City of Long Beach Department of Health and Human Services

DEPARTMENT OVERVIEW

Department of Health and Human Services Organizational Chart

Mission
To improve the quality of life of the residents of Long Beach by addressing public health and human service needs, and ensuring that the conditions affecting the publics health provide a healthy environment in which to live, work and play.

Directors Message
This year marks the 106th anniversary of the City of Long Beach Department of Health and Human Services and my 22nd year with the Health Department. Since beginning my tenure as Director in 2000, the Health Departments programs, services and operations have greatly evolved. The Great Recession, coupled with government reform, required that we change the way we operate to the meet our communitys greatest needs. While these adjustments have been challenging, we continue to provide critical services to our community and maintain one of the strongest public health departments in the country. Throughout its history, adapting to community needs has been the Health Departments greatest strength. Although we have changed in many ways from when we began at the turn of the century, we are consistent in that our services have always reflected and addressed the needs of the Long Beach community. In the early years, public health was about water and food safety. In the 1920s, the Health Department administered over 50,000 smallpox vaccinations. In the 1940s, we worked to reduce the number of tuberculosis infections and, in the 1950s, we focused on polio vaccinations. In the 1980s, Long Beach was at the forefront of the war against HIV/ AIDS and, in the 1990s, we banned smoking in public places. Current efforts are focused on the childhood obesity epidemic and working with the City Council to make Long Beach a world class healthy city.

Ronald R. Arias, Director

As one of only three locally operated health departments in the State, our efforts are connected to the entire community, as we collaborate with community partners to address the health and human service needs of Long Beach residents. We are unique in every sense of the word, but the bottom line is that our Health Department serves the local community in ways that a county health department cannot. Our work is driven by our commitment to improving the lives of the citizens of Long Beach. This commitment is supported by our employees - nearly 70 percent of whom live in Long Beach. The Health Department continues to be the major contributor to the overall public health and well being of Long Beach. My hope is that we will continue to meet the needs of the Long Beach community for more than another 100 years.

Table of Contents
Health Department Organizational Chart................................................................ 2 Directors Message ................................................................................................... 3 Introduction ............................................................................................................... 4 Preventive Health ...................................................................................................... 6 Environmental Health ............................................................................................. 14 Community Health .................................................................................................. 17 Housing Authority................................................................................................... 24 Support Services .................................................................................................... 27 Service Locations & Department Hotlines ........................................................... 28 Service Locations Map ........................................................................................... 29
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Introduction
Established in 1906, the City of Long Beach Department of Health and Human Services (Health Department) is over 100 years old. Over the last century, much has changed yet much has remained the same. Our primary emphasis continues to be the control of communicable disease, as well as providing health education and immunizations to the public. The years have made public health a much more complex discipline. Living in a large urban environment, diseases such as HIV/AIDS and tuberculosis, and human and social service issues make our role in protecting the health of the entire community even more critical. The Health Department is one of only three city-operated local health jurisdictions in California (along with Pasadena and Berkeley). Local provision of public health services allows the Health Department to tailor its programs to meet the specific public health and human service needs of the residents of the City of Long Beach. Public health, when it is functioning properly, is largely invisible. Therefore, the understanding and support of the general public, policymakers and healthcare professionals is crucial to the success of public health activities. The mission of a local health department is to take leadership in assuring a healthy community. This is accomplished by promoting, protecting and preserving health through advocacy and organized community efforts. In Long Beach, the Health Department contributes to the health of the community by promoting the prevention of disease and injury for all residents.

Department Profile
As noted above, the City maintains its own municipally operated Health Department. Recognized as an independent local health jurisdiction within the State, the Health Department is responsible for all aspects of preventive and public health services, as well as human services and social programs within the City of Long Beach. Using a combination of local, state, and federal funds, in addition to various fees and third-party payments, the Health Department supports an operating budget of over $112.9 million annually. This funding provides the financial support to develop, operate, and maintain public health programs aimed at improving the quality of life, and ensuring a healthy environment in the City of Long Beach. Currently, the Health Department employs over 350 staff members, most of which reside within the community they serve. The Health Department is structured around five bureaus (Community Health, Environmental Health, Housing Authority, Preventive Health and Support Services) and one Division (Physician Services). The Director is responsible for the overall administration of the Health Department. The City Health Officer has direct supervisory responsibility for physician services and statutory authority for ensuring compliance with the public health provisions of the Health and Safety Code. Although the majority of services are made

available at the main health facility, located at 2525 Grand Avenue, a variety of special services are provided at other locations throughout Long Beach and via the Health Departments mobile testing vehicles. The Health Department provides over 800,000 patient/client visits annually. The operations at the North, Central and West Facilities Centers are discussed within the Community Health Bureau section of this document. The Women, Infant and Children (WIC) program has five sites within the City of Long Beach. The Health Department operates the Miller Family Health Education Center, which focuses on health, prevention and educational issues for the large multi-cultural population in the greater Long Beach area. At the Multi-Service Center for the Homeless, the Health Department, along with several co-located nonprofit agencies, provides onestop access to resources for individuals and families experiencing homelessness within Long Beach. The City of Long Beach is located in southern Los Angeles County, and is the fifth largest city in the State of California. According to the 2011 Census, the population for the City of Long Beach is 462,257, with an ethnic composition of 46.1% Caucasian, 40.8% Hispanic/Latino, 14% Asian/Pacific Islander, 13.5% Black or African American, less than 0.7% American Indian/Alaska Native/Other Race, and 5.3% indicating two or more races.

Board of Health and Human Services

The Director of the Health Department provides staff support to the fifteen member Board of Health and Human Services. The Board serves as an advisory body to the Mayor and City Council, the City Manager and the Health Department on any matters related to the following:

Public health in the City, including the health of children and their families; Community health and safety issues including communicable disease outbreaks and strengthening the public safety
net.

General issues connected with administration of a public health department.

The Board meets at 8:00 a.m. on the second Friday of each month, excluding the summer months of July and August, at the Miller Family Health Education Center. Additionally, they may convene, when deemed necessary or advisable, hearings and investigations on matters pertaining to public health and social service affairs of the City, and to report any findings or recommendations to the Director, City Manager, Mayor, and City Council.

Preventive Health
The Preventive Health Bureau is responsible for the monitoring and reporting of communicable disease, field epidemiology services, and birth and death registration, as well as providing a range of prevention, education, and clinic services in the areas vaccine-preventable diseases, tuberculosis, and reproductive health. The Preventive Health Bureau also manages the Public Health Emergency Management Program, the Public Health Laboratory, and Public Health Nursing Services which promote access to quality healthcare through programs such as Medi-Cal Outreach, Healthy Families, and Maternal, Child and Adolescent Health.

Public Health Emergency Management

The Public Health Emergency Management (PHEM) Program is responsible for building the Health Departments capacity to respond to emergencies that affect the City of Long Beach, including disease outbreaks, bioterrorism events, and natural disasters. The program works to build the Health Departments capabilities in several areas, including emergency operations coordination, community preparedness, emergency public information and warning, public health laboratory testing, surveillance and epidemiologic investigation, responder health and safety, and the mass dispensing of medications. These capabilities are developed through staff training and exercises, the development of preparedness and response plans, and the purchase and maintenance of equipment.

Epidemiology Program
The Epidemiology Program receives over 5,000 communicable disease reports each year. Epidemiologists collect these data through integrated surveillance systems to detect, monitor, report, and evaluate public health threats. In the State of California, there are over 85 mandated reportable diseases and conditions. State law requires that healthcare providers and laboratories report these diseases to the local public health department (Title 17, California Code of Regulations, 2500 and 2505). In the event of an outbreak, the Epidemiology Program, under direction of the City Health Officer, coordinates an appropriate response with other Health Department programs such as Environmental Health, the Public Health Laboratory, and Public Health Nursing, to identify and eliminate the source of the outbreak. An outbreak investigation involves a series of interviews with cases and their contacts, specimen collection (e.g., human, animal, food, water), data analysis, spatial analysis using Geographic Information Systems, disseminating public health advisories to healthcare providers, providing risk communication and public education, providing investigation updates, and eliminating the source.

Epidemiology Program Objectives

Protect the publics health through an integrated and systematic approach of communicable disease investigations to determine if an outbreak is occurring, identify the pathogen and vehicle of transmission and prevent communicable diseases from spreading or recurring. Empower the community with information, education and guidance to promote prevention and elimination of disease and/or injury.

The Epidemiology Program collaborates with the five Long Beach hospitals, local healthcare providers, veterinarians, laboratories, schools, colleges, State and local public health agencies, and the community to immediately identify and respond to unusual occurrences of disease and protect the publics health. The Epidemiology Program is the resource for providing expertise on trend and spatial analysis and interpretation of data for morbidity and mortality (i.e., birth, death, injuries, chronic disease) in the City of Long Beach.

Vital Statistics
The Vital Statistics Program is responsible for processing certificates for births and deaths occurring within the City of Long Beach. Staff review records for accuracy and completeness, enter data into the States Automated Vital Statistics System and Electronic Death Registration System, and accept and validate the certification for registration. Original certificates are transmitted to the State Office of Vital Records and Statistics, and copies are prepared and kept as local records, and to issue to the individuals who are entitled to receive certified copies of these documents pursuant to Health and Safety Code 103526. Vital Statistics data is utilized in the planning and evaluation of local health programs, to study trends, and are essential records for families, hospitals, physicians, and State and local government, and are required documentation for many important life events.

HIV Epidemiology Program

The California Code of Regulations, Title 17, Section 2500, requires that all diagnosed or suspected cases of HIV/AIDS, as defined by the Centers for Disease Control and Prevention, be reported to the local Health Officer. To facilitate reporting, the Health Department maintains an HIV Epidemiology Program, supported with funding from the State of California Department of Health Services Office of AIDS. The primary function of the HIV Epidemiology Program is to monitor the epidemic and to provide data for prevention efforts. The tasks to achieve this goal include soliciting, receiving, reviewing, and filing HIV/AIDS case reports in a timely manner; determining if case reports meet the HIV infection or AIDS case definitions, or both; ensuring the collection of all required information through follow-up investigations, as needed; and maintaining a complete and accurate HIV/AIDS surveillance database.

Public Health Laboratory

The Public Health Laboratory is an essential component of the Health Departments infrastructure. Its mission is to provide expert analytical and technical laboratory services in support of disease prevention and surveillance. The laboratory represents the first line of defense in the rapid recognition and detection of the spread of communicable diseases. Public Health Laboratory Accreditations

One of the most important tools in a collaborative preparedness effort to protect our population from infectious diseases is a strong public health laboratory system. The Long Beach Public Health Laboratory is a Federal and State CLIA-certified laboratory that specializes in infectious disease and environmental testing. The diversity of the Health Departments public health program activities required the laboratory to develop and implement testing services that meet the immediate and longterm needs of the Department and the community it serves.

Licensed Public Health Laboratory by the State of California Clinical Laboratory Improvement Amendments (CLIA) Environmental Laboratory Accreditation Program (ELAP) American Industrial Hygiene Association (AIHA) International Standards Organization (ISO 17025) Consumer Product Safety Commission Environmental Response Laboratory Network (ERLN) Laboratory Response Network (LRN) Sentinel Laboratory California Respiratory Laboratory Network (CA-RLN) Select Agent U.S. Department of Agriculture (USDA)

The Laboratory has evolved from simply having laboratory tests available for public health programs to the development and fine-tuning of laboratory networks requiring special linkages and shared efforts to provide populations with comprehensive laboratory testing for rapid diagnosis. The Public Health Laboratory is vigilant in its support of disease prevention, monitoring, and surveillance.

Preventive Health and Clinical Services

Tuberculosis Screening and Control
The Tuberculosis (TB) Control Program provides services to assist both patients and health providers. Services include medical evaluation and treatment of patients with suspected or active TB; medical consultation to health providers; case management, health education and counseling; TB screening; and directly observed therapy in clinics and the community.

Sexually Transmitted Disease Screening and Control

The goal of this service is to assist individuals to live safer, healthier lives through the prevention of sexually transmitted diseases (STD) and their complications. Program staff provides prevention, control, evaluation, treatment and management of sexually transmitted infections that are spread through anal, oral or vaginal intercourse and those transmitted by sharing drug injection equipment and other risky behaviors. Annually, more than 2,000 patients receive services. Additionally, staff provides services to assist health providers in our local health jurisdiction. The Health Department supports research protocols, provides scientific information, and participates in policy development around sexually transmitted infections.

HIV Prevention
HIV Testing With and Without Counseling (C&T) - Rapid and conventional, anonymous and confidential HIV testing (with and without counseling), in both medical and non-medical venues, is provided to populations at risk for HIV. Testing services also include: assessment of client needs regarding HIV transmission; client focused prevention counseling, when appropriate; risk reduction planning; and referral to other services as needed. Annually, Statecertified HIV Counseling staff provide services to over 3,500 unduplicated clients. HIV Partner Services (PS) - HIV PS is a program that supports HIV-positive individuals in notifying their sexual and/or needle sharing partners of possible exposure to HIV. HIV PS is offered to all newly identified, HIV-infected individuals and other HIV positive individuals who have engaged in recent risky behaviors. HIV PS includes assisting HIV positive clients with disclosing their status to sexual and needle sharing partners; skill building with the client on ways to inform a partner of their potential exposure to HIV; both confidential and anonymous notification of partner(s); confidential counseling of partners and referral to HIV and STD testing and other disease prevention services; partner elicitation activities; dual counseling sessions; third party notification; and field investigations. Condom Distribution - Prevention services also include condom distribution to agencies in our local health Mobile Clinic jurisdictions including community based organizations, health centers and clinics, Lesbian, Gay, Bisexual & Transgender Centers, bars, dance clubs, sex clubs, and local business partners who serve high-risk individuals and wish to participate in condom distribution.

HIV Care
HIV/AIDS Ambulatory/Outpatient Medical (MOP) Services - MOP services are provided by Health Department staff who are licensed and federally certified American Academy of HIV Medicine Specialists. These providers provide comprehensive medical care including evaluation, treatment, specialty referral and linkage to care. The goal of this program is to interrupt or delay the progression of HIV disease, prevent and treat opportunistic infections, and promote optimal health. The secondary purpose is to interrupt the further transmission of HIV infection by providing the background for appropriate behavioral change. These services are provided to 350 unduplicated patients annually.

HIV/AIDS Health Education and Risk Reduction (HE/RR) Services - HE/RR Services include education and behavior modification services for HIV-positive individuals whose behaviors or personal circumstances place them at greatest risk of transmitting HIV to others as well as individuals who are at greatest risk for falling out of care or who have difficulty engaging in care. Provided by certified and trained masters level psychology and therapy staff, services include risk reduction counseling, health education, and prevention case management. Services are provided to 250 unduplicated patients annually. HIV/AIDS Treatment Adherence - HIV Treatment Adherence Services support the appropriate and consistent use of antiretroviral (ARV) medicines to maximize their benefits in sustaining health and suppressing viral load and to ensure that treatment adherence interventions are available in our local health jurisdictions and accessible to all patients living with HIV having difficulty taking medications as prescribed. California State-certified health educators provide these services to over 200 unduplicated clients annually. HIV/AIDS Medical and Non-Medical Case Management Services - Case Management Services provide clients with coordination of care and social services and assist clients in maintaining medical care and risk reduction through comprehensive behavioral risk and psychosocial assessment; acuity assignment; service plan development; progress evaluation and monitoring; and case conferencing. County-certified and trained bachelors level case managers provide these intense services to over 200 clients each year. Minority AIDS Initiative (MAI) Program - MAI Services target communities of color, specifically African American and Latino, to prevent HIV transmission and to support health promotion and disease prevention through critical support activities that bridge the gap of care. This service employs specific, controlled outreach activities to target those at greatest risk. Among communities of color that are disproportionately affected by HIV, this program successfully engages HIV-positive individuals in HIV care, treatment, and prevention services. State-certified outreach and health education staff provide these services as part of a multidisciplinary team. Additional services provided include monthly and ongoing workshops and formal presentations. AIDS Drug Assistance Program (ADAP) Coordination - ADAP ensures that individuals living with HIV/AIDS who are uninsured or under-insured have access to medication. Staff provides patient enrollment, fund monitoring and program coordination services and activities for our local health jurisdiction. Staff provides over 1,000 enrollment and reenrollment activities for both Health Department clients and HIV health care community partners. Fund coordination and monitoring activities ensure that ADAP is the payer of last resort. HIV Benefits Specialty Services (BSS) - HIV BSS are activities that facilitate a clients access to and maintenance of health and disability benefits and services. These services focus on assisting a clients entry into and movement through the health care services system. The primary objective is to ensure that clients receive all the benefits for which they are deemed eligible. Clients are educated and informed about available benefit programs; assessed for eligibility; assisted with applications and reapplications; provided with advocacy for appeals and denials; and supported with activities necessary to maintain their benefits. We provide services to over 200 Health Department patients as well as over 150 patients from our medical community partners who provide HIV care services. Hepatitis C (HCV) Testing - HCV services include testing, counseling, education, referral and linkage services for individuals who are high risk for HCV. Staff provides testing services to 500 high-risk individuals and their partners annually. Approximately 100 additional education, counseling, referral and linkage services are provided to those patients who test positive for HCV or know their status and have not had care or prevention intervention.

Family Planning Access Care and Treatment (F-PACT)

F-PACT provides comprehensive medical, educational, and social services which enable individuals, including minors, to determine freely the number and spacing of their children and to select the means by which this may be achieved. A wide variety of methods and practices, not only birth control, are offered. These methods may include sterilization and preconception care. Highly skilled, State-licensed and certified Nurse Practitioners and Physician Assistants provide these services to over 7,500 unduplicated individuals per year.

Immunizations
The Immunization Program assists residents in attaining optimal health through knowledge of and access to immunizations. Services include support, information and training for other health care providers about vaccine schedules, regimens, updates, guidance and safety. Health Department staff provide infant, child, adolescent and adult vaccines to approximately 2,000 individuals a year. Common immunizations include:

Travel Immunizations

DTap Polio MMR Hepatitis B

Hepatitis A Varicella TdaP Meningitis

HPV Shingles Pneumonia Flu

Travel Immunization services help prepare individuals for their trips by reviewing travel itineraries and providing travel assessments including advice on hygiene, water supply, general travel precautions, information regarding emergency care, vaccine requirements, recommendations, and immunizations. Health Department staff provides services to over 1,500 travelers per year. Common travel immunizations include:

Typhoid Yellow Fever Japanese Encephalitis

Malaria (Prescription for prevention - not a vaccine)

Communicable Disease Prevention, Care and Control

Health Department clinical staff provide education, information, prevention and treatment services to the community for those infections or toxicities that arise from communicable infections or diseases, specifically those reportable by law. Preventive Health In 2011, the Epidemiology Program registered 4,150 disease reports, completed 350 field/phone investigations including 10 outbreak investigations, and followed up on 42 foodborne illness complaints. In 2011, the Preventive Health Clinic provided 25,937 individual patient encounters. Among these include: 5,553 visits with the Family PACT (Planning, Access, Care & Treatment) Clinic 3,708 tuberculosis directly observed treatment visits 6,246 visits at the Immunization Clinic 3,284 HIV Counseling & Testing Visits More than 5,000 seasonal flu shots

Vital Records processed 10,000 birth certificates and 4,000 death certificates in 2011. Conducted over 8,000 Childhood Lead Poisoning Prevention outreach contacts via health fairs, presentations, hardware store displays, and mailings. Conducted approximately 3,000 Public Health Nursing home visits to clients who are high-risk infants and children, pregnant, postpartum women and parenting teens, diagnosed with communicable diseases, frail elderly, and adults with mental and/or physical disabilities. Conducted an annual immunization assessment of all Long Beach students enrolled in kindergarten, child care, and Head Start in order to document immunization rates and identify pockets of need in the community.

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Nursing Services Division

Child Health and Disability Prevention Program
The Child Health and Disability Prevention (CHDP) Program ensures that low-income children and youth receive free well-child services from qualified pediatric health care providers for the detection and prevention of diseases and disabilities. Through the CHDP Program, periodic preventive health screenings are provided that include: a health and developmental history; physical examination; nutrition, vision, hearing, and dental assessments; immunizations; laboratory tests for anemia, lead poisoning, sexually transmitted infections, and other conditions as indicated; appropriate health education; and referrals for further diagnosis and treatment, if needed. The Gateway portion of the program serves to link uninsured children to low-cost health insurance programs and resources for ongoing health care, and provides temporary Medi-Cal coverage for up to 60 days so that children screened by a CHDP provider can receive necessary follow-up care while their application for ongoing coverage is being processed. Through quality assurance activities, CHDP Public Health Nurses provide administrative oversight to forty CHDP medical providers located throughout Long Beach. Activities include: new provider recruitment and orientation, quarterly educational office site visits, and recertification inspection reviews of existing providers.

Childhood Lead Poisoning Prevention Program (CLPPP)

The CLPPP is a state-funded program dedicated to lead poisoning prevention through health education and advocacy for timely lead screenings for children in our community. The two main components of the CLPPP are case management, and education and outreach. Public Health Nurses provide case management for children with elevated blood lead levels who have been referred to the program by laboratories, health care providers, and other health jurisdictions, including the State of California Department of Health Services Childhood Lead Poisoning Prevention Branch. Services include: development of an individual service plan, lead exposure prevention and nutrition education, referral to a Registered Environmental Health Specialist (REHS) in the Health Departments Environmental Health Bureau, and collaboration with the primary health care provider. The REHS provides an environmental inspection that include sample testing by the Public Health Laboratory, and ensures that sources of lead in the home environment are eliminated or remediated. Community education and outreach are conducted to inform the community about lead poisoning prevention, the hazards of lead poisoning, and lead sources. Health Educators and Outreach Workers conduct public information campaigns, workshops, presentations and other outreach events to educate the public about childhood lead poisoning health effects, sources and prevention measures. They facilitate special workshops for parents with preschool age children, childcare providers, and non-profit organizations. Program staff also provide outreach and education to parents of children with lower lead levels and to adults who have elevated lead levels.

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Immunization Assistance Project

The Immunization Assistance Project (IAP) provides resources and training to Long Beach physicians, clinics, schools, child care centers and other agencies that serve families with the goal of maintaining high levels of vaccine protection against serious and preventable diseases like polio, whooping cough, measles, hepatitis and chicken pox. The IAP also educates parents about the importance, safety and availability of vaccines. Project staff ensures that all families have access to affordable vaccines; either as part of routine care at a private provider or at the Health Departments low-cost immunization clinic. The project conducts record audits at schools and clinics to document local vaccination rates and to assure that the best immunization standards and practices are in place. Pregnant women who are identified as chronic carriers of the Hepatitis B virus receive case management services from IAP to ensure that their babies and other household contacts are properly immunized and tested. The IAP coordinates the distribution of thousands of flu vaccine doses each year through special clinics held at parks, churches, temples and senior centers.

Maternal, Child and Adolescent Health Program

The Maternal, Child and Adolescent Health (MCAH) Program is responsible for assessing, monitoring and assuring the health status, health needs, and the health care services available to mothers, children, and adolescents, with a special focus on low-income populations. The MCAH Director conducts community assessments and provides expertise in program direction and coordination. The Perinatal Services Coordinator works closely with providers who serve pregnant Medi-Cal patients to assure access to quality care and all services provided by the Comprehensive Perinatal Services Program. The Health Department maintains a toll-free maternal health referral line to connect the community to resources for prenatal care, Child Health and Disability Prevention clinics, the WIC Nutrition Program, and Family Planning services. Case management services by Public Health Nurses focus on improving access to early and continuous prenatal care, promotion of breastfeeding, assistance with a broad range of health problems including substance abuse issues, domestic violence, childhood obesity, teen pregnancy, and dental care.

Sudden Infant Death Syndrome Program

The Sudden Infant Death Syndrome (SIDS) Program focuses on outreach and education. Public Health Nurses provide presentations to community-based organizations, schools, parent groups, and medical providers on the latest research on SIDS, information on SIDS risk reduction strategies, and infant safe sleep recommendations. Additionally, Public Health Nurses provide case management support, and grief and bereavement services to families in Long Beach that have lost an infant to SIDS.

African American Infant Health Program (aka Black Infant Health or BIH)
The infant mortality rate for African-American infants is consistently higher than other ethnic groups. The goal of the BIH Program is to maximize positive pregnancy outcomes to improve survival rates for African American infants in Long Beach. The program is also designed to build maternal capacity, improve health behaviors, and increase social support and empowerment in order to ultimately close the gap in BlackWhite health disparities. The BIH program offers a 20-session group intervention (10 prenatal and 10 postpartum), along with case management for all clients. The program endorses culturally relevant information that honors the unique history and traditions of people of African-American descent. Women are taught to build upon the strength of their African ancestors, as well as their relationships with one another to enrich themselves, their families, and their community.

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Medi-Cal and Healthy Families Outreach Program

The Medi-Cal and Healthy Families Outreach (MCO) Program works to reduce the number of uninsured children and improve the overall health of Long Beach by providing access to health care. Through a network of stakeholders, the program identifies children without health insurance through direct referrals from local WIC offices, community-based organizations, health care providers, the Long Beach Unified School District, and Head Start programs. Recognized as local experts, trained MCO staff provide application assistance, case management, and troubleshooting assistance to help families navigate the health care system and retain the health care benefits of government sponsored health insurance programs such as Medi-Cal and Healthy Families. In 2011, the MCO Program provided application assistance to more than 1,800 women and children, and over 900 families were provided assistance with troubleshooting their cases in order to retain their health care benefits enrollment. Troubleshooting is the most time consuming and difficult component of services rendered. Through the years, Californias health care system has evolved, and more and more consumers are finding it difficult to navigate the complicated system. With the anticipation of the Affordable Care Act, education and troubleshooting services will be more crucial than ever. The MCO Program also works directly with CHDP administration to promote the CHDP Program as a gateway towards increasing access to health care for uninsured children.

Public Health Field Nursing

Public Health Nurses (PHNs) provide holistic professional assessment and case management services through home visitation to vulnerable, high-risk clients and their families. Referrals are received from health and social service providers throughout the community for the PHN to conduct assessment and follow-up activities in the areas of communicable disease, maternal and infant health, family systems support, child abuse, domestic violence, mental health, frail elderly health and well-being, environmental instability, childhood lead poisoning, and sudden infant death syndrome. PHNs assist their clients in determining and understanding their healthcare needs as they work to achieve the goals of prevention of illness and attainment of optimum health. Nearly 3,000 field visits are made by PHNs each year. PHNs are also integral members of a variety of community collaboratives that are invested in improving the health of the community. They serve in a variety of special roles and programs such as SIDS Coordinator, Nurse Family Partnership, Long Beach-Wilmington Best Babies Collaborative, Black Infant Health Program, and Childhood Lead Poisoning Prevention Coordinator.

Senior Links
Senior Links provides short-term case management services to Long Beach residents, age 55 and over, of any income level but with a focus on low-income seniors who are at risk for institutionalization due to lack of resources that would enable them to continue to live safely and independently in their own home. Case management services are provided by a Public Health Nurse and a Medical Social Worker. Referrals for Senior Links services come from a variety of sources, including Adult Protective Services, the Fire Department, Senior Police Partners, family members, neighbors, council member offices, and others. The needs seen most often in Senior Links clients include mental health issues, social isolation, financial concerns, medication questions, health insurance questions, in-home supportive services such as housekeeping and homedelivered meals, housing, and transportation. Senior Links staff link clients to resources such as LA County Mental Health, Meals on Wheels, In-Home Supportive Services, Adult Protective Services, utility assistance programs, health care providers, the Multi-Service Center for the Homeless, Housing Authority, and other local services to enable seniors to continue to live as independently as possible.
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Environmental Health
The Environmental Health Bureau is responsible for protecting public health by preventing diseases, unsanitary conditions, and exposure to toxic substances, and eliminating environmental hazards through the enforcement of municipal, state and federal laws. To achieve this goal, the Bureau administers many outstanding grants and programs, including programs that address food safety, hazardous materials, housing issues, vector control and water safety.

Food Inspection Program

The Food Facility Inspection Program protects the publics health by enforcing local and state food safety regulations to ensure that food sold and served is safe, properly labeled, and produced under sanitary conditions. Over 76 million people each year in the United States become sick from eating contaminated food. The City currently monitors over 2,200 food facilities including: Restaurants/Bars Markets Bakeries School Cafeterias Food Warehouses Hospital Cafeterias Food Carts Food Trucks (hot/cold) Temporary Food Stands Farmers Market Booths

Hazardous Materials Program

The Hazardous Materials Program protects the publics health by preventing employee, public, and environmental exposure to hazardous materials and chemicals. Hazardous Materials Specialists perform routine and complaint-driven inspections of hazardous and medical waste generators, oversee hazardous materials site cleanups and respond to emergency incidents. The program is responsible for:

Licensing and inspecting nearly 1,000 hazardous waste generators in the City; Emergency response services for chemical spills; Evaluation of illegal drug lab sites for contamination, prior to release of property for occupancy; Inspection of garment manufacturing facilities; Investigation of environmental crimes; Medical Waste Program; Noise Control; Underground storage tanks-site mitigation.

Healthy Homes Demonstration Program

The Healthy Homes Demonstration Program is funded by the United States Department of Housing and Urban Development (HUD), Office of Healthy Homes and Lead Hazard Control. Healthy Homes is designed to control or eliminate household hazards leading to asthma, lead poisoning and unintentional injuries.

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CAARE Program
The Community Asthma and Air Quality Resource Education (CAARE) Program strives to improve the health and wellbeing of adults and seniors with asthma and to assist communities in Long Beach to reduce and/or eliminate indoor and outdoor air pollutants that may contribute to asthma, allergies, and other respiratory illnesses.

Housing Inspection Program

The Healthy Housing Program, located with Code Enforcement in the Development Services Department, is committed to protecting the health and safety of Long Beach residents by ensuring that their living environment is maintained in a safe and sanitary manner. The existence of poor housing conditions can have harmful effects on the health and welfare of the occupants. The goal of the Housing Inspection Program is to identify housing violations jeopardizing residents health and safety, and take the appropriate enforcement action to correct them. The Housing Inspection Program is responsible for the licensing and inspection for 8,100 residential dwellings of four or more units, approximately 80,000 total units in Long Beach. Housing inspections are performed to determine compliance with City ordinances pertaining to maintenance, sanitation, use, and occupancy. Housing inspectors make routine and complaint inspections of: Multi-unit dwellings of four or more units Hotels, motels, and rooming houses

Housing inspectors also enhance public awareness and educate residents about steps they can take to improve the cleanliness and safety of their living environment.

Lead Hazard Control Program

The Lead Hazard Control Program, funded by a grand from HUD, provides funding to control or eliminate lead-based paint hazards in low-income residential properties in Long Beach. Lead hazard control activities include interior and exterior painting, window and door replacement, and other renovations. The program also promotes education for owners and tenants to help prevent childhood lead poisoning.

Tobacco Retail Enforcement Program

The Tobacco Retail Enforcement Program was established to reduce the availability of tobacco products and/or tobacco paraphernalia to minors in Long Beach by requiring all tobacco retailers to obtain a City permit and comply with all local and state tobacco control laws. The program encourages responsible tobacco retailing and inspects for violations of state and local tobacco laws, especially those that pertain to minors. Reducing youth access to tobacco products is an important public health objective since 3,000 U.S. teens start smoking each day, and 90% of todays smokers started before they were 18 years old.

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Recreational Water Program

This program protects the publics health by monitoring public beaches, marinas and bays in the City. Recreational water is routinely sampled and tested at 52 sites to ensure that the water is clean, healthy and safe. If water bacterial levels exceed State of California standards, a warning sign is posted or the beach is closed until bacterial levels drop to a safe number. Additional services include: Water quality complaint investigations Monitoring well permits Recycled water inspections Storm drain protection Public swimming pool/spa inspections

Vector Control Program

The Vector Control Program protects the publics health and safety through the routine monitoring and treatment of sites where insects breed and rodents seek shelter. This includes residential, community and industrial sites as well as natural habitats. By monitoring and treating these sites, the Vector Control Program controls the transmission of diseases such as encephalitis, West Nile Virus, rabies, typhus and plague. Vector Control Program services include: Mosquito control and surveillance Africanized honey bee abatement and education West Nile Virus education Rodent control and surveillance

The program also provides free public education on controlling insects, rodents and other vermin.

Environmental Health Performs 8,000 inspections of licensed food facilities, special events, and farmers markets annually. Responds to approximately 240 hazardous materials emergency responses annually. Achieves 100% of the required hazardous materials inspections annually. Conducts over 4,000 housing inspections annually. Conducts over 500 public swimming pool inspections annually. Responds to approximately 90 emergency waste water spills threatening our beaches and bays annually. Collects over 780 recreational water samples from 52 sites along our beaches and bays annually. Conducts over 600 routine, licensing and follow-up inspections at tobacco retailers annually. Responds to over 620 emergency bee calls annually. Removes/remediates lead hazards in approximately 180 low-income housing unites annually.

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Community Health
The Bureau of Community Health was created to reflect the Citys commitment to addressing population-based health disparities through economic, environmental, and social strategies that improve community wellness. The Bureau consists of three divisions: Homeless Services, Women, Infant, and Children (WIC), and Health Promotion. Services include: Homeless Services, Nutrition Services, the Family Preservation Program, Healthy Active Long Beach, and the Community Based Health Facility Centers which provide community services specific to the demographic make-up of the neighborhoods where they are located. The Community Health Bureau plays a vital role in strategic planning, developing resources, and implementing Citywide services for target populations.

Homeless Services Division

The Homeless Services Division administers the Citys homeless services, provides staff support to the Homeless Services Advisory Committee, represents the City with Federal, State and County officials, and interfaces with the community to provide education, information and referrals regarding homeless issues and concerns. Services offered through this program include: Continuum of Care (CoC) Homeless Assistance and Emergency Solutions Grant (ESG) funds, coordination of the Multi-Service Center and Winter Shelter Programs, the Homeless Management Information System (HMIS), coordination of homeless services and technical assistance to nonprofit agencies. The components of the CoC system consists of the following: 1) outreach and assessment, 2) emergency shelter, 3) supportive services, 4) transitional housing, 5) and permanent housing with and without supportive services. Homeless Prevention and Rapid Re-housing resources are provided to ensure the system of care operates effectively while managing limited resources.

Homeless Services Advisory Committee

The Homeless Services Officer provides staff support to the Homeless Services Advisory Committee (Committee), comprised of eleven members representing each of Council Districts with two appointed by the Mayor. The Committee meets the first Wednesday of each month at 3:30 p.m. at the Multi-Service Center. The Committee was established to accomplish the following: To review policies, programs and activities connected with services for homeless persons in the City of Long Beach. To submit recommendations to the Mayor and City Council regarding matters involving the homeless population of Long Beach. To oversee the Emergency Shelter Grants Program and the Continuum of Care process for coordinated homeless services.

The Mayors Fund for the Homeless is allocated regularly to programs in Long Beach that address significant service delivery gaps in our Continuum of Care. Donations to this fund have supported a variety of critical services, including:

Relocation assistance Job training and placement services Winter shelter programs Food and transportation assistance Move-in assistance

Contributions to the Mayors Fund make a real difference and give individuals and families in our community the support they need to break the cycle of homelessness. For more information about the Mayors Fund, please call (562) 570-4176.
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Multi-Service Center
The Multi-Service Center (MSC) provides a centralized location for individuals who are homeless to receive case management, counseling, support services, and referrals for housing. This facility is the cornerstone of the Citys response to the issues facing individuals who are homeless. There are twelve non-profit agencies co-located at the MSC in addition to Health Department staff. Monthly, the MSC provides services to an average of 1,800 homeless adults and children in Long Beach. Agencies co-located at the MSC include: 1. Department of Heath and Human Services Continuum of Care (CoC) coordination including street outreach, intake reception, comprehensive assessment, supportive case management and housing coordination. 2. Beyond Shelter - Permanent housing services and home-based case management with homeless families, focusing on Housing First. 3. Catholic Charities - Street-outreach, case management services and homeless prevention services in conjunction with the Elizabeth Ann Seton Residence, and family emergency shelter located at the Villages at Cabrillo, and Project Achieve, a 59-bed year-round shelter for adult single men and women. 4. County of Los Angeles, Department of Mental Health - Providing mental health assessments and linkages to appropriate mental health resources. 5. County of Los Angeles, Department of Public Social Services - Providing screening for county welfare programs, to streamline the referral process for clients. 6. Goodwill, Serving the People of Southern Los Angeles County - Providing employment preparation courses, life-skills training and job placement. 7. Help Me Help You - Financial literacy classes that help individuals obtain practical knowledge and skills to assist them with making informed financial choices. 8. Mental Health America (MHA) - Street outreach, psychiatric evaluation, treatment and housing placement services for the chronically mentally ill. 9. New Image Emergency Shelter - Supportive case management and housing coordination services for people with HIV/AIDS. 10. PATH Ventures - Linkage to transitional and permanent supportive housing for homeless families. 11. The Childrens Clinic - Comprehensive healthcare for children and adults including immunizations, well-child checkups, preventive health screenings, physicals, TB tests and acute care for childhood diseases, prescription medications, and referrals. 12. United States Veterans Initiative - Linkage to transitional and permanent housing, work reentry programs and a full-service employment center for homeless male/female veterans. 13. Long Beach Veterans Affairs Medical Center (VAMC) - Providing street outreach, mental and physical health care for homeless veterans, a substance abuse treatment program located at the Villages at Cabrillo, and employment assistance and vocational rehabilitation programs at the VAMC.

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MSC Collaborative Initiatives

Homeless Veterans Initiative
The Homeless Veterans Initiative (HVI) assists newly homeless veterans returning from the war and provides for specialized outreach to chronically homeless veterans currently living on the streets in Long Beach. HVI extends specialized outreach to homeless veterans in Long Beach and provides housing assistance and placement with in-home case management assistance for up to one year to ensure housing stabilization for veterans. Eligibility is subject to verification of veteran status. The Health Department operates the HVI Program through the MSC and CoC partner agencies, including US Vets, Single Parents United N Kids (SPUNK), and Mental Health America Los Angeles-The Village (MHA).

Homeless Connections Initiative

The Homeless Connections Initiative, co-led by PATH (People Assisting The Homeless), Mental Health America of Long Beach, and the City of Long Beachs Homeless Services Division, is a collaboration of community stakeholders, including Police, Fire, homeless agencies, hospitals, schools, faith groups, business, and residents, working together to address homelessness in the downtown neighborhood of Long Beach. HCI initiated an intensive survey of homeless persons in downtown Long Beach in July 2009 and a second in July 2011 to determine who was living on the streets and how this initiative could prioritize the most vulnerable to house them. In a span of two years, over 100 people surveyed have been permanently housed, entered long-term care programs, or were assisted in moving back to their home cities where they could be housed successfully with the addition of family support networks. Furthermore, this collaborative has reduced homelessness in the downtown Long Beach area by 12% and decreased the cost of healthcare for homeless persons residing in downtown Long Beach by 68%, saving the healthcare system up to $1.4 million in Emergency Room costs and up to $500,000 in Emergency Medical Services costs.

Nutrition Services
The Nutrition Services Division manages and collaborates with programs that emphasize families, community health promotion, and disease prevention by providing services from registered dietitians and health education professionals. The Division operates the Women, Infants, and Children (WIC) special supplemental nutrition program funded by the United States Department of Agriculture. Targeted populations served by the WIC Program include pregnant, postpartum and breastfeeding women, infants and children up to their 5th birthday who are low-income and at nutritional risk. Services provided include vouchers for nutritious foods, parenting, nutrition education classes, individual counseling, breastfeeding support and referrals to health, community and social service agencies. The Long Beach WIC Program has five sites located throughout the City of Long Beach that increase access to the WIC-eligible population. 1. Main Health Department, 2525 Grand Avenue 2. St. Marys Medical Center, 1043 Elm Avenue, Suite 401 3. North WIC Site, 5166 Atlantic Avenue 4. West Facility Center, 2125 Santa Fe Avenue 5. Central Facilities Center, 1133 Rhea Street

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Health Promotion
Miller Family Health Education Center
The Miller Family Health Education Center (FHEC) is a unique 13,000 square foot facility created in response to the communitys identification of multicultural health issues, as a top priority of community needs in Long Beach. The FHEC strengthens the Health Departments leadership role in reducing disparities in health status across diverse communities through culturally appropriate programming, provider education, capacity building and community-driven programming. The heart of the FHEC is the Multicultural Pavilion, a state-of-the-art meeting and training center featuring simultaneous translation equipment and services.

Childhood Obesity Prevention and Advocacy Program

The Childhood Obesity Prevention and Advocacy (COPA) Program aims to improve the food and physical activity environments for families located in the North Long Beach area. The COPA Program is currently focused on a multiyear project, the North Long Beach Healthy Eating Active Living (HEAL) Zone Initiative. The HEAL Zone Initiative is a health initiative granted to the Health Department by Kaiser Permanente to promote public health in targeted areas of North Long Beach. HEAL Zones are designed to help make healthy choices accessible to more people in underserved communities and, in turn, prevent diseases such as diabetes and heart disease that often result from obesity. As part of the HEAL Zone Initiative, the Health Department is also the coordinating agency for the Coalition for a Healthy North Long Beach, which consists of community groups and other City departments focused on improving health for all North Long Beach residents.

Renewing Environments for Nutrition, Exercise & Wellness (RENEW)

Under the Los Angeles County Department of Public Healths RENEW Program, the Health Department was awarded a grant to work in partnership with community coalitions and residents to create a healthy food initiative for Long Beach. As a result, a healthy snack food and beverage policy for the City was created. On December 6, 2011, the Long Beach City Council passed The Healthy Food and Beverage Policies. The policies apply to snack foods and beverages served at all youth-oriented meetings and classes, and require all snacks and beverages sold in vending machines in public areas on City property to meet a specification of healthy nutrition standards (i.e., lower calorie, lower fat, and lower sugar content).

Latino Diabetes Prevention and Management Program

Latino Diabetes Prevention and Management Program is a diabetes education and support program for Spanishspeaking individuals and their family members with diabetes. The program was originally modeled after Latino Health Access successful diabetes education program, an 11-week series of interactive group education classes. Class topics include diabetes basics and complications, the role of diet, physical activity, medication and stress, diabetes standards of care, and the importance of self-monitoring. Participants also receive a visit with a registered dietician (when funding is available), a glucometer and test strips, and referrals and linkages to resources in the community.

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Healthy Active Long Beach

Healthy Active Long Beach provides nutrition education activities and resources to decrease the risk for obesity and chronic disease. Programs include: Fun with Food and Play - Interactive, Free Nutrition Workshops and Healthy Cooking Demonstrations taught in English and Spanish throughout Long Beach. Jr. Beach Runners Program - A year-round nutrition and physical activity program for 4th-5th graders conducted at after school WRAP sites and Long Beach Parks through Partnership with Long Beach Parks and Recreation, ICES Education and RunRacing. ReTHINK your Drink - A Citywide education and marketing campaign to increase awareness and promote drinking water while decreasing the consumption of sugar sweetened beverages. Kids in the Kitchen - Co-Sponsored by the Junior League of Long Beach, Kids in the Kitchen is an annual community event focused on healthy cooking and eating, physical activity and community safety. Community Events and Health Fairs - Nutrition education, material distribution, cooking demonstrations and healthy food tasting at health fairs, farmers markets, community gardens and community events. Communities of Excellence in Nutrition (CX3) - Physical Activity and Obesity Prevention.

Tobacco Education Program

The Tobacco Education Program (TEP) educates businesses and the public about tobacco control regulations. TEP also maintains the compliance process for the Long Beach Smoking Ordinance, State and Federal tobacco regulations, and works with organizations in the community to educate the public about public health policy. Priority areas include: Reducing exposure to Secondhand Smoke Promoting Cessation (Stop Smoking) Resources Preventing Youth Access to Tobacco Countering Pro-Tobacco Influences Smoke Free Dining DHHS Tobacco Free Department Smoke Free Parks Smoke-Free Outdoor Dining - In November of 2011, in conjunction with local business associations, the Health Department launched the "Fresh Air Dining LB" program designed to provide more smoke-free outdoor dining options. To date, there are 42 participating Long Beach dining establishments that have adopted 100% smoke-free outdoor dining policies. The "Fresh Air Dining LB" program works to expand and build on existing smokefree environment policies in the City, which include smoke-free parks, beaches, farmer's markets, and bus stops. Tobacco-Free Health Department - As of February 1, 2012, the Health Department adopted a 100% Tobacco-Free Facility policy. This policy is part of the Health Department's commitment to promote healthier environments citywide. The TEP has also assisted other local agencies in adopting smoke-free policies including Long Beach hospitals, which have all adopted 100% smoke-free polices to protect patients and visitors from the harm of secondhand smoke.

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Community Facilities Centers

In addition to the Miller Family Health Education Center, the Community Health Bureau operates three Community Health Centers located in the Central, North, and West neighborhoods of Long Beach. The Centers operate for the benefit of the surrounding neighborhoods by offering space to various non-profit organizations that provide critical services to the surrounding community. Services offered at each of these Centers reflect the demographic makeup of the neighborhood where they are located. The Centers promote community engagement, empowerment, and the overall wellbeing of its residents. The Centers also serve as field offices of the 6th, 7th, and 9th District Councilmembers. Concerns of residents from these districts can be addressed by calling/meeting with the Councilmembers staff at these locations within the heart of the districts.

Central Facilities Center

Located in Central Long Beach at the Dr. Martin Luther King Jr. Park, the Central Facilities Center opened in October 1974 to serve the community. The Center contains three components: public health services provided by the Health Department; childcare services provided by the Long Beach Unified School District; and community service nonprofit agencies. Programs and services provided at the Central Facilities Center include: Women, Infants & Children - Supplemental nutrition program that provides monthly food coupons, nutrition education, breastfeeding support, and referrals to health care services. LBUSD Child Development Center - Educational child-care services to children of low-income parents, ages 2-5 years old. Helpline Youth Counseling, Inc. - Individual, group and family counseling to Long Beach at-risk youth ages 8-18. Parent Empowerment classes are also provided. New Generations - Leadership, mentoring and sports programming for youth. United Cambodian Community - Mentoring, tutoring, youth leadership classes, and translation services. First 5 LA - Best Start program to improve health of children. A New Way of Life Re-Entry Project - Support program for women and girls to lead healthy lives. St. Mary Medical Center - Families in Good Health/Educated Men with Meaningful Messages (EM3) - Southeast Asian male involvement program. Field Office of City Councilmember Dee Andrews, 6th District

North Facilities Center / Center for Families and Youth

The mission of the Citys Center for Families and Youth is to empower and enhance family functioning in the community, while ensuring child safety and welfare. Programs and services located at the North Facilities Center include: Family Preservation Program (FPP) - The FPP provides comprehensive in-home case management services to families referred from the Department of Children and Family Services and the Los Angeles County Probation Department. The goal is to prevent and reduce out-of-home placement of children and to strengthen family functioning. FPP offers an integrated, community based approach to strengthen and to preserving families who are experiencing challenges with domestic violence, substance abuse, mental health and other social issues. Family Support Program (FSP) - FSP is a program open to Service Planning Area 8 families. Parents and children ages 10-17 are educated through a Strengthening Families workshop series on communication, interpersonal relationship skills, life skills, and setting personal goals. The program offers learning workshops for parents through interactive and enrichment activities focusing on protective factors to reduce and prevent neglect and abuse.

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Partnership for Families Program (PFP) - PFP is a home visitation case management program focusing on pregnant women and/or families with children under the age of five that are referred by Los Angeles County Department of Children and Family Services. The program assists parents with access and resources and teaches them how to navigate resources in the community that strengthen family functioning. LBUSD Child Development Center - Educational child-care services to children of low-income parents, between the ages of 2-5 years. Field Office of City Council Member Steven Neal, 9th District

West Facilities Center

Programs and services located at the West Facilities Center include: WIC Program - Supplemental nutrition program that provides monthly food coupons, nutrition education, breastfeeding support, and referrals to health care services. Child Development Center (LBUSD) - The Child Development Centers build the educational foundation for all children to realize their full potential. Brown Bag Senior Program - Food distribution through the Food Bank of Southern California on the first and third Wednesday of each month. Federation of Filipino-American Association, Inc. - Translation and Social services to Filipino-American seniors. Queens Historical Society - African American cultural heritage program. S.P.U.N.K. (Single Parents United N Kids) - A non-profit organization founded in 1982 which is dedicated to educating custodial parents of their rights and the laws in the area of child support enforcement. The Public Health Institute Cancer Registry Center - The California Cancer Registry is devoted to identifying the causes of cancers and the most effective ways to prevent, treat, and cure cancers. The Registry's key activity in pursuit of this mission is the development and maintenance of a world-class system for collecting, processing, and reporting data on incident cancers and cancer risk factors among California residents. Westside Neighborhood Clinic - a non-profit, community-based organization that provides an array of health care services including primary healthcare for adults and children, immunizations, family planning, and laboratory and pharmacy services. Care is provided by Board Certified physicians, licensed nurse practitioners and a registered dietician. Field Office of City Council Member James Johnson, 7th District Community Health Provides oversight to three Community Based Facilities Centers that house 18 nonprofit agencies providing different services which reflect the demographic makeup of the surrounding community. Serves 1,800 contacts per month at the Multi-Service Center with biannual citywide count of 4,290 in 2011. Subcontracts with 13 non-profit agencies providing $7.2 million in Continuum of Care Grants citywide. Subcontracts $592,756 Emergency Solutions Grants to four non-profit community organizations to operate emergency shelter and homeless prevention programs to provide immediate alternatives to the homelessness. Serves over 751 at-risk youth at the Center for Families and Youth. Provides assistance to 320,377 WIC clients from October 1, 2010 to September 30, 2011, averaging 26,298 per month. Healthy Active Long Beach provides classes to 2,432 persons, and 3,550 public education sessions during 2011, for a total of 5,982 clients. 42 participating Long Beach dining establishments have adopted 100% smoke free outdoor dining policies. Serves Latino Diabetes and Management Prevention to 513 persons that attended classes, and provides 4,871 public education sessions.
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Housing Authority
The overall purpose of the Housing Authority of the City of Long Beach (HACLB) is to administer the Citys Rental Housing Assistance Programs. These Assistance Programs are designed to provide financial and technical assistance services to low-income, elderly, and disabled residents of Long Beach so they can live with dignity in decent, safe, and sanitary housing conditions. Currently the HACLB, in partnership with more than 2,500 property owners assist over 6,700 households that lease units in the City of Long Beach, through the various rental assistance programs. The various programs include the Housing Choice Voucher Program (formerly known as Section 8 Rental Assistance Program), HOPWA Housing Opportunities for People Living with AIDS, Shelter Plus Care and Homeless Assistance Program in conjunction with the Health Departments Continuum of Care, VASH Veterans Affairs Supportive Housing and Project Based Housing Choice Vouchers. The HACLB also provides special supportive services to its families through the Family Self Sufficiency Program and Homeownership Program. These programs provide financial and literacy training, the development of escrow accounts, career and academic guidance, and resource referrals. Job training is also provided through a partnership with the Citys Workforce Development Bureau to further assist in the transition of families to economic self-sufficiency and finally homeownership.

Housing Choice Voucher

The Housing Choice Voucher Program (HCV) is the federal governments major program for assisting very low-income families, the elderly, and the disabled to afford decent, safe and sanitary housing in the private market. Participating families are selected and certified eligible from a waiting list that numbers 3,000 families at this time. The families then locate their own dwelling units where the property owner agrees to participate in the program. The unit is inspected to ensure that it meets basic housing quality standards, and a lease with the owner is signed. The Housing Authority also enters into an agreement with the owner. It is then the responsibility of the family to maintain the rented unit in good condition and to notify the HACLB of any changes in income or family composition. Each housing unit is inspected annually thereafter, ensuring that the unit remains in good condition. Each family is also interviewed annually for eligibility recertification.

Shelter Plus Care

The Shelter Plus Care Program provides rental assistance for hard-to-serve homeless persons with disabilities in connection with supportive services funded from sources outside the program. Shelter Plus Care is a program designed to provide housing and supportive services on a long-term basis for homeless persons with disabilities, (primarily those with serious mental illness, chronic problems with alcohol and/or drugs, and acquired immunodeficiency syndrome (AIDS) or related diseases) and their families, who are living in places not intended for human habitation (e.g., streets) or in emergency shelters. The program allows for a variety of housing choices, and a range of supportive services funded by other sources, in response to the needs of the hard-to-reach homeless population with disabilities.

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Housing Opportunities for Persons with AIDS

The HOPWA Program (Housing Opportunities for Persons with AIDS) was established by HUD to address the specific needs of persons living with HIV/AIDS and their families. HOPWA makes grants to local communities, States, and nonprofit organizations for projects that benefit low-income persons medically diagnosed with HIV/AIDS and their families. The HACLB currently receives HOPWA funds to operate two housing programs: 1. The HOPWA Tenant-Based Rental Assistance Program, which is modeled after HUD's Section 8 Housing Choice Voucher Program and follows the same rules also provides case management services to the clients. 2. The HOPWA Short-Term Assistance Program, which provides periodic grants, to help very low-income tenants catch-up with rent and utility payments and pay moving expenses.

Veterans Affairs Supportive Housing

The 2008 Consolidated Appropriations Act enacted December 26, 2007, provided $75 million dollars of funding for the HUDVeterans Affairs Supportive Housing (HUD-VASH) voucher program as authorized under section 8(o)(19) of the United Stated Housing Act of 1937. The HUDVASH program combines HUD HCV rental assistance for homeless veterans with case management and clinical services provided by the Veterans Affairs at its medical centers and in the community. Generally, the HUD-VASH HCV program will be administered in accordance with regular HCV program requirements. However, the Act allows HUD to waive or specify alternative requirements for any provision of any statute or regulation that HUD administers in connection with this program in order to effectively deliver and administer HUD-VASH voucher assistance. The HACLB is partnering with the Long Beach Veterans Administration Medical Center to administer the VASH Program.

Project Based Housing Choice Vouchers

Palace Hotel Apartments
In 2012, the Housing Authority provided Section 8 Project Based Housing Choice Vouchers (HCV) for use by youth aging out of the Foster Care System, who would be moving into the renovated Palace Apartments. This is an affordable Housing Facility owned by LINC Housing Corporation with case management services provided by United Friends of the Children. These vouchers provide rental subsidies to enable the youth to reside in this facility even though their income may be limited.

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Special Support Service Programs

Family Self-Sufficiency Program
The Family Self-Sufficiency Program (FSS) is a voluntary program designed to assist those families receiving HUD Housing Choice Voucher rental assistance to improve their economic situation and reduce their dependence on public assistance and welfare. FSS is for individuals who are unemployed, underemployed or are already employed and wanting to increase their income, and who are willing to commit to changing their lives for the better. The FSS Program is designed to work with partnering agencies to offer educational opportunities and job training as well as other supportive services needed to assist participants in relying less on government assistance. Eligible families are connected with the appropriate support services and resources in their respective communities, which help to guide the families toward economic self-sufficiency. Each FSS participant creates a five-year plan that includes either employment or business development goals and then identifies their specific training or education needs. The HACLB FSS staff will work with the household to identify, locate and arrange for the services they need to accomplish these goals.

Homeownership Program
The Housing Authority also operates a Homeownership Program that provides an opportunity for families that currently hold a Housing Choice Voucher to purchase a home. The Homeownership Program is designed to promote and support homeownership for a first-time homeowner, a family that moves for the first time from rental housing to a family-owned home. Voucher payments supplement the familys own income to help transition from renting to homeownership.

Housing Authority Provides rental assistance and access to decent, safe, and sanitary housing to over 6,700 families. Provides approximately $72 million in rental subsidies to low-income families in Long Beach, of which 30% are elderly/disabled families. Provides $4.5 million in Veterans Affairs Supportive Housing funding for 375 homeless veterans. Provides $900,000 to families in the Housing Opportunities for Persons Living with AIDS (HOPWA) Program. Provides approximately $1 million through the Shelter Plus Care Program in collaboration with Mental Health of America and US Vets. Family Self-Sufficiency Program works with over 800 families helping them move from welfare to work. In 2011, 17 participants graduated from this program with escrows totaling $189,289. Partners with the Apartment Association of Southern California Cities to help educate property owners on appropriate property management. Provides affordable housing to youth aging out of foster care at the Palace Apartments through a partnership with LINC Housing Corporation.

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Support Services
The Support Services Bureau provides administrative support to all of the programmatic bureaus in the Health Department. The Bureau has the responsibility of providing assistance in three key areas: accounting and budget, facility maintenance and technology support, and payroll and personnel. The Bureau ensures that the Health Department meets City requirements and provides the highest quality of services for our clients.

Accounting and Budget Preparation

Under the direction of the Financial Services Officer, Bureau staff ensures the accurate billing for services, receipt of funds, auditing and accounting requirements. Due to the significant reliance on grant funds, accounting requirements are extensive. Many of these grant funds are from Federal sources, requiring additional auditing work in conjunction with the Citys annual Single Audit. Accounting staff work with program staff in responding to grant auditors. Internal auditing of fixed and theftable assets, as well as Department incentives are important internal control functions of this section. Bureau staff also provide Department-wide leadership in the annual preparation of the Department budget. The analyst in this area is lead in the preparation of the proposed budget, implementation, adjustments, and closing out the annual budget when the fiscal year ends.

Facility Maintenance and Technology Support

Bureau staff is responsible for the preventive maintenance and custodial operations of each of the eleven Health Department locations. These responsibilities also include support of utilities, HVAC, and fire life/security alarms. The Health Department has many unique technology systems which are not solely maintained by the Citys Technology Services Department. This technology is a critical component of our infrastructure, ensuring compliance and efficiency. Some of these systems include: medical clinic electronic medical records and billing, environmental health field inspection, cashiering, laboratory data management, and many more.

Payroll and Personnel

Bureau staff provide weekly payroll processing, including time entry for over 300 Health Department staff. The Administrative Officer also conducts personnel investigations, and assists in the hiring, orientation, and release of staff when changes are required. The Departments Safety Committee is also a function of this Bureau.

Ten Essential Public Health Services 1. 2. 3. 4. 5. 6. 7. 8. 9. Monitor health status to identify community health problems Diagnose and investigate health problems and health hazards in the community Inform, educate and empower people about health issues Mobilize community partnerships to identify and solve health problems. Develop policies and plans that support individual and community health efforts Enforce laws and regulations that protect health and ensure safety Link people to needed personal health services and assure the provision of health care when otherwise unavailable Assure a competent public health and personal health care workforce Evaluate effectiveness, accessibility and quality of personal and population-based health services

10. Research for new insights and innovative solutions to health problems

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Health Department Service Locations

Department of Health & Human Services (Main Facility) 2525 Grand Avenue, Long Beach, CA 90815 Phone: (562) 570-4000 TDD: (562) 570-4346 Housing Authority 521 E. 4th Street, Long Beach, CA 90802 Phone: (562) 570-6985 Miller Family Health Education Center (FHEC) 3820 Cherry Avenue, Long Beach, CA 90807 Phone: (562) 570-7987 Central Facilities Center 1133 Rhea Avenue, Long Beach, CA 90806 Phone: (562) 570-4400 North Facilities Center 6335 Myrtle Avenue, Long Beach, CA 90805 Phone: (562) 570-4500 West Facilities Center 2125 Santa Fe Avenue, Long Beach, CA 90810 Phone: (562) 570-4450 Houghton Park Community Center 6301 Myrtle Avenue, Long Beach, CA 90805 Phone: (562) 570-4451 Multi-Service Center for the Homeless (MSC) 1301 W. 12th Street, Long Beach, CA 90813 Phone: (562) 733-1147 Senior Center 1150 East 4th Street, Long Beach, CA 90802 Phone: (562) 570-3531 Centers for Families and Youth (CFY) 6335 Myrtle Avenue, Long Beach, CA 90805 Phone: (570-3275) Women, Infants & Children (WIC) Program Information Line Phone: (562) 570-4242 WIC Program Sites Central1133 Rhea Street, Long Beach, CA 90806 Main2525 Grand Avenue, Long Beach, CA 90815 North5166 Atlantic Avenue, Long Beach, CA 90805 St. Mary1043 Elm Avenue, Long Beach, CA 90813 West2125 Santa Fe Avenue, Long Beach, CA 90810

Department Hotlines
Public Health Information Line ................................................................................................. (562) 570-4499 Beach Water Quality Information Line ..................................................................................... (562) 570-4199 AIDS/HIV Testing, Immunization Clinic .................................................................................... (562) 570-4315 Asthma Information Hotline ..................................................................................................... (562) 570-4356 Environmental Health (Water Quality, Food Inspections, Haz-Mat) ......................................... (562) 570-4132 Maternal Child Health Access .................................................................................................. (562) 570-4171 Immunization Information Hotline ............................................................................... (562) 570-SHOT (7468) Senior Links............................................................................................................................. (562) 570-3555 Vital Records (Birth & Death Records) .................................................................................... (562) 570-4305

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Health Department Service Location Map

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Notes:

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Notes:

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Department of Health and Human Services 2525 Grand Avenue, Long Beach, CA 90815 (562) 570-4000 www.longbeach.gov/health