Appendix I Logic Model Worksheet RFP-SSA-FY26-0522 Community Living Connection.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 is a Logic Model Worksheet for a contract opportunity issued by the Santa Clara County Social Services Agency's Department of Aging and Adult Services (DAAS) under RFP-SSA-FY26-0522 for the Community Living Connection program. The program aims to provide high-risk older and disabled adults with case management and other services to enable them to continue living independently. The RFP may result in single or multiple awards, with an initial contract term of one year and an option for the County to renew for four additional years.
The Logic Model Worksheet outlines ten service activities with specific output and outcome measures. Services include case management for families at high risk of domestic violence (40 unduplicated families, 120 case management sessions annually), homework tutoring and mentoring for high school students (80 unduplicated clients, 960 mentoring/tutoring sessions annually), food basket distribution (480 unduplicated clients, 1,440 baskets annually), and seven nutrition education workshops targeting progressively larger participant populations (ranging from 160 to 400 unduplicated clients and 320 to 720 workshop sessions annually). Outcome measures include 80 percent of domestic violence victims demonstrating improved understanding and safety planning, 75 percent of youth showing improved school attendance and grades, 80 percent of food basket recipients reporting improved health, and 40 to 60 percent of nutrition education participants improving their understanding of nutrition and completing diet modification plans. All outcome goals are measured quarterly with consistent annual targets.
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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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