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Exhibit A & B <br />CDBG 2010-2011 <br />APPLICATION FORM <br />I. <br />A. <br />B. <br />C. <br />D. <br />E. <br />II. <br />A. <br />B <br />C. <br />Ill. <br />A. <br />B. <br />C. <br />D. <br />e. <br />IV. <br />ORGANIZATIONAL <br />Department Name: <br />Proposed Program Name: <br />Mailing Address: <br />Service Address(es): <br />Contact Name: <br />Title: <br />Telephone: <br />Fax: <br />E-Mail: <br />City of Santa Ana Parks Recreation and Community Services Agency <br />Senior Health and Nutrition Program <br />P.O. Box 1988, Santa Ana CA 92702 <br />2201 W. McFadden Ave 424 W. Third St. Santa Ana 1618 W. 1a Street <br />Jenny Rios <br />Recreation Superintendent <br />714-571-4228 <br />714-836-8230 <br />rios santa-ana.or <br />SERVICE AND FUNDING <br />How many unduplicated individuals (both Santa Ana residents and Non-Santa Ana residents) will 885 <br />this program plan to serve during 2010-2011? <br />Of the number from 11.A. how many will be City of Santa Ana-residents? 885 <br />Amount of CDBG funding requested for FY 09-10: (If this application is an electronic version the $56,000 <br />blank will automatically fill in once Attachment 2 is completed) <br />HISTORY 2008-2009 2007-2008 2006-2007 <br />Total people served by the proposed program <br />Of III.A. number of Santa Ana residents o a o <br />Of III.B. number of Low-/Moderate-Income Santa Ana residents <br />Total expense of the proposed program <br />Total amount of Santa Ana grants received for this program. <br />PROGRAM DESCRIPTION-DETAIL <br />In the space below, describe the program. List the specific services that will be provided with CDBG funds (max. <br />cnar. zuuu) <br />The Senior Health and Nutrition Program is a two-pronged approach to alleviating poor nutrition and isolation among the <br />vulnerable 60+ population in Santa Ana by providing healthy meals Monday through Friday and by connecting seniors to <br />other services they may be in need of. The purpose of the program is to improve the quality of life for older adults and <br />their families by creating a safety net of health, nutrition, and supportive services designed to enhance their <br />independence, well being, and dignity. <br />The Senior Center Lunch Program component provides a focal point for seniors where they can come together in a <br />supportive environment for a well-balanced noon meal. The senior center environment offers a comfortable, accessible <br />link to other services and activities that keep seniors active and fit. The Senior Center Lunch Program also keeps <br />seniors connected to resources in the community by linking the seniors to the many services offered at the senior <br />centers. The Senior Center Lunch Program alleviates poor nutrition among low-income elderly, reduces social isolation, <br />and provides a hot nutritious lunch in a safe and friendly environment. This component is offered at three sites, including <br />Santa Ana Senior Center, Southwest Senior Center, and Vietnamese Community Center, all of which are located in <br />Santa Ana. <br />The Home Delivered Meals component provides basic food and nutrition for seniors who are frail, isolated, and <br />homebound. This component includes home delivered meals, case management, in-home services (personal care, <br />homemaking, and chores), home safety checks, a friendly visitor program, daily contact with meal delivery drivers, and <br />other services as needed. Participants receive 3 meals per day, 5 days per week and are assigned a case manager to <br />help coordinate their care and meet their needs. <br />o a o <br />0 0 0 <br />0 0 0 <br />0 0 0 <br />Exhibit A & B