FFY 2017-2019 Biannual Progress Report
Supplemental Nutrition Assistance Program Education (SNAP-Ed) Grant
Nutrition Education and Obesity Prevention Branch (NEOPB)
FFY 2017 – 2019 BIANNUAL PROGRESS REPORT
Local Health Department (LHD) Name: Grant Number: [Enter Number]
Federal Fiscal Year (FFY): FFY 2017 FFY 2018 FFY 2019
Reporting Period: Mid-Year Report: October 1st thru March 31st (Due: 04/15) Year End Report: April 1st thru September 30th (Due: 10/15)
Instructions: This report is for reporting progress made by the LHD as funded through the NEOPB grant and noted in your Integrated Work Plan (IWP) and should not include progress made by other Local Implementing Agencies in your jurisdiction. Please check the appropriate Yes/No/NA boxes under each area noted below as is appropriate to SNAP-Ed Deliverable topic during this reporting period. Provide additional information in the description area to denote status, challenges and/or highlights of successes made during this reporting period.
Note: For the FFY Year End Report only, in addition to responding to the questions below, please provide a “Success Story” highlighting the success of your work. Instructions and a worksheet for the Success Story are posted on the NEOPB website.
SNAP-Ed Grant Deliverable 1— Three-Year Integrated Work Plan (IWP) / Q1. IWP and SNAP-Ed Targeting Summary/Site List / Q2. Do you need any technical assistance from NEOPB?(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area / Yes / No / Comment
A) Based on the current CDSS-approved FFY 17-19 IWP Revision Process1, are new interventions planned within the next reporting period that are not specifically included in your IWP that may require an IWP revision?
1 SNAP-Ed FFY 2017-2019 Integrated Work Plan (IWP) Revision Process for Local Implementing Agencies [Located on NEOPB website under the heading “Revision Process” at http://www.cdph.ca.gov/programs/cpns/Pages/FFY17-19SNAP-EdResource.aspx ]
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
B) Have any intervention sites been changed (added or deleted) to the FFY 2017-2019 SharePoint Site List since the last reporting period that required initiation of the CDSS-approved site change process2 ?
2 CDSS-approved site change processes: SNAP-Ed FFY 2017-2019 Site Change Notification Process for Approved Methodology Sites and/or the SNAP-Ed FFY 2017-2019 Site Change Process for Alternative Methodologies
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
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C) Are intervention sites listed on the FFY 2017-2019 SharePoint Site List accurate and ones which will be utilized during the current Federal Fiscal Year?CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
SNAP-Ed Grant Deliverable 2—Project Reporting: Educational Activities and IWP Interventions / Q1. Project Reporting
[ATF/Education and Administrative Reporting System (EARS) Data Reporting: Educational Activities] / Q2. Do you need any technical assistance from NEOPB?
(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area
(Include IWP objective/activity reference for reported activities) / Yes / No / Comment
A) Are your SNAP-Ed Direct Education interventions and evaluation activities progressing as planned as noted in your IWP as “Community/Nutrition and Physical Activity Education Direct (CED)”?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
B) Are your evidence-based nutrition education and health promotion message interventions and evaluation activities progressing as planned as noted in your IWP (Indirect Education) as “Community/ Nutrition and Physical Activity Education Indirect (CEI)”?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
C) Are your public relation events and community message interventions and evaluation activities progressing as planned as noted in your IWP as “Media, Social Media, Public Relations and Messaging (MPR)”?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
D) Are your training activities provided to service providers, SNAP-Ed Eligible families or their representatives (“Champions”) progressing as planned as noted in your IWP as “Training and Technical Assistance (TTA)”?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
E) Are your coalition and partnership building activities progressing as planned as noted in your IWP as “Coordination and Collaboration (C&C)?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
Grant Deliverable 3—Community Assessments / Q1. Communities of Excellence (CX3 ) or other evidenced based Community Assessment / Q2. Do you need any technical assistance from NEOPB?
(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area
(Include IWP objective/activity reference for reported activities) / Yes / No / Comment
A) Are your CX3 or other evidenced based Community Assessment activities progressing as noted in your IWP?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
B) Are your presentations to decision makers on CX3 or other Community Assessment findings progressing as noted in your IWP?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
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Grant Deliverable 4 / Q1. Direct Education: Impact/Outcome Evaluation (IOE)[Report on status of Pre/post-test IOE evaluation] / Q2. Do you need any technical assistance from NEOPB?
(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area
(Include IWP objective/activity reference for reported activities) / Yes / No / Comment
A) Are your IOE activities progressing as planned as noted in your IWP?
(Required only for LHDs receiving $350,000 in the base grant)
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
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Grant Deliverable 5 / Q1. Policy/Systems/ Environmental (PSE) Change Evaluation / Q2. Do you need any technical assistance from NEOPB?(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area
(Include IWP objective/activity reference for reported activities) / Yes / No / Comment
A) Are local measures in place and followed to evaluate program delivery and effectiveness of interventions as stated in your IWP (i.e., PSE data collected and entered into PEARs)?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
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Grant Deliverable 6—Quarterly Expense Documentation & Biannual Progress Reports / Q1. Fiscal and Grant Administration[NOTE: Please contact your assigned NEOPB Contract Manager (CM) for all fiscal/grant administration needs. Information reported under Grant Deliverable 6 will be directed and forwarded to your assigned CM as information and for follow-up.] / Q2. Do you need any technical assistance from NEOPB?
(If Yes please describe the technical assistance your program needs in the Comment section.)
Yes / No / N/A / Description Area / Yes / No / Comment
A) Have personnel changes occurred within this reporting period that would require follow-up by the NEOPB Project Officer or CM (i.e., changes to mailing distribution lists, budgets, etc.)? If yes, please indicate the changes required in the description area.
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
B) Are there any fiscal issues or questions which you would like to relay to your assigned NEOPB Contract Manager?
CDPH/NEOPB use only: / [Notes on Follow-up or steps taken to address any technical assistance requests] / [Notes on Follow-up or steps taken to address any technical assistance requests]
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Additional comments you would like to include as part of this report (optional):SNAP-Ed Activity/Intervention Notification (REQUIRED):
Check below all agencies and indicate the methods used to notify SNAP-Ed eligible participants of classes and events during this reporting period.
Agency(ies) Notified During Reporting Period / Notification Method Used
(i.e., flyer distribution and postings in classrooms, schools, events, publicity through newspapers, etc.)
Posted on County, LHD or SNAP-Ed Program Website
Welfare Dept.
CalFresh Office
WIC
Head Start
SNAP-Ed Participating Intervention Sites (classes, schools)
Other:
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