CALIFORNIA GOVERNOR’S OFFICE OF EMERGENCY SERVICES (Cal OES)

VICTIM SERVICES DIVISION

DOMESTIC VIOLENCE UNIT

STATEWIDE PREVENTION COORDINATION (PP) PROGRAM

PROGRESS REPORT

1. / Subrecipient / 2. / Grant Subaward #
3. / Project Title / 4. / Grant Period
5. / Address / 6. / Report Period
7. / Prepared by / 8. / Title
9. / Telephone / 10. / Email Address

11. YES NODoes the project need/request any technical assistance from Cal OES?

If so, please specify areas/needs:

12. YES NOProject Director (insert namehere→)______has reviewed this report.

REPORT PERIOD

1st Progress Report: Covers January 1 – June 30(dueJuly 31)

Final Progress Report: Covers January 1 – December 31(due January 31)

BUDGET

1. / Total Project Cost (including match): / $
2. / Total funds expended to date: / $
3. / Total match reported to date / $
4. / Total Grant Subaward (including match) balance to date: / $
5. / Most recent Request for Funds (Cal OES 2-201) submitted (month):

YES NOAre grant funds being expended in accordance with the Grant Subaward Agreement?

If no, explain in the narrative section of this report.

YES NOHasthe project added any line items to the budget during this report period?

If yes, describe each line item added and the relationship to the grant award objectives in the narrative section of this report.

REVIEWERS COMMENTS (For Cal OES use only)

Approved______

Program SpecialistDate

SECTION I. PERSONNEL

Positions Authorized in Grant Subaward Agreement:
All data must be supported by source documentation that is retained by the subrecipient and made available to Cal OES upon request.The information provided below must match the approved Grant Subaward Agreement or most-currently approved grant (Personal Services) budget.
Name of Staff / Position / % Grant Funded

Yes

/

No

/

Have any problems/delays occurred in the hiring/staffing of personnel positions identified in the Grant Subaward? If yes, please explain below.

Yes / No / Have any of the job duties or grant-funded percentages,as detailed in the most current Grant Subaward budget,changed? If yes, please explain below.[Please note, a Grant Subaward Modification (Cal OES 2-223) is required if personnel percentages have been changed.]

If necessary, please explain any of the items noted above. Please attach an additional page if additional space is needed.

SECTION II. PROGRAMMATIC OBJECTIVES
TECHNICAL ASSISTANCE/TRAINING / 01/01/18 – 3/31/18 / 04/01/18 – 06/30/18 / 07/01/18 – 09/30/18 / 10/01/18 – 12/31/18 / Total
Monthly Networking Conference Calls / Webinars / Date
Training Title
# of Attendees
# of TV, FV Subrecipients (Agencies) / Date
Training Title
# of Attendees
# of TV, FV Subrecipients (Agencies) / Date
Training Title
# of Attendees
# of TV, FV Subrecipients (Agencies) / Date
Training Title
# of Attendees
# of TV, FV Subrecipients (Agencies) / # of Trainings
# of Attendees
# of Attendees
# of TV, FV Subrecipients (Agencies)
Direct TA through email and/or phone calls
Annual TA Site Visits / Date
Agency / Date
Agency / Date
Agency / Date
Agency
Date / Location / # of Attendees / # of Agencies Participating
Annual In-Person Training

Please describe any other Technical Assistance/Training provided:

SECTION III. PROJECT NARRATIVE AND OUTREACH

Please provide information on the following:

  • The facilitation of statewide coordination through:

1)Formally establishing the Collaborative between the California Department of Public Heath, the Partnership, CALCASA, and Cal OES:

2)Conducting a strategic planning process (including quarterly meetings) that results in a State Level Action Plan for California DV and SV Prevention:

  • Collaboration with and technical assistance to Cal OES on developing and implementing existing and new DV and SV prevention programs including:

1)Participation in the development of programmatic components for existing and new DV and SV programs, including reporting requirements:

2)Participation in the review and selection process for competitive Requests for Proposals:

3)Serving as a member of the Violence Against Women Act Implementation Committee:

  • Status of the three-year evaluation plan for the Teen Dating Violence Prevention (TV) Program. Please include information on the three (3) components identified in the PP Request for Application:
  • Any delays and/or problems in implementation of program, or specific project objectives:
  • Those activities supporting each objective which are not currently operational or in place:
  • Any accomplishments, community involvement, media events, awards, etc.:
  • What does your VAWA grant allow you to do that you wouldn’t be able to do without thisfunding?
  • Share a story about a client, service, community or statewide initiative:
  • Describe, if applicable, any efforts to meet the unique needs of underserved populations in your community, including populations underserved because of ethnic, racial, cultural or language diversity or geographic isolation. Describe any ongoing challenges:
  • (Optional) Provide any additional information that you would like us to know about yourVAWA-supported program and its effectiveness, the unmet needs of victims in yourcommunity, and what would be required to meet them, or service trends that are emerging in yourcommunity:

PP17 Progress Report / 1 / April 2018 / Rev. Aug 2014