California Code of Regulations
Title 4 - Business Regulations
Division 10 - California Health Facilities Financing Authority
Chapter 1 - The Children's Hospital Program of 2018
Section 7007 - Evaluation Criteria for Children's Hospitals

Universal Citation: 4 CA Code of Regs 7007

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

The following evaluation criteria applies to Children's Hospitals. Authority staff shall evaluate each Application based on the following criteria:

(a) How well the Project contributes to both of the following:

(1) Expansion of Health Care Access or Improvement of Health Care Access by children eligible for Governmental Health Insurance Programs and Indigent, Underserved, and Uninsured children.

(2) Improvement of Child Health Care or Improvement of Pediatric Patient Outcomes.

(b) How well the Applicant does any or all of the following:

(1) Provides Uncompensated Care or Undercompensated Care to Indigent or public pediatric patients.

(2) Provides services to Vulnerable Pediatric Populations.

(3) Promotes Pediatric Teaching Programs or Pediatric Research Programs.

(c) How well the Applicant demonstrates Project readiness and feasibility based upon the following:

(1) A Project timeline that includes the following:
(A) An expected start date (e.g. construction start date(s) and/or equipment purchase date(s)).

(B) An expected completion date (e.g. construction completion date(s), acquisition completion dates, and/or equipment installation date(s)).

(C) Potential challenges anticipated in implementing the Project and how these challenges will be managed to ensure timely completion.

(2) Whether the Project is ready and feasible after review of all of the following:
(A) For all Projects with the exception of equipment acquisition Projects, the Applicant shall submit estimates of Project costs and evidence of property ownership or, if the property is leased to a Children's Hospital, or a California nonprofit corporation of which the Children's Hospital is an operating entity, a copy of a lease agreement that satisfies the requirements of Section 7014. The Applicant shall also provide building permits and/or executed architect, design, engineering, and construction contracts, if available. When applicable, the Applicant shall submit evidence that it is in compliance with the California Environmental Quality Act (CEQA). The Applicant shall also be in compliance with all other applicable laws.
(i) An Applicant with a Project that does not yet have building permits and/or executed architect, design, engineering and construction contracts, but is actively in the process of obtaining these items, shall provide a detailed statement that explains the status of obtaining the missing items.

(B) For Projects that include the acquisition of real property, the Children's Hospital shall submit a copy of an executed purchase and sale agreement or status of obtaining one or other evidence of site control.
(i) If the Grant will be used to pay for real property acquisition costs as part of a larger project, the Children's Hospital shall provide a timeline that specifies when the entire project will be complete.

(C) For equipment acquisition Projects, the Applicant shall submit a specific list of items and cost estimates of equipment (or copies of purchase orders and invoices), and if applicable, cost estimates of installation of such equipment.

(D) If funding sources other than the Grant are required to complete the Project, the Applicant shall provide proof of the funding sources, including but not limited to, commitment letters and board approved capital campaign plans. Such documentation shall be in accordance with the Project timeline and budget.

(3) The sources and uses of funds:
(A) The Applicant shall detail all sources of funds required to complete the proposed Project. Sources may include, but are not limited to, the total Grant request, borrowed funds, internal assets, and other sources. If the Project, or a portion of the Project, has been or will be submitted to other lenders or grantors for funding, the Applicant shall list them and the status of their consideration.

(B) The Applicant shall detail the uses of all funds required to complete the proposed Project. The total uses shall not exceed the total of all available fund sources. In some instances, funds from sources other than the Grant may be used for portions of a proposed Project that would otherwise be ineligible for this Grant. In those instances, the Applicant shall describe specifically how the Grant funds, as well as other grants, loans, or internal funds, will be used to ensure Grant funds will not subsidize Project elements not eligible for such funds.

(C) If a proposed Project will benefit both pediatric and non-pediatric patients, the total Grant for that Project cannot exceed the proportionate share use of the pediatric population.
(i) The Authority staff shall evaluate the methodology used to determine the proportionate share use of the pediatric population and may alter the amount of Grant funds to be awarded based on this or an alternate methodology and any other factors related to improvement of pediatric population care.

(4) Whether implementation of the Project is feasible:
(A) The Applicant shall demonstrate the feasibility of the Project to generate sufficient revenues to support on-going operation of new or expanded services and/or research programs through one of the following:
(i) A third-party feasibility study (including but not limited to the scope of the services to be provided with the new Project, financing plan of the Project, forecasted revenues and expenses of the Project operations, market share/service area demand analysis and observations on market positioning).

(ii) Funding letters or other documentation.

(B) If revenues generated by the Project will be insufficent to support the on-going operation of new or expanded services and/or research programs the Applicant's revenues shall be sufficient to support the on-going operation.

(5) The financial capacity of the Children's Hospital based upon a review of the Most Recent Audited Financial Statements provided pursuant to Section 7001, subdivision (b)(2).

1. New section filed 4-12-2019 as an emergency; operative 4-12-2019 (Register 2019, No. 15). A Certificate of Compliance must be transmitted to OAL by 10-9-2019 or emergency language will be repealed by operation of law on the following day.
2. New section, including amendment of subsections (c)(2)(A)(i) and (c)(4) and new subsections (c)(4)(A)-(B), refiled 10-7-2019 as an emergency; operative 10-10-2019 (Register 2019, No. 41). A Certificate of Compliance must be transmitted to OAL by 1-8-2020 or emergency language will be repealed by operation of law on the following day.
3. New section, including 10-7-2019 amendments, refiled 1-8-2020 as an emergency; operative 1-9-2020 (Register 2020, No. 2). A Certificate of Compliance must be transmitted to OAL by 4-8-2020 or emergency language will be repealed by operation of law on the following day.
4. Certificate of Compliance as to 1-8-2020 order transmitted to OAL 12-3-2019 and filed 1-16-2020 (Register 2020, No. 3).

Note: Authority cited: Sections 1179.82, 1179.85 and 1179.87, Health and Safety Code. Reference: Sections 1179.85, 1179.87 and 1179.88, Health and Safety Code.

Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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