Marin Counties, California. This
highly credentialed organization specializes in crisis counseling and emergency shelter for
2 McGuire (2016). California Senate Bill 160, states “California Coalition for Youth has operated the California Youth Crisis Line (18—843-5200), 24 hours a day, seven days a week for 27 years, as the State’s only teen emergency call system.” [Electronic Resource] https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SCR160
3 Title 42 United States Code Section 5701 – The Public Health and Welfare. [Electronic Resource] https://codes.findlaw.com/us/title-42-the-public-health-and-welfare/42-usc-sect-5701.html
4 Health and Human Services, Street Outreach Program Grant (2019). Application. HHS-2019-ACF-ACYF-YO- 1554_0.pdf
Huckleberry House Unified Support for At-Risk Youth 6
teens and provides uninterrupted timely response to at-risk youth who are faced with living on the streets. Huckleberry House redirects children away from the streets and into shelters while providing resources such as continuous counseling for human trafficking survivors, healthcare, juvenile justice support, stipends for school and job training. McGuire Senate Bill 160 describes human trafficking as “an estimated 300,000 youth [are] at risk of becoming victims of commercial sexual exploitation. . ”5 Huckleberry House is also one of very few 24/7 emergency shelters for at-risk youth in California State which absorbs nearly 38% of the entire runaway population in the United States. Ibid. Even with statistics stacked against them, however, Huckleberry House has been very successful at rescuing teens. Its administrative offices in the inner Richmond District of San Francisco operate intuitive, resourceful and strong support for teenagers and include a Wellness Academy which helps at-risk teens graduate from High School and boasts 100% success rate for high school graduation with 98% continuing to college.6 And it maintains clean and safe emergency shelters and is ready at a moment’s notice to transport teens from danger to shelter. Because of its success rate, Huckleberry House has been awarded many awards, including: Agency of the Year (2010); California Office of Emergency Services Award (2015); Kaiser Permanente and other agency awards and is well respected in the San Francisco community. Thus, Huckleberry House meets the criteria for the Health and Human Services Street Outreach Program as it is a proven leader of teen
intervention with dozens of years of experience. Thus, as stated in Title 34 U.S.C., Section
5 McGuire (2016). California Senate Bill 160. (The statistics varies from 28% to 38% of the U.S. teen runaways residing in California, depending on the publication.) [Electronic Resource] https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SCR160
6 Huckleberry’s 2017/2018 Fiscal Year Results. [Electronic Resource] https://www.huckleberryyouth.org/preventing-homelessness-starts-at-home/
Huckleberry House Unified Support for At-Risk Youth 7
11261 “the Secretary shall give priority to public and nonprofit private agencies that have experience in providing services to runaways and street youth.”7
Logic Model
Need for Assistance
The problem of the runaway is “rooted in family conflict” and is more prevalent in families whose parents are drug addicted or who cannot provide for their children. Nevertheless, Huckleberry House also provides shelter to adolescent runaways in Marin County, a posh upper-class community with a median income in the seven figures. So, there is no “guessing” where the statistical information about teen runaways will come from; however, we know where it’s not coming from, it is not coming from counties in California who do not participate in teen recovery. One concept we are now considering in San Francisco are safe navigation centers for our unsheltered citizens, but those navigation centers are for adults. Those navigation centers don’t handle California State’s “38% of the total runaways in the United States” (CCY Fact Sheet, 2018) who are defined as “runaways and unaccompanied youth between the ages of 12-24.”8 Huckleberry House does not mix its youth with homeless adults or hardened criminals. So, the concept of navigation centers in San Francisco can only work for at-risk youth if teens are given breathing room and are kept separate from distressed adults. The grant monies from the HHS-SOP will be used to create shadow navigation models within the City’s navigation system, thereby creating additional outreach by structuring a wide horizontal net of case management system and direction for teens. If
7 Title 34 United States Code Section 11261, Authority to Make Grants. [Electronic Resource]. https://www.law.cornell.edu/uscode/text/34/11261
8 California Coalition for Youth, Runaway and Homeless Youth Prevention Month 2018: CCY Fact Sheet [Electronic Resource] https://calyouth.org
Huckleberry House Unified Support for At-Risk Youth 8
successful, Huckleberry it will also create student navigation centers at City College of San Francisco and College of Marin.
Social and Emotional Balance
One of the greatest tasks in dealing with at-risk youth is creating complex trust relationships
rapidly with teens who are often fearful of adults. In order to make a successful recovery,
teens must re-surrender themselves to adults. Thus,
all the right ingredients must be available to “untangle
and clarify complex relationships among elements or
parts” of whatever circumstances the teen brings with
them (W. Knowlton, 2009).9 Huckleberry House
confronts the need for immediate real-time responses to children needing non-threatening
guidance and provides shelter and protection to those in need.
Ethnicity, Gender and Age
In 2018 the National Alliance to End Homelessness stated that in any given year more than
550,000 unaccompanied youth were living in the United States without shelter for one or
more weeks. In that regard, 89 percent of those children were between 18 and 24 years of
age. To narrow the scope further, of those 89 percent many are from California or arriving to
California for various reasons.10 Of these teenagers many are not drug addicts but instead
9 W. Knowlton and Phillips (2009). Effective Grant Writing. Logic Model. Wiley & Sons, Inc.
10 Point in Time Census, San Francisco (2019). [Electronic Resource] https://sfist.com/2019/02/20/san-francisco- homeless-census-numbers-facts/
Huckleberry House Unified Support for At-Risk Youth 9
are living on the streets because of intense verbal, emotional or sexual abuse at home by
someone in their family who has caused them to run away (CCY Fact Sheet, 2018).11 And
though they may not be drug addicted when they leave home, they may become drug
addicted as a matter of survival on the streets (40-74% of at-
risk youth become drug dependent while living on the
streets). 12 Further, there seems to be no barrier to entry for
teens seeking relief from bizarre adult behaviors.
The below chart emphasizes that there is no ethnic, gender or
age barrier for runaways. Teens come from wealthy families just as frequently as they come
from families who are distressed.
Huckleberry House Client SF Marin African American 20% 3% Asian 17% 2% Latino 28% 60% Middle Eastern 1% 1% Multiracial 12% 5% Pacific Islander 2% 1% White 11% 28% Unknown 7% 1% Gender SF Marin Male 37% 25% Female 62% 75% Transgender 1% 0% Age SF Marin 10-13 8% 1% 14-15 22% 17% 16-17 36% 43% 18-21 23% 35%
11 California Coalition for Youth, Runaway and Homeless Youth Prevention Month 2018: CCY Fact Sheet [Electronic Resource] https://calyouth.org
12 Huckleberry House 50th Annual Report (2017). [Electronic Resource] http://www.huckleberryyouth.org/wp- content/uploads/2019/03/50thAnniversaryAnnualReport-.pdf
Huckleberry House Unified Support for At-Risk Youth 10
Goals and Objectives
With the HHS-SOP grant Huckleberry House will design and implement more extensive teen
outreach posts. It is currently developing “Huckleberry Twilight” which will be located
inside the already existing adult navigation centers in San Francisco. We believe that by
creating more availability teens may maneuver off the streets during crisis by simply
knowing where to find a Huckleberry Twilight. Our newer satellite outreach posts will be
directly developed using the HHS-SOP grant and will be advertised by the city, or by calling
the State hotline, through social media, and by volunteers such as point-in-time census. Once
the youth are safe, they will be processed by Huckleberry Twilight’s collaborative network
for teen shelter, counseling, medical attention, and access to schooling and jobs.
(1) Huckleberry Twilight Outreach Posts: will dovetail the current San Francisco adult
homeless navigation centers by providing
immediate snacks and shelter, case management,
and coordinated effort to port unsheltered teens
into segmented housing away from the adult
homeless population.
(2) Huckleberry Backstage: will obtain evidence-based statistical information about teen
runaways and what is trending and will provide deeper insight into the current
circumstances surrounding California State’s vulnerable citizens. We will also track and
monitor teens who have graduated from high school and moved on to college but are still
within our jurisdiction of support (ages 18-24) who may be unsheltered. Huckleberry
Backstage will also monitor fostered teens who have aged out of the welfare system but
are in college to provide long term housing as well as job placement. We will monitor
Huckleberry House Unified Support for At-Risk Youth 11
and document statistical information from both San Francisco and Marin County
community colleges to make sure those schools are providing basic fee waivers, money
for books, student identification, and long-term vocational training and education
planning.
(3) Mandatory Support and Tax Incentives: Huckleberry believes that scheduled donations
will put us one step ahead of the curve and provide the security and financial timing we
need to make predictive decisions about where to focus our recovery efforts. For
example, a one million per year tax incentive would give Huckleberry the reach it needs
to develop teen outreach posts that are more intuitive, deeply monitored and capable of
reaching other States to locate teens in crisis. Huckleberry will approach many of the
billion-dollar technology corporations and research laboratories in the Bay Area such as:
Facebook, Apple, Adobe, Autodesk, Abbot Labs, Lawrence Berkeley Labs, Tesla,
LinkedIn, Salesforce, Twitter, Instagram, LG and Google to see if they would be willing
to donate certain services and monies to Huckleberry House on a more permanent basis.
Their mandatory donations would be miniscule compared to the fortunes made building
code on our publicly owned military ARPANET, publicly owned landlines using analog
signals, publicly owned utilities, airwaves and hotspots and public key infrastructure used
to carry their search engines, and other publicly owned infrastructure financed by the
people of the United States. Huckleberry House will bring the process of enlightenment
to these giant technology companies, as to the whereabouts of teens in their midst, and
see if they would be interested in providing money and services to our newer outreach
programs such as Huckleberry Twilight and Huckleberry Backstage.
Huckleberry House Unified Support for At-Risk Youth 12
Goal: Objective: Implementation: Evaluation:
1. Huckleberry House Expand case management Win funding to help 1-3 years, Dec. 2019 Twilight Teen services for unsheltered augment costs of to September 2022 Navigation Outreach teens. Raise awareness operation for Posts located inside San that SF is one of twenty Huckleberry House to Francisco’s current city counties in California deliver more case navigation shelters. absorbing 38% of at-risk management and teens and runaways in the mentorship to teens. U.S.
2. Huckleberry House Free City College. Create Increase outreach to 12 months Backstage, will provide a student shelter and teens in schools, make data and evidence-based navigation center at City them aware of statistics for focused College of San Francisco community support. outreach posts for and College of Marin. Help them cope with unsheltered teens and tuition and cost of living College Students (12- in San Francisco and 24). Marin.
3. Request corporations in Discover what technology Audit nonprofits that 12 months San Francisco to make companies are funders. hoard-forward as mandatory and vital funders. See who donations to teen donates enough money Navigation outreach to the City. posts, and to spread the word about shelter availability by using social media and search engines.
Always Home – Always On
Like a lighthouse in the dark, Huckleberry House is always on, always available.
Availability is a large part of the problem for teens who are just finding their way, including
picking and choosing when and how to communicate. In this regard it has received many
grants from Kaiser Permanente and Youth Informed Care who recognize its ability to case
assess and manage teens while concurrently providing mental health counselors, drug and
alcohol counseling, and 24-hour crisis intervention for youth who have been sexually abused.
Huckleberry House also works collaboratively with San Francisco Social Services; the police
department and Community Assessment & Resource Center (CARC) for juvenile diversion;
Huckleberry House Unified Support for At-Risk Youth 13
Child Protective Services; the Department of Public Health; the Department of Education;
the California Office of Emergency Services. While Huckleberry does not purport to end
child abuse it does provide alternatives for teens cast onto the streets by offering shelter and
care.
Line Item Budget Huckleberry House provides shelter for teens in crisis for approximately 7,000 children
annually13 and has an annual operating budget of just $6,000,000. Now, compare
Huckleberry’s operating budget to Youth Villages, Inc., who helps more than 27,000 children
annually14 (with focused mental health support for teens ages 11-24 and “residential
treatment programs” to approximately 16 States) and who operates with a yearend balance of
$207,752,192.15 That being said, Huckleberry will use the HHS-SOP grant to implement its
Huckleberry Twilight model and Huckleberry Backstage model by creating shadow
Navigation Centers for teens. Our expenses will include Young Adult outreach advertising,
snacks, shelter supplies such as fresh blankets, health products, and transportation to teen-
only safety shelters.
13 Huckleberry House 50th Annual Report, 2017. [Electronic Resource] http://www.huckleberryyouth.org/wp- content/uploads/2019/03/50thAnniversaryAnnualReport-.pdf
14 GuideStar Profile, Youth Villages Inc. (2019, p. 2). [Electronic Resource] https://www.guidestar.org/profile/58- 1716970
15 GuideStar Profile, Youth Villages Inc. (2017) Tax Form 990. [Electronic Resource] https://www.guidestar.org/profile/58-1716970
Huckleberry House Unified Support for At-Risk Youth 14
Huckleberry Youth Programs Inc. – 2019/2020 Huckleberry House San Francisco Teen and Student Navigation Center
Personnel FTE (full time Monthly Range Monthly Yearly employee) Executive Director .5 $8,000-$10,000 $900 $10,044 YA Huckleberry .5 $5,000-6,500 $2,500 $20,022 Twilight Teen & Student Navigation Centers Admin. Outreach .1 $8,000-$10,000 $900 $10,800 YA Huckleberry .25 $5,000-6,500 $2,500 $20,022 Backstage Project Navigation Street Outreach Program Licensing $5,000 Statistical Analyst 750 $9,000 Office Supplies Equipment $100 $1,200 Software $90 $1,080 Mileage $120 $1,440 Printing $200 $2,400 Insurance $350 $4,200 Social Media $100 $1,200 Indirect Charges $13,636 Total $90,000
Program Performance Evaluation Plan
To meet the requirements of HHS-SOP application (page 4), Huckleberry House will use
Million Adolescent Clinical Inventory16 software to assess the needs of each child in its care
at every level of care, from intake to monitoring in the future. Our assessment tools will help
keep track of our progress and provide statistical data to our collaborative agencies, as well
as data to Health and Human Services. Unsheltered teens will be evaluated for conditional
status, schooling needs, family status and a personalized assessment of their psychological
health and welfare, such as shelter, birth control, mental health, and financial support, as we
16 Million Adolescent Clinical Inventory (MACI) (2019). Pearson brand PsychCorp.
Huckleberry House Unified Support for At-Risk Youth 15
work to permanently settle them in the San r EDUCATION Francisco and Marin County communities.
95%:J~~TH Currently, 100% youth at Huckleberry uckleberry WELLNESS ACADEMIES GRADUATED from high school and 98% OF Wellness Academy graduated high school PARTICIPANTS enrolled In a post-secondary institution - in 2017, with 98% going on to college.
That’s the measurement of success Huckleberry House will start with. As we create more
navigation centers for street outreach, our evaluation plan will include monitoring
unsheltered teens who are couch surfing or staying with other relatives (but not supported) or
coming into Huckleberry House for specific needs such as counseling and birth control. We
will also create detailed treatment and case management plans that can monitor at-risk youth
progress before, during and after recovery.
Our fact based analysis will prove Huckleberry House provides a meaningful framework for
teens to move from crisis to recovery, by leveraging a powerful network of agencies
determined to give youth consistent support and valued skills. This is the meaning of
“Positive Youth Development” (PYD) as outlined in the HHS-SOP grant which “ensures a
young person has a sense of safety and structure; belonging and membership; self-worth and
social contribution; independence and control over one’s life.”17
Conclusion
Although this grant application presents the stark reality of the donation and grant process in
San Francisco, and its limitations on helping with the expenses brought on by the incredible
influx of teen runaways, it has its bright side too. The fact is good help comes with higher
17 Department of Health and Human Services. (2019). Street Outreach Program. [Electronic Resource]. Application. HHS-2019-ACF-ACYF-YO-1554_0.pdf (pgs. 2)
Huckleberry House Unified Support for At-Risk Youth 16
expenses. Huckleberry House has more than a dozen highly credentialed psychologists and
trained staff on hand to respond to teenagers in crisis. Our organization provides emergency
shelter to teens and continuous support as they put their lives together. The fact is that
children and youth who face disturbing realities at home and who need to run away in order
to survive, must enter the streets of San Francisco currently impacted with adult homeless,
drug addicts and hardened criminals. The other side of that coin is the fact that even though
Huckleberry House does not have nearly the financial support it needs to help ease the
expenses related to caring for teens coming in from the streets, it continues to care for our
most vulnerable Americans by creating a dependable network of professionals who work
tirelessly to help set the record straight for these vulnerable human beings. That being said,
Huckleberry House believes it can deliver a street outreach program that will satisfy the
wishes of the Department of Health and Human Services Street Outreach Program because:
(1) it’s designed for teen navigation that will meet the demands of the Government’s
planning and other criteria for street-outreach; (2) it meets the demands for the communities
growing need; and (3) the organization has provided more than fifty years of services to
distressed youth in San Francisco and Marin Counties. Further, Huckleberry House manages
two of the 20 licensed agencies in California that are eligible to complete for this grant. And
because of Huckleberry House’s collaborative resources it is hopeful it can provide: “(A)
safety and structure (to our teens); (B) belonging and membership; (C) self-worth and social
contribution; (D) independence and control over one’s life; and (E) closeness in interpersonal
relationships.”18 For the reasons set forth in its grant application Huckleberry House
18 Title 42 United States Code Section 5701 – The Public Health and Welfare. [Electronic Resource] https://codes.findlaw.com/us/title-42-the-public-health-and-welfare/42-usc-sect-5701.html
Huckleberry House Unified Support for At-Risk Youth 17
respectfully requests approval of this request for funding in order that it may begin the
process of creating a vitally needed safety net for at-risk youth across California.
Huckleberry House Unified Support for At-Risk Youth 18
Bibliography
California Coalition for Youth, Runaway and Homeless Youth Prevention Month 2018: CCY Fact Sheet [Electronic Resource] https://calyouth.org Department of Health and Human Services. (2019). Street Outreach Program. [Electronic Resource]. Application. HHS-2019-ACF-ACYF-YO-1554_0.pdf GuideStar Profile, Youth Villages Inc. (2019, p. 2). [Electronic Resource] https://www.guidestar.org/profile/58-1716970 GuideStar Profile, Youth Villages Inc. (2017) Tax Form 990. [Electronic Resource] https://www.guidestar.org/profile/58-1716970 Huckleberry’s 2017/2018 Fiscal Year Results. [Electronic Resource] https://www.huckleberryyouth.org/preventing-homelessness-starts-at-home/ Huckleberry House 50th Annual Report (2017). [Electronic Resource] http://www.huckleberryyouth.org/wp- content/uploads/2019/03/50thAnniversaryAnnualReport-.pdf McGuire (2016). Relative to California Runaway and Homeless Youth Month. California Senate Bill 160. [Electronic Resource] https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SCR160 Million Adolescent Clinical Inventory (MACI) (2019). Pearson brand PsychCorp. National Alliance to End Homelessness (2019). Youth and Young Adults [Electronic Resource] https://www.homelesshub.ca/resource/national-alliance-end-homelessness-youth Point in Time Census, San Francisco (2019). [Electronic Resource] https://sfist.com/2019/02/20/san-francisco-homeless-census-numbers-facts/ S. Pichai (2019). $1 Billion for 20,000 Bay Area Homes, Pledged By Google CEO. [Electronic Resource] https://blog.google/inside-google/company-announcements/1-billion- investment-bay-area-housing/ S. Tibken (2018). Apple Becomes A Trillion-Dollar Company. CNET [Electronic Resource] https://www.cnet.com/news/apple-becomes-a-trillion-dollar-company/ Title 34 United States Code Section 11261. Authority to Make Grants. [Electronic Resource] https://www.law.cornell.edu/uscode/text/34/11261 Title 42 United States Code Section 5701 – The Public Health and Welfare. [Electronic Resource] https://codes.findlaw.com/us/title-42-the-public-health-and-welfare/42-usc-sect- 5701.html W. Knowlton (2009) Effective Grant Writing Logic Model. Wiley & Sons, Inc.
Huckleberry House Unified Support for At-Risk Youth 19
Appendices
Legal Status of Applicant Entity Currently Huckleberry House is a nonprofit organization designated under IRS 501(c)(3) (EIN 94-1687559) and is registered with the California Secretary of State as Huckleberry Youth Programs Inc. It is a Public Charity, Child and Youth services agency, providing emergency shelter for at-risk youth and additional social service support in and around San Francisco and Marin Counties. Organizational Chart
• Monica Sheftel, MS Social Work, Counseling Douglas Styles, • Vicky Valentine, Sr. Director Huckleberry Wellness Academy PsyD, Executive • Priscilla Mirand, MS Psych., Dir. Huckleberry Wellness Academy Director • Lee Walker, JD, PHRca, Dir. Human Resources
• Elizabeth Ascher, PhD, Dir. Research Denise Coleman, & Evaluation • Stacy Sciortino, Programming Dir., Case Assessment Dir. Youth Justice • Heather Mathews, Dir. Marketing • Gina Pan, MS Social Work, Dev. CARC Officer
Heidi Wells, MS, • Margo Levi, SF Clinical Dir. Kaiser Permanente • Carley Devlin, MSW, Program Dir. Counseling HART, Masters Social Work • Jaclynn Davis, MS Counseling, Dir. Emergency Shelter Programming Marin
OMB Forms
Application SF424-2-1-V2.1 Assurances for Non-Construction Programs SF 424B-V1.1 Budget Information SF424A-V1.0 Certification re Lobbying GG Lobbying Form V1.1 Disclosure of Lobbying SFLLL 1-2-V1.2 Key Contacts-V1.0 Other Narrative Attachments 1-2-V1.2 Performance Site 2-0-V2.0 Project Narrative Attachments 1-2-V1.2 Protection Human Subjects V1.1
OMB Number: 4040-0004 Expiration Date: 12/31/2019
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* d. Local
* e. Other
* f. Program Income * g. TOTAL I I * 19. Is Application Subject to Review By State Under Executive Order 12372 Process?I □ a. This application was made available to the State under the Executive Order 12372 Process for review on I I. □ b. Program is subject to E.O. 12372 but has not been selected by the State for review. □ c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) I □ Yes □ No If "Yes", provide explanation and attach I I I Add Attachment 11 I Delete Attachment ii 11 View Attachment ii 21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) n ** I AGREE I ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions.
Authorized Representative:
Prefix:I I * First Name: I I Middle Name: I I * Last Name: I I Suffix: I I * Title: I I * Telephone Number: I I Fax Number: I I * Email: I I * Signature of Authorized Representative: ICompleted by Grants.gov upon submission. I * Date Signed: ICompleted by Grants.gov upon submission. I OMB Number: 4040-0007 Expiration Date: 02/28/2022
ASSURANCES - NON-CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0040), Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance Act of 1973, as amended (29 U.S.C. §794), which and the institutional, managerial and financial capability prohibits discrimination on the basis of handicaps; (d) (including funds sufficient to pay the non-Federal share the Age Discrimination Act of 1975, as amended (42 U. of project cost) to ensure proper planning, management S.C. §§6101-6107), which prohibits discrimination on and completion of the project described in this the basis of age; (e) the Drug Abuse Office and application. Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug 2. Will give the awarding agency, the Comptroller General abuse; (f) the Comprehensive Alcohol Abuse and of the United States and, if appropriate, the State, Alcoholism Prevention, Treatment and Rehabilitation through any authorized representative, access to and Act of 1970 (P.L. 91-616), as amended, relating to the right to examine all records, books, papers, or nondiscrimination on the basis of alcohol abuse or documents related to the award; and will establish a alcoholism; (g) §§523 and 527 of the Public Health proper accounting system in accordance with generally Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 accepted accounting standards or agency directives. ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil 3. Will establish safeguards to prohibit employees from Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale, presents the appearance of personal or organizational rental or financing of housing; (i) any other conflict of interest, or personal gain. nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being 4. Will initiate and complete the work within the applicable made; and, (j) the requirements of any other time frame after receipt of approval of the awarding nondiscrimination statute(s) which may apply to the agency. application. 7. Will comply, or has already complied, with the Will comply with the Intergovernmental Personnel Act of 5. requirements of Titles II and III of the Uniform 1970 (42 U.S.C. §§4728-4763) relating to prescribed Relocation Assistance and Real Property Acquisition standards for merit systems for programs funded under Policies Act of 1970 (P.L. 91-646) which provide for one of the 19 statutes or regulations specified in fair and equitable treatment of persons displaced or Appendix A of OPM's Standards for a Merit System of whose property is acquired as a result of Federal or Personnel Administration (5 C.F.R. 900, Subpart F). federally-assisted programs. These requirements apply to all interests in real property acquired for 6. Will comply with all Federal statutes relating to project purposes regardless of Federal participation in nondiscrimination. These include but are not limited to: purchases. (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color 8. Will comply, as applicable, with provisions of the or national origin; (b) Title IX of the Education Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) Amendments of 1972, as amended (20 U.S.C.§§1681- which limit the political activities of employees whose 1683, and 1685-1686), which prohibits discrimination on principal employment activities are funded in whole the basis of sex; (c) Section 504 of the Rehabilitation or in part with Federal funds.
Previous Edition Usable Standard Form 424B (Rev. 7-97) Authorized for Local Reproduction Prescribed by OMB Circular A-102 9. Will comply, as applicable, with the provisions of the Davis- 13. Will assist the awarding agency in assuring compliance Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act with Section 106 of the National Historic Preservation (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Act of 1966, as amended (16 U.S.C. §470), EO 11593 Work Hours and Safety Standards Act (40 U.S.C. §§327- (identification and protection of historic properties), and 333), regarding labor standards for federally-assisted the Archaeological and Historic Preservation Act of construction subagreements. 1974 (16 U.S.C. §§469a-1 et seq.).
10. Will comply, if applicable, with flood insurance purchase 14. Will comply with P.L. 93-348 regarding the protection of requirements of Section 102(a) of the Flood Disaster human subjects involved in research, development, and Protection Act of 1973 (P.L. 93-234) which requires related activities supported by this award of assistance. recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of 15. Will comply with the Laboratory Animal Welfare Act of insurable construction and acquisition is $10,000 or more. 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of 11. Will comply with environmental standards which may be warm blooded animals held for research, teaching, or prescribed pursuant to the following: (a) institution of other activities supported by this award of assistance. environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and 16. Will comply with the Lead-Based Paint Poisoning Executive Order (EO) 11514; (b) notification of violating Prevention Act (42 U.S.C. §§4801 et seq.) which facilities pursuant to EO 11738; (c) protection of wetlands prohibits the use of lead-based paint in construction or pursuant to EO 11990; (d) evaluation of flood hazards in rehabilitation of residence structures. floodplains in accordance with EO 11988; (e) assurance of 17. Will cause to be performed the required financial and project consistency with the approved State management compliance audits in accordance with the Single Audit program developed under the Coastal Zone Management Act Amendments of 1996 and OMB Circular No. A-133, Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of "Audits of States, Local Governments, and Non-Profit Federal actions to State (Clean Air) Implementation Plans Organizations." under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of 18. Will comply with all applicable requirements of all other underground sources of drinking water under the Safe Federal laws, executive orders, regulations, and policies Drinking Water Act of 1974, as amended (P.L. 93-523); governing this program. and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93- 19. Will comply with the requirements of Section 106(g) of 205). the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award 12. Will comply with the Wild and Scenic Rivers Act of recipients or a sub-recipient from (1) Engaging in severe 1968 (16 U.S.C. §§1271 et seq.) related to protecting forms of trafficking in persons during the period of time components or potential components of the national that the award is in effect (2) Procuring a commercial wild and scenic rivers system. sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award.
SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE Completed on submission to Grants.gov I I
APPLICANT ORGANIZATION DATE SUBMITTED ICompleted on submission to Grants.gov I
Standard Form 424B (Rev. 7-97) Back BUDGET INFORMATION - Non-Construction Programs OMB Number: 4040-0006 Expiration Date: 02/28/2022 SECTION A - BUDGET SUMMARY
Grant Program Catalog of Federal Estimated Unobligated Funds New or Revised Budget Function or Domestic Assistance Activity Number Federal Non-Federal Federal Non-Federal Total (a) (b) (c) (d) (e) (f) (g) 1. I I $ I I $$$$I I I I I I I
2. I I I I I I I I I I I
3. I I I I I I I I I I I
4. I I I I I I I I I I I
5. Totals $ I I $ I I $ I I $ I I $ I
Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 1 SECTION B - BUDGET CATEGORIES
6. Object Class Categories GRANT PROGRAM, FUNCTION OR ACTIVITY Total (1) (2) (3) (4) (5)
a. Personnel $ $ $ $ $I I
b. Fringe Benefits I I
c. Travel I I
d. Equipment I I
e. Supplies I I
f. Contractual I I
g. Construction I I
h. Other I I i. Total Direct Charges (sum of 6a-6h) I $I I j. Indirect Charges I I I I I I I I $I I
k. TOTALS (sum of 6i and 6j) $ $ I $ $ $I I
I 7. Program Income $ I I$ I I $ I I $ I II$ I I I Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 1A SECTION C - NON-FEDERAL RESOURCES (a) Grant Program (b) Applicant (c) State (d) Other Sources (e)TOTALS 8. $$$I I I I I I$ I I
9. I I I I I I I I I 10. I I I I I I I I I 11. I I I I I I I I
12. TOTAL (sum of lines 8-11) $$$$I I I I I SECTION D - FORECASTED CASH NEEDS Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter 13. Federal $I $$I I I I $I I$ I I 14. Non-Federal $I I I I I I I I I 15. TOTAL (sum of lines 13 and 14) $$I I $I $I $ I I SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT (a) Grant Program FUTURE FUNDING PERIODS (YEARS) (b)First (c) Second (d) Third (e) Fourth 16. $ I I $$I I I I$ I I 17. I I I I I I I I 18. I I I I I I I I 19. I I I I I I I I
20. TOTAL (sum of lines 16 - 19) $ I $$I I $ I I SECTION F - OTHER BUDGET INFORMATION 21. Direct Charges: 22. Indirect Charges: I I I I I 23. Remarks: I I Authorized for Local Reproduction Standard Form 424A (Rev. 7- 97) Prescribed by OMB (Circular A -102) Page 2 CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ''Disclosure of Lobbying Activities,'' in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge and belief, that:
If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ''Disclosure of Lobbying Activities,'' in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
* APPLICANT'S ORGANIZATION I J
* PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Prefix: I Bl * First Name: r J Middle Name: I 7 * Last Name: r I Suffix: I Bl * Title: r I
* SIGNATURE: ICompleted on submission to Grants.gov I * DATE: rCompleted on submission to Grants.gov I
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