HomeMy WebLinkAbout20122306.tiff MEMORANDUM
ir1TN:TE
: Sean P. Conway, Chair, Weld Co my Board of Commissioners
10117. UNTY rig epa
ent "�
G O _- . FROM: Judy A. Griego, Director, Human ervice e `a ent �j
RE: Weld County Addendum to Purchase Out-of-Home Placement
Services for Specialized Group Home Care Services between
the Weld County Department of Human Services and Various
Providers to be Placed on the Consent Agenda
Enclosed for Board approval are Weld County Addendums to Purchase Out-of-Home Placement
Services for Specialized Group Home Care Services between the Department and Various Providers.
These Addendums were reviewed under the Board's Pass-Around Memorandum dated August 8,
2012, and approved for placement on the Board's Consent Agenda.
Below are the major provisions of the attached Agreements:
No. Facility Name/Term Type of Facility/Location Daily Rate __
1 A.M. Group Home Specialized Group Home Care $50.04
July 1, 2012 —June 30, 2013 Platteville, Colorado
2 C & M Group Home Specialized Group Home Care $50.04
July 1, 2012 —June 30, 2013 Greeley, Colorado
3 Marie Alirez Group Home Specialized Group Home Care $50.04
July 1, 2012—June 30, 2013 Greeley, Colorado
4 Michael Alirez Group Home Specialized Group Home Care $50.04
July 1, 2012—June 30, 2013 Greeley, Colorado
If you have any questions, give me a call at extension 6510.
2012-2306
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between A.M. Group Home and Weld County
Department of Human Services for the period from
July 1,2012 through June 30,2013.
The following provisions, made this I Q day of U)y , 2012, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$50.04,per day for children placed within the
Group Home identified as Provider ID#1526756. These services will be for children
who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Section I, Paragraph 4. Transportation may include, but is not limited to; visitation with
family members, medical/dental or mental health appointments, extracurricular activities,
court hearings or other specialized programming. Transportation expectations will be
documented on the Child Specific Addendum, SS23B.
4. Add Paragraph 6 to Section I. The services purchased under this Agreement for Group
Home services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, and mentor/advocate services.
5. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
6. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Service Utilization Unit. Contractor
shall be notified by County staff of the date and time of the review.
7. Add Paragraph 15 to Section IV. Actively participate in achieving the child's
Permanency Goal and cooperate with any vendors hired by Weld County Department of
Human Services to shorten the duration of placement.
Weld County SS-23A Addendum
8. Add Paragraph 16 to Section IV. Have physical examinations completed within 14 days
and dental examinations completed within 8 weeks of the child being placed with
Contractor. All documentation of these examinations will be placed in the group home
placement binder.
9. Add Paragraph 17 to Section IV. Meet with the Department of Human Services Group
Home Coordinator for a minimum of two hours weekly (7.709.21).
10. Add Paragraph 18 to Section IV. Work collaboratively with Department staff, mental
health professionals, GAL's, CASA volunteers, and other service providers in arranging
times that the Contractor's home is open to professional visits. Contractor also
understands that the County Department Caseworker and GAL have the right to make
unannounced home visits to check the child's safety, needs, and environment.
11. Add Paragraph 19 to Section IV. Ensure that hired staff are; completing training specific
to the children they service, and are current on all trainings and other requirements as
mandated by CDHS Volume 7 Policy and Procedure Manual section 7.700.
12. Add Paragraph 20 to Section IV. Accompany key professionals to school conferences,
IEP meetings, school-related staffings, Foster Care Reviews and Court Hearings.
13. Add Paragraph 21 to Section IV. Immediately report any significant issue, regarding the
youth, to the youth's assigned caseworker. Issues may be medical, behavioral, legal/
criminal, or educational in nature. If a youth becomes a threat to him/herself or others,
appropriate "critical incident" documentation must be prepared by the specialized group
home parent according to State guidelines (7.701.52), in addition to notification to the
caseworker. While specialized group home parent attempts to maintain the youth at the
group home level of care, the specialized group home parent will be familiar with Weld
County's continuum of care and understand when a child needs to be forwarded or
regressed through the continuum.
14. Add Paragraph 22 to Section IV. Immediately report to the County Department and/or
local law enforcement any known or suspected child abuse or neglect as set forth in
Section 19-3-304, C.R.S.
15. Add Paragraph 23 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
2 Weld County SS-23A Addendum
D. Have not within a three-year period preceding this Agreement, had one or more
•
public transactions (federal, state, and local) terminated for cause or default.
16. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
17. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
18. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
19. Add Paragraph 10 to Section VI. The Contractor shall promptly notify Human Services
in the event which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s) to the
Human Services' Director. The term "litigation" includes an assignment for the benefit
of creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
•
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF
�+ +•r� SOCIAL SERVICES, ON BEHALF
ge
ILa OF THE WELD COUNTY
i DEPARTMENT OF HUMAN
%k =; SERVICES
1161 =k• 1
Itar
By: / // ��� �. %�:r �'I By: WA_
Deput /lerk to the Boar Chair Signature
St" AUG 292012
Approval as to Substance: CONTRACTOR
WELD COUNTY DEPARTMENT A.M. Group Home
OF HUMAN SERVICES 509 N Sholdt Dr
Platteville,
,CO 80651
By: L l By: C�� U '1// 7.4junty Drectors Sign ure/Date Contractor's Signatur /Date
By:
Contractor's Signature/Date
aria-0750
4 Weld County SS-23A Addendum
WELD COUNTY ADDENDUM
s '
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between C & M Group Home and Weld County
Department of Human Services for the period from
July 1, 2012 through June 30,2013.
The following provisions, made this /v day of S , 2012, are added to the referenced
Agreement. Except as modified hereby, all terms of the greement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$50.04, per day for children placed within the
Group Home identified as Provider ID#9875. These services will be for children who
have been deemed eligible for social services under the statutes, rules and regulations of
the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Section I, Paragraph 4. Transportation may include, but is not limited to; visitation with
family members, medical/dental or mental health appointments, extracurricular activities,
court hearings or other specialized programming. Transportation expectations will be
documented on the Child Specific Addendum, SS23B.
4. Add Paragraph 6 to Section I. The services purchased under this Agreement for Group
Home services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, and mentor/advocate services.
5. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number (970) 304-2749.
6. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Service Utilization Unit. Contractor
shall be notified by County staff of the date and time of the review.
7. Add Paragraph 15 to Section IV. Actively participate in achieving the child's
Permanency Goal and cooperate with any vendors hired by Weld County Department of
Human Services to shorten the duration of placement.
cl2D/a-a3e
Weld County SS-23A Addendum
8. Add Paragraph 16 to Section IV. Have physical examinations completed within 14 days
and dental examinations completed within 8 weeks of the child being placed with
Contractor. All documentation of these examinations will be placed in the group home
placement binder.
9. Add Paragraph 17 to Section IV. Meet with the Department of Human Services Group
Home Coordinator for a minimum of two hours weekly (7.709.21).
10. Add Paragraph 18 to Section IV. Work collaboratively with Department staff, mental
health professionals, GAL's, CASA volunteers, and other service providers in arranging
times that the Contractor's home is open to professional visits. Contractor also
understands that the County Department Caseworker and GAL have the right to make
unannounced home visits to check the child's safety, needs, and environment.
11. Add Paragraph 19 to Section IV. Ensure that hired staff are; completing training specific
to the children they service, and are current on all trainings and other requirements as
mandated by CDHS Volume 7 Policy and Procedure Manual section 7.700.
12. Add Paragraph 20 to Section IV. Accompany key professionals to school conferences,
IEP meetings, school-related staffings, Foster Care Reviews and Court Hearings.
13. Add Paragraph 21 to Section IV. Immediately report any significant issue, regarding the
youth, to the youth's assigned caseworker. Issues may be medical, behavioral, legal/
criminal, or educational in nature. If a youth becomes a threat to him/herself or others,
appropriate "critical incident" documentation must be prepared by the specialized group
home parent according to State guidelines (7.701.52), in addition to notification to the
caseworker. While specialized group home parent attempts to maintain the youth at the
group home level of care, the specialized group home parent will be familiar with Weld
County's continuum of care and understand when a child needs to be forwarded or
regressed through the continuum.
14. Add Paragraph 22 to Section IV. Immediately report to the County Department and/or
local law enforcement any known or suspected child abuse or neglect as set forth in
Section 19-3-304, C.R.S.
15. Add Paragraph 23 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
2 Weld County SS-23A Addendum
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
16. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
17. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
18. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
19. Add Paragraph 10 to Section VI. The Contractor shall promptly notify Human Services
in the event which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s) to the
Human Services' Director. The term "litigation" includes an assignment for the benefit
of creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Weld County Clerk to the t��w+�Q+�` WELD COUNTY BOARD OF
�Ge LL aal SOCIAL SERVICES, ON BEHALF
,� •
OF THE WELD COUNTY
a�or,,, • DEPARTMENT OF HUMAN
A :�\s�# ri SERVICES
,..U•
-
By: ,. B
Deputy Perk to the Board Chair Signature
PIWOM
Approval as to Substance: CONTRACTOR AUG 2 9 2012
WELD COUNTY DEPARTMENT C & M G p me
OF HUMAN SERVICES 1920 8 st Ave
Gree y, CO 80 34
á ,e
By' B ogat /Date Coactor
By:
n rs Sig e ate
070/2-a3z
4 Weld County SS-23A Addendum
WELD COUNTY ADDENDUM
� S
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between Marie Alirez Group Home and Weld
County Department of Human Services for the period from
July 1, 2012 through June 30, 2013.
The following provisions, made this /(l) day of 141 , 2012, are added to the referenced
Agreement. Except as modified hereby, all terms of t�ement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$50.04,per day for children placed within the
Group Home identified as Provider ID#70335. These services will be for children who
have been deemed eligible for social services under the statutes, rules and regulations of
the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Section I,Paragraph 4. Transportation may include, but is not limited to; visitation with
family members, medical/dental or mental health appointments, extracurricular activities,
court hearings or other specialized programming. Transportation expectations will be
documented on the Child Specific Addendum, SS23B.
4. Add Paragraph 6 to Section I. The services purchased under this Agreement for Group
Home services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, and mentor/advocate services.
5. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
6. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Service Utilization Unit. Contractor
shall be notified by County staff of the date and time of the review.
7. Add Paragraph 15 to Section IV. Actively participate in achieving the child's
Permanency Goal and cooperate with any vendors hired by Weld County Department of
Human Services to shorten the duration of placement.
d0/a ,27 3,e)
1 Weld County SS-23A Addendum
8. Add Paragraph 16 to Section IV. Have physical examinations completed within 14 days
and dental examinations completed within 8 weeks of the child being placed with
Contractor. All documentation of these examinations will be placed in the group home
placement binder.
9. Add Paragraph 17 to Section IV. Meet with the Department of Human Services Group
Home Coordinator for a minimum of two hours weekly (7.709.21).
10. Add Paragraph 18 to Section IV. Work collaboratively with Department staff, mental
health professionals, GAL's, CASA volunteers, and other service providers in arranging
times that the Contractor's home is open to professional visits. Contractor also
understands that the County Department Caseworker and GAL have the right to make
unannounced home visits to check the child's safety, needs, and environment.
11. Add Paragraph 19 to Section IV. Ensure that hired staff are; completing training specific
to the children they service, and are current on all trainings and other requirements as
mandated by CDHS Volume 7 Policy and Procedure Manual section 7.700.
12. Add Paragraph 20 to Section IV. Accompany key professionals to school conferences,
IEP meetings, school-related staffings, Foster Care Reviews and Court Hearings.
13. Add Paragraph 21 to Section IV. Immediately report any significant issue, regarding the
youth, to the youth's assigned caseworker. Issues may be medical, behavioral, legal/
criminal, or educational in nature. If a youth becomes a threat to him/herself or others,
appropriate "critical incident" documentation must be prepared by the specialized group
home parent according to State guidelines (7.701.52), in addition to notification to the
caseworker. While specialized group home parent attempts to maintain the youth at the
group home level of care, the specialized group home parent will be familiar with Weld
County's continuum of care and understand when a child needs to be forwarded or
regressed through the continuum.
14. Add Paragraph 22 to Section IV. Immediately report to the County Department and/or
local law enforcement any known or suspected child abuse or neglect as set forth in
Section 19-3-304, C.R.S.
15. Add Paragraph 23 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
2 Weld County SS-23A Addendum
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
16. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
17. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
18. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
19. Add Paragraph 10 to Section VI. The Contractor shall promptly notify Human Services
in the event which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s) to the
Human Services' Director. The term "litigation" includes an assignment for the benefit
of creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
vfi p OF THE WELD COUNTY
( DEPARTMENT OF HUMAN
SERVICES
t /; r
By: L _„ �_ , �_�:���� �r►j� By:
Deput lerk to the Chair Chair Signature
Approval as to Substance: CONTRACTOR AUG 2 9 2012
WELD COUNTY DEPARTMENT Marie Alirez Group Home
OF HUMAN SERVICES 1405 26th Street
Greeley, CO 80631
BY: Let( 1/ C �LC/( By: Th Q. ._) ..1?/ J 1 7-1A-/9
C my D' ector Sign ure/Date Contractor's Signatur ate
By:
Contractor's Signature/Date
aOic2 -a,3t4
4 Weld County SS-23A Addendum
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between Michael Alirez Group Home and Weld
County Department of Human Services for the period from
July 1, 2012 through June 30,2013.
The following provisions, made this /g day of J u , 2012, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement at a rate of$50.04,per day for children placed within the
Group Home identified as Provider ID#54150. These services will be for children who
have been deemed eligible for social services under the statutes, rules and regulations of
the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider.
3. Section I, Paragraph 4. Transportation may include, but is not limited to; visitation with
family members, medical/dental or mental health appointments, extracurricular activities,
court hearings or other specialized programming. Transportation expectations will be
documented on the Child Specific Addendum, SS23B.
4. Add Paragraph 6 to Section I. The services purchased under this Agreement for Group
Home services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), direct child
care, transportation, administrative overhead, support overhead, service delivery staff,
which may include but are not limited to: Parent training for teens, independent living
training, and mentor/advocate services.
5. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number (970) 304-2749.
6. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Service Utilization Unit. Contractor
shall be notified by County staff of the date and time of the review.
7. Add Paragraph 15 to Section IV. Actively participate in achieving the child's
Permanency Goal and cooperate with any vendors hired by Weld County Department of
Human Services to shorten the duration of placement.
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Weld County SS-23A Addendum
8. Add Paragraph 16 to Section IV. Have physical examinations completed within 14 days
and dental examinations completed within 8 weeks of the child being placed with
Contractor. All documentation of these examinations will be placed in the group home
placement binder.
9. Add Paragraph 17 to Section IV. Meet with the Department of Human Services Group
Home Coordinator for a minimum of two hours weekly (7.709.21).
10. Add Paragraph 18 to Section IV. Work collaboratively with Department staff, mental
health professionals, GAL's, CASA volunteers, and other service providers in arranging
times that the Contractor's home is open to professional visits. Contractor also
understands that the County Department Caseworker and GAL have the right to make
unannounced home visits to check the child's safety, needs, and environment.
11. Add Paragraph 19 to Section IV. Ensure that hired staff are; completing training specific
to the children they service, and are current on all trainings and other requirements as
mandated by CDHS Volume 7 Policy and Procedure Manual section 7.700.
12. Add Paragraph 20 to Section IV. Accompany key professionals to school conferences,
IEP meetings, school-related staffings, Foster Care Reviews and Court Hearings.
13. Add Paragraph 21 to Section IV. Immediately report any significant issue, regarding the
youth, to the youth's assigned caseworker. Issues may be medical, behavioral, legal/
criminal, or educational in nature. If a youth becomes a threat to him/herself or others,
appropriate "critical incident" documentation must be prepared by the specialized group
home parent according to State guidelines (7.701.52), in addition to notification to the
caseworker. While specialized group home parent attempts to maintain the youth at the
group home level of care, the specialized group home parent will be familiar with Weld
County's continuum of care and understand when a child needs to be forwarded or
regressed through the continuum.
14. Add Paragraph 22 to Section IV. Immediately report to the County Department and/or
local law enforcement any known or suspected child abuse or neglect as set forth in
Section 19-3-304, C.R.S.
15. Add Paragraph 23 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public(federal, state, or local)transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
2 Weld County SS-23A Addendum
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
16. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
17. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
18. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
19. Add Paragraph 10 to Section VI. The Contractor shall promptly notify Human Services
in the event which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s)to the
Human Services' Director. The term "litigation" includes an assignment for the benefit
of creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
Sadao OF THE WELD COUNTY
SERVICES
1161 DEPARTMENT OF HUMAN
s
\� �
By: '. By: l �//,y/�(Deput erk to the Board 1i�.;� ,,.� Chair Signature
PRAM
Approval as to Substance: CONTRACTOR AUG 2 9 2012
WELD COUNTY DEPARTMENT Michael Alirez Group Home
OF HUMAN SERVICES 1709 37th Ave
Greeley, CO 80634
By: By: - -/g/7
C y Dirt is Signat /Date Contractor's Signat ate
By:
Contractor's Signature/Date
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4 Weld County SS-23A Addendum
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