FY 2025.2026 FRHD Community Health Contract Grant Impact Report

1

Organization Information* This field is required.Please provide the legal name of the organization, as it appears on your 990. If you have a different DBA or nickname please add that in the box adjacent to the legal name.

Legal Name

DBA (if Applicable)

2

Program Name/Title* This field is required.

3

Service Area* This field is required.What area(s) does this program serve (check all that apply).

Bonsall

De Luz

Fallbrook

Rainbow

None of these areas - not eligible for consideration

4

Brief Program Description* This field is required.Please provide a short description of the program - this is the "elevator speech version".

0/50

5

Number of residents that directly benefit (participant/client) from this program.* This field is required.The number of residents that received the service or who are enrolled in your program in this quarter.

6

Target Population - Age* This field is required.List the percentages of your program participants’ ages. Percentages must add up to 100%

Percent of program participants

Number of participants

Children (infants to 12)

Young Adults (13-17)

Adults (18-60)

Seniors (60+)

We do not collect this data (indicate with 100%)*

Children (infants to 12)

Young Adults (13-17)

Adults (18-60)

Seniors (60+)

We do not collect this data (indicate with 100%)*

Percent of program participants

Number of participants

Percent of program participants

Number of participants

Percent of program participants

Number of participants

Percent of program participants

Number of participants

Percent of program participants

Number of participants

7

Target Population not collected - Age* This field is required.If you indicated that you do not collect data on the above question, please provide a rationale as to why that information is not sought. Write NA if this question does not apply to your organization

0/200

8

Target Population - Gender* This field is required.List the percentages of your program participants’ gender identification. Percentages must add up to 100%

Percent of program participants

Female

Male

Non-binary/other

Unknown*

Female

Male

Non-binary/other

Unknown*

Percent of program participants

9

*Target Population - Gender* This field is required.If you indicated that you do not collect data on the above question, please provide a rationale as to why that information is not sought. Write NA if this question does not apply to your organization

0/200

10

Target Population - Income Level* This field is required.List the percentages of your program participants' income limit category - 2012 HUD – AMI Income limits (4 person family). Percentages must add up to 100%

Percent of program participants

Extremely Low-Income Limits, ceiling of $32,100

Very Low (50%) Income Limits, ceiling of $53,500

Low (80%) Income Limits, ceiling of $85,600

Higher Than Listed Limits

We do not collect this data (indicate with 100%)*

Extremely Low-Income Limits, ceiling of $32,100

Very Low (50%) Income Limits, ceiling of $53,500

Low (80%) Income Limits, ceiling of $85,600

Higher Than Listed Limits

We do not collect this data (indicate with 100%)*

Percent of program participants

11

*Target Population - Income Level* This field is required.If you indicated that you do not collect data on the above question, please provide a rationale as to why that information is not sought. Write NA if this question does not apply to your organization

0/300

12

What language(s) does this program accommodate:* This field is required.Where most or the at least half of the program can be provided in the participant's primary language.

English

Spanish

Tagalog

Chinese (Mandarin/Cantonese)

Other

13

What demographic group does this program predominately serve:* This field is required.Select the one category that best describes your program's participants

Youth - school based

Older Adults

Youth - other setting

Special Populations

Community - Health & Fitness

14

Program/Services Description - Social Determinants of Health* This field is required.Please select the following SDOH your program directly addresses. Select only those that your goals and objectives will demonstrate a measurable outcome. You will be asked to explain how the SDOH is addressed below.

Economic Stability (Employment, Food Insecurity, Housing Instability, Poverty)

Education Access & Quality (Early Childhood Education and Development, Enrollment in Higher Education, High School Graduation, Language and Literacy)

Social & Community Context (Civic Participation, Discrimination, Incarceration, Social Cohesion)

Healthcare Access & Quality (Access to Health Care, Access to Primary Care, Health Literacy)

Neighborhood & Built Environment (Access to Foods that Support Healthy Eating Patterns, Crime and Violence, Environmental Conditions, Quality of Housing)

15

Program Objectives & Measurable Outcomes* This field is required.Please describe the objectives of how this program is working toward its goal - as outlined in the original application. Be clear in defining how each objective serves the goal. Provide the data for your measured outcomes. Explain how the success or challenges of the program’s interventions or services for each measured objective were achieved.

0/1000

16

FRHD Acknowledgment* This field is required.Please select the methods by which the Organization has acknowledged the District's investment of funding.

Social Media Postings

Signage at Service Sites

Print Materials to Service Recipients

Website Display

Other

17

FRHD AcknowledgmentPlease upload a pdf or screenshot of how the District's grant funding was acknowledged this quarter. Please note this is expected to differ each quarter.

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Max. file size: 10.6MB

18

Please upload an Impact Story (Word doc or pdf preferred).The Impact story should outline how this program has made an impact on the recipient. Confidential information about specific clients can be omitted or changed to protect privacy. However, some description of how the program makes a positive impact on the lives of the clients you served should be presented. When possible, please provide a photo of the client or project in action.

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Max. file size: 10.6MB

19

Program Budget* This field is required.Please upload the Program Budget & Narrative file that was submitted with your application - update the values for Q1.

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Max. file size: 10.6MB

20

Please type the name of the person submitting this report.