Appendix I Logic Model Worksheet RFP-SSA-FY26-0522 Community Living Connection_1.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- Community Living Connection
- Solicitation number
- RFP-SSA-FY26-0522
- Issued by
- Santa Clara County, California
About this file
This file is a Logic Model Worksheet for RFP-SSA-FY26-0522 submitted by the Santa Clara County Social Services Agency (SSA), specifically the Department of Aging and Adult Services (DAAS), to provide Community Living Connection services. The RFP seeks qualified vendors to deliver case management and supportive services enabling high-risk older and disabled adults to maintain independent living. The contract has an initial term of 1 year with an option for renewal for up to 4 additional years. The worksheet outlines ten distinct service activities with specific output measures tracked quarterly and annually, including case management for domestic violence prevention, homework tutoring and mentoring for high school students, food basket distribution, and nutrition education workshops.
The Logic Model specifies detailed service delivery targets across all program components. Case management services target 40 unique families annually with 120 quarterly sessions; mentoring and tutoring services aim to serve 80 unique youth clients with 960 annual sessions; food basket distribution targets 480 unique clients receiving 1,440 baskets annually; and nutrition education workshops target between 160 and 400 unique participants annually across multiple program tracks, with 320 to 720 annual workshops depending on the service line. Outcome measures establish performance targets ranging from 40 to 80 percent, including an 80 percent success rate for domestic violence victims establishing safety plans, 75 percent improvement in youth school attendance and grades, 80 percent health improvement reporting from food basket recipients, and 55 to 60 percent completion of diet modification plans among nutrition education participants. The document serves as the framework for measuring program effectiveness and vendor accountability throughout the contract performance period.
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Contract Info
| Contract Applicant: Please complete the highlighted cells in green | ||
| Agency Name: | Abbreviation: | |
| Program Name: | Community Living Connection | Abbreviation: |
| Contract PO Number: | Service Type: | |
| Original Contract Term Begins: | Original Contract Term Ends: | |
| FY Contract Term Begins: | FY Contract Term Ends: | |
| General Contact Person: | ||
| Contact Phone Number: | ||
| Contact E-mail Address: | ||
| A. Contract Goal: What is the contract hoping to achieve? (in 30 words or less) |
B. Situation: Why are the services needed? In other words, what are the specific needs/challenges of the population?
C. Services/Activities & D. Output Measures: provide service goals by unique clients served and services provided.
| (Please specify clearly the unit of services in each measure as well as the yearly goal) | Service Goals | ||||||
| Q1 | Q2 | Q3 | Q4 | FY total | |||
| Unduplicated | Clients |
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members. New Clients/Families are defined as brand new clients who have never received this service under this contract before. Only the fiscal year goal, not the quarterly goal, is set for New Clients/Families.
Unique
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
1 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
2 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Unique
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
3 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
4 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in a FY.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Unique Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
5 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
6 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in a FY.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Unique
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
7 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
8 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in a FY.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Unique
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
9 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
10 Unit of Service
Izi Chan: Helpful hint:
Concisely identify the services provided by typing the unit of service here (e.g. one-hour tutoring session).
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in a FY.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Unique
Izi Chan: Helpful hint:
Depending on the nature of the services, some services are provided to individuals, whereas some services are provided to some or all of the family members.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in this quarter.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total units of service that you plan to provide in a FY.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
Izi Chan: Helpful hint:
Enter the total number of clients or families who will receive this service this fiscal year.
Izi Chan: Helpful hint:
Enter the total number of unique clients or families that will receive this service in this quarter.
| E. Outcome Measures: | |||||||
| (Please list the service outcome measures as well as the yearly target goal.) | Outcome Goals | ||||||
| Q1 | Q2 | Q3 | Q4 | FY % | |||
| 1 |
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Izi Chan: Helpful hint:
Enter a percent goal in the cell of each of the four quarters. Do not leave the cell blank.
Please do not add or remove rows or columns to this worksheet. If you need additional rows, please contact your contract analyst.
&"Arial,Bold"&8APPENDIX I:
LOGIC MODEL WORKSHEET
BID NUMBER: RFP-SSA-FY26-0522
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Logic Model
| Logic Model - | Community Living Connection | Agency Name: |
| A. Contract Goal: |
B. Situation C. Activities/Services D1. # of unduplicated clients/families served per FY D2. # of Outputs per FY D3. Output E. Short/Long Term Outcome Measures
Santa Clara County Social Services Agency BID NUMBER: RFP-SSA-FY26-0522 Appendix I: Logic Model
Outcome Details
| Additional Information about Outcome Measures | |||||||||||
| Agency Name: | ERROR:#VALUE! | Abbreviation: | ERROR:#VALUE! | ||||||||
| Program Name: | ERROR:#VALUE! | Abbreviation: | ERROR:#VALUE! | ||||||||
| Contract PO Number: | ERROR:#VALUE! | Service Type: | ERROR:#VALUE! | ||||||||
| Original Contract Term Begins: | ERROR:#VALUE! | Original Contract Term Ends: | ERROR:#VALUE! | ||||||||
| FY Contract Term Begins: | ERROR:#VALUE! | FY Contract Term Ends: | ERROR:#VALUE! | ||||||||
| Contact Person: | ERROR:#VALUE! | ||||||||||
| Contact Phone Number: | ERROR:#VALUE! | ||||||||||
| Contact E-mail Address: | ERROR:#VALUE! | ||||||||||
| A. Contract Goal: What is the contract hoping to achieve? | |||||||||||
| 0 | |||||||||||
| B.Situation : Why are services needed? In other words, what are the specific needs/challenges of the population? | |||||||||||
| 0 | |||||||||||
| C. Activities & D. Output Measures: provide service goals by unique clients served and services provided. | |||||||||||
| (Please specify clearly the unit of services in each measure.) | Service Goals | ||||||||||
| Q1 | Q2 | Q3 | Q4 | FY total | |||||||
| 1. Provide case management to families with high risk of domestic violence | New | Families | 35 | ||||||||
| Unique | Families | 10 | 10 | 10 | 10 | 40 | |||||
| Services | Case Management sessions | 30 | 30 | 30 | 30 | 120 | |||||
| 2. Provide high school students with homework tutoring or mentoring sessions once a week | New | Clients | 70 | ||||||||
| Unique | Clients | 20 | 20 | 20 | 20 | 80 | |||||
| Services | Mentoring/ Tutoring sessions | 240 | 240 | 240 | 240 | 960 | |||||
| 3. Provide food baskets in focused area | New | Clients | 400 | ||||||||
| Unique | Clients | 120 | 120 | 120 | 120 | 480 | |||||
| Services | Food Baskets | 360 | 360 | 360 | 360 | 1,440 | |||||
| 4. Provide Nutrition Education | New | Clients | 135 | ||||||||
| Unique | Clients | 40 | 40 | 40 | 40 | 160 | |||||
| Services | Nutrition education workshop | 120 | 120 | 120 | 120 | 480 | |||||
| 5. Provide Nutrition Education | New | Clients | 160 | ||||||||
| Unique | Clients | 50 | 50 | 50 | 50 | 200 | |||||
| Services | Nutrition education workshop | 100 | 100 | 100 | 100 | 400 | |||||
| 6. Provide Nutrition Education | New | Clients | 200 | ||||||||
| Unique | Clients | 60 | 60 | 60 | 60 | 240 | |||||
| Services | Nutrition education workshop | 120 | 120 | 120 | 120 | 480 | |||||
| 7. Provide Nutrition Education | New | Clients | 240 | ||||||||
| Unique | Clients | 70 | 70 | 70 | 70 | 280 | |||||
| Services | Nutrition education workshop | 140 | 140 | 140 | 140 | 560 | |||||
| 8. Provide Nutrition Education | New | Clients | 290 | ||||||||
| Unique | Clients | 80 | 80 | 80 | 80 | 320 | |||||
| Services | Nutrition education workshop | 80 | 80 | 80 | 80 | 320 | |||||
| 9. Provide Nutrition Education | New | Clients | 320 | ||||||||
| Unique | Clients | 90 | 90 | 90 | 90 | 360 | |||||
| Services | Nutrition education workshop | 180 | 180 | 180 | 180 | 720 | |||||
| 10. Provide Nutrition Education | New | Clients | 350 | ||||||||
| Unique | Clients | 100 | 100 | 100 | 100 | 400 | |||||
| Services | Nutrition education workshop | 150 | 150 | 150 | 150 | 600 | |||||
| E. Outcome Measures: (As stated in the Contract Info page) | Outcome Goals | Outcome Measurement Tool or Method | Explain the significance of this Outcome to the target population. | Describe how the outcome relates to the objectives for this funding. | |||||||
| Q1 | Q2 | Q3 | Q4 | FY | |||||||
| 1. By completion of a 3-month services, 80% of adult victims of domestic violence will demonstrate improved understanding of domestic violence and will establish a safety plan to maintain their own safety (physical and emotional) as well as the safety of their children. | 80% | 80% | 80% | 80% | 80% | ||||||
| 2. By completion of a 3-month services, 75% of participating youth will demonstrate improvement in school attendance and grades. | 75% | 75% | 75% | 75% | 75% | ||||||
| 3. 80% of the recipients of food basket will report their health improved because of the food baskets. | 80% | 80% | 80% | 80% | 80% | ||||||
| 4. 60% of participants of the Nutrition Education will improve their understanding of nutrition and will complete a diet modification plan. | 60% | 60% | 60% | 60% | 60% | ||||||
| 5. 55% of participants of the Nutrition Education will improve their understanding of nutrition and will complete a diet modification plan. | 40% | 50% | 60% | 70% | 55% |
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