REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
October 21, 2025
FROM
JOSHUA DUGAS, Director, Department of Public Health
SUBJECT
Title
Amendments to Contracts for the California Home Visiting Program
End
RECOMMENDATION(S)
Recommendation
1. Approve amendments to the following contracts, to continue providing home visiting services for improved maternal health and infant/child development under the California Home Visiting Program, increasing each contract amount by $211,656, from $211,656 to $423,312 each, and extending the contracts for one additional year, for the total period of November 19, 2024 through October 31, 2026:
a. Amendment No. 1 to Contract No. 24-1146 with Child Care Resource Center, Inc.
b. Amendment No. 1 to Contract No. 24-1147 with Reach Out.
2. Approve Amendment No. 4 to Contract No. 22-15 with El Sol Neighborhood Educational Center, to continue providing home visiting services for improved maternal health and infant/child development under the California Home Visiting Program, increasing the total contract amount by $1,519,688, from $5,553,688 to $7,073,376, and extending the contract for one additional year, for a total contract period of January 11, 2022 through December 31, 2026.
(Presenter: Joshua Dugas, Director, 387-9146)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item will not impact Discretionary General Funding (Net County Cost). The total cost increase for the three California Home Visiting Program (CHVP) contracts is $1,943,000, which includes $211,656 each, for Child Care Resource Center, Inc. and Reach Out, and $1,519,688 for El Sol Neighborhood Education Center (El Sol), for home visiting services. The program is funded by California Department of Public Health (CDPH) federal pass-through and State funding. Adequate appropriation and revenue have been included in the Department of Public Health’s (DPH) 2025-26 budget and will be included in the 2026-27 recommended budget.
BACKGROUND INFORMATION
The Maternal, Child and Adolescent Health (MCAH) Division of CDPH allocates funding to local health jurisdictions to administer CHVP with the goals of promoting maternal health and well-being, improving pregnancy outcomes and infant and child development, strengthening parenting skills and family functioning, and cultivating strong communities. The MCAH Division is designed to assist families who are at risk for adverse childhood experiences, which include child maltreatment, domestic violence, substance abuse, and mental illness.
CHVP focuses on pregnant and newly parenting families who have risk factors including domestic violence, inadequate income, unstable housing, less than 12 years of education, substance use disorder, depression, and/or mental illness. DPH is responsible for the administration of CHVP services countywide and has been providing services through subcontracts with community-based organizations since 2022.
CHVP services are family-centered and provided in client homes by home visiting staff. Services include routine screening and assessments of parent-child interactions, child development, and maternal depression; referrals to parent support groups, father involvement programs; behavioral health resources, early childhood education, and family-based intervention support. CHVP offers two to four visits per month, per client. Interaction with home visitor staff gives parents the tools to independently raise their children through preventative, evidence-based interventions focused on promoting and reinforcing positive parenting and child development.
On January 11, 2022 (Item No. 25), as a result of a formal procurement, the Board of Supervisors (Board) approved Contract No. 22-15 with El Sol to provide family-centered home visiting services under CHVP, in the amount of $2,380,000, for the period of January 11, 2022 through January 10, 2024.
On February 28, 2023 (Item No. 46), the Board approved Amendment No. 1 to Contract No. 22-15 with El Sol, increasing the contract amount by $232,000, from $2,380,000 to $2,612,000 with no change to the contract period of January 11, 2022 through January 10, 2024.
On October 24, 2023 (Item No. 46), the Board approved Amendment No. 2 to Contract No. 22-15 with El Sol, increasing the contract amount by $1,422,000 from $2,612,000 to $4,034,000, and extending the term of the contract period by one year, with no change to the contract period of January 11, 2022 through January 10, 2025.
On November 19, 2024 (Item 39), the Board approved Amendment No. 3 to Contract No. 22-15 with El Sol, increasing the contract amount by $1,519,688, from $4,034,000 to $5,553,688 and extending the term of the contract period by one year, for a total contract period of January 11, 2022 through December 31, 2025. The Board also approved Contract No. 24-1146 with Child Care Resource Center, Inc. and Contract No. 24-1147 with Reach Out, in the amount of $211,656 each, for the period of November 19, 2024 through October 31, 2025, to expand the provision of family-centered home visiting services throughout the county.
DPH recommends approval of the recommended amendments to allow for the continued provision of CHVP services to children and families. The performance of contractors is monitored by review of monthly reports and an annual site visit to ensure compliance with the administrative, program, and fiscal terms and conditions of the contracts. The contracts may be terminated without cause by the County with 30 days’ written notice.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Daniel Pasek, Deputy County Counsel, 387-5455) on September 30, 2025; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 387-4205) on October 2, 2025.