Loading...
HomeMy WebLinkAbout20101125.tiff RESOLUTION RE: APPROVE 2011 ANNUAL PLAN AND BUDGET FOR AREA AGENCY ON AGING PROGRAMS (TITLE III AND VII) AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with the 2011 Annual Plan and Budget for Area Agency on Aging Programs(Title III and VII) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, Area Agency on Aging, and the Colorado Department of Human Services, commencing July 1, 2010, and ending June 30, 2011, with further terms and conditions being as stated in said plan and budget, and WHEREAS, after review, the Board deems it advisable to approve said plan and budget, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado,that the 2011 Annual Plan and Budget for Area Agency on Aging Programs(Title III and VII) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services,Area Agency on Aging, and the Colorado Department of Human Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said plan and budget. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of May, A.D., 2010. BOARD OF COUNTY COMMISSIONERS 4 WELD COUNTY, COLORADO ATTEST: J/ /.,! �►.�_ ���1861 '� b(� : =�� ugla- Rade her, Chair Weld County Clerk to the •.- • ' �. C )� Pin 1 EXCUSED y B 1 /t /� � �� Barbara Kirkmeyer, Pro-Tem Dep Clerk o the Board EXCUSED Sean P. Con ay AP VED T ORM: it Garcia oun Attorney C David E. Long VDate of signature: (PI"I116 &-Li ca to //S 0 5- a(e-lo (y- g - ID 2010-1125 H R0081 MEMORANDUM DATE: May 24, 2010 TO: Douglas Rademacher, Chair, Board of County Commissio ers ry O FROM: Judy A. Griego, Director, Human Services epartr�ente•COLORADO RE: Weld County Department of Human Services' Area Agency on Aging's Federal and State Fiscal Year 2011 Budget Enclosed for Board Approval is the 2011 Federal and State Budget for the Department's Area Agency on Aging's senior programs. This Budget was presented at the Board's May 10, 2010, Work Session. The budget for FY 2011 Older Americans Act is $729,860 and FY 2011 State Funds is $422,238. These dollars fund programs such as: the Long Term Care Ombudsman program, congregate meals, home delivered meals, in-home services, legal program, Hispanic Senior Outreach, adult day programs, etc. If you have questions, please give me a call at extension 6510. 2010-1125 Title III an VII Annual Funding Request Application and Planning Form REGION 2B Weld County Area Agency On Aging Northern Region dhs . . Js • .�a , Colorado Department of Human Services l•1� 4.• people who help people Wrting Colorado's g"-and Adult 5ery . State Fiscal Year: 2011 These forms constitute a request for Title III and Title VII Aging Services Funds. I agree that I have reviewed the information in each of the attached worksheets(including attachments'A'through 'F'), and verify that the funding request reflects an accurate projection of services provided through the Older Americans Act SIGNATURE: SIGNATURE: sou m x AAA EC R DATE CHAIRPERSON D E: AREA AGENCY ON AGING ADVISORY COUNCIL Dougla adema er, Chair, Board-of Weld" County Commiss oners 05/2. -2010 ATTEST: r, ; Weld ounty Clerk BY: Lam/✓/ /. a �� �� �, ' Deputy Cle ° to the B. N.' , ao/4 -// 5 2011 TITLE III FUNDING REQUEST Region 28 Funding# 02B-88 Revision# 1 Date 7/1/2010 Funding Request Period: from July 1, 2010 through June 30, 2011 Add this FY Percentages for Admin Distribution: B C1 C2 30.77% 37.80% 19.05% ADMINISTRATION Potential Funding Transfer Request Funding Request Admin Reallocated $ - $ - ADMIN NEW ALLOC $ 67,264 $ - $ 67,264 SERVICES REALLOCATED $ 1,452 $ 1,452 PART B NEW ALLOC $ 197,799 $ .. ,72,529,.; $ 270,328 REALLOCATED $ 1,716 $ 1,716 PART C1 NEW ALLOC $ 242,891 $ -19;420 $ 262,311 REALLOCATED $ 556 $ 556 PART C2 NEW ALLOC $ 122,393 :$-:-.1OM--,91.,94® $ 30,444 REALLOCATED $ 126 $ 126 PART D NEW ALLOC $ 12,575 $ 12,575 REALLOCATED $ 369 $ 369 PART E NEW ALLOC $ 73,573 $ 73,573 TOTAL SVC CARRYOVER ; `E TOTAL SVC. NEW ALLOC �;�, Title VII Funding Request Total Programmatic Programmatic Funding Transfer Total EAP REALLOCATED $ 34 $ 34 EAP NEW ALLOC $ 2,005 $ $ 2,005 LTC OMB REALLOCATED $ 78 $ 78 LTC OMB NEW ALLOC $ 7,029 $ . J. , - $ 7,029 Annual Funding Request(MS 200) Region 2B Fiscal Year 2011 Revision# 1 Date 7/1/2010 AREA AGENCY ADMINISTRATION BUDGET Personnel $ 59,705 $ - $ - $ 59,705 Travel $ - $ - $ - $ $ - $ - $ - $ Other Direct $ - $ - $ - $ Indirect $ 7,559 $ 12,351 $ 10,070 $ 29,980 Total $ 67,264 $ 12,351 $ 10,070 $ 89,685 Total Admin from AAS 200 * Match must be 25% of total budget: (Match = Local Cash Budget+ In-Kind budget) Federal Funds = $ 67,264.00 / 3 = ° ie� ';2 ; i,10 This is the minimum match required. * Actual Match = $ 22,421.00 Over/(Under) Match ea Annual Funding Request(MS 220) 0 0 n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ;p' to Ca IP. 0 or O N F E N k `0 o b 0 0 0 000 0 0 000000 0 0 0 0 00 0 0 0 0 ", I`p 0 coo - 0 000 00 o a o ots.. - E o (7; - o o %.. } N mDU 0 K E O U m o C 0 0 o a o e LL 0 E. o o v o 0 0 0 0 0 0 00 o n 0 0 0 00 0 0 Th M a 2'b ` 0 0 0 0 0 000 o o o tn o o 0000 Co m o.u- CO 0 n 0 0 0 0 0 0 0 0 0 0 d 0 0 0 0 0 0 0� m CO it -.g co — o CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OLL O m o pp4 4l qq O Ca cc CU o o N000 0 0 000000 0000 • C 0 o oz N IS s re t Ccri Z .. . . . 0 0 00 . 000 . 00 . in c 0 co 0 0 LL Q o v C a o0 0 0 0 0 0 0 0 o 000000 00000 -0• U o E 0 co - a3 ,.7. 0 000 . 0 0 0 00 . 800 0 0 0 o ac+ r d H < mw o to r- >. y t la C C as C LL • 10 Q p 0 0 0 0 0 s € ;�0 N m 0 < I y o gE 8' YYY z ¢• a o 0'7.,13 c 0 0 0 0 0 0 0 0 0 0 o m o 0 0 0 0 ULroa I ' aF U 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 n la ti• 3 m C ii d a i- N 0 t d d o 01 v d y a D tj, 10 d o al 1 = 2 '')1)c o '4 ;22 E ,, 2 .E m ` a o 0 o a c v E R . '° a b o` m E > E F2 0 E E = 3 E d _ ]. 7_.- T.' 2 M `o L-0 0 N (To 0 U ~ « a i ¢ 2 v U Q w C — d " E o m` c e > > — > m c `0 m a`_c a "- u € °' c N 8 ° a m m r'°2 v m m = .a n LL 3 . a0a coi- u . cos ° . ttttK ¢ tt � NO2 < coo g- 76 c 0 y a o_y a a a a y a a a y a a a. a a a y a a a a 0 0 0 0 0 (0 O o O 0 CI)0 CO (n O CO 0 o !/ q d LL LL LL LL 0 0 0 0 LL U LL U LL w U w U U U LL C.) 000 IIL li O z w Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z I- • • • . , ,_ N O N yU i . ii iii :c:iiir I I .Iii ,sicall p N n ,0 �'- . 0 . m m mL0 0 (0 I ,. o o e 40 eo a U m n N h i° e. m o nN TO U N E d 0 a 0 °) m o I • ,p O O 7 O v) O O N M O ,p 0 ° ° ° O N 0 Q N N O Co e P 6i:' (O N (° r I w m L Q R1 .O- ' e^ 111111 M _O _ MI: �' W OOO t6 d�: O ? 4.. N w Om � � c LL $ 'µ# �4 .61.Z.;:::- "'1e 1aJ dl N 8 % }.iwi'1Y` taF� e'Ar9i BgZp 2 0 0 " , s e E - m rn o O •- O ...CD :5 b �� e� c0 o O O O O N 0 0 0 0 0 2 af d '�^x. -' ,+' y i a ci o vi o m '"� v) f4 s ge 4 a �, z s ;:aeexi a) N Co co z ',� tL err 5 6 awl F. Y-dam` • § i, °^bM- ,' o 5�hS 'te .n,.,a .. <.. °. d sad .` �a vPo.k .s.ze+ lull tt a zm c„ . , „,,,,,,,,,,,„3,0 d199'IT : milk (7 a`a NIN. 000 0) ST r t Oa) e0 O N o c O N M W U LL • 0 0 0 0 0 O E m Q o a oMill .. . -;,rw� o LL y d TEn 11111111 11011111I• 000000 iii -5 y W: iIiiIi 0 N L re Y i ~ O U O N 000 N e Q L— Z N O w ' °is: a 4,1 �� v; 0 m z c • a. a iP i' 81 4, �a E,30%;10;; - P - LL, o (0 m i '$ ak 4= k:RR 99 4 i n m 40 com i S cc 0_COW a f €zs`°,3y `'.�gx a tt - nn a a E ai 0 0 0 0 0 0 II N r 22 eS r 8; ax2 0 o RC( itittAMMAtN: N. ft% �.n N ('1 k O O 3 O 0 (0 O O O O O O N O O O O N OO O 00 O CN •cr^7 3 n V to ti- 00,800 0 ; ....8 O)ee, N O m On 0) O 0 N. C Q N Q7 4. N 6 N428.1 't N ('1 Ol N d O N Lo-M t V mm r “ fn .a e� y m '� � a 'r, s ' � a Tij 0 . d. tIIIIII ;^ o 0 O 0 o N o )o 000 0 0 0 0 �,'o o m« " I`5' m o , OI N t T..v Ni,IF°iIIII p a 1111110 xp a,z is 5. W to o r '°� P xe ttis CV • ii jul11 1110111W 0 —c3 : 't c° ` 01 b e: v cut U o N •• 9 O _ ° �p s I E mom g. m dry F d C N d & 9 O W ° a A D O �v tl 4 V O 2 x U m � o H r 'n W o c c 2 N or a m C N o .I. VI N w w m v ag m :_ y m € . c n v ,`v, '^ « 4' € q > r•' d E co E 3 . c - E ° ^ . ' u u E u i 0 d ° m "v k. 4 Vj v ax° ma ° pa ci ^ uza" � z' - o"+ . , wxaorn � ar Z m = a = r 0 0 0 0 0 0 0 t7t co `em5 ca '. �a O p 0 0 0 0 0 0 0 0 ,!@-„n x 71- IC' 0 0 0 0 0 0 C B APF. ea ..9 ESe1.lAR'd N — L y r°Y� t„°4 .:e..in 0 c p, O U tV 233g`,4 O C E o m o 3 S f 1:3z 0 0 0 0 0 0 0 0 O CD (O I� Q N N 0 0 0 O O O C m v) h 0 ONi O OOQ CO 10(1 0) (NI O ' 0) n CO I- N y C .3 N N tl Ot fD h I L p • U -a N N U 0 H U H = m o U LL a 'C w . :p {� ` O 0 0 0 0 0 0 C '�;'14 .. 4 ts t N E m co 4a@A 5 O 0 5551 55.-50555;5,5.5555551-' 0 #4 Q4 6c^ r = ,; 9y&yfl-'pap y'J U a ...y .r8;ti 4PA3 ` =}.Lj big 0 +0 0 0 1 00000000 A x O O O O p O C +4 a U O N • - A qsa.e,- U rn 3; 2 s • "23 eg s Ate¢ 0 .0. a o L��.≥e `� �ae O4. +tt� cal A ▪ ,V 00 00000000 �3, 9 `&qp � 2, ,1)- OOO OOOC A 22'"'• A 3 P� O QCCa-,,-74-.`,t--,-,.-ap P.§4 $ L E Ua OsOO a U b U A4 - O � m O o O 'ue 0 0 O to c 9 — Q N U d i 1 ,p U • a`s`- 'd°f` } A E a 21,2a1,--,--))),„n .4-4.,--.` y ' n` °ar m a o 4 's" : oo o rn 0000000 0 ' "r a oa ° f e E 0 E 0 a''U a ' ,y e1:•.%,T@.-,rF r co m E a' E A an N m l0- ..-0.(.75.),...,- 2 U a U ° )....))•50.-)...4.,.3 A. N a 'YR a G a C R i Eti y 3gn'su'4e*°°s4 i o =,,=o0 0 o m q a) U 0 W p4 W Ap.°C'i e��Ny R` 9r L a N o a m m m sgx^E ,y. .. rn cot: a r w C O ': : : N c :, p'.:: dO O o 00 o f a w s m Q Ir L m ,�:$ 5e�a` ei. O e °: ALL O N P . e B e.oe _z O e �- e �, o . 4n .o Y o o d o o o N o c.iry L sD y ❑ A a ❑ S?: r-..... yy, 0 J U a (0) d $s$ ?:.—Nryx. U a � . . „� 0 CO 0 0 0 0 o o o o 0 0 0 Oa E d N &C q�dA`� A b N $o o C 0 E U y 1 „- U ....4: Co II €M LL a C co Q 68. 4{ a q6S.. )r^ ) 6Y A4F m 0 "0 0 0 N g} @ S+'F:;,B 6 La,.. 0 0 0 0 0 k&jAg r bni .R'AL a;Aj4�4 maPy.,S4Y Bi° O '4 q9A's d � Q Q 0 0 0 0 0 0 0 0 O 4 O N of Ea O o o f Z t fi 0VONpci co %N 0 NinN "s E CD RI C'I ' Q N- m CO ro o R k • co Co el ' N u a a a. a o m • ." a $ U N szt a{ "J N U ..... : ,seux. C w ;� a c. k •6 4 ( " U Z cc O 4 - e • e. C co L S,H s $ V w o i i$i {?;y�3 Cu m O o a 0 0 Q N q7 0 0 0 O W m ON4in 6, r m �' O r, It) -J r' N M N m m4 e m la. Q W H f :2 d i i gi.: c p + y Ow J '� ma f, Q a t c a >. > > Nc Q o c O C W A . _ W W 4 , „ en m (D E 7 c U Z` co a Q L•' V c `m c lC e w m F a+ O N o z S "' w o- rn W m O) w J. 0 i..,,c„,:`,..',..),i O d ' v N S t E ono U U rt U c 0 E � E s l @ a U E �` i@ o a v . m m Q: m 4p � m y ii U $ ;Es n c u o ¢ e &) c o m u m v • a, ? �' c € a' O ` `c c d ` € A y a N L u) c r. Z c sn Z C R C o ' •�A 8d O. H it av , -i •L-I. a QCo v � � o � °, d o m e t " o0 EOzi e , v ° 1i •2LLI IS � ° � ,. c6 >> w o � U zowcU°.-, — v To O m °-. a li a. CC O. 2 ▪ A n o O " 2 v a 8 "m m o a N p v 5 L a�i W v c a0ii a' o v w O Z O a a ..x v ti H a m w 0 o In (� �- Q — �z O h ¢ W Q _ . CD r 0 ' O n to 0) o LO O 0 0) N o o CO o Co r a) v v m o o r ID CI m n a o 0 N (0 M N m a F- 0 N al of N ei ai W F. N W W 0 O ' 0 . 0 C J CO m m N O m N J J J Q Q Q F F F- O 0 0 F- I- I- S to to w w w 4.1. w w w w 494903 Z . td # 0 C C C o > o 2 K of N � 2 W LL K114.1111 0 w w ILTo N N '. .: O W so N r o o n o O O co 0 0 0 0 (6Z .— io Z .— Z Y Y Y 2 Z Zkeirctect Jr. J J Q Q Q 0 :. .. '* w w E o W 'G. m n O .n : : w ... u v to N '' N .N- fmA � �2 2 Uik ���� i ' .1- U 0 C L C (11 7)W W Q �C-4u, •. K Q Q t0 ¢ V 01 0 co F It O N O Orri 5 O CC rn N F— w z y 0 J w w on 2O „t. -., w f J F n Q ornm rro ii m J tmnrn CObw = V in V n c O N O O ID N 69 A N N Q �t • Z • 2 �� ..Ep t f 0 O 0 a a w w o 4949 4949 m N 0 O O b M O V • n r O O r W V CM. O V N to el r N I: a I� b HI r b tD N N 0 - O JW LL1 —S J Lo I— F P F F a w w w » w w w to w w w > 'O L c V L ,C N J r W U V N ,U U W W '5 m N .5 m U J vEZ v•e .a K H m m e m if ° m W E E L a r a co w Q d 1 A Q J 0 Q J f Z a O E Cr > > 0 O W I'" a C o O W O N m f iv " N v F- a N co u A O a m 0 0 0 LL W W C• O 2 - m O K K K C d cc f 0 m N w L 0 J « LL W C a 1 a 0 4 Q W Oa f Attachment A TRANSFER (B, Cl AND C2) REQUEST Weld County Area Agency On Aging Northern Region Region 2B THIS WAIVER IS NOT REQUIRED! Per amendments to the OAA of 2006, a statement of intent and justification for transfers budget( between Parts B, C-1, and C-2 (which exceed the allowable percentage of transfers) is require Note: Please indicate with brackets()those percente SERVICE 30.00% Transfer are decreased. Part B to C I NA TOTAL FUNDS TRANSFERRED: From: NA To: NA Part C to B I NA TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: • Part C1 to C2 I NA TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: Part C2 to C1 I NA TOTAL FUNDS TRANSFERRED: From: NA To: NA JUSTIFICATION FOR WAIVER: ATTACHMENT D DIRECT SERVICE WAIVER REQUEST Weld County Area Agency On Aging Northern Region Region 2B We hereby request approval of a Waiver to provide the direct services listed below. 1. Congregate Meals 2. 3. 4. Nutrition Education and Counseling 5. Health Promotion 6. Caregiver Please attach documents describing fully the direct service to be provided to include organizational structure and planned methods of program services delivery. Entitle these sheets as "Direct Service Program Description". PLEASE NOTE: If the Waiver Request is incomplete, this may result in a delay of the approval of the Funding Request. ATTACHMENT F USE OF FUNDS WAIVER REQUEST Weld County Area Agency On Aging Northern Region Region 2B Per, Restrictions On Use Of Funds, Volume 10, Section 10.240.11 B, we request approval of a Waiver for the following services to the indicated percentage(s): SERVICE TARGET PLANNED SHORTAGE ACCESS 25.00% 8.28% -16.72% JUSTIFICATION FOR WAIVER: We opted many years ago not to fund senior transportation but rather support the county's effort in locating other funding sources for transportation. Our transportation program is supported by county general funds and CDOT/FTA and Medicaid dollars.Due to our ongoing legal needs expressed by our senior community we have supported our in-house paralegal program and have purchased attorney services as needed.This allows us to provide information regarding many legal issues that seniors are facing and giving us the opportunity to provicde actual hands on assistance rather tna just l&A. IN-HOME SERVICES 15.00% 18.56% NA JUSTIFICATION FOR WAIVER: We continue to fund homemaker and personal care services through RVNA.We also fund ElderGarden, an adult cay progam and North Range Behavioral Health (peer counseling program) since our surveys,focus groups and advisory board feedback have supported the need for these services in Weld. Other funds, such as the Older Coloradoan funds are used to enhance the homemaker and personal care program. LEGAL SERVICES 3.00% 16.53% NA JUSTIFICATION FOR WAIVER: Legal Services (Part B) For many years we have provided paralegal services directly out of the Weld County Area Agency on Aging and have worked with an attorney(under contract) to support the paralegal as needed. The paralegal works closely with community agencies and has regular contact with key senior centers throughout the county. The program continues to be cost effective. Health Promotion (Part D) For twelve years the Weld County Area Agency on Aging has been a major sponsor of the Weld County Senior Health Fair. Two years ago the health fair committee and the senior job fair committee decided to attempt a combined event in October, 2009. The two committees formed into one and met monthly. The committee was comprised of many community agencies and key community volunteers. Part D funds helped support this effort by providing staff time and other supportive services such as bone density screening. The event in 2009 was a success and we doubled the attendance. We will be doing the same event again October 8`h, 2010. We will continue to provide the Stanford Chronic Disease Evidence Based program to Weld County Seniors and have implemented the Matter of Balance program and continue to expand this program. We are currently participating in the Amendment 35 grant(this will end June 30`h). The intent of the grant was to enhance our Healthier Colorado Evidence Based Program and become linked with the Sunrise Clinic's Medical Home program. We are hoping that future funding will allow us to make this goal a reality. • Family Caregiver Coordinator Position (Part E) The positions continues to focus on linking family caregivers (and grandparents raising grandchildren) with existing services and providing them with a road map to senior and other community services. In addition, the family caregiver coordinator provides training opportunities and maintains a respite voucher program. We have added the evidence based program called Powerful Tools for Caregivers to our program. This program has been very successful and continues to grow. We believe the family caregiver coordinator and the coordinator of the grandparents raising grandchildren has the greatest chance to continue to flourish and be cost effect if housed with the Area Agency on Aging. The coordinators have the benefit of working closely with our other in-house programs such as legal assistance, the long term care ombudsman, dental, nutrition and Options for Long Term Care. These programs have historically worked with seniors and their caregivers and will continue to provide key caregiver services. The Area Agency on Aging will work collaboratively with other community agencies that provide direct caregiver services and will explore providing funding to these agencies if appropriate and financially feasible. In addition, the Area Agency on Aging Advisory Board continues to strongly support the current in-house program. • State Funding For Senior Services Funding Request Weld County Area Agency On Aging Northern Region Region 2B CdhS 4Lora:o ;Aing and Adult SeColorado Department of Human Services people who help people inaepenaent uving aervlces State Fiscal Year: 2011 These forms constitute a request for State Funding for Senior Services funds and National Family Caregiver Support Program state funds match. SIGNATURE: SIGNATURE: ` A DIR T DATE CH IRP SON TE: AREA AGENCY ON AGING 12 ADVISORY COUNCIL Dougl et* Radem cher, Chair, Board of Weld County Commissioners 05/26/2010 ATTEST: / • Weld ounty Cle k to the Bred deputy Cler to the Boar j `'fo g�� ••.1, '"� aO/O—//c)? Weld County Area Agency On Aging Northern Region Revised State Funding Request: State Fiscal Year: 2011 Total Budget Total Revised State Funding For Senior Services: (SFSS) Award Move Budget AVAILABLE SERVICE FUNDS $374,088 $0 $374,088 AVAILABLE ADMINISTRATIVE FUNDS $41,565 $0 $41,565 National Family Caregiver(General Fund Match)* $6,585 $6,585 TOTAL: $422,238 $0 $422,238 Certifications and Assurances: Agree A) National Family Caregiver(General Fund Match) is to be used as service dollar match related E to National Family Caregiver services. - (This is match only; not State Funds used as identified and budgeted under the 'Caregiver Budget tab.) B) Low Income/Minority individuals will be targeted in compliance with Title III rules. O • C) All state funds will be fully expended within the State Fiscal Year ending June 30th. D) Other than the National Family Caregiver State match, all state funds will be used as overmatch funds and will increase service units and clients served to the over all Senior Services Programs. E) All services provided will meet the program and fiscal requirements in CDHS Volume 10, O except the CDHS 10.240.11(B) priority services: Access, In-Home Services and Legal Services. Director 'gnature: Date: • 88888 v 10 - 0 n6� ebo888 � m 88880888 0808 0 8, 0000 t00 m 0 0 0 O 2 O O O O O 5 0 < M _ r r m 0p E ° e e e e e 1 to O 0 8 8 pO po pO®i E F U O 8885 m S 8 S 888 $ 888 ' 8 8 " N 9 9 0 0 0 0 0 0 j ,_ 0 0 0 Y1 O N O N 606 M p O f' O 0 a ; N ¢0 m 0-LL a m c e e e e . y - -nco ,- 00 AN" n . d88888� c o noO o Q ?ao0 o0oN o010N000 - 8%06660= z W pm ANN ma e 0 60 ^ g 8A J U 60 .. 8 a d ' " 8 ' 8 H 10 a - m hv CO .2 N 00 0 c n N 000 0 _ O Lu 7 a el o E I u 0000 W a e 00000000 0000 ` 000 0 y o o O O O O O O O O O - Y y C7 m o 0 Z E N - _ aN ➢ 000000 W LLTo 1L U m^ O o o o O O O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 p 0 0 C j n O N U 0 u U O 0 O W e o o 0 d 0 0 0 0 0 0 a' E 60 00000000o 0 0 0 0 0 0 O o o o o o o o o o o o o o 06 O 0 O coo o qo c O ioa IU c 22 2p 22 U _i_ --._ O - - 0000008 - Z _028 m 0 't 100 0 0 mm o O O m Vmi_ LL t c) 0 x Yi LL O N O W ly y .0 0 0 P _O O O O!n I. LL (0 N.2 8 M N N _ m l_ _ CI 0) gj 0. N co CO m re O N • U. 1V C 00 1 $ O ' o u0i O O O N 000008 Z c occ ^' ` ' v 00000r o00 ry 0000 O' v - O F. 000 .�'t' (n 4 C O I p 00008 O n: 0 m 0 W — 0 O 8 co Q ; o j N 0 0 0 N O m 'O O O 8 O 0 o 0 000 , 0000o 0o00 0 d . t O O o O a'- `- J 0 O U N W 0 •2 A O1 V r N O f m O_ _O = '>,p O T. 01 o N O1°.rt) m O - _ _?cc!' N 8B CO J E W .• 2§g o y 2 -9.2 g4812,- vi O N S 2 r-0 U N _c Q K > 2 &' C „ n f � c'v y N C 13 3 C ° L o m m ` m $ Y e g W I. '0 `, N E o m v d rn ; o m ¢ A m = o o y= m m i $g # > a 0° W O O O `� c f v ° � CONubv a zCO cN LL .v. o 3 Cc O a `mi c F o Wo wad 3 n '- x U U 2fl Cgr o 8 . 2 Em ` m U ' dB , a Q 2 C J y co 0 u O o u 3 EJ O E o n 1 g v :s c lvi `-- ' �Cv v n ¢ o u � u E N m `o 'g° G F m ❑ �_ a. (A wfl ciciix° Z' a �Z' gip' Z' c°> 'wipEinf a22 v1 = J F rc $F O t Ulna OF OF Em vi Q 0 0 N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 m m m5 N N N 1- 2 N L' C 18 ,r,' 8 `8, 8 888 8 0 0 0 0 0 0 0 0 0' R O 5 _ _ N o m- clod 0 6 0 060 .760 6000 } 01. 5 oU (N N To Kg W 0 00 ° o 0 e 8 0 00 0 0 o e a 0 e 0 0 0 0 . 66 LL m=c 8.. 8 88 0 888 888888 8888 o -005 o0 oO 00ovio0 0000 z .- ,- n m nu- (7) 0 x 0 0 0 0 0 0 0 0 0 00 0 0 O 0 O ' co m n 0 r in LL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c E 0I 4-1 m v5 4 o� y 0 co co 0 0 0 o a 0 0 0 0 0 N C p C (° 0 0 CD L o Q: Y 2 - 01 O 1 C Z o O 0 0 0 0 0 00 0 0 0 0 0 0 O 'O O)0 0 n C C o m 0 O 7 .0) U. Q N U O a '^ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 '0 0 0 E 0 E = < a • N N NO 0 0 0 0 0 0 0 0 0 0 00 0 0 0000N ON i O H < 2 a CO r T w N R ti m J C C u a O Q v O O 0 0 0 0 O —y '1" e ou a -..E' O 0000 0'0-0- 000000 0 0 n U rt i F0 n S o j 00 00 O O 000 O O O N O O O O O O (N d a ,°: j 0 C - Cu a ,16 N d U E N t N y U tii o 0 o d _N v _ c 5 m 2 t 0 c cc > 0 m m `o a, 017i U m N °1 m o g N Q m E c n c "� U 0 o 5 c S off E Q m w `o_ o, 'o o o c 9 „ E N O rn t y g H � 1 0 T ,T, -,3 Q 0E O Q W .E• z � 'o u " oafor 0 amAzv LL aca Pd 0aa ` Cmma'o. i y 0v = an a y a am a a a a y a a o. N 0. a a a a a a a a a V !n (n w m cn en o,o In fn N N N !/ Cl) — N w o w o o V 0 0 0 0 0 o'10 0 0 0 0 0 0 0 o V o 0 0 0 .2 2 mn Z Z z Z Z Z z z Z zlz z Z z z z z Z Z 2 z z z z F COLORADO STATE FUNDS FOR SENIOR SERVICES FUNDING REQUEST PLAN Service Delivery: YEAR: 2010 Total Estimated Unduplicated Clients Total CIlents/Units Cost Projections by Funding Source Budget Computations Total Undup. Aggregate SFSS Program Local Total Average Average SERVICE: Units Clients Persons Service Funds Income Cash In-Kind Cost Unit Cost Per Client SGFCG-Information Services SGFCG-Public Information(State-Only) 0 0 0 0 0 0 0 0 000 0 SGFCG-Outreach(State-Only) 0 0 0 0 0 0 0 0 0.00 0 SGFCG-Access Assistance ..- SGFCG-Information&Assistance(State-0 0 0 0 0 0 0 0 0 0.00 0 SGFCG-Screening/Evaluation(State-Only) 0 0 0 0 0 0 0 0 0.00 0 SGFCG-Transportation(State-Only) 0 0 0 0 0 0 0 0 0.00 0 SGFCG-Case Management(State-Only) 0 0 0 0 0 0 0 0 0.00 0 SGFCG-Counseling SGFCG-Support Groups(State-Only) 0 0 0 0 0 0 0 0.00 0 SGFCG-Individual Counseling(State-Only) 0 0 0 0 0 0 0 0.00 0 SGFCG-Caregiver Training(State-Only) 0 0 0 0 0 0 0 0.00 0 SGFCG Respite Care ,. SGFCG(Respite)-Personal Care(State-On 0 0 0 0 • 0 0 0 0.00 0 SGFCG(Respite)-Homemaker(State-Only) 0 0 0 0 0 0 0 0.00 0 SGFCG(Respite)-Institutional Respite(Stat 0 0 0 0 0 0 0 000 0 SGFCG(Repite)-Monitoring(State-Only) 1000 25 25.000 0 0 0 25,000 25.00 1.000 SGFCG(Respite)-Adult Day Care/Health(2 0 0 0 0 0 0 0 000 0 SGFCG(Respite)-Home Health Aide(State 0 0 0 0 0 0 0 0.00 0 SGFCG-Supplemental Services . . "` SGFCG-Over the Counter Medication(Stat 0 0 0 0 . 0 0 0 0.00 0 SGFCG-Material Aid(State-Only) 0 0 i) 0 0 0 0 0 - 0.00 0 SGFCG-Adaptive Equipment(State-Only) 0 0 0 0 0 0 0 0.00 0 z, SGFCG-Supplies(State-Only) 0 0 0 0 0 0 0 000 0 Total 1,000 25 0 25 000 0 0 0 25.000 Hello