REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
November 17, 2026
FROM
ARLENE MOLINA, Director, Preschool Services Department
SUBJECT
Title
Non-Financial Contract with California-Hawaii Elks Major Project, Inc. for Vision Screening Services
End
RECOMMENDATION(S)
Recommendation
Approve non-financial Contract with California-Hawaii Elks Major Project, Inc. for vision screening services for children enrolled in Early Head Start, Head Start Preschool, and State Preschool programs countywide, for the total contract period of December 1, 2026 through October 31, 2031.
(Presenter: Arlene Molina, Director, 945-6478)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost) as this item is non-financial in nature. Vision screening services to children enrolled in Early Head Start (EHS), Head Start Preschool (HSP), and State Preschool programs (SPP) at countywide Preschool Services Department (PSD) school sites will be provided at no cost to the County by California-Hawaii Elks Major Project, Inc.
BACKGROUND INFORMATION
PSD provides HSP, EHS, and SPP that include comprehensive child development and family services comprised of education, health, nutrition, parent involvement, and psychological services for children ages zero to five years and their families. The overall goal of these programs is to increase the health and school readiness of disadvantaged children and increase the self-sufficiency of low-income families.
PSD partners with contracted providers to deliver vision screening services. To expand access and ensure vision screening services are available to as many enrolled children as possible, including those attending sites in more remote areas of the County, PSD seeks to maintain multiple vision screening providers. The California-Hawaii Elks Major Project, Inc. contacted PSD and offered to provide vision screening services at no cost to the County. PSD has not previously received vision screening services from this organization. The California-Hawaii Elks Major Project, Inc. agreement will provide additional capacity and flexibility to meet screening needs. Services will be coordinated based on provider availability, site location, and program needs to avoid duplication of services.
Approval of this item will expand the availability of these services, including screenings using electronic vision screening equipment, for approximately 2,039 children enrolled in HSP, EHS, and SPP programs countywide. PSD will provide facilities and appropriate guidance for the provision of vision screening services to PSD children. If further treatment is needed, PSD will then refer the child to a local optometrist.
Head Start Performance Standards 45 CFR § 1302.33(a) - Child Screenings and Assessments and 45 CFR § 1302.42(b)(2) - Child Health Status and Care require PSD to perform health screenings to identify concerns regarding a child’s developmental, sensory (visual and auditory), behavioral, motor, language, social, cognitive, perceptual, and emotional skills within 45 days of the child’s entry into the program. Contractor’s performance will be monitored by reviewing for compliance with the administrative terms and conditions of the Contract. The County may terminate the Contract without cause upon 30 days written notice.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Human Services (Patty Steven, Administrative Manager, 388-0241) on October 27, 2026; County Counsel (Adam Ebright, Deputy County Counsel, 387-5455) on October 26, 2026; and County Finance and Administration (Allegra Pajot, Administrative Analyst, 387-4351) on October 22, 2026.