Upon approval, this action has an annual cost of approximately $1,983,331, which includes an estimated $494,478 in pension costs. The cost will be a 100% offset from Federally Qualified Health Care (FQHC) revenues.

Dental examination is one of the primary services the School Based Health Center and Health Care for the Homeless Program provide to school age students, low income families and homeless individuals. Cleanings, fluoride treatments, fillings and sealants are also dental work available to them.

There has been an increase in the number of vulnerable population in our County, needing dental work. To help alleviate the need, the Board of Supervisors approved the purchase of two mobile dental units at its meeting on June 7, 2016. The two new mobile dental clinics will allow 160 additional dental service hours at various School-Based Health Clinics. As part of this dental expansion, Public Health Clinic Services will also be adding 16 clinic hours at our current stationary School-Based Health Clinics in West County. It was determined that the dental expansion will require the addition of 20 positions, previously listed. Incumbents in these positions will be functioning in different capacities - providing dental clinic services, managing the whole operation, conducting outreach and education, handling registration and van operation, scheduling and administrative tasks and operating the mobile units with various technical equipment.

If this action is not approved, the dental expansion will not be accomplished due to non- existence of staff members who can provide the dental services to low income families, homeless individuals and school-aged children.

Adding the various 20 positions will support the dental expansion, serving school-aged children at various schools all throughout Contra Costa County.