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        <FormAndLineReferenceDesc>Client Note 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Client Note 1 - Lower income families face barriers to eating healthy, being active, quitting tobacco products and getting preventative health screenings. Intersecting issues such as safety, mental health, housing, and economic stability among others, impact the communities we serve. Driven by this knowledge, the Health Education Council cultivates health and well-being in underserved communities by leveraging the power of collaboration. The Health Education Council works with residents, community, business and health care leaders to implement programs that impact the underlying drivers of health education, neighborhood safety, social connection, economic well-being, access to healthy resources the conditions and factors that affect a person's ability to achieve health and well-being.Our programs focus on integrating these drivers of health as a strategy for meeting communities where they are and achieving maximum relevance and effectiveness. The following is an outline of the programs that were active during fiscal year 2018.Nutrition, Physical Activity and Health Education ProgramsThe Health Education Council provides community-based nutrition and physical activity education and program development to advance health and well-being within Sacramento County schools and school districts. Schools: 11,061 students were provided direct nutrition education in Twin Rivers, Robla, and Sacramento City Unified School Districts in Sacramento County. 530 parents with school age children were directly served through nutrition education activities.School Wellness Policy Implementation assessments were conducted at 47 schools in Twin Rivers Unified School district. HEC piloted a new tool to measure wellness policy implementation district wide. Results provide school districts and HEC opportunities to work with schools on fully implementing wellness policies to improve health and learning. HEC was an integral partner in districts adoption, educational outreach, and early stages of implementation of new school wellness policies in Sacramento City Unified, Twin Rivers Unified, and Robla School Districts. HEC continues its partnership with California State University, Sacramento School of Nursing and placed 16 nursing students at Twin Rivers schools to conduct nutrition education in 1st thru 3rd grade classrooms throughout the school year. 875 5th grade students participated in Garden and Nutrition Field Trips linking school-based Harvest-of-the-Month lessons to hands on activities.HEC conducted a Rethink Your Drink Week that engaged schools in Sac City, Twin Rivers, and Robla School Districts and culminated with a Rethink Your Drink Community Health Fair at MLK Tech Academy in Twin Rivers. Lesson plans and activities were provided on the HEC website and promoted across districts. 34 High school students engaged in Youth-led Participatory Action Research (YPAR) to identify, research, and propose ideas to advance health and wellness in their school environment, leading to the addition of a remote serving location for school lunch and an additional condiment bar in the cafeteria.HEC purchased a water bottle filling station for Health Professions High School in Sac City Unified School District, based upon student recommendations from previous youth engagement work. The hydration station will be installed in Fall 2018.HEC trained 24 teachers on classroom energizers as a way to increase physical activity during the school day.HEC provided structured recess 2-3 days per week for 1 elementary school during the spring 2018 semester.53 Food service staff from SCUSD received training to integrate Smarter Lunchroom Movement strategies into their cafeterias.HEC expanded the Walk with Friends program to 3 additional school sites.Increasing Access to Healthy Programs and EnvironmentsVentanilla de SaludThrough Ventanilla de Salud (VDS), the Health Window at the Mexican Consulate, HEC provides health information, referrals and resources to low-income immigrant families from 24 Northern CA counties. VDS has provided health education, financial education, and referrals to more than 11,000 clients during FY 17/18. Partnered with Mexican Consulate to host Bi-national Health Week in October 2016 and more than 10 regional events within the 24 county the Consulate serves.Hosting the 8th Annual Womens Leadership Conference on December 8, 2018, for more than 200 Latina women to learn share strategies for improving overall individual and community health. Accomplishments over the year include: Total people served from 9/17-8/18: 8,548 people served at the ConsulateBinational Health Week October 2017 reached: 6,181 at the Consulate and regional events9 total mobile consulates attended8 total Sabantina Jordnadas hosted21 interns and volunteers trained 25 VDS Providers attended weekly health fairs at the Consulate and served on the HEC facilitated VDS Provider NetworkSpecial events hosted this year:oDiabetes Awareness Events at the Consulate - screenings, education, &amp; risk assessmentsoInitiated a walking group among consulate staffoHosted Child water and sun safety alert dayWomens Conference will be held December 8, 2018VDS was Nationally Recognized as a successful health prevention model and awardedRetailHEC has worked closely with San Joaquin County Public Health Services and developed partnerships with 6 retail stores/neighborhood markets to increase access to healthy foods such as fruits and vegetables. HEC provided technical assistance and training to markets to integrate a new point of sales system, which has helped to provide store owners the ability to track sales of healthy items, streamline store purchasing and analyze sales data on tobacco and alcohol purchases. HEC has been invited to extend their contract with San Joaquin County for 2018-2019 year as a result of the success HEC retail program has had. Tobacco PreventionHEC was awarded a 5-year Regional Initiative to Reduce Tobacco-Related Disparities in the Latino community within the 14-county Gold Country Region. The Latinos Unidos Contra el Habito y Addicion al Tabaco (LUCHA) project seeks to increase Latino access to cessation programs, educate and engage Latinos in the movement for policy advancements towards smoke-free multi-unit housing and decrease access to flavored tobacco products. The LUCHA program will bring together groups working on Latino health and well-being programs to assure a coordinated approach to tobacco prevention. Through cessation treatment programs, smoke-free multi-unit housing, eradication of menthol and flavored tobacco products, and coalition networks, this project will aid in the fight against tobacco usage and addiction in the Gold Country Region including the counties of Alpine, Amador, Calaveras, El Dorado, Inyo, Mono, Nevada, Placer, Sacramento, San Joaquin, Stanislaus, Sutter, Tuolumne, Yolo, and Yuba.Farmers Market EBT AccessThe project is completing its third year, serving 24 markets in the Sacramento Region to provide EBT operations so that CalFresh recipients can use their benefits to shop at farmers' markets.Between 2017 and 2018, the number of SNAP transactions increased by 31% (from 4,613to 6,080) and the dollar amount of SNAP scrip redeemed by vendors increased by 11% (from $71,697 to $80,018).Personal and Community Safety Programs Youth Violence Prevention Programs Reached 789 youth through the Safety, Health, Opportunities, and Practice (SHOP) sessions, case management and mentoring in afterschool programs, community centers, alternative schools, and youth detention facilities. The SHOP program aims to improve academic outcomes, increase access to public health and social services, reduce disparities, increase communication and build resilience and reduce negative encounters with law enforcement in distressed neighborhoods. Youth learn communication skills, anger management techniques, health and nutrition, stress reduction/coping mechanisms, job readiness, and exposed to opportunities such as internships and job shadowing.Walk With FriendsWalk With Friends continues to thrive with walking groups in Robla Community Park, Nielson Park, Valley Hi Park, Mesa Grande Park, Martin Luther King Jr. Technology Academy, Bowling Green Elementary, Bohemain Park, and Elkhorn Park. Walk with Friends continues to meet on Tuesdays, Wednesday, Thursdays, and Saturdays. More than 150 residents participate in the walking groups with an average of 25 participants at each location, increasing social cohesion and reducing social isolation. The walking groups, combined, covered over 3000 miles walking around designated park and school campus locations, and participated in 15 minutes of group stretching exercises weekly. The Walk with Friends newsletter highlighted 5 different community members who were interviewed about what they enjoy about walking, and the Walk With Friends group. HEC developed relationships with four school, 2 city council districts, and 2 community-based organization</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD OF DIRECTOR COMMITTEE AND THE EXECUTIVE DIRECTOR REVIEWS 990 BEFORE SIGNING AND MAILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY EACH MEMBER OF THE BOARD OF DIRECTORS. NEW MEMBERS MUST SIGN THE POLICY ALSO BEFORE SERVING ON THE BOARD.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD OF DIRECTORS REVIEWS COMPARABLE INFORMATION FOR THE GEOGRAPHICAL AREA, FROM THE NONPROFIT SECTOR, PERFORMANCE, BUDGETARY RESTRAINTS AND OTHER INFORMATION AVAILABLE ON THE INTERNET. THE BOARD REVIEWS AND SETS THE COMPENSATION THEN DOCUMENTS IN MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD OF DIRECTORS REVIEWS COMPARABLE INFORMATION FROM THE NONPROFIT SECTOR AND OTHER INFORMATION BROUGHT TO THE BOARD BY THE EXECUTIVE DIRECTOR. THE BOARD REVIEWS THE INFORMATION ALONG WITH PERFORMANCE, AND BUDGETARY RESTRAINTS AND SETS THE COMPENSATION THEN DOCUMENTS IN MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE TO GRANTORS AND POTENTIAL GRANTORS UPON REQUEST.</ExplanationTxt>
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