Appendix G.docx

DOCX document 26 KB Posted

Attached to
Children, Youth, and Family System of Care Services
Solicitation number
RFSQ-BHS-FY25-0066
Issued by
Santa Clara County, California

About this file

This is a Cultural Competence Form for the County of Santa Clara Behavioral Health Services Department in response to RFSQ-BHS-FY25-0066 regarding Children, Youth, and Family System of Care Services. Offerors are required to demonstrate their ability to apply cultural, gender, and language-specific competencies to the services provided under this solicitation. The form requires respondents to identify their staffing capabilities across multiple cultural groups, including African American/African Ancestry, Latinx, Native American/Indigenous People, Asian American, and Pacific Islander populations, as well as LGBTQ+ staff capacity. Offerors must indicate whether these competencies are included in their staffing work plan or identify partner agencies, including other Behavioral Health Services Department contracted agencies, that have arrangements to respond to referrals for populations not directly served by the offeror's staff.

Language accessibility is a critical component of this requirement, with offerors required to identify staff capacity in Spanish, Vietnamese, Mandarin/Cantonese, Farsi, Tagalog, Russian, and other languages as applicable. At minimum, services must be made available in the seven threshold languages specified: Spanish, Vietnamese, Mandarin, Tagalog, Cantonese, Farsi, and Russian. Offerors that lack in-house language capacity must document arrangements with partner agencies to ensure service delivery in these languages to meet the County's cultural competence standards for the Children, Youth, and Family System of Care Services program.

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Appendix A.docx DOCX document
Appendix B8.docx DOCX document
Attachment A1a.pdf PDF
Appendix B17.docx DOCX document
Attachment J.pdf PDF
Appendix H.docx DOCX document
Appendix F.docx DOCX document
Attachment F.pdf PDF
Solicitation_Document.pdf PDF
Attachment A4.pdf PDF
Attachment A1b.pdf PDF
Appendix B11.docx DOCX document
Appendix B2.docx DOCX document
Attachment A6.pdf PDF
Attachment H.pdf PDF
Attachment A11.pdf PDF
Attachment A13.pdf PDF
Attachment A17.pdf PDF
Attachment C.pdf PDF
Appendix B10.docx DOCX document
Appendix B15.docx DOCX document
Solicitation_Document_1.pdf PDF
RFSQ-BHS-FY25-0066.pdf PDF
Attachment A2.pdf PDF
Addendum 4.pdf PDF
Addendum 2.pdf PDF
Addendum 5.pdf PDF
Addendum 3.pdf PDF
Appendix B5.docx DOCX document
Attachment A16.pdf PDF
Appendix I.xlsx XLSX spreadsheet
Attachment A9.pdf PDF
Appendix B3.docx DOCX document
Appendix B14.docx DOCX document
Addendum 1.pdf PDF
Attachment A10.pdf PDF
Appendix B6.docx DOCX document
Appendix B19.docx DOCX document
Attachment I.pdf PDF
Appendix B12.docx DOCX document
Attachment A18.pdf PDF
Appendix B16.docx DOCX document
Attachment A12.pdf PDF
Attachment G.pdf PDF
Appendix B1b.docx DOCX document
Attachment A7.pdf PDF
Attachment A8.pdf PDF
Appendix B13.docx DOCX document
Attachment B.pdf PDF
Appendix B1a.docx DOCX document
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APPENDIX G

County of Santa Clara – Behavioral Health Services Department RFSQ-BHS-FY25-0066: Children, Youth, and Family System of Care Services

CULTURAL COMPETENCE FORM

Offeror Name:

Program Category:

Identify the Offeror’s ability to apply cultural, gender, and language specific competencies to the RFSQ services provided by checking all that apply and/or provide the name of Agency that you have an arrangement with to respond to these referrals.

Cultural, Gender, and/or Language Competence
Have staff

1 2 Name of any agency, including BHSD contracted agencies, with which you have an arrangement to respond to these referrals.

Included in staffing work plan
Not included in staffing work plan (Explain below)

African American/African Ancestry Staff

Latinx[footnoteRef:1] Staff [1: Latino/Latina/Latinx]

Native American/Indigenous People Staff

Asian American Staff

Pacific Islander Staff

Other cultural competencies:

LGBTQ+ Staff

Spanish

Vietnamese

Mandarin/Cantonese

Farsi

Tagalog

Russian

Other Language(s)[footnoteRef:2]: [2: At minimum, services shall be made available in the seven (7) threshold languages (Spanish, Vietnamese, Mandarin, Tagalog, Cantonese, Farsi and Russian).]

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