California Alliance Membership Application

California Alliance Membership Application
What We Do

The California Alliance of Child and Family Services is a statewide association of more than 160 nationally accredited nonprofit child and family serving agencies committed to providing the highest quality services in the most caring and effective fashion.

The California Alliance of Child and Family Services provides budgetary, legislative and regulatory advocacy influencing a wide range of key policy issues on behalf of our member agencies and the children and families they serve. Committed to improving outcomes for children in the public human services systems, the Alliance also provides members with a wide range of practice improvement tools and opportunities.

About our Members

The California Alliance is composed of a diverse group of member organizations
located throughout California providing a wide range of services and support to tens of thousands of children and their families each year.

Alliance member agencies are mission-driven; they survive and thrive because of their single-minded dedication to the best interests of the vulnerable children, youth and families they serve. The Alliance exists to help members assure their agencies achieve their missions.

All members share a commitment to excellence and continuously strive to improve the quality of care and services they provide to high-risk children and families. As an indication of that commitment, all member agencies must meet rigorous national accreditation standards.

Member agencies participate in the Alliance’s practice improvement initiatives
including provision of evidence-based practices, utilization of common elements
with demonstrated efficacy, development of practice-based evidence, and national
and state benchmarking.

Accreditation Requirement

Consistent with California law, the California Alliance requires that all member agencies be accredited by an Alliance recognized national accrediting body including the Council on Accreditation (COA), The Joint Commission (TJC) and the Commission for Accreditation of Rehabilitation Facilities (CARF).

Organizations that are already accredited may join as full “General Members” of the Alliance. Organizations
not yet accredited join as Provisional Members and retain that status until they have completed accreditation. Provisional Members are required to complete national accreditation within three years of being accepted for membership. To that end, the Alliance Membership Committee requires that Provisional Members select an accrediting body within 12 months of being approved for membership

The California Alliance is proud of the reputation for quality services earned by our members over the years. Members believe that the process of becoming accredited and maintaining accreditation improves the quality of agency services, administration, and operations. Accreditation involves a comprehensive evaluation of an agency’s operating systems based on nationally accepted standards of governance, finances,
personnel, safety and of best practices in specific service areas, and includes on-site reviews by teams of executives and specialized staff. Accreditation, as a prerequisite for membership, has been an Alliance requirement since its formation in 2000, and dates back to the late 1960s as a requirement of one of the founding associations.

For questions about Alliance membership, contact Corina Dubon, VP of Outreach and Development at cdubon@cacfs.org or 916-594-8771.
Mission Statement: Promoting the health, wellbeing and safety of children, youth, and families in California as a collective voice impacting policy and best practices to strengthen the systems that serve them.

Vision Statement: All children, youth and families thrive in loving, healthy, safe communities.

Guiding Principles:
- Child and Family Centered - We engage and promote those most impacted by representing diverse communities across the state and ensuring they have a seat at the decision-making table.
- We invest in and advocate for the permanency and well-being of every child, youth, and family, acknowledging their fundamental right to be respected and loved.
- We commit to Diversity, Equity, and Inclusiveness in our practices, policies, advocacy, and member support.
- We recognize our interconnectedness and the necessity to strive for deep levels of collaboration to bring together organizations who serve children and families, break isolation, and promote peer sharing. No one can do this alone.
- We engage in critical dialogue and analysis to continuously innovate and improve practice models that are rooted in evidence.
- We invest in staff to ensure they reflect the communities served, are supported by trauma-informed work environments, and can maintain endurance in the field.
Code of Ethics

Given its mission, the California Alliance has adopted a Code of Ethics to guide itself, member agencies, and Associates in their conduct. The Code contains broad principles reflecting the types of behavior the California Alliance expects toward children and youth, their families, other private human service organizations, public agencies, constituents, donors, employees, and the public. This Code of Ethics is an effort to highlight the fundamental values and ethical principles considered essential to our mission and the mission of our members.

This policy is not intended as a stand-alone policy. It does not embody the totality of the California Alliance ethical standards, nor does it answer every ethical question or issue that might arise. Rather, it is one element of a broader effort to create and maintain a quality organization that give ethical conduct the highest priority.

Alliance Associates, member agencies, their staff and boards of directors must:

1. Act honestly, truthfully and with integrity in all transactions and dealings to reflect positively on the profession, the Alliance and member agencies.
2. Keep the rights, needs and interests of the children, youth, and families for whom services are provided as the focus of all transactions.
3. Strive for excellence and innovation and demonstrate professional respect and responsiveness to clients, contracting public agencies, donors, and others.
4. Treat every individual with dignity, respect, and fairness.
5. Treat all executives and staff from other agencies with respect, and accurately and fairly represent the services provided by colleagues.
6. Avoid conflicts of interest in transactions and relationships and notify the Membership Committee if they exist.
7. Act responsibly toward the communities in which member agencies work and for the benefit of the communities they serve.
8. Be responsible, transparent, and accountable for all our actions.
9. Comply with applicable federal, state, and local laws and regulations.
10. Honor commitments and promises to the best of our abilities.
11. Not discriminate in relationships or services with children, youth and families, contractors, and colleagues on the basis of race or ethnicity, gender, gender identity, gender expression, age, religion, national origin, sexual orientation or
disability.

Requirement of Membership

Adherence to this code of ethics is a requirement of membership in the California Alliance for Child and Family Services. If a possible instance of unethical practice on the part of an Alliance member or Associate is brought to the attention of the Alliance, it may be referred by the Executive Director or Board of Directors to the Membership Committee for consideration of a response up to and including expulsion/probation as detailed in Section 3.6 of the Bylaws. It is the responsibility of the Membership Committee to gather all relevant facts concerning the alleged ethical breach and to present a report including recommendations for action to the Board of Directors. While performing its fact finding, the Membership Committee will give the agency under question the opportunity to respond to all expressed concerns.
Date

MonthDayYear
Date
Agency Information
Agency Name
Executive Director/CEO Name

First NameLast Name
Email
example@example.com
CFO/Accounts Payable Contact Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Website
How did you hear about us?
Which other national or local associations are you a member of?
Year agency established
Please list every county your organization provides programs/services in.
Please list each Assembly District your organization provides programs/services in. Visitfindyourrep.legislature.ca.gov to identify those districts.
Please list each Senate District your organization provides programs/services in. Visitfindyourrep.legislature.ca.gov to identify those districts.
Total Number of People Served Annually (across entire agency):
How many satellite locations do you have?
Programs provided

AdoptionBehavioral Health ServicesCase ManagementCommunity PathwayCommunity Treatment FacilityEducation (charter school, school based services, other)EPSDTFamily Resource CenterFoster Family AgencyHousingIndependent Living Program (ILP)Intensive Services Foster Care (ISFC)Juvenile JusticeKinship Support ServicesMedi-Cal Managed Care PlansMHSA/BHSA FundingNonpublic SchoolPreventionResidential CareSubstance Abuse ServicesTransition Age Youth ServicesWraparoundOther
Which Alliance committees/services are of interest to your agency (a description of all can be found on our website cacfs.org.

FFA/AdoptionResidential CareJuvenile JusticeEducationPrevention ServicesTAY ServicesBehavioral HealthInsuranceCEO/ED MeetingEvolving CEOsCFO/HR WorkgroupDEI WorkgroupMedication Management WorkgroupPayment Reform and Documentation Workgroup
The Alliance is committed to reflecting Diversity, Equity and Inclusion in our policy agenda, member services and organizational culture. Please upload your organizations DEI workplan, statements, intake paperwork templates etc.

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Agency Revenue
Please enter your last completed fiscal year total REVENUE.
Agency Expenditures
Please enter the total of all EXPENDITURES for Alliance-advocated programs and service areas during the most recently completed fiscal year, (See Instructions for Completing Dues Assessment for detailed explanation)
Please use the Dues Schedule to compute your agency's dues obligation. Enter the annual dues assessment.
I prefer to pay membership dues (check one):

Annually (an invoice will be sent to you upon membership approval)Monthly (you will be invoiced monthly)Quarterly (you will be invoiced quarterly)
I prefer to pay make payments via (check one):

Electronic funds transferCheckCredit card
A nonrefundable $200 application fee is due along with this application. Please note how you would like to submit payment.

Will mail a check to California Alliance of Child and Family Services, Member Services, 2201 K Street, Sacramento, CA 95816.Please invoice my accounts payable contact.
Please upload your most recently completed fiscal audit, accreditation certificate, and any supporting document you would like to share with the Membership Committee and Board of Directors for reference.

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Accreditation(s) Please complete the following information regarding the accreditation status of your organization and submit it with your application. Please check all that apply.

None at this time (Organizations not yet accredited join as Provisional Members and retain that status until they have completed accreditation. Provisional Members are required to complete national accreditation within three years of being accepted for membership.)COACARFThe Joint CommissionOther
If your agency has selected an accrediting body and is in the process of becoming accredited which body have you selected, what is your organization's expected start date (i.e., signed agreement and fee paid), and what is your target date to complete accreditation?
This agency accepts and agrees to abide by, comply with and adhere to all the provisions, conditions, and covenants of the Articles of Incorporation, the Bylaws, the rules and regulations of the Corporation as they are or may from time to time be adopted, changed, amended, and all rulings, orders, direction and decisions of the Board of Directors or any duly authorized committee. This agency agrees to pay such dues, assessments, and other charges in the manner and amount as shall from time to time be fixed by the Board of Directors. This agency agrees that neither the Corporation nor any officer or employee thereof, nor any member of the Board of Directors shall be liable, except for willful malfeasance, to the applicant or to any director, officer or employee thereof, or to any other person, for any action taken by such officer or member of the Board of Directors in his official capacity, or by any employee of the Corporation while acting within the scope of his employment or under instruction of any officer, board or committee of the Corporation, in connection with the administration or enforcement of any of the provisions of the Bylaws, any of the rules and regulations as they are or may from time to time be adopted, changed, or amended, or any ruling order, direction, decision of, or penalty imposed by the Board of Directors or any duly authorized committee. This agency agrees to present reasonable information with respect to the application as the Board of Directors may require. *

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