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HSC - Item 3A - Attachment C Los Angeles Centers for Alcohol and Drug Abuse CITY OF ROSEMEAD REQUEST FOR PROPOSAL NO. 2023-07 HOMELESS OUTREACH & CASE MANAGEMENT SERVICES Attachment: Proposal Forms in response to REQUEST FOR PROPOSAL NO. 2023-07 Los Angeles Centers for Alcohol and Drug Abuse CITY OF ROSEMEAD REQUEST FOR PROPOSAL NO. 2023-07 HOMELESS OUTREACH & CASE MANAGEMENT SERVICES Attachment: Technical Proposal in response to Request for Proposal No. 2023-07 Firm Qualifications Type of organization, size, professional registration, and affiliations Los Angeles Centers for Alcohol and Drug Abuse (L.A. CADA) is a nonprofit 501(c)3 behavioral healthcare provider established in 1971 to serve Los Angeles County. Our mission is to save lives, unite families, and protect the community by providing access to non- profit, evidence-based behavioral s services that address the needs of vulnerable and disadvantaged populations. L.A. CADA is a BIPOC-led nonprofit agency (Black, Indigenous, People of Color) dedicated to equity for and BIPOC leadership by the marginalized communities we serve. We ground our services in social justice, healthcare equity, and adherence to CLAS National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care, 1 working to promote cultural humility into all agency services. L.A. CADA's service system is trauma-informed on every level. As a local agency, we have expertise in local homeless and frequently related behavioral health issues. The key to L.A. CADA’s homeless services approach is the utilization of non-judgmental, trauma informed, recovery-oriented, and culturally/linguistically-appropriate multi- disciplinary teams. Our teams include Outreach Workers, Mental Health Clinicians, Case Managers, and skilled medical personnel. Together, they have the skills needed to engage and screen homeless individuals, and link them to critical services for targeted and intensive care coordination. Service linkage for this project will include priority placement in L.A. CADA’s extensive continuum of care: emergency housing beds, transitional housing beds, supportive services, including linkage to health care, permanent housing, and workforce development services. L.A. CADA’s broad continuum of evidence-based care for homeless services and alcohol, drug, and mental health disorders includes: • 232 state-licensed residential treatment beds; • 16 state-licensed residential beds for mental health crisis stabilization; • 244 Recovery Bridge Housing (RBH) beds for the homeless (including 45 beds in LGBTQ+ Affirming or exclusive programs; 32 beds co-located in the Los Angeles Mission on Skid Row; and 71 RBH beds in the San Gabriel Valley); • Over 500 state-certified outpatient slots; • Jail-based treatment in Men’s Central Jail • Court-based treatment referral and navigation (Alhambra, Pasadena, Bellflower, Downey, Long Beach, Norwalk, and East L.A. Municipal Courts, as well as L.A.’s “Rainbow” Court, the nation’s only LGBTQ+ Affirming Community Collaborative Court) • School-based treatment in El Rancho School District and Whittier Unified School District We are headquartered in SPA 7 and our program facilities are located in Alhambra, Pasadena, Altadena, Bellflower, Pico Rivera Santa Fe Springs, South Gate, Whittier, downtown Los Angeles, East Los Angeles, Hollywood, and Long Beach – with new facilities continuously in development. We employ a diverse staff of over 550 multidisciplinary behavioral healthcare workers. Agency employees include: addiction specialist M.D.s; physicians; psychiatrists; Nurse Practitioners, RNs, and LVNs; state-licensed clinical therapists; registered SUD counselors; navigators/case managers; as well as dedicated peer mentors with lived recovery experience, and program support staff. Identify and present qualifications of key team members and partners Program Manager, Joshua Heinzman Joshua Heinzman. Mr. Heinzman holds a Bachelor's Degree in Psychology and is a certified Substance Use Disorder Counselor, with lived experience. He is the Supervisor of Homeless Services for L.A. CADA, and has served as the Supervisor of the Community Engagement and Navigation Services for Service Provider Area (SPA 7) for L.A. CADA. Mr. Heinzman has assisted L.A. CADA in the implementation of all of our Homeless service programs and has developed strong relationships with community partners in the process. Program Coordinator, Syria Ramirez Syria Ramirez has been with L.A. CADA for 3 years and currently serves as a Homeless Outreach Navigator. Homeless Outreach Navigator, TBD L.A. CADA, upon notice of award, will recruit and hire a Homeless Outreach Navigator with appropriate experience to fill this position. A Homeless Outreach Navigator will have experience working with individuals with similar needs and will have performed similar work previously. Resume of the principal individual(s) to contact for referral Resumes will follow the technical proposal. Provide a minimum of three (3) reference accounts at which similar work, both in scope and design, has been completed by the contractor within the last five (5) years L.A. CADA references for this project are: 1. Alhambra City Manager, Jessica Binnquist 111 S First Street, Alhambra, CA 91801 jbinnquist@cityofalhambra.org Phone: 626-570-5010 2. Long Beach City Prosecutor, Doug Haubert 411 W. Ocean Blvd. 8th Floor, Long Beach, CA 90802 prosecutor@longbeach.gov (562) 570-5600 3. Nancy Chand, Deputy In-Charge, L.A. County Department of Mental (Project LEAD) Health 210 W. Temple Street, 19th Floor Los Angeles, CA 90012 (213) 974-2839 NRichards@pubdef.lacounty.gov 4. Dr. Gary Tsai, Director L.A. County Substance Abuse Prevention and Control (SAPC) 1000 South Fremont Ave, Building A-9 East, 3rd Floor, Alhambra, CA 91803 (626) 299-4101 GTsai@ph.lacounty.gov List of accomplishments for each reference L.A. CADA has been a part of Los Angeles County’s Specialty Substance Use Disorder Treatment System operated within the Department of Public Health since the mid 1980’s. We are a major provider of L.A. County homeless treatment beds for adults with alcohol, drug, and mental health disorders, as well as the largest provider of Recovery Bridge Housing (RBH) for the homeless in Los Angeles County. L.A. CADA is the L.A. County Service Planning Area (SPA) 7 provider for Community Engagement and Navigation Services (CENS), delivering needs assessment and service navigation for local residents, including the homeless. All L.A. CADA programs work closely with the L.A. County Coordinated Entry System (CES) for the homeless in the Service Planning Areas (SPAs) that L.A. CADA serves (SPAs 3; 4; 6; 7; and 8). Our agency is a CES Access Point in SPA 7. We deliver similar homeless outreach services for the Alhambra Homeless Outreach Mental Evaluation Team. L.A. CADA outreach workers provide street outreach, needs assessment, and service navigation for homeless residents of Alhambra, many of whom have behavioral health issues. The project is part of our agency’s 50-year history in the delivery of services addressing community homelessness and behavioral health disorders. Our agency has begun delivery of similar services at the request of the cities of Monrovia, West Covina, Altadena, the SGVCOG, Hawthorne, San Dimas and Glendora. As a provider for Alhambra’s HOME Team, L.A. CADA has an understanding of homeless issues and needs in the Los Angeles area. L.A. CADA knows that homelessness rose by 3% in SPA 7 in 2020 and that the South Bay’s unsheltered population is 65% larger than Skid Row’s33. We know that the number of homeless individuals counted in local shelters dropped by 19% in 2021 as compared to 2020’s figures. L.A. CADA understands that there are an insufficient number of homeless beds in SPA 7. To address the immediate need, L.A. CADA opened a 20-bed emergency shelter in Santa Fe Springs in the summer of 2022. Beds for homeless people are available in L.A. CADA residential treatment programs, as well as our Recovery Bridge Housing programs. Another similar L.A. CADA project that conducts homeless services is the Priority Access Diversion Program in Long Beach. This project is a collaboration between the Long Beach City Prosecutor, the Long Beach Department of Public Health, the Los Angeles Public Defenders Office, and L.A. CADA. Our agency identifies homeless defendants at highest risk in Long Beach. In lieu of continued criminal prosecution for violations common to the homeless (loitering, vagrancy, trespassing, possession of controlled substances or paraphernalia, failures to appear, etc.), L.A. CADA is asked to intervene before or at the time of arraignment. We offer defendants whole person care with priority placement in our treatment programs, housing, or both. As this project proceeds in its fourth full year, L.A. CADA and the City of Long Beach are working to the greatest extent possible to deliver these services pre-arrest or pre-indictment. All participants are homeless with multiple prior criminal convictions. L.A. CADA’s experience and expertise with homeless persons involved in the criminal justice system is an innovative asset to Montebello’s Services to Supplement to Existing Homeless Services Program. As noted, our agency is co-located in many Community Collaborative Courts in L.A. County to provide referral to treatment for defendants, including those who are homeless. We are also a part of the L.A. County LEAD Project (Law Enforcement Assisted Diversion) in East Los Angeles -- and soon in Long Beach and Hollywood. LEAD is a community-based diversion intervention created to improve public safety, reduce unnecessary justice system involvement, and improve the health and stability of people who participate in the program. LEAD focuses on providing services to people who are disproportionately in contact with law enforcement, including homeless people. This population often has unmet behavioral health needs and they frequently cycle in and out of jail, have multiple contacts with the legal system, and are at high risk for recidivism. Unfortunately, these are the very people who are typically excluded or underserved by existing programs and are disproportionately impacted by poverty, racial disparities in policing, and arrests. In all of these projects, L.A. CADA has a demonstrated track record for meeting contractual budgets, scope, and schedules. Understanding of and approach to the project L.A. CADA understands that the City of Rosemead's Homeless Outreach & Case Management Services project requires a comprehensive approach to addressing the complex needs of individuals experiencing homelessness. Our experience and expertise align with the key elements of the project scope, including our certification as a substance use and behavioral treatment provider by the State of California Department of Healthcare Services and the County of Los Angeles Department of Public Health - Substance Abuse Prevention and Control. We recognize that homelessness is often linked to underlying issues such as addiction, behavioral problems, mental illness, and trauma. To address these challenges, we have demonstrated experience in providing client-centered, trauma-informed, and recovery-oriented services to individuals experiencing homelessness. Our critical services span a wide continuum of care and treatment, including outpatient, intensive outpatient, and residential programs. We are committed to providing supportive services, such as case management, homeless outreach, substance abuse, housing navigation, and other related counseling services, to support the qualifying populations as defined by HOME-ARP. Our proactive approach to homeless outreach will include both a 3-day per week program and a 5-day per week program. Additionally, we will provide qualified and licensed mental health professionals to conduct American Society of Addiction Medicine (ASAM) assessments and, if necessary, transport individuals to detox or residential treatment based on assessment outcomes. We will ensure that our approach to case management services is consistent with the County of Los Angeles Coordinated Entry System (CES) and Homeless Management Information System (HMIS), and that all outreach and information provided is maintained on a confidential basis, in accordance with state and federal laws and regulations. We are committed to providing the City of Rosemead with weekly reports of engagements and services provided. Our understanding of the project's scope of work and our approach to addressing its key elements demonstrate our commitment to effectively assisting the City of Rosemead in accomplishing its Homeless Outreach & Case Management Services goals. Clearly address in the RFP response how each element of the Scope of Work will be accomplished, as well as provide a project schedule L.A. Centers of Alcohol and Drug Abuse (L.A. CADA) is well-equipped to provide the necessary services to assist the City of Rosemead in achieving its Homeless Outreach & Case Management Services goals. Our team is comprised of licensed and certified substance use and behavioral treatment providers, with a demonstrated history of successfully treating individuals with addiction, behavioral problems, mental illness, trauma, domestic violence, and homelessness. Our approach to this project is client-centered, trauma-informed, and recovery-oriented. We will provide critical services across a wide continuum of care and treatment, including outpatient, intensive outpatient, and residential programs. Our supportive services will include case management, homeless outreach, substance abuse treatment, housing navigation, and other related counseling services as required by HOME-ARP. To conduct proactive homeless outreach throughout the City of Rosemead, we will provide staffing and costing for a 3-day per week program and a 5-day per week program. We will also provide qualified, licensed mental health professional staffing to conduct an American Society of Addiction Medicine (ASAM) assessment. If necessary, individuals may be voluntarily transported to detox or residential treatment based on assessment outcomes. To ensure that we can accommodate the needs of the community, we will reserve a certain number of beds for residential treatment and/or emergency transitional housing dedicated to the City of Rosemead. We will also provide intensive case management services, including documentation and homelessness evaluations consistent with the County of Los Angeles Coordinated Entry System (CES) and Homeless Management Information System (HMIS). Confidentiality is of utmost importance to us, and we will ensure that all outreach and information provided is maintained on a confidential basis consistent with state and federal laws and regulations. We will also provide the City with weekly reports of engagements and services provided to ensure transparency and accountability. Our project schedule is as follows: Phase 1: Planning and Preparation (30 days after formal execution of agreement) • Review RFP and gather necessary information (1 week) • Develop project plan and timeline (1 week) • Recruit and hire necessary staff (4 weeks) Phase 2: Implementation • Conduct proactive homeless outreach programs (12 weeks) • Provide ASAM assessments and transport individuals to detox or residential treatment as necessary (12 weeks) • Provide supportive services, such as case management and housing navigation (12 weeks) • Provide intensive case management services consistent with CES and HMIS (12 weeks) Phase 3: Reporting and Evaluation • Provide weekly reports to the City (24 weeks) • Conduct program evaluation and submit final report to the City In conclusion, L.A. CADA is fully committed to assisting the City of Rosemead in accomplishing its Homeless Outreach & Case Management Services goals. Our experienced team, client-centered approach, and comprehensive project plan make us well-equipped to provide the necessary services and achieve the desired outcomes. Summary of Approach to be taken L.A. CADA is committed to providing high-quality Homeless Outreach & Case Management Services to the City of Rosemead. To accomplish the goals of the project, we will employ evidence-based practices and a team of highly trained and experienced staff who are committed to providing client-centered, trauma-informed, and recovery-oriented services. To meet the requirements of the Scope of Work, L.A. CADA will provide the following services: • Assign staff with demonstrated experience with addiction, behavioral problems, mental illness, trauma, domestic violence, and persons experiencing homelessness. • Provide services that are critical across a wide continuum of care and treatment, including outpatient, intensive outpatient, and residential programs. • Supportive services, such as case management, homeless outreach, substance abuse, housing navigation, and other related counseling services required to support the qualifying populations as defined by HOME-ARP. • A 3-day per week program and a 5-day per week program to conduct proactive homeless outreach throughout the City of Rosemead. • Staff qualified, licensed mental health professional staffing to conduct an American Society of Addiction Medicine (ASAM) assessment and, if necessary, individuals may be voluntarily transported to detox or residential treatment based on assessment outcomes. • Dedicate a number of beds to reserve for residential treatment and/or emergency transitional housing dedicated to the City of Rosemead • Intensive case management services to include documentation and homelessness evaluations, consistent with the County of Los Angeles Coordinated Entry System (CES) and Homeless Management Information System (HMIS). • Confidentiality of all outreach and information provided, consistent with state and federal laws and regulations. • Weekly reports of engagements and services provided to the City. L.A. CADA will work individually with the outreach participants and city staff to learn the specific needs of the program participants and the areas of focus the city would like to prioritize. We understand that each city in Los Angeles county that is trying to make an impact in this housing crisis, has differing resources; as such L.A. CADA will tailor the delivery of proposed supplemental homeless outreach and services for the needs of the City of Rosemead, working closely with city staff and to ensure that local needs are fully met and services are not duplicative. Additionally, L.A. CADA has developed an extensive and comprehensive list of resources available in SPA 3 as we provide the CENS services to SPA 7. We are aware of a plethora of service providers and resources that will be useful to the program participants and ensure the success of the program in SPA 3. We anticipate the need for urgent linkages to services (specialized case manager, mental health clinician, and SUD counselor) L.A. CADA staff will work with CBOs on this program and deliver: Housing Navigation; Case Management; Homeless Prevention/Problem-Solving. L.A. CADA will also provide Supportive Services (referral to legal services, workforce development, etc.); Mental Health Support; Health Support; and direct funding resources. L.A. CADA will identify participant’s existing services providers. If one does not exist, the participant will be enrolled into either L.A. CADA’s continuum of care whenever possible, or the most appropriate provider. For participant’s linked to another provider, L.A. CADA will ensure a warm handoff is completed. Additionally, these participant’s will have regular/consistent follow-ups with the outside provider to ensure client/participants are making progress towards established housing plans and case management goals. L.A. CADA will provide support as needed to assist in participant’s achieving these plans and goals. For those with an external provider, monthly care coordination with said provider will be conducted. For participant’s enrolled into services, housing plans and case management goals will be established within no more than two weeks of admission. Subsequently, all housing plans will be reviewed and re-assessed every 90 days. Participants will have weekly case management sessions, which will include any and all required housing navigation services. Priority will be given to medical and mental health needs. We understand that the successful implementation of this project will require close collaboration with the City of Rosemead and other community partners. We are committed to attending regularly scheduled and as-needed coordination and/or staff meetings and/or performance improvement meetings with the City and other County partners to manage Participants’ issues including, but not limited to, health, behavioral health, substance use disorder, life skills, employment/educational, or any other issues. We will build and maintain collaborative partnerships with community organizations, service providers, and public entities to ensure that Participants have access to a comprehensive array of supportive services. We have created a project schedule that outlines the timeline for accomplishing the Scope of Work. We will work closely with the City of Rosemead to ensure that all deadlines are met and that the project is completed on time and within budget. Overall costs associated with the project The cost proposal is to follow the technical proposal. L.A. CADA in the provision of Homeless Outreach Services operates on a flat rate, not through cost reimbursement. Indication of information and participation required from City staff L.A. CADA has a developed working relationship with the city of Rosemead through the Regional Homeless Services Efforts through SGVCOG. As such, L.A. CADA will continue to work closely with City staff when necessary to ensure the success of the program. L.A. CADA will always keep an open line of communication with the City of Rosemead and we expect to meet regularly during program start up and implementation. Other information that may be appropriate L.A. CADA understands that the City of Rosemead seeks providers to deliver services to PEH in Rosemead that fill gaps within the existing homeless services system. We know that these gaps are: • Insufficient availability of certain types of beds and interim housing units; • Mental health and health services; • Easily accessible supportive services (e.g., legal services, workforce development); • Easily accessible financial assistance; and • Insufficient culturally-sensitive resources Our agency is highly qualified to fill these specific gaps through our continuum of care which includes: • Emergency and interim shelter beds; • a 50-year local demonstrated track record in delivery of homeless mental health and health services; • strong experience in service coordination for homeless people, including ancillary supportive services (and partnerships in place with adult schools, workforce development agencies, legal services domestic violence services, etc.) • expertise in homeless case management that includes linkage to benefits and other financial assistance; and • A BIPOC-led workforce that reflects the service area demographics and is fully trained in the delivery of culturally- and linguistically appropriate care. L.A. CADA also understands that project services must be grounded in best practices for People Experiencing Homelessness (PEH), including Housing First and Trauma-Informed Care. Both are core L.A. CADA evidence-based practices (EBP) and all staff are trained in these and other EBPs following hire. Disclosure of any potential or existing conflicts of interest with the City of Rosemead or any individual City Official or member of the City staff L.A. CADA has no potential or existing conflicts of interest with the City of Rosemead or any individual City Official or member of the City of Rosemead staff. Los Angeles Centers for Alcohol and Drug Abuse CITY OF ROSEMEAD REQUEST FOR PROPOSAL NO. 2023-07 HOMELESS OUTREACH & CASE MANAGEMENT SERVICES Attachment: Resumes/Proposed Staff * in response to Request for Proposals 2023-07 * Please note that staff can be revised as per the needs of the city of Rosemead SYRIA RAMIREZ Azusa, CA 91702 626-506-4957 - ramirezsyria@gmail.com PROFESSIONAL SUMMARY To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. SKILLS Family Assistance Community Outreach Programs Insurance Verification Public and Community Relations Housing Navigation Bilingual Crisis intervention WORK HISTORY 04/2022 to Current Homeless Outreach Navigator LA CADA – West Covina, CA Took active role in client crisis intervention Built partnerships with related organizations to develop support and gain greater attention for the homeless issues. Used critical thinking to break down problems, evaluate solutions and make decisions. Community engagement with city officials and local Peace officers. Applied behavior analysis and cognitive behavioral therapy. Managed support services and fostered communication among social workers, therapists, hospital staff and patients. 04/2021 to Current Residential Aide LA CADA – Southgate, CA Reported unusual or urgent circumstances in patients' condition or environment immediately to program director. Transported patients to medical appointments, court appearances, and provided monitored support. Prepared test samples and obtained and recorded test data in accordance with standards. Used sample prep equipment to prepare for drug tests. Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity. Demonstrated respect, friendliness and willingness to help wherever needed. Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment. 07/2020 to Current Resident Aide Driver LA CADA – Pasadena, CA Remained alert to problems or health issues of clients and competently responded. Encouraged patients to participate in group activity to help boost mood and improve overall wellness. Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm. Monitored and maintained cleanliness, sanitation, and organization of assigned station and service areas. Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships. Offered support for client mental and emotional needs to enhance physical outcomes and overall happiness. Scheduled and accompanied clients to medical appointments. Monitored and assisted residents through individual service plans. Administered medications to patients and remained vigilant for negative side effects. 08/2018 to 06/2020 Assistant House Manager PCCF Woman's Discipleship Home – Pasadena, CA Managed day-to-day operation of home. Supervised residents handling chores and provided constructive feedback. Assisted residents with daily living tasks. Managed all intake and discharge paperwork and procedures for residents. Maintained positive living environment . EDUCATION 02/2015 Medical Billing Certification : Medical Assisting Downey Adult School - Downey, CA Los Angeles Centers for Alcohol and Drug Abuse CITY OF ROSEMEAD REQUEST FOR PROPOSAL NO. 2023-07 HOMELESS OUTREACH & CASE MANAGEMENT SERVICES Attachment: Cost Proposal in response to Request for Proposal 2023-07 Category Annual Cost Homeless Service %Request Amount Justification Personnel Project Manager $34 / hour 70,720.00$ 10.0%7,072.00$ Project Lead Coordinator $32 / hour 66,560.00$ 100%66,560.00$ Homeless Outreach Navigator $27 / hour 56,160.00$ 100%56,160.00$ Sub Total Personnel 2.10 129,792.00$ Personnel Benefits Payroll Tax 7.65%9,929.09$ Payroll tax of 7.65% Health Insurance 6.35%8,241.79$ Health Insurance include medical, dental and life insurance 6.35% Workers Compensation 8.00%10,383.36$ Workers Compensation Insurance 8.00% Sub Total Benefits 22.00%28,554.24$ Total Personnel 158,346.24$ Total Personnel and Benefits Operation Expenses Annual Costs Homeless Service Request Amount Office Expenses 1,200.00$ 100.00%1,200.00$ Maintenance Supplies (N/A)-$ 0.00%-$ Insurance 2,000.00$ 100.00%2,000.00$ Facility Costs (N/A)-$ 0.00%-$ 4 Beds for City of Rosemead 73,000.00$ 100.00%73,000.00$ I Pad 1,200.00$ 100.00%1,200.00$ Cell Phones 1,200.00$ 100.00%1,200.00$ Program Supplies 3,014.29$ 100.00%3,014.29$ PPE Supplies 3,600.00$ 100.00%3,600.00$ Food Costs 3,600.00$ 100.00%3,600.00$ Gasoline for Van 4,200.00$ 100.00%4,200.00$ Lease Van 7,691.12$ 100.00%7,691.12$ Total Operation 100,705.41$ Total Direct Costs (Personnel and Operatiion)259,051.65$ Indirect Costs 12 % approved NICR 31,086.20$ Total Homeless Services Supervisor Budget 290,137.85$ City of Rosemead Homeless Outreach Proposal