HomeMy WebLinkAbout20091867.tiffMEMORANDUM
DATE: July 30. 2009
TO: William F. Garcia, Chair, Weld County Boar of Commis ongrs
IIIIDe FROM: Judy A. Griego, Director, Human Servit, ! '1 1
-A'
COLORADO
RE: Weld County Addendum to Purchase Specialized Group Home
Care Services between the Weld County Department of Human
Services and Various Contractors to be Placed on the Consent
Agenda
Enclosed for Board approval arc Weld County Addendums to Purchase Specialized Group Home Care
Services between the Weld County Department of Human Services and Contractors listed below. Please place
on the Consent Agenda.
Below are the major provisions of the attached Agreements:
No.
Facility Name/Term
Type of Facility/Location
Daily Rate
1
C & E Group Homc
July 1, 2009 — June 30, 2010
Group Home
Greeley, Colorado
$50.04
2
C & M Group Home
July 1, 2009 — June 30, 2010
Group Home
Greeley, Colorado
$50.04
3
Earl and Cindy Almond
July 1.2009 — June 30, 2010
Group Home
Greeley, Colorado
$50.04
4
Marie Alircz Group Home
July I , 2009 — June 30, 2010
Group Home
Greeley. Colorado
$50.04
5
Michael Alirez Group Home
July 1, 2009 — June 30, 2010
Group Home
Greeley, Colorado
$50.04
If you have any questions, give me a call at extension 6510.
Covent ( - nd&
oicslactri
('l ;f"lS GcliG'7(0r1
2009-1867
COLORADO
TO:
FROM:
DATE:
SUBJECT:
DEPARTMENT OF HUMAN SERVICES
P.O. BOX A
GREELEY, CO. 80632
Website: nnn.eo.neld.co.us
Administration and Public Assistance (970) 352-1551
Child Support (970) 352-6933
MEMORANDUM
Judy Griego — Director
Lesley Cobb- Child Welfare Rate Negotiator
July 22, 2009
The Weld County Addendum to the Agreement to Purchase
Out -Of -Home Placement Services contracts for Specialized
Group Home Care Services.
Attached please find the Weld County Addendum to the Agreement to Purchase Out -Of -Home
Placement Service Contracts for Specialized Group Home Care Services for following providers:
1
2
3
4
5
Weld County
Specialized Group Home Care Providers
2009-2010
C & E Group Home
C & M Group Home
Earl and Cindy Almond
Marie Alirez Group Home
Michael Alirez Group
Home
10101 W 13th Street Rd
1920 81st Ave
1937 Chestnut Ave
1405 26th Street
1709 37th Ave
Greeley, CO
80634
Greeley, CO
80634
Greeley, CO
80631
Greeley, CO
80631
Greeley, CO
80634
$50.04
$50.04
$50.04
$50.04
$50.04
1519595
9875
61603
70335
54150
These contracts have been presented for consent approval to the Board of County
Commissioners however; I am requesting your signature along with the Boards to complete these
contracts for the FY 2009-2010. If you have any questions please call me at Ext. 6441.
1
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between C & E Group Home and Weld County
Department of Human Services for the period from
July 1, 2009 through June 30, 2010.
The following provisions, made this \ day of
Agreement. Except as modified hereby, all terms otthAgreement remain unchanged.
, 2009, are added to the referenced
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#1519595. 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 1, 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. Add Paragraph 5 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, mentor/advocate, and supervised visitation. w,tl nth prcv,d-Q s e'sed N1Stitkficin
4. 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.
5. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. Provider
shall be notified by Department staff of the date and time of the utilization review.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. To schedule physical and dental examinations within
24 hours after a child is placed in provider's care. Medical examinations need to be
completed within 14 days and dental examinations need to be 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.
Weld County SS -23A Addendum
8. Add Paragraph 15 to Section IV. Meet with the Department of Human Services
supervisor for a minimum of two hours weekly (7.709.21), the specialized group home
parent will also be available to meet with Weld County's assessment specialist for the
purpose of measuring the youth's level of functioning.
9. Add Paragraph 16 to Section IV. Expect and welcome home visits from caseworkers,
mental health professionals, GALs, CASA volunteers, mentors and family members
when appropriate.
10. Add Paragraph 17 to Section IV. Attend trainings focused on issues commonly faced by
high -risk youth. The trainings will be sponsored by the Weld County Department of
Human Services. The group home parent is encouraged to invite their respite provider(s)
to the monthly trainings. Hours spent in training by the specialized group home parent
may be applied to annual training requirements mandated in section 7.714.170 in the
State Quality Standards.
11. Add Paragraph 19 to Section IV. As an important member to the youth's treatment team,
the specialized group home parent will accompany other key professionals to school
conferences, IEP meetings, or school -related staffings.
12. Add Paragraph 20 to Section IV. Furnish transportation as advised in the State Quality
Standards (7.714.200). Transportation to and from appointments may include, but are not
limited to, visitation with family members, medical/dental or mental health appointments,
extracurricular school activities, court hearings or other specialized programming.
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.
15. 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.
16. 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.
2 Weld County SS -23A Addendum
17. 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.
18. 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.
19. Add Paragraph 11 to Section VI. Both Contractor and the County will collaborate to
modify this contract as necessary.
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
Deputy to the Board
Approval as to Substance:
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
DEPARTMENT OF HUMAN
SERVICES
By: a
Chair Signature,
AuG®/009
CONTRACTOR
C & E Group Home
10101 W 13th Street Rd
Greeley, CO 80634
By:cae
4
Weld County SS -23A Addendum
&r%—/A'l
WELD COUNTY ADDENDUM
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, 2009 through June 30, 2010.
The following provisions, made this I day of , 2009, are added to the referenced
Agreement. Except as modified hereby, all terms f t . 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#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. Add Paragraph 5 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 1
training, mentor/advocate, and supervised visitatiot(LSI I a SLAgfUtS.2 d u•
.
ac '
4. Add Paragraph 5 to Section II. Contact by the Contractor with the Coo my 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.
5. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. Provider
shall be notified by Department staff of the date and time of the utilization review.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. To schedule physical and dental examinations within
24 hours after a child is placed in provider's care. Medical examinations need to be
completed within 14 days and dental examinations need to be 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.
1
Weld County SS -23A Addendum
,Rce9-46
8. Add Paragraph 15 to Section IV. Meet with the Department of Human Services
supervisor for a minimum of two hours weekly (7.709.21), the specialized group home
parent will also be available to meet with Weld County's assessment specialist for the
purpose of measuring the youth's level of functioning.
9. Add Paragraph 16 to Section IV. Expect and welcome home visits from caseworkers,
mental health professionals, GALs, CASA volunteers, mentors and family members
when appropriate.
10. Add Paragraph 17 to Section IV. Attend trainings focused on issues commonly faced by
high -risk youth. The trainings will be sponsored by the Weld County Department of
Human Services. The group home parent is encouraged to invite their respite provider(s)
to the monthly trainings. Hours spent in training by the specialized group home parent
may be applied to annual training requirements mandated in section 7.714.170 in the
State Quality Standards.
11. Add Paragraph 19 to Section IV. As an important member to the youth's treatment team,
the specialized group home parent will accompany other key professionals to school
conferences, IEP meetings, or school -related staffings.
12. Add Paragraph 20 to Section IV. Furnish transportation as advised in the State Quality
Standards (7.714.200). Transportation to and from appointments may include, but are not
limited to, visitation with family members, medical/dental or mental health appointments,
extracurricular school activities, court hearings or other specialized programming.
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.
15. 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.
16. 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.
2
Weld County SS -23A Addendum
17. 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.
18. 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.
19. Add Paragraph 11 to Section VI. Both Contractor and the County will collaborate to
modify this contract as necessary.
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
14.1,412,4
By:
erk to the Board -.
Approval as to Substance:
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
DEPARTMENT OF HUMAN
SERVICES
By:
CONTRACTOR
C&MGro
1920 81s
Greele
By
Chair Signature
AUG 0 5 ZUU9
/lea", ,,n/sigoz‘
n`kocs/
4
Weld County SS -23A Addendum
c9c e9
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Specialized Group Home Care
Services (the "Agreement") between Earl and Cindy Almond and Weld
County Department of Human Services for the period from
July 1, 2009 through June 30, 2010.
The following provisions, made this day of
Agreement. Except as modified hereby, all terms o,4lth®Agreement remain unchanged.
, 2009, are added to the referenced
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#61603. 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. Add Paragraph 5 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, mentor/advocate, and supervised visitation. (� , , t X±iii' ('I5tLa 1L'
4. 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.
5. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. Provider
shall be notified by Department staff of the date and time of the utilization review.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. To schedule physical and dental examinations within
24 hours after a child is placed in provider's care. Medical examinations need to be
completed within 14 days and dental examinations need to be 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.
Weld County SS -23A Addendum
�'%� /Te. 2'
8. Add Paragraph 15 to Section IV. Meet with the Department of Human Services
supervisor for a minimum of two hours weekly (7.709.21), the specialized group home
parent will also be available to meet with Weld County's assessment specialist for the
purpose of measuring the youth's level of functioning.
9. Add Paragraph 16 to Section IV. Expect and welcome home visits from caseworkers,
mental health professionals, GALs, CASA volunteers, mentors and family members
when appropriate.
10. Add Paragraph 17 to Section IV. Attend trainings focused on issues commonly faced by
high -risk youth. The trainings will be sponsored by the Weld County Department of
Human Services. The group home parent is encouraged to invite their respite provider(s)
to the monthly trainings. Hours spent in training by the specialized group home parent
may be applied to annual training requirements mandated in section 7.714.170 in the
State Quality Standards.
11. Add Paragraph 19 to Section IV. As an important member to the youth's treatment team,
the specialized group home parent will accompany other key professionals to school
conferences, IEP meetings, or school -related staffings.
12. Add Paragraph 20 to Section IV. Furnish transportation as advised in the State Quality
Standards (7.714.200). Transportation to and from appointments may include, but are not
limited to, visitation with family members, medical/dental or mental health appointments,
extracurricular school activities, court hearings or other specialized programming.
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.
15. 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.
16. 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.
2
Weld County SS -23A Addendum
17. 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.
18. 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.
19. Add Paragraph 11 to Section VI. Both Contractor and the County will collaborate to
modify this contract as necessary.
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 theThard
B
Approval as to Substance:
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
DEPARTMENT OF HUMAN
SERVICES
By: 601/h_
Chair Signature
CONTRACTOR AUG 0 5 2009
Earl and Cindy Almond
1937 Chestnut Ave
Greeley, CO 80631
By:
4
Weld County SS -23A Addendum
WELD COUNTY ADDENDUM
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, 2009 through June 30, 2010.
The following provisions, made this t day of , 2009, are added to the referenced
Agreement. Except as modified hereby, all terms o h 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#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. Add Paragraph 5 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, mentor/advocate, and supervised visitation. (,,1 /' n or pro Liit j C.- supervise
v; St f-A.t-t' , in, ,
4. 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.
5. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current'placements with the Utilization Review Team. Provider
shall be notified by Department staff of the date and time of the utilization review.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. To schedule physical and dental examinations within
24 hours after a child is placed in provider's care. Medical examinations need to be
completed within 14 days and dental examinations need to be 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.
Weld County SS -23A Addendum
''% /S
8. Add Paragraph 15 to Section IV. Meet with the Department of Human Services
supervisor for a minimum of two hours weekly (7.709.21), the specialized group home
parent will also be available to meet with Weld County's assessment specialist for the
purpose of measuring the youth's level of functioning.
9. Add Paragraph 16 to Section IV. Expect and welcome home visits from caseworkers,
mental health professionals, GALs, CASA volunteers, mentors and family members
when appropriate.
10. Add Paragraph 17 to Section IV. Attend trainings focused on issues commonly faced by
high -risk youth. The trainings will be sponsored by the Weld County Department of
Human Services. The group home parent is encouraged to invite their respite provider(s)
to the monthly trainings. Hours spent in training by the specialized group home parent
may be applied to annual training requirements mandated in section 7.714.170 in the
State Quality Standards.
11. Add Paragraph 19 to Section IV. As an important member to the youth's treatment team,
the specialized group home parent will accompany other key professionals to school
conferences, IEP meetings, or school -related staffings.
12. Add Paragraph 20 to Section IV. Furnish transportation as advised in the State Quality
Standards (7.714.200). Transportation to and from appointments may include, but are not
limited to, visitation with family members, medical/dental or mental health appointments,
extracurricular school activities, court hearings or other specialized programming.
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.
15. 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.
16. 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.
2
Weld County SS -23A Addendum
.17. 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.
18. 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.
19. Add Paragraph 11 to Section VI. Both Contractor and the County will collaborate to
modify this contract as necessary.
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
By: 471///t
Deputy lerk to the Board;_
Approval as to Substance:
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
DEPARTMENT OF HUMAN
SERVICES
Chair Signature
AUG U 5 2009
CONTRACTOR
Marie Alirez Group Home
1405 26th Street
Greeley, CO 80631
By: I h
,5
4
Weld County SS -23A Addendum
._9e,,69 -A267
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, 2009 through June 30, 2010.
The following provisions, made this day of
, 2009, are added to the referenced
Agreement. Except as modified hereby, all terms 6k'te 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. Add Paragraph 5 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, mentor/advocate, and supervised visitation. a_Di Km`t rozscre 5u Nrvtsecl V is'
L311-
4. 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.
5. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. Provider
shall be notified by Department staff of the date and time of the utilization review.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. To schedule physical and dental examinations within
24 hours after a child is placed in provider's care. Medical examinations need to be
completed within 14 days and dental examinations need to be 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.
1
Weld County SS -23A Addendum
-AY
8. Add Paragraph 15 to Section IV. Meet with the Department of Human Services
supervisor for a minimum of two hours weekly (7.709.21), the specialized group home
parent will also be available to meet with Weld County's assessment specialist for the
purpose of measuring the youth's level of functioning.
9. Add Paragraph 16 to Section IV. Expect and welcome home visits from caseworkers,
mental health professionals, GALs, CASA volunteers, mentors and family members
when appropriate.
10. Add Paragraph 17 to Section IV. Attend trainings focused on issues commonly faced by
high -risk youth. The trainings will be sponsored by the Weld County Department of
Human Services. The group home parent is encouraged to invite their respite provider(s)
to the monthly trainings. Hours spent in training by the specialized group home parent
may be applied to annual training requirements mandated in section 7.714.170 in the
State Quality Standards.
11. Add Paragraph 19 to Section IV. As an important member to the youth's treatment team,
the specialized group home parent will accompany other key professionals to school
conferences, IEP meetings, or school -related staffings.
12. Add Paragraph 20 to Section IV. Furnish transportation as advised in the State Quality
Standards (7.714.200). Transportation to and from appointments may include, but are not
limited to, visitation with family members, medical/dental or mental health appointments,
extracurricular school activities, court hearings or other specialized programming.
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.
15. 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.
16. 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.
2
Weld County SS -23A Addendum
17. 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.
18. 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.
19. Add Paragraph 11 to Section VI. Both Contractor and the County will collaborate to
modify this contract as necessary.
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
By:
Approval as to Substance:
WELD COUNTY DEPARTMENT
OF HUMAN SERVICES
By:
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
DEPARTMENT OF HUMAN
SERVICES
By:
Chair Signature
AUG 0 5 ZOO@
CONTRACTOR
Michael Alirez Group Home
1709 37th Ave
Greeley, CO ,934
4
Weld County SS -23A Addendum
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