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SR-300-002-01 (61) NS : BJ S : sd , Councl1 Mtg. 7/27/82 3 &0-002'.-0/ IJ -]) J U L 2 7 1982 Santa Monica, California TO' Mayor and City Council FROM: City Staff SUBJECT: Reallocation of $100,000 in COBG Funds for 1982-83 Program Year and Allocation of 53,000 in Contingency Funds Introduction This report presents recommendations for the reallocation of $100,000 in COBG funds initially recommended for street improvements in the Pico Neighborhood. Background At the April 27, 1982 Council meeting, staff recommended that $100,000 of the 1982-83 CDBG entitlement be designated for street improvements in the Pico Neighborhood. After discussion on the desir~bility of using CDBG funds for such improvements, Council asked staff to review alternntive proposals and to make recommendations on the reallocation of the $100,000 for projects benefitting the Pico Neighborhood. On June 3, 1982, City staff met with community members in the Pico Neighborhood to discuss the use of funds. From this discussion and a review of other proposals submitted to the City for 1982-83 grant funding, staff determined that the following projects would be of substantial benefit to the residents of the Pica Neighborhood: Traffic Signal - 11th & Michigan At the June 3rd meeting, residents of the Pico Neighborhood indicated their desire to see the traffic signal installed A brief project description is attached to this report. (This is in addition to the traffIc signal to he installed at 14th and MIchigan.) Los Angeles Childbirth Center This project would provIde funds for renovation of a facility to house an Alternative Bjrth Center, including a Latina ~aternity Care Program. The Idea Statement submitted by the Los Angeles Child- birth Center is attached for review by Council. $65,000 10,000 jj-l> JUL 2 7 1982 Mayor and City Council -2- July 27, 1982 Staff recommends that $10,000 be set aside to cover CDBG-eligible renovation costs for the Alterative Birth Center, contigent upon the following conditions: o That the building is located in a CDBG target area (the tentative location is on Pico and 20th) or that procedures are in place to ensure that the ~ajority of the Alternative Birth Center's clients are low and moderate income residents. o That the term of the Center1s lease be a minimum of three years and preferably for the economic life of the improvements to the building (with City option to assume the lease or transfer to another community agency if the Center terminates the lease prior to the expiration date). o That $10,000 is the maximum available for improvements -- the actual amount to be determined after specific renovation needs are assessed and CDSG eligible construction costs are determined. Public Service Grants 28,000 In previous Council action, $28,000 in CDBG funds were allocated for additional public service projects: The Neighborhood Adult Parti- cipation Project and Ocean Park Community Center1s Child Abuse Project. Staff recommends that these funds be allocated from the $100,000. $103,000* Discussion These recoMmendations benefit the residents of the Pico Neighborhood by (I) addressing the traffic safety needs at JJth and Michigan as identified by residents of the Pico Neighborhood, (2) providing direct social services and advocacy to the Pico Neighborhood by NAP? neighborhood workers located at an office in the Pico Corridor, (3) locating the Alternative Birth Center at a tentative site in the Pico area and providing at the Center maternity care *The $3,000 in excess of $100,000 may be allocated from the CDBG Contingency Fund. Mayor and City Council -3- July 27, 1982 services to the latina community, and (4) providing bilingual child abuse counseling services through Ocean Park Community Center to Santa Monica residents including residents in the Pico Corridor. Recommendat ions Staff recommends that the Council allocate CDBG funds to tbe projects specified above from the SlOa,OOO of previously unallocated 1982-83 CDBG monies and $3,000 from CDBG Contingency funds. Prepared by: Barbara Stinchfield BJS:sd Attachments ~f i i 8~ SM~I; ~:N~:~ APR 11982.... ~_ _\ FIVlROi:'~fNTAL _ !;~D S S:RV!Ci="S --: "/-- " "(1/:,"'-,__, -- - ...-:"'\ Vb. ~J'::::'\ r.......~-ii~........,~y J.,. E.,\.'rr.,Jn"!'"~..,tal Servj:es 163:-5 i-:ain Str~l:'~j ~~l"1tl ~"IC.3t California 90:.0101 I~~~ ~~~T~~E~T F~q USE OF CO~~U~ITY DEVELGP~E~T BLOCK -- ------ ------ - ------ 'V '1f' : 'n; i at: <'d f"vr '> r ,) 1 ~ ana i "5 i sand reCO-""'(,'lda t ,.:;" t~c ~E;'~LJr.;:: jn;- ~'-'~r'ls':;.icf1 of l:-;IS IDEA ST;'"i:::"E,n I"> April 1, 1902 Na-'e CeCe Talamantes 3radJ~2 "1 I I I -l I I I r,~.,,-,-.~t T,tle- ;ns';:ll:t:c:: 0:' t.ra:flc I Geogra;lhic Target Area. I signal w~~h pedes~r:a~ :~gh~s - ~ Fico ~elghbo~hcoG I lntersec:lon 0: l1t~ S~ and Mlchi2a. I - I \. '" 1 r ; - j ,... ...:: (~ res.... \ -; r\ q C' n "- ~l ~... r- I .... r '.1' -+(.1! i c r j P~co Nelghbo~hood Assn. 1 1664i 20~h St , Sar..t.a Hcrnca CA 90404 Cont.Jc:- Tr t le \1ember - PNA I Tel~ph()nc . 829-0224 Relatlonshi- 0 ')~ht..r C';2~, ,.;r.~___.::~~ v, "I programs, i ry: I Th~s ~re:ect is ~~r: of ~ com- I prehenslve nelgh~c~hccd ~~prQve, nent preg~a~ des13,-9c by the I Plea ~~'~h~rrhoQ~ ~~-~ t ....., .v~ .' " .,",,,. I _~____ . J I . , . I ,':: : 1 :..' , ,': lei -::'''' es II Plce Nelghborhood resl:ien~s j f i \ 1..:- Of lo,..,/-....")::!l.rut~ I' I \', 1- 17-20,000 ProJect Cust -ot..l $65, .:JOO ....ind _ch Af'"I(JlH" to ',r \' ;:.c r'S"rl <; to DC Rl"CUf'S tt'd $65,000 ...."..!:'~'.r_v-.S:.: ptJ,c~c~,:!_ - or I L' f i Y ,!,,~~ r i:.:e l'l,,; oroj"''SL.J ~'n,jl'';'' t or pi < '~', " ~ ", ' ["It. '~. l' ,~~; ~1.nJ. et,. tf" lLlr-....'""r rO~ul"'"1l f~ln. tht~ rrC'ILct ,....f..J. __t I.. f' - . ,.., It'''- "'('!r~-j~l ,,'f L:SE G'lLY TH:: SP;~CE PRSVID[D m~ -:il5 P;"GE., rL"':' ~~.; :.'1-- - - I,:' ~:~E:'€t A,~it!:. ;n11 ~".1::."-11..J~ SLJ~""""litt,=-d shc"u!c be rC(ere'1c\..o 1:1 triL~ ...'-,1 ~ I..r..... ',.111 Lt' "l..lc f,)r J">~:-Ib...ti.;:f' t.~ CIty Cou,cll on requt!~t We are requesting a four way traff~c s~qnal, w~th pedestria~ l~Sh~s, for the ~ntersect~on of 11th st. and r~~ch~ga~ Ave. Accordl~g to Clty ~raf~lc Eng~neer ~ay Davls, a trafflC slgnal ~s warrantee for th~s ~ntersect1Qn. 11 th St. 15 one of the I:la]Or cross streets ~n Santa Hon~ca, and :Cas be- come an unwa~ted barrler ln the ~e1ghborhood. The lntersectlon lS a major outlet for re51dents llvlng ln the nelghbnrhood between 9t~ St. and 14th st. The safety or bot~ pedestrlans ane rr-otorlsts wlshl~S to cross 11 th St. on r11ch1gan 15 put into ]eo?ardy cue to the large volu!T"Le of traff~c on 11th St. 3very day local reslcent5 wltness acc~dents and hear accidents at th1S ~ntersect1on. ~uch of the crosstown tra~flC and the proDlexs at thlS lntersectlon have been generatec by the freeway through ~he nelghborhocd. I~ was DO COlnCl- dence that the iree~ay was put through Santa !~onlca's low and ~ociera~e inco~e ne~ghborhood. ?he dange~ous 1ntersectlon at lith anc ~11c~~ca~ 15 a legacy of 1nc.eference 1n lack 0: concern fer C..lr nel.gh:Corhood ~ 7he l.nter- 5ectlcn l1es ~lth~~ the CDSG target area and 15 used ~y the tarcetpocula- tlon. eDBe: funes shoUlc. be used t:n ci'"'J'!""'r'ec~. t t"- - - /;;;\/ -- ~- - - he S 1 ua 1..10n . t:!..:.-) -- C I TV OF SArnA t1ml! CfI " Department of Environmental Services 1685 Main Street~ Santa Monica. CaJifornia . I DSA STATEtlENT FlJR USE OF COJ-IMUN 1 TV DEVElOPtlEIJT BLOCK To be considered for staff analysis ond reco~nend~tion, the DEADLP:E for submission of this IDEA STATEMEIH is~ Apri 1 1, 1982 Project Title: Gecgraphic Target Area: Santa ~!on:.ca Program Name and Address of Agency or Organization: , Latina l1aternit".y Care ,~ Santa Monica latina community (P~co Corr~dor, Ocean Park. and-other area~) Contact: Na~e Norma Alicia P~no Los Angeles Ch~ldbirth Center 757 Pier Avenue Santa Monica) CA 9C40S Ti tle Proj ect Adminis trator Telephone 392-3931 Project Beneficiaries: 1. City _~ .:;;!.:?ta ~1oni c ~ I p-c>~-=c': Cost: I Relationship to other CDSG projects or programs, if any: Tc-::a~ S43,500 21F Lat~nc c:;=.::luni:l-,,-I..._,.:....c . c: 'f' r ~n "--a '0:1.''''':: "'=~-- $1}1000 Number Of";:,~!~o,~-e~'-t: I ~:~:-, income pers~ns ':0 be lR.e~:..es:ed $26 ~500 served: None SUMMARY OF p~apOSAL - Briefly describe the proposed project or progrnm, explaining the need for, the project, the target popu?ation, the project objectives and impTe- mentation ~ethadolcgy. USE ONLY THE SPACE PROVIDED ON THIS PAGE, PLUS T~O OTHE?- PAGES IF NEEDED. Additional material sub~itted should be referenced in the proposal and will be held for distribution to City Council on reques~. The objective of the Los Angeles Ch~ldb1rth Ceneer's Latina Xatern~ty Care Progra:< (L~lCP) is to establish a maternJ.ty care system that ],5 afford- able, b~lJ.ngual. b1cultural, and located ].n Santa Monica. It w].ll serve a medically low risk population who desire to del].ver in a free standJ.ug alternacive birt~ center attended by a nurse m].d~~fe w~t~ hos?Lt~l backup. The Los An~eles ChildbJ.rth Center ~s a nouproflt f~ve year old com- munlty health center which ~n 1981 provided to commun~ty residents 2000 prenatal and postpartum visits, 1500 gynecologlcal v~sits. 500 family health visits, and slightly over 120 home blrths. Since Septenber 1981. the Center has coumJ.tted in excess of 1000 hours of staff tl~e In devel- oping plans for the Ll1CP and has hJ.red }l'orma Pina, a latJ.ua health educator, to admlClster th~s new program. .. - - - :5-=- ~ ::~~~70-3.-':-:~___~_ ~_ -~-.: -~:--:=~~~7'-~~ ~_~- - - -- @ :'_... ..~~..3"---..~Ar I)[~ - / 2 ,- The Childbirth Center is seeking CDBG funds of $26,500 to rent a ' suitable bU1lding 1n the P1CO Corridor for a free standing alternative b1rth center and to provide medical equ1pment and modest furnishings and renovation. The Childbirth Center has app11ed for General Revenue Shar1ng Funds of $98,630 to pay for b11ingual fulltime staff (nurse midwife, IMCP director, two community health workers) and a part-tice nedical director and pediatric nurse practitioner. Within 24 months, the LMCP is projected to be self-sufficient with patient fees equal~ng program expenses. Progra~ Need and Target Population I The factors making this program an urgent necessity at this time include the following: · San~a Monica has a latina population of 11,485 accord1ng to 1980 census reports; local community leaders estimate the true number at ap?roximately 17,000 or just under one 1n five. Problems 1n mater~al and infant health are accentuated because of poverty and denogra?h~cs -- over 4000 latino fam~lies have incomes below 150% of poverty leVel and over 3500 latlnas are of childbearing age. · L.A. Cou~ty has a~ru?t1y reduced prenatal care services on the West3~de WIth the closing of Venice and Culver City health depart- ment maternity services and severe reductIon of personnel at Uest (Sacta Monica) Health Department. High fees for prenatal care have also been i=~tiated, resulting in a decrease in utilizatIon. The ~u~ber of p~egnant women entering Harbor General Hospital without any preaa~al care increased 77% between August 1980 and ALg~st 1981; a ~e?ort just released by the State Department of Hea:~h est~ma~2S ~hat a quarter of all women in California will receIve Inade~~a:~ prenatal care in 1982. · The~e is a dra~a~~c association between lack of prenatal care and low birth weight, prematurity, and higher infant mortality rates. The seriousness of this situation is reflected in the recently released 1980 infant mortality rates for Cal~fornia: for the first tine in years, infant mortality increased 2.7% with non-white infant mortal~ty up 3.8%. · Inacequate naternal health care is part of a cycle with far-re2ch~n~ consequences. Low birth weight and prematurIty are assOCIated w~th subsequent child abuse, birth defects and lowered intelligence. The fam~ly and social problems thus produced lead again to poor health and well-being for the entire fam11y. · There is an increasing orientation by the health care system toward expensive high risk, ~i~h tec~nolo~y maternity care in large med~cal centers. Th~s leaves poorer iam~l~es wltnouc reasonaoly pr~cea humane care focused on prenatal care and natural childbirth for low risk women. · A combination of expensive delivery services and lack of health 1n- surance has left many latlno fa~11ies w1th very high hospital bills after delivery. A survey taken in March 1982 by LAce staff revealed the following costs for mater~ity care at the three hospItals serv- 1ng a major1ty af Santa Mon~ca lat~no families: $2300 (UCLA Medical 3 Canter), $2000 (Santa ~onica Hospital), and $1900 (Harbor General Hosp1.tal). .... · T~ere exist virtually no ?ro~rams to solve the maternal and infant care crisis designed w1th the latina community as a major focus. Object~ves and Im?lementation 1. Developoent of a c~mmunity outreach program to educate Santa Monica lat~nos about the importance of fam1.ly health and the availability of the Latina Maternity Care Program and other maternity options. Trained commun~ty health workers and other staff will work with schools, churches, commun~ty organi~ations and local health facilities in order to provide families with information about prenatal care, nutrition, birthing choices~ and fa=ily planning. 2. Del~very or high qual1.ty prenatal care services and childb1.rth and ?a=anting education to latino families participating in the LMCP. These serv~ces will be provided by bilingual, culturally sens~tive nurse midW1.ves a~d healt~ educators, with physician consultation. 3. Establ~sh2ec~ of a free standing alternative birth center to pro- vide de~~ve~y services for medically low risk latinas. attended by a bilin5~cl nurse ~idw~=a with obstetrical backup available. 4. P~cv~sio~ 0= a=fordable maternity serV1ces to Santa Monica resi- dents. =~e conp~e~e~E~~e fee for low income participants in the LXCP will b~ ~~ =~e r~~;~ 0= $800-$1200 -- between one third and one half of local ~os~~tal watern~=y fees. 5. J~velop=a~: a~d implementation of a program to provide training in S?a~~5~ :an~ua~~ a~= latino culture to current LACC clin1cal and adm1ni- strat.:L"'= s:a:Ef, so :::'2: they may becone integrated into the LMCP. Benefl: ::c the Co~~u::.~:: and City T~e LXCP will be~e=1t the residents of Santa Monica in the fOllowing ways ~ · Fill a critical unmet social and health care need by providing afford- a~le and humane family centered maternity serv~ces to low and moderate i:lcome fanilies. · Provide affirmative act10n 1.n hiring to minorities, fenale heads-of- household and low and moderate income enployees. · Reduce the cost to the C1ty of services for sick children, sick mothers and d15r~pted fa~il~es by prov~d~rrg.preventiva health cara. · C~eate an alternative b1rth center facility in the City's lowest income area. · Help a Santa Mon~ca non-profit services to latino residents. com~unlty health center expand its ~ '" ~... ~~~::~~~--- ~~- -~~ _ ~--::.- _:....:~ __.__ --w ~_-~-__ ~..;. It 4 ll-D CDBG Reed asked for record to reflect somethIng about her vote... REED: I will vote no because I am concerned at the degree to which the Pico Neighborhood IS being shorted from the original committment that was IndIcated In the April staff report. I believe they are being subject to a budgetary shell game, and I would like the record to reflect my concerns.