City and County of San Francisco

Human Services Agency

Department of Aging & Adult Services (DAAS)

Notice of Funding Availability (NOFA) #617

Funding for Nutrition Services for Seniors & Adults with Disabilities

Date issued: October 2, 2014

Proposal due: October 30, 2014

NOFA #617 Funding for Nutrition Services

Table of Contents

Page(s)

I. Introduction and Schedule 1-7

II. Services 7-11

III. Submission Requirements 12-13

IV. Selection Criteria 14-15

V. Grant Award 15

VI. Terms and Conditions for Receipt of Proposals 15-19

VII. City Grant Requirements 19-21

Appendices:

A. Standard Forms: Listing and Internet addresses of Forms related to

Taxpayer Identification Number and Certification, to Business Tax

Declaration, and to Chapters 12B and 12C, and 14B of the

S.F. Administrative Code.

B.  NOFA Cover letter

C.  Budget and DAAS Site Chart Instructions

I. Introduction and Schedule

A. General

Announcement

The City and County of San Francisco Human Services Agency (HSA), Department of Aging and Adult Services (DAAS) is seeking non-profit agencies, other organizations and individuals to expand their existing Nutrition Services to seniors and younger adults with disabilities. Interested respondents may submit applications for any of the service areas noted below. Multiple awards are likely to be made through this procurement process.

·  Congregate Meals for Seniors & Adults with Disabilities

·  Home-Delivered Meals (HDM) for Seniors & Adults with Disabilities

·  Nutrition Compliance-Quality Assurance (NCQA) Services for the Elderly Nutrition Program (ENP) and Congregate and Home-Delivered Meals for Adults with Disabilities

·  Home-Delivered Groceries for Seniors and Adults with Disabilities

The Congregate Meal program provides meals to eligible individuals at certified congregate sites. Funding is available to expand congregate meal services to seniors and adults with disabilities. HSA intends to address under-served populations and areas with demonstrated need and poor resources. Demonstrated need can include but is not limited to contractors significantly over serving their meal contract level in the past 2 fiscal years.

The Home-Delivered Meal (HDM) program delivers meals to the homes of eligible individuals. Funding is available for the same purpose as described for Congregate Meals above.

[Providers seeking funding to increase their number of home-delivered meals or congregate meals MUST also apply for a commensurate increase in nutrition compliance-assessment funds]

Congregate Meal, Home-Delivered Meals, and Nutrition Compliance-Quality Assurance (NCQA) Services are services provided by qualified individuals to ensure that the congregate and/or HDM program complies with all of the nutrition program requirements for the Elderly Nutrition Program.

The Home-Delivered Groceries (HDG) program utilizes volunteers to help deliver supplemental bags of food to the homes of eligible participants who are unable to access food pantries due to frailty and limited mobility. The service provider may include other services to connect the participant and reduce social isolation. HSA-DAAS intends to address under-served populations and areas with demonstrated need and poor resources.

For more information regarding service needs and client demographics, please refer to the 2012 DAAS Needs Assessment study at: http://www.sfhsa.org/asset/ReportsDataResources/NutritionNAOct2012.pdf,

and the San Francisco Food Security Task Force “Assessment of Food Security in San Francisco, 2013” at:

http://www.sfdph.org/dph/files/mtgsGrps/FoodSecTaskFrc/docs/FSTF-AssessmentOfFoodSecurityInSF-2013.pdf

For Congregate, Home-Delivered Meal Waiting List, and Home Delivered Groceries needs assessment data: http://www.sfhsa.org/asset/ReportsDataResources/DAAS_Nutrition_Needs_Assessment_2014.pdf

[Please note: Respondents will be required to submit separate proposals for each service offered through this NOFA that they intend to provide]

B.  Target Population

This grant funding is intended to serve seniors (age 60 and over) and/or adults age 18-59 with disabilities who reside in the City and County of San Francisco with one or more of the following target priorities:

1.  Low-income

2.  Non or limited English speaking

3.  Minority

4.  Frail

5.  Lesbian/Gay/Bisexual/Transgender

C. Term and Grant Amount

The grant funding period will be October 1, 2014 through June 30, 2016. Approximately $4,215,882 in total funding for all regions is available to organizations for the provision of services in this NOFA solicitation. This funding comprises local, state, and federal funds.

Grant term can be extended at the sole discretion of the Department for 1 additional year, subject to the performance of the contractor and the availability of funding.

The following table provides the estimated amount of funds available for each service:

Estimated Funds

Services / FY 14-15 / FY 15-16 / Total
Congregate Meals: ENP Service / $295,250 / $295,250 / $590,500
Congregate Meals: Adults with Disabilities Service / $81,000 / $81,000 / $162,000
Home-Delivered Meals: ENP Service / $1,085,862 / $793,985 / $1,879,847
Home-Delivered Meals: Adults with Disabilities Service / $395,800 / $417,735 / $813,535
Home-Delivered Groceries (HDG) Service (Seniors & Adults with Disabilities) / $385,000 / $385,000 / $770,000
Total / $2,242,912 / $1,972,970 / $4,215,882

D. Definitions

General

CA-GetCare / A web-based application that provides specific functionalities for contracted agencies to use to perform consumer intake/assessment/enrollment, record service objectives, run reports, etc.
CARBON / Contract Administration, Reporting and Billing Online system administered by the City.
CRFC / California Retail Food Code, a uniform statewide health and sanitation standard for food facilities, found in Section 113700 et seq., California Health and Safety Code.
City
Controller / City and County of San Francisco, a municipal corporation.
Controller of the City and County of San Francisco, or designated agent.
Coordination / Activities that involve the active participation of the agency staff to include liaison with both OOA and non-OOA funded agencies and organizations for the purpose of avoiding duplication, improving services, resolving problems related to service delivery, and addressing the service needs of the eligible service population.
DAAS / Department of Aging and Adult Services
Disability / A condition attributable to mental or physical impairment, or a combination of mental and physical impairments including hearing and visual impairments, that results in substantial functional limitations in one (1) or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency, cognitive functioning, and emotional adjustment.
Frail / An older individual is determined to be functionally impaired because the individual either: (a) Is unable to perform at least two activities of daily living, including bathing, toileting, dressing, feeding, breathing, transferring and mobility and associated tasks, without substantial human assistance, including verbal reminding, physical cueing or supervision. (b) Due to a cognitive or other mental impairment, requires substantial supervision because the older individual behaves in a manner that poses a serious health or safety hazard to the individual or to others.
Grantee / Contractor awarded grant
HSA / Human Services Agency, also SFHSA
OCM / Office of Contract Management, San Francisco Human Services Agency.
OOA / Office on the Aging
Minority / An ethnic person of color who is any of the following:
a) Black – a person having origins in any of the Black racial groups of Africa, b) Hispanic – a person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish or Portuguese culture or origin regardless of race, c) Asian/Pacific Islander – a person whose origins are from India, Pakistan or Bangladesh, Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, the Philippines, Samoa, Guam, or the United States Territories of the Pacific including the Northern Marianas, d) American Indian/Alaskan Native – an American Indian, Eskimo, Aleut, or Native Hawaiian. Source: California Code of Regulation Sec. 7130.

California Department of Aging Definitions

ADL / Activities of Daily Living: the basic tasks of everyday life including eating, bathing, dressing, toileting, and transferring (i.e., getting in and out of a bed or chair).
IADL / Instrumental Activities of Daily Living: Activities related to independent living and include preparing meals, managing money, shopping for groceries or personal items, performing light or heavy housework, and using a telephone.
Low Income / Having income at or below 100% of the federal poverty line defined by the federal Bureau of the Census and published annually by the U.S. Department of Health and Human Services.
Program Requirements / Title III program requirements found in the Older Americans Act (OAA 42 USC Section 3001-3058), Code of Federal Regulations (45 CFR XIII, 1321); Title 22, California Code of Regulations (CCR), Section 7000 et seq.; California Retail Food Code; California Department of Aging Program Memoranda.
Program Income / Revenue generated by the Contractor or subcontractor from contract-supported activities. Program income is:
a)  Voluntary contributions received from a participant or responsible party as a result of services.
b)  Income from usage or rental fees of real or personal property acquired with grant funds or funds provided under this Agreement.
c)  Royalties received on patents and copyrights from contract-supported activities.
d)  Proceeds from sale of items fabricated under a contract agreement.
Program income is to be used to increase the service level or facilitate access to service.
Eligible Service Population / Eligible service population for Title IIIC programs means individuals 60 years of age or older, with emphasis on those in economic and social need with particular attention to low income minority individuals and older individuals residing in rural areas. [OAA, Section 305 (a)(2)(E)][Title 22, CCR, Sections 7125, 7127, 7130, and 7135].
Elderly Nutrition Program (ENP) Menu Requirements / Meals shall comply with the current Dietary Guidelines for Americans, published by the U.S. Department of Health and Human Services and the U.S. Department of Agriculture; and shall provide to each participating older individual: (a) A minimum of one-third of the Dietary Reference Intakes (DRIs) as established by the Food and Nutrition Board, Institute of Medicine, National Academy of Sciences, if the project provides one meal per day; (b) At least two-thirds of the DRIs for the provision of 2 meals per day; (c) At least 100% of the DRIs if the project provides 3 meals per day; and (d) Fractions of meals or snacks may not be counted even when such snacks cumulatively equal one-third of the DRIs.
HACCP / Hazard Analysis of Critical Control Points. A prevention-based food safety system focusing on time and temperature control at different crucial food service system points.
Menu Analysis / A detailed nutritional analysis approved by a registered dietitian: (a) When utilizing computerized menu analysis, meals shall be analyzed on a weekly basis for a minimum of 2 weeks of the 5-week cycle menu. (b) Each average meal (a weekly average) shall meet no less than one-third of the DRI for males 51+ for all calculated nutrients. (c) At a minimum, values must be determined for calories, protein, fat (total, saturated and trans fat), fiber, calcium, magnesium, sodium, potassium, vitamin A, C, D and B12. Nutrients that do not meet the requirements should be the focus of future menu revisions and/or nutrition education.
Nutrition Risk Screening / Each senior receiving congregate or HDM-ENP nutrition service is required to be screened annually for his or her nutritional status using the nutrition risk screening tool on CAGetCare. The screening may be done on a one-on-one basis or in a group setting.
Dietitians, nutritionists, physicians and nurses could administer the screening on a one-on-one basis. Social workers, congregate site managers/coordinators are to be trained by dietitians or qualified nutritionists to administer the screening tool.
R.D. / Registered Dietitian. An individual who is registered by the Commission on Dietetic Registration and qualified as specified in Sections 2585 and 2586, California Business and Professions Code.
Title 22 Regulations / Refers to Barclay’s official California Cod of Regulations. Title 22 Social Security, Division 1.8. California Department of Aging. Chapter 4 (1) Title III Programs – program and service provider requirements. Article 5. Title III C- Elderly Nutrition Program.
web link: http://www.aging.ca.gov/ProgramsProviders/AAA/Nutrition/Code_of_Regulations/

Congregate Meal Definitions

Congregate Nutrition: (Title III C1) / Nutrition services for older individuals in a congregate setting. Services include meals, nutrition and health promotion education, nutrition risk screening, and opportunities for socialization.
Nutrition Education / The service provider dietitian, or consulting dietitian shall approve the nutrition education plans, activities, and materials. The nutrition education for congregate sites is defined as demonstrations, audiovisual presentations, lectures, or small group discussions. Nutrition education services shall be provided by a dietitian or by personnel trained or approved by the dietitian. Dietetic students, interns, or technicians may provide nutrition education under the close supervision of a qualified dietitian. Coordination with community resource is encouraged. Nutrition education services shall be based on the needs of the participants as determined by annual needs assessment and evaluation of service impact. The nutrition education activities shall be provided at least four times a year and documented. One unit is defined as one nutrition education presentation provided to one participant.

Home-Delivered Meal (HDM) Definitions

HDM: Title III C2 / Nutrition services provided to homebound individuals age 60+ including meals, nutrition and health promotion education, and nutrition risk screening. Each Meal shall provide one-third (1/3) of the Dietary Reference Intakes (DRI) and comply with the current Dietary Guidelines for Americans.
HDM Comprehensive Assessment / The assessment covers physiological, socioeconomic, and psychological factors including acute or chronic disease, syndromes or conditions, limited functional ability and family/support system, which contribute to an individual’s need for meals and other related services.
HDM Intake / An initial determination of HDM eligibility, which may be accomplished by telephone or in person using an intake form approved by the OOA.
Nutrition Counseling / To provide individual dietary evaluation counseling which relates to therapeutic nutritional needs as prescribed by the physicians or as deemed necessary by a Registered Dietitian. This service must be performed by a Registered Dietitian (R.D.) who is covered by professional liability insurance.
Nutrition Education / To provide regularly scheduled activity which conforms to the requirements of the Office on the Aging’s Nutrition Education policy, and which are planned, approved and coordinated by a qualified dietitian/nutritionist. Nutrition education for HDM may be shared with individuals in written form or in person.

E. Schedule

The anticipated schedule for selecting contractors is:

Proposal Phase Date

NOFA #617 is issued by the City October 2, 2014