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Home My WebLink About20092352.tiffRESOLUTION RE: APPROVE CHILD CARE ASSISTANCE PROGRAM PLAN 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 a Child Care Assistance Program Plan from 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, to the Colorado Department of Human Services, Division of Child Care, commencing July 1, 2009, and ending June 30, 2011, with further terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Child Care Assistance Program Plan from 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, to the Colorado Department of Human Services, Division of Child Care, be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of September, A.D., 2009, nunc pro tunc July 1, 2009. BOARD OF COUNTY COMMISSIONERS Weld County Clerk to th Deputy Clerk to the Board APPROVb AS TO F County'Attorney Date of signature. 9/ WELD COU TY, COLORADO Sea p P. Conway Q / J ra Kirkmeyer David E. Long o . H -s / 2009-2352 HR0080 O 1(c (oct MEMORANDUM a 1"� f & DATE: August 31, 2009 TO: William F. Garcia, Chair, Board of Cou ty Commis ioo WIIDCFROM: Judy A. Griego, Director, Human Ses epa rheii COLORADO RE: Child Care Assistance Program Plan between the Weld County Department of Human Services and the Colorado Department of Human Services' Division of Child Care Enclosed for Board Approval is a Child Care Assistance Program Plan between the Department and the Colorado Department of Human Services' Division of Child Care. This was presented at the Board's August 31, 2009, Work Session. The Department has to submit a plan every two years informing the Colorado Department of Human Services what our current policies and procedures are. The information from each county is compiled to create the State Plan that is submitted to the Federal government. This Plan is effective from July 1, 2009 through June 30, 2011. If you have any questions, give me a call at extension 6510. 2009-2352 WELD COUNTY CHILD CARE ASSISTANCE PROGRAM PLAN State Fiscal Years 2010-2011 FOR THE PERIOD: July 1, 2009 thru June 30, 2011 Date Originally Submitted: Directions: Describe your county's child care assistance program completely for each question/box. Please be brief but include as much information as needed to give the CDHS, Division of Child Care a full picture of your program. Answers may occupy more space than listed on this template. Feel free to attach policies or documents as needed. Throughout the plan period, amendments to the County Plan are to be reported using the Amendments Log, page two of this document. County plan changes and amendment logs should be sent electronically to Patricia Logan, (Patricia.Logan@state.co.us) CCCAP Program Specialist. 8/31/2009 Person Completing This Form: Main Contact For the Child Care Assistance Program (If same, indicate) Name: Shari Armstrong Name: Same Address: 315 N 11th Ave, Greeley, CO 80632 Address: Same Phone: (970) 352-1551 ext 6302 Phone: Same Fax: (970 346-7661 Fax: Same Email Address: armstrsk©aco.weld.co.us Email Address: Same Security Contact CHATS Liaison Business Office Contact Person with access to M15 * Contact Person with access to M40, M60 ** Name: Jackie Humphreys Shari Armstrong Lennie Bottorf John Kruse Shari Armstrong Phone: 970 352-1551 ext. 6322 970 352 1551 ext. 6302 970 352 1551 ext 6537 970 352 1551 ext. 6300 970 352 1551 ext. 6302 User ID: EN620240 EN620389 EN620358 EN620389 Email: humphrisnco.weld.co.us arrnstrstheco.weld.co.us bottorll@co.weld.co.us krusexje@co.weld.co.us armstrskla2co.weld.co.us * M15 is the screen that allows the "TANF switch" to be turned on. ** M40 is the screen where county's set their county rate ceilings and M60 is the screen where counties request an auto -rate update to be performed. Please ensure that only the appropriate people have access to these screens. If additional space is needed, attach a list with access information and user ID. County: WELD State Fiscal Year 2010 and 2011 (Period July 1, 2009 thru June 30, 2011 Page 1 of 33 COUNTY PLAN State Fiscal Years 2010-2011 CHILD CARE ASSSITANCE PROGRAM FOR THE PERIOD: July 1, 2009 thru June 30, 2010 AMENDMENTS LOG Colorado Child Care Assistance Program Instructions: 1. The County will submit an amendment log each time a change is made in any of the service areas outlined. 2. The County will complete the first three columns and send electronically to the State. Attach any documentation necessary to show changes. Retain a copy of what was sent until it has been returned approved. 3. The State will complete column 4 and return a copy to the County electronically after printing a copy for the County file. 4. The County will maintain a copy with the approval for County records. 5. Subsequent amendments should be added on to the original electronic version to create an on- going log of changes throughout the two-year contract period. SECTION AMENDED EFFECTIVE/ PROPOSED DATE SUBMITTED TO CDHS DATE APPROVED BY CDHS EFFECTIVE DATE County: WELD State Fiscal Year 2010 and 2011 (Period July 1, 2009 thru June 30, 2011 Page 2 of 33 z y d a eC m C a Y C r'i• > C .n a) m o c c m3 E. o E w v# v y o E E a `3 3 2 0 y c ou 0 v c c L� L y a) u `J Y c s ��E0lo �Y O • v v 79-cC 2> -DE -4-6 T> O . an O v c a) 0. V a N IYo — C D �0 I- N c U O O NI" v ate) v c N O d >,.5 O ut Y O 3 To>. J L a) a O C 'J O C U O w N CU's CO C.o� �47-5 m c t> y V .4.7,O E E E_ O N J rat -2 fs O Y a �. M o- a) L'O _ O O a m a ll Co U u fa = C u Co 3.919 C. The application process must be completed and all adult caretakers must sign the required application forms. Low- Income Families .a 1572 N w c N Y o Y C N Ot 6 C v `w a) u v 4 L c a>�vo� Toot9 c �a o in Z-2) 3 47. 2 a) y c N In w in 4g c 'D u a E a a) =3mc�,a L�N°vocv�'.Oc CO OhpQ"�av�T�la=D— E c my -0Y acc v c aEa O a.," o �-o-0Y g w E J L Q ?-115 rx 4-. m O O CO 0 a) O O J c a) o f o u 4- acgO¢ULLu_H.�O¢z>i=aaa roZsU 3110 V s. ou o a a) o g a).< C C C a lJ O a O VI U ;.. m a E 00 o. >, CU aY' g m o m wt'n o> a a�. C c o v a.' `-0 O O. to %" =� — a o 0 U (oa¢F- 3m m oOU ti ri c v v01i o aW O . OO `a) C O L Y 3 `�i0 /rA I:I.1.1.1.111.1 @.1►1❑►1❑ ❑111 ❑41►/ ► s. 0 r ❑�I Colorado Works Families .-, .-, ip N w CC C ., +' n C a) a) v fl)> °1 E 2 — U C Y C Y O a) u. im O N 3 o co a u tiv C VOi vv a o n �6 t�e 2�wE —m C 3 cv Y'- N co viol= N Y m (n u Iv4-W Ut VI a E 4-, — P) 13 V In s t0 .V 0. N 1.2 u j 00. O �- N v C C' a" ate a) c Ea ;;� o �v—' 0 a) Ep Jp J yO L O` T a) ez 4-0 cn 0 O a) O o J C a) O L O L aL+ UUDQUaaH.-.-O¢z�Saaa ozse sooL)HceoO4=H -0 °a) o_QQ CY moo y �0 {n a) VI C U 50 L Y tinp a-, woo or. U c w O (.5 c m.-,—,_, ° E{ v>Io oo'veenpv)C•>w Y J VI `+ (� O i 01 Y Y C Y d;O p m c U 0 d t� >.� Y to E o c E a c cL O a CU C 4-0 p L O o O. to + 16 r_.iin ° ELL oa¢F 3m U C o o in C L a) (0 a _ V) Ja) .YO- a) a N u u EL > a 0 Y m Lo -o-;5_ ❑ ❑ co a) O 1►�❑❑/00.11 //rpe ❑0❑ II /I1/1 ❑ ►/ ❑ ►a1❑// Application/ Re -determination v our, v v Lai T v oi .c C Y a C U U Ip E 4 O Y N �4 to O Y O a 0a VaL+JO 10 E a) 0, a) u° 0 O.ri> �Qp a) 0 0 c 2 C NUas >.0 >v ° — m 'E u a° v w- O Y ≤ 3 Co L j N 0 L •C O O va)Y u -c O0 O Um >. U a:1 CU 30 a aEi a x 'O "N = CO v)._.-0 >,0 A W L a.+ .-a .--I N .-4 Rule/Policy Manual Reference 3.919 C. 1. Counties with Head Start programs may accept the Head Start application in lieu of the low- income child care application for those children enrolled in the head start program; 3.921 F. For parents whose children are enrolled in Head Start, counties may opt to limit re -determination of eligibility to annually coincide with the Head Start school schedule. These families are still responsible for notifying the county of any chap es that ma im act eli ibili Low- Income Families ❑ No ® Yes If yes, how does this occur? N Screened by telephone ❑ Screened at walk-in ❑ Done during intake orientation N Done on the prescreen in CHATS O Done by employment coach ❑ Providers ask some prescreening questions O Other Please res nd : in 4) >- Z N/A ❑ No ❑ Yes If yes, how does this differ from your normal re -determination process? (Please respond): Colorado Works Families Z Z z Z Application/ Re -determination N. 4 iI: 0O c N u a) cn f] n Does Your County accept the Head Start Application? Do you re -determine based on the Head Start School schedule? .., C y u 4 IA rn - C C C a) a) V -C C C a) i L t o [ - ° u Y c o a ° _ a) 3 a) O •O y v fa .° fn C N du- O E to ai ° a O v v1 al .O . `p tic], c c" y V— o o w ° Y ra-O N O 3 y aa) coo N T on a 'A a) a • E C fa _c C = L `i- c �=a� = o a) ++ O v 3 E z, o a t o v o v fo '3 a c fa c OI'a) 6'a)— n0 E'O ro C= O Vl +' a C OV w O_0 OV 0. `-' O a) L L +V' Y a>%_C O c.��,-MO u .•E~ O� u a)~`�N.•.L C 4 CI `N Q N � 0 V 6 O co' :Li N r fa a 8 5 a) a) a r- V V O1 L •' a) E O, O n,> O1 o a 33-20rt.;aa L,,Tu 0.! u) hi Q co .n 6 c on. Q' ° N v C u a) O o o d T C a3i2 T'E 2 UU oP: fao actr5-3 3 V ''' N 4—,_, Z O a.)a' v a V fo2co a)i fro — 'fa m o mod 3m� a) v v = o C o O c'� V w O �+ a) w N N ° V 1C0 a.1 la — a o 'v o al .. En2 wo o)O ti L C(D a._ a) C F T J y N o t O i• y v.� ; L U f0 i' a) U 4-> O. co v�4So u0ac)u L 'd N' v p, a aA coil) 8 a5 -a t' a) N U v C L n. � a) j E L ° n O U a O cd C N •C j .0I ≥ m w •Ti V > O1 r 0 t v fa c 0 Q a) s- ._ C_ w . fu o liOa�E " o a a`i ar. g'�°vv .. L a) �+ i 4- ED� a) ti ° c 0 V w.m°v�cr_i. O v an O O'§ C w v'C C 10 3 a a O v O O 0 col C a) N n O `p .J ',V--i N ≤ y 0p 0 u°cau--oma3 15 • v C O o L a) -a � I- Q Z O 6' i r a c O a) ci L fa E _c O1 N O "O LO 4 a C C C C C C C C r c c F Cd C u C C C ()quo #) pa;ePdfl Rule/Policy Manual Reference a -a CO a 8 in `° m o n w L-12 C a) O L V ymi N m m c• C V L V 'O N sy �) m a c C y-0 m ^, X L d� V L L 0 a0Ln .- (1) OU C m"O L l) i L-0 y Q 1 Q �' m "+nC00 -.5 03 o c o b c m 'Yp E Yy O o y o a s -- V 1O �_/ QJ U >., L in J >— O !!I LI) 'O 'x-' '� Ot U a c m La ra vin baC c a) _c Inn U) a 0 � fU 3 m E O -6-'Vi >% = V j (C V 0.1 I- S] En m g E It L1:1 m (90 w a E v c Ti c @ E y mvEmm.N.-�ymw 0 a° v m V 3 CC ¢ o ni ., Low- Income Families C) c t TzT Y 0_ 0a in N L as ` O w a a gym+ L � m o mo L O 0 �� aa)3c�3ax.2a0 vi y C o E O i•C o.b E - a) V L.+ E C cn c c .. o V 0 0 IP E E c C E c til O c O O o al N m w• V) v 0 a) la o a n o a) O V 47, a O 0 m Bra c c a) a v o a = .. =v as v °L L' 0,- o O m Y J O Y to - m -0 "O >. = N R o c m 3 C ° v `_ c a) o= 'O C E N O V ��_1p a) v - L V O E o N h �.. vvi '-' :0 V J -O E E C to j a ` a) a N a) ^ d it) o Lt t v Ln n a ° vvw V o w nv m E acir L L O X ...Mu L C X C '0 a) c o Y 0UZLLI=Vc=a) ...0EHO aim ■ /1 ❑ A/❑►A/ ❑ o/s/■❑❑ ❑ ❑❑❑ ❑❑ Colorado Works Families a C Gov ao w uo n w t a)mr.3-0yv$cYY°m -caoa) +' Vf a 'pJ m. m 8 naL 10 N '22❑ .C c O `O a E N T V a 0 2 o E' .. w O V c 0 -O •�E o f c vEc ° ° 0, 'o o co " E'-' C u 3 v g 0 V= O a ti O. J"ami a •-Ca>o`oa ,�_+ J 1+ ` J a.' O_ N V O 8 m-• J c Y 3 c3 3-0= cE EO O > -o .. O C o E E �) c 3 c 3 o ai 8 a o= o- E ° `n cr c a) v m E c ") v+'i i V O 0 E Y (h Cr CO 4- CU v aaiv 12m YEo tv Li- taE Y a) u� al Ln c E p,Dx 0 al 0 Y E C a) L N 0 X 0 L U C Xa C E a) CU 01) Y 'riUzw= V c0 a),_„HO EHO ❑ 0 ❑❑►�� ❑ d Q/��❑❑❑ ❑ ❑❑❑ ❑❑ Application/ Re -determination a) 0 - In — a a E vP- m a I C „5" i,- Q '•I I\ C C C C C C 0 C C 7 C C C a P v C u C C C L (Aluo #) paaepdit Rule/Policy Manual Reference 3.919 C. 4. As a county option, an orientation for new applicants may be necessary. Low- Income Families c. Who makes the final determination? ❑ Case worker ® Child care supervisor O County Director ❑ Other (Please respond): d. What is the maximum number of months allowed for a hardship? 6 For Clients? ® No D Yes If "Yes" please include policy — (Please respond): Colorado Works Families Ct O ns in C N l= c V `1 N O -C at N in N C Y in v T ° 16 O d E C 3 O' 0 .- J L E �p L O4, C a) N t N N≥ O 1O L N'C L L EoE0 °1S 1U i O C— N N 4E' a) a- X +L'' r t 1 C1pp ' N RI C es.. 'O U E O n 1_• v N N in -O a Y tn 4-, O `m a) N vC rip la .2 N cu L NI L N N E t0 i.0 O) L E . E u,... E -o tn 6 N W 8 For Clients? ® No 0 Yes If "Yes" please include policy — (Please respond)_ u- Dill❑ Application/ Re -determination 8 LL N n 2 t C N N a I Orientation Is a child care orientation required as part of your application process? ^ to a.I- c o -- co r Cl C C t t 1 flnnn a,... 1....o an 1/11 1 C C C C C ci C u C i C C L M3N Rule/Policy Manual Reference L L Y y > C C c o > a) N -o O"O O -0 :_-0o E R "'I m u o 3>rEf)JE o C1 v -0 N "aO L O Y O CO > C CU C p Y tad a)6 P- a O C S- O m o.r) U acflv '-' >' O O E y tu W `0 J L :0 E> a O O . R3 'a 'D I - -I Y 45'a) O- C L 3 L C a O F.) U `) Y o c C of Y � O G L � U am a) 10 J-. V u C ;D N 4 Ln�' EEv3,v c C J O E a) E J 4' —yo C rfi V .C OV 0) r ( '� N O> cu 3.905 A. Counties shall provide adult caretakers with information on all available types of providers in the community: centers, family child care homes, exempt family child care home providers and in - home child care. Low- Income Families a v o y aa a) o a) V co O ,L. L > VI T O y C C O if application ation -equest treatment evelopment ly clinic ietermination [Please respond): ake interview C a+ O "I@ a) L .O U N C 4-'Cl) O N N- E 2L d co Ea a vvowa�a a v 8oN v n. o Cl.) to LC E i a)+ = v E O c., C u X+� C N ac -0 E_ U - otOT) c O L 0 v L(0 C J N C O C Cl O C V- a) v In C L— t`0 a s COL Ca C Y _ i 2 - o° w v C E Ea cc t o o°= y CU L a L a) -'• = a) ._ (0 a) 0 fO J C 0 L C E axSU a aCta' C) U ULaa macaw O cm c m m 2.0 E t E Y V= 8= > rna) o S c c o w n ►/ A/ I ❑/1 @ ►.1❑/1 A/ @ Colorado Works Families c O v .. C Y 10 :64 Y ya) n o 10 a — rn u c N oC -O .'='O >f application ation request Individual �ility Contract (IRC; ent ly clinic ietermination (Please respond): :ake interview of V L O L ON ,:+ - O 'O V Ea 2v��_a�v)O_ uv Y'ocu2_ovoo._.. O a) in di L> c a) E tn E 0 O' J Of Y O O ul 01 C 0 Y O rC JO O C a) C O. O C u V 0)VI C Vo L C al 2 a) a O 0 f0 2 2 C c m u C ^ O c v a) a) a o a) - c J o E }' U E> 01 O a) -. U O a) E Y y a I0 a) Y a) o a) y ) ED C E E L C 0.. O V L O O 10 J C O L C Y E' .E U U �0 L a 0- a) _ a) : f0 a) C O. a o'� U VI CC J C) 'O 'O U L a a aJ a a W E o �O .2„) C a) a) Y a IC aLO YO 03 0 CL U > f0 Parental Education/ Resource Referral a) o ` n• a t m v N C CD U 'VO U> Y L O y L O 0 Ca,)1 u L O Cy E) O U_ in N > 0 0 Y,9� C C co c co o •m U i O N (73.uV U °' EL a'E O v — o F Area 2 - N N N Pa GP R nf22 Cs -...a Lion/a1 Von. ')111(1 .,,,,1 fn1 1 (Do.:...1 T..1., 1 -mno thni T,.no 111 11111 C C t C C C Rule/Policy Manual Reference L N y Y L v v a -o a yt E (o o v fo t o v, 'o2L^LQE- II O C E,) l v O r N O CO.O N O U V 4-1 >OOE-1__ v- 'c L n o E O a _ > a co f0 f0 a) a Y OV f0 w Fr., -O ._ O a 7> u a L c v C °`a ° v u Y o To O V U Y a N 2 L c E D U L Y ° Y in YO C w L N U a Q N N C Y U c C yh u. Eel) - O o E aE 073.0 0? C m c°J a ° v.c to n v ° °.°) Low- Income Families j li N. vC O E co C_ co y a roo n3 y O 1 Ol v �y o C O Y 2 N ` V fp O a w N f0 .0 E co w O a) O a an ono N Y Y y a) cn E O a., L V a vs a) N L 0 i' T o C -O O ca' a) f0 �Eo a C c ° v a) in coo >, a) > 2 a v >. .6) 't L G 10 fo L �a}o C O L f0 E 0 CO -Q) Y c C N -; a) O C O f0 T C O •m E =C u N cis 2 Y Oa G a) a C v Ow tOif V .O w fo C> O a) c O �d a T`) a/ L noV)o ❑a❑ A❑❑■ ❑►� o Colorado Works Families a)„ a) c o y y N f` Y rn y v C cv O) ' 0 0 0 -0>..0 > E = o 6 2 C Y Y E iv `O O. u_ o a) c fyo (0 c O._a . V)o vi `J a) m a) d O) a) a1 O Y c a o NCB. of E Y o `o Lo w U) C w a t ° c$ z' O° v �Eu a o cn O fn d a) (�O a) € d L N >• Yt"' N o O (° y Caro c a L y§ y C v T N E v o = c N >, c O O N. VY CU 310 +c s°ov L; C •. ° Y . • a c O w V O in a) fn a) c v o° u a, vi u a `u (( >•• 5 a) a) C O N d �° 8.2 T a) L C tO y noo ■®❑ ►O❑❑❑ ❑►1 0❑ Parental Education/ Resource Referral c O r co Y in C, a) I- a) O O 10 i Q /\ C V N n9 N meN Rule/Policy Manual Reference 3.919 E. 1. Family gross income may not exceed the maximum defined by the county of residence of the applicant. Each county shall determine its maximum gross monthly income guidelines not to exceed 85% of the state median Income. Income eligibility cannot be set below 130% of federal poverty guidelines. 3.919 E. 4. Beginning with the first six-month re -determination, counties may adopt the following eligibility criteria for employed and self- employed families whose incomes exceed 130% of federal poverty guidelines. Gross monthly -earned household income for employed and self-employed adults must exceed county child care payments by the following percentages: a. Twenty percent (20%) if one or two children are in child care. b. Ten percent (10%) if three or more children are in child care. c. County may exempt a household from meeting a percentage requirement, on a case by case basis, if five or more children are in care. 11851% Of poverty level Date approved by State: b5 01 2009 ® No ❑ Yes If yes, please describe the process: County Options County's Income Eligibility Level v cc o CJp v o =v p V CY oo T p N N Y Area 3 .-j M N M Damp 1(1 of z z Qt.to ricrnl Vn.r 9f11 n ,anrl 11111 (DPrind h,1., 1 111110 th..i Inn. 111 NM C LL L C C L Rule/Policy Manual Reference 3.919 I. (4) b. For parents who are not teen parents, counties may opt to offer training as an eligible activity within the regulatory confines set forth herein. If a county intends to include training for adult caretakers as an eligible activity, the county must notify the Colorado Department of Human Services in writing of its intention and the effective date of implementation. Child care staff may refer adult caretakers to community employment and training resources for assistance in making a training decision. 1) At the option of the county, educational programs include post secondary education for a first Bachelor's Degree or less, or vocational/technical job skills training which result in a diploma or certificate, for a maximum of forty-eight (48) months. This is limited to coursework for the degree or certificate. 2) In addition to the months of assistance available for post secondary and vocational or technical training, up to twelve (12) months of assistance is allowable for GED, high school diploma, English as a Second Language or adult basic education. 3) A maximum number of months allowed by the county for post -secondary, vocational and technical education, plus the allowable months for GED, high school diploma, English as a Second Language or adult basic education is available for each adult caretaker. 3.919 I. (3) a. When individuals lose their jobs while enrolled in the Low -Income program and Job search child care is approved and monitored. b. For new applicants, when approved and monitored by the county worker to ensure that job search activities comply with county standards. N r r > 0 ma a C1 b O i 'O O C o E 9214 C tn E L inL L L N c C C C c O O O O O ert. L E E E E E E v vi N 00 V -o O]+L-' N.y.+N M 70 N • V C v vOi N a v L L h O 10 w N U rn N O i=r _ c w L V a C N O O -.-'L L� +-, C in a C 0 L C i E u a or v C` -'N 'y,O- Y ra c Et' N v 92 E u v V CI to a (Please respond :1 Monitored through weekly job search log(s) and random bi-weekly verification of at least one (1) telephone call to a contact person listed on the job search log; or a copy of the confirmation receipt for any online applications to verify the contact and business related to that contact. Employer contacts are documented in the Case Notes Screen (C05) in CHATS to verify monitoring of job search activities. I t2 O Z ❑ o Z ❑ ■❑/1■❑❑ County Options C ',p it r. roc N c C O i n .'^., m V u i- CO QJ Z E O N a Q" j 3 '''n 4'`p craj r.no > 7 co T L 2 O T o L N i n a c 2 N d r. ° v • . 3p O i E Area 3 (Cont) M M Cr, Pa;ePan Rule/Policy Manual Reference 3.919 J. At the option of the county, families receiving Low -Income Child Care assistance, who become ineligible because their income exceeds the gross monthly income guidelines set by the county, may continue to receive assistance for up to six months following the date they became ineligible when the following criteria are met: 1. The family's gross monthly income does not exceed 85% of the state's median income, published annually by the U.S. Department of Health and Human Services, Administration for Children and Families, based on family size. 2. The family and the county work together to prepare the family for the transition off assistance. 3. Counties selecting this option notify the state in advance of their selection of this option, including an outline of the county's transition plan strategies for families. LO M 40 oN v J O O cn O C> ti4- O z> 4- vi Ot 0 0 is >. CU E J a N.4 L (C # al a O 9 -C tag C O .. 03 v m o (O 0j y O. E LO` fa,_ gm,..m N J 2 C O.C O >a..l Y., • u a) C C (U a, _C (J.+° in > (P N! O V1 LO (b a) as a) & V N x a) a)10 CL OV 4- C O a o CU o a IMCN N X N yC/j 48 LE -D-- y C C O O a/ La -0 3 �-p N- =-J C LL C T O V (nr C 1- a) O G a) tit °a (o 010 roc, 2 (n E E a C G N 0 J -.aa) Ev a w R _ .C X 4.i a) a) a.a W C a) . o tn m a.+ LEv �� n (�° (° C m C v La..� pCp C O aLa V .. 0-; V a) J m O a J x' N C v m o to (n .c >. a) m V v w'u wn o C a, aaa) a) i al a) .C c CO u1 o E E d °' O O _6aEaG- To C T vry v in u 3 co O Ctit ,0 al ° Et c L^ U •0 (�O VI C it T 2) L O m O of El). Ern r. v v �O ID (U Y C a) `- v (y6 D Li; O L J N a.a a) O C 0 O uJm �E N u v= a) a a o C �O Cp C v' A O " a) m 0 V O J (T In Lit a)-0 J N (U m= C O r in .C E a) T.--i (O V • E� o2 .6.. t I O` a) a) E t '� m E E COE > IA N o O 0 uwii.EEa a. (d(`"oaLLOO County Options LA C a)cCO O a 0 .N W WO ,_ T E C C 4 w Y O a. C t C • U O N m J E O = O .c N in Z• > ,._= t a) .-- in >+' O u d a)a Em(T CO OV LO v C) L C RI 0 L. v Q in Lrl M C C C C i C C C C C i C C C C U pa;epan 3.919 H. (2) 2. Children who are not attending school as defined by the Colorado Department of Education and are receiving care must provide a copy of their immunization record indicating that the children are age -appropriately immunized, unless exempt due to religious or medical reasons. (See 25-4-902 and 25-4-908, C.R.S.) a. Counties may require a copy of the current immunization record as a part of the application process and annually thereafter in conjunction with the family's re -determination of eligibility. Families would have thirty (30) calendar days from the date of application to provide the information. b. Counties that choose not to require immunization records as a part of the application and re -determination process must require providers to maintain Immunization records indicating that the children are age -appropriately immunized and monitor those providers to ensure their compliance as set forth in Section 3.911, (E) and 3.913,(U). ® County ❑ Provider If responsibility is with the provider, please describe the process you use to ensure compliance including; Who performs this function: County Staff Name: N/A Position: 'Child Care Technician How often: ❑Monthly ['Quarterly, or at ® Redetermination Method of sampling:( Please respond): As a part of the application process and annually thereafter in conjunction with the family's re- determination of eligibility. Cnco.=v O rove(o N 7 E E Cin D vo 7�v 92 local N =B'O'O • O 7.C 0 o u E u c 3 `o E `o u ko ni palepdfl Rule/Policy Manual Reference County Options ad C Co Q m ry r 4 C C f C C C C C f C C C 4 Y �vl oil j, v c v v t... .+o,� v a c ..U� rn Qo 3 E c v yr c "� J 10 v a) Y a C 1n m 1p L L N C to v on eo c a) v 3 U t u J 9 J� a/ o V O N +C E L 3 ."fi 20.4_,I) Z u U c 1n U 0 Y 0 a,Ln d c A, t o G O c c It acu a In � aa)— �Y 3 m olc C o v L V E u Ea- J v o2 v ....w, -:-,u.- o o c o N C CI-Cnj 0 L W C o O. C • � N Y c +' yr v c C 3 5 a1Q 5YO to = v .' Y YO 8 v 4-4 C 2 2 ri m e N C N C 0 a E N alp C v (n N r T U C C E C a) ooa• a ��3ma=oaa))°cc `o� u iii w ° u c .co Y rroo 0_ -vo L o w Z' 1c° cn o a v s_= a co -c coo ol a m c `o o f cv J W Y L t cm12..- =4-4., 13 Jl~ Y T av C a1 ,# u w v aU u - c c a.) vow 3o g E n v vamvo $mv,- c O ;J -aE L aJ E u o v J E olu o ID L^ 3 ah c u n J to co a 0 4.1.•F U Y c 0.O 'O U C o=0 -"C o>wva` aY>�u-3 o aEi vig a no ID E cw c'E o 0 a u a1 J J t'' 'm0 •O U Y 'O '- J C o 0 C aa).tC� 0" 0 — E m — v;°uoT "0aa fa 2Em%Ema T 4-'rsi LO 0. 0o �y2 Cr) u1n a LU OW co OUN V M Q Q W VJr 2 M' r:, N M 7 O J- +_+ 10 CI- a) C v 42 O 0 L Y m O `o V a 3t+ 0 aC v V O a 0 oo L C CL 2a) 0 c u n E L 2 6. (A a$ 03 m ` _a5 •O U -c Y 01 C O OL O.O >.v m aan3 caj,=of Cr C v c O 4-, t# C 2 `° Po ----.- 'a O G v ..C V a V N P2 Oa L y> v i. O Y o y °) w oO N 0 o c v) v O c C. vi _ v Ea 4r vro mm=00act'3 2>- 3 Lw c o ruv _a3c _ w D® v 3 m c c v L u v Q rti .L+owaU 92 '6' Ln L4 -.1 • n O v C - t 3 5• w O U 4.6 03 O C o o •c U E u � N O u L 14 U Y a m a v m u v v L ° w 01S 4-, T O C c o a0 .≥ QEw=� 2 m .4 L V YO cu., N v VC') Y aj a) v ? 1�0 3 rn n 2 v c ca' a � of VI c v t Cr 4�) v=Ea+_+v a Y Y L. 3 ` J 3 >•. o c u-o o c c 0 c v v o.cmoo C o E c) co co 3 '0 001 „ �`o a v =o E m Ls) O 2 c 4 3 is Y or c x y v g O a a) m o v •Q y m v m sn c as v C i ah J O v J s_ a+.c u'3H 13O ME L v U L> pV 2 > JOi a) N O a 21 O 1> a naacz aim u rn-2 t L u of a/ C m J 83 aL u o r r. aY 'a �av)J C 2 C J L C 0o E,.., c 0 YO �O o 0 '- Cr vv O J t' a) 3 ELn Env • o a m Co a 13 2 aa)) v v E U J c of 0 C0O N N C O CZ na 2 c ate`) E U U d. What is your county's policy regarding the $20 fee? a a MS 0 2'po0 N > m o 3 2 a/ 3 Cr a 1`o v m m a 1 C C Toa N V co t' u v v y QfifuO EID®O o c J v -0 o LE w U W N v Cm a o -o J a G _ v n) = L 0 y v a' y, w o 2 3 w 2 m h f C r C C C r C u C (AWo #) Paaepedn 3.903 Child welfare Child Care" means less then 24 -hour child care assistance to maintain children in their own homes or in the least restrictive out -of -home care when there are no other child care options available. See the "Social Services" Staff Manual, Section 7.302, Child Welfare Child Care (12 CCR 2509-4). Does your county have Child Welfare Child Care cases? ❑ No ® Yes Child Welfare Child Care cc re), f f 4 C C C C C C L ()quo #) pa;ePof1 Rule/Policy Manual Reference 3.910 C. Upon notice to the state, counties may negotiate fiscal agreements that are modified to include rates and fees in a single rate of payment in a slot contract. 3.903 "Slot contracts (county option)" means a type of rate paid to providers in communities where care may not be otherwise available to CCCAP children if the county did not reserve slots. 3.905 D 4. Counties may pay for activity fees if the provider charges such fees, and if the Child Care Fiscal Agreement contains the provider's policy on activity fee costs. Counties shall set their own limit on activity fees with prior notice to the State Department. 5. Counties may pay for transportation costs if the provider charges such costs, and if the Child Care Fiscal Agreement contains the provider's policy on transportation costs. Allowable costs include the provider's charges for transportation from the provider's facility to another child care or school facility. Transportation costs do not include travel between a parent's home and the provider's facility. Counties shall set their own limit on transportation fees with prior notice to the State Department. 6. Counties may pay for registration fees if the provider is licensed, and if the Child Care Fiscal Agreement contains the provider's policy on registration costs. Counties shall set their own limit on re istration fees with rior notice to the State De artment. ❑ No ® Yes If "Yes" what is the process for monitoring the effectiveness of contract? (Please respond): Monthly meetings with provider, in addition to, monthly billing forms, and sign in/out sheets. ® No ❑ Yes If "Yes" give Facility Name: Provider License Number: O No Yes If "Yes", what do you pay and how often? ❑ Monthly ❑ Annually ❑ One Time Activity: $ 1.00! ® Monthly ❑ Annually Transportation: $ 12.00 ® Monthly ❑ Annually How are these fees paid? ❑ Providers bill for them separately. ® They are figured into the unit rate. County Options — Payments 7 o Y T U0 J N a o O L .� T N N 7 T `° > L C O J ii n p 2 �+.=' >-• 4-. C_ C J 'U D o o� ^ LL �o m n. a v J O O O o co ID 7 c J_ 0 0 >, m o. N. in N K ≥ C �aF- Area 4 .y 7 N a' C C v C C C C C L pa;epan D No ® Yes If "Yes" please check which providers must attend an orientation. ® Exempt Family Child Care Home ❑ Licensed Family Child Care Home ❑ Licensed Child Care Center What information is provided during orientation? (Please respond): Provider is given a provider handbook, as well as, an overview of child care program(s) and trained in billing procedures to assure timely and proper payment for services provided. C O CO c cl)p O j O d N = a) v r. L L V G d) o 'o — L V13 1- d (0 O N u ,-I O qO M r v 0 C L maN Rule/Policy Manual Reference O InT N N U w N O -c u n C O N w — L L LL U Y C N L C 3 U O C C C u :O a) co r O >- 0 4' a a U d ro -Cr"' O C'o ° E•a CU n VI Y — n w CL C L Y O O " w U 7 C wn a f0 n C L j U Q 0 u w .C •Y C N to o N = C YO Y o �n C U E a 0• 0 w Iu u rri04..E .c _o IT) w in L C U ° U w u C N C O N E 2. - T Cv m a C) C " O C L v 0 u (0 N C co L w u4 w W C 4-1 YWWWU O u L w " w c T •O n w E O T uw n a m O Y 0 n '3 a u p Y N =_D C6 I Y 15 O f0 = c Y'O c>•-5 c c fri ¢ m a to L -0 O u c cu c fOr p L0 T u a, CL Ca N v O Q c C N u ( - a ro L N Nai u j c C U O w U L w3O 4- 'L'w c T7 w Y OE T vw n (00. O c YO nit UUJ Y .Y_ N C -°,� E > O o C C L C C U C C m C m n ra C -O L• a w f0 O C u u T a 0 T C 0 - E c w O f0 ` 0 >... CUc co TC a d aO w cu 3 Li cu vi Inn In ow.0w z Y co Y C ❑❑ Y L N2 .. C w N A N 0 C L - C _c 0To O` ') w L Y w 10 o o 0 c ct g.v ci)u a) o C co C U O Y O w O L U . N a C a (49 4.9- 2> — C w e -O to f,_ c' C a a L^ c£"> u v v a) v w O = O C J L n r0 o Ea0)ofl-vw, oo (0 SO 5 fn C),�DE fLp 4-) (7, > La H C C c .O .1-) C C > u fa N ow a) c .M.i,= O CU o c Y m— m o w m ,n Z E c c_ ,_.1— 8 C- C _ n11:1 03—p a) E 3 Y T Q' T O- 'eh' 0 u Oa C CT C a O O C a) C= a) y„,0 a) rn� E w a`) v Ea o'3 E v3 a`ioIn=CC) v- Z COY aEi -_,;1)} C o D 0 ><U U F ` ❑ ❑ ❑ ®aa CU Y n CU a) ro N roL - T O C Y w C CO o O U O L O 0in L w b N too VI IO TD E �� O C E O L it -:2 E 0 a) c _o n v -to o ❑ ®®❑® .. C C U C fo O V C T 0. T n T T 0 to w to— C T T 0 '- a r0 O a T ro r0 w a:jT w CO T rt. 2�� N O,10 a) w a) N L N C C •O, d _ w w 3 3 0 u v } -i an) o C v VI VI T Y 3 w rU L zoin)ra `L)Lz T0_zLtIL-o O C (•• 0 CU a3 t13 n — r0 -0 a) t E Y o v T fo n = o T C O 0 Ln T C ® a n C C a a:5= In 0 E o it, z v ❑= F - c M C c O r+ a in O c d c V !L Paid Absences T a w O 0 "w°ca) o � r —°° v w 3 00 u Cc,_ CU w �w T-0 C En f0 L di ca w > N L Y0 w o 2 O j w B. E 0°fOnwrn3 LA T a N C r`• u u a n O N c T in 0 111 O O = p O C C f0 41, C 7 LIR (4 C (Moo #) paaepdn (Apo #) paaepdfl (Aiuo #) paaepdfl In N } ISI z 7. d Om -O r j 0 u th >“1- u r. 2 v E C] ea (n M3N U W L al 15 C to $ a W a in -C in r 'O a, v i as N '� U i+ "— N as i' a IY'- �'' a] L L C N c c a) O o'vEy3QELQ `� au) (L) w v Y r vc O `.-' N t O y co O N- 3 d E yvj c r C_ a) v av+ a) iv co C O 4J V La v O a v v a) a m J O a 'O Q N `- Q y co•on, o 0 L v U J G a N L N L a7 C Tcp = a7 V O> 1+ N E- J` a in y Y U V N U �+ O T >. C E w E v '�' v a O j g COcra vNi aaj n v v �'• 4 O O O -O cn O O t+ N c wri, a} . q) N L .3 LO as N ¢ J J +' 4_ C V `l Q✓ CU O a) - UJ dip Y= Y v' C Y _. c v - t2t O' N U p CO u a) O N N a+ a) ° u N a, m U `_- c L• a L L E o n C`6 c v E Y C L u "O O 'L'' v v -C 'OO CU `' C� Y ay;O O U 'O v 3 ♦.' PE o N 10 " v>•- L L CO y i- a, a3 C N C V J Y_ O a O N +' C C -O t- E o CD >. C . Y C in a E O J o av+ as J O E Vl V= u O N J L N o a O, O v T_ c OQ LS ,� u% C o0 L c J..' N c o in n u C_ c o J m' • ¢. o.. 3 t o Uo�a a,Em>cacv ^ aQa cJ000�a v° m3m�iaia)iLv >` v N a y (> N O` L a7 N CU L N 8- V V O N -c "O N C o V C_ N a) a) 0 4 2 N T t' a) n N a+ CU 82- a' a) a) co > N O L ✓ E in E '° Q Q co '= a, N U c N a7 C i w O i U L y v co N w .N.i O n C 'O a=.2-cO 3 c Y E C C` C> a O S v O c L ''' § L v g E av+ L a7 V Vv. a Y J N ''' L a) in L T ,,{^>' c y a >. L v E ,- Y U an L 10 L>. C a+ O U c z O a E O i E^ al c a Z. O Q .) 3 L a ,_ a) a) �C c v. - N a) y y al u Q 3 g C0 N J a+ •O C J 8 (0 E c J fo V y' c v a) CU l -O c c-2 C0 o U N = O T ✓ C G in c L V= v I N O -O L U C (0 u a C N' a y0 O(0 O a) Q v O — O a) 3 Vy-. C O N L J +v-' U !0 C> O a J 'O t- O E o aLV.�' C. O.5 O a) O in L N U a O Y1 C sy+ E N m LVf Cc CC = N OV f5a C a u >. N U Y O E C O N N N (00 2 L Y N C 2 ,> E D E in O a) = Q.— J O c v, ` Q•- u g u� w~ 3 0 &.) O 3 8 o � a v c.-OL E CD � N� v> N��, E v s- v 2 E mP o a m o • v C- >% i Qav' cue vN�� ca v u U c v v32m m E2''Qv� u a,'N o a m p a) t3 N N $3 a) ? Nis a2) -e d) a J y-ON N Q v O 0 0 0 v C v q u a) r✓ a, m a E a L d o v U vvi ate+ '� a` Q ov aL.' Cu U aL.' i h- aL.. Q C N '+ C L t' ')C ric.)EEo aE¢ m U 6 'c C co E a O 9 N u .I W C al I Vl C a) E _au Q a) -.4.1 a E () V a) N aJ v a County Reimbursement Policy in a) Y CO e-ICe C N E a, J 'L E cc ea N L a)n tri Rule/Policy Manual Reference 3.910 A. Counties may set rates for basic and alternative care as defined by the county and reported in the county plan. ❑ No ® Yes If yes, please check which ones and provide a detailed explanation of how each rate is determined. ❑ Nights ❑ Weekends ❑ Sick Care (Please define): ❑ Kindergarten (Please define): ❑ Full Time School -Age (Please define): O Out of County (Please define): ® Special Needs (Please define): When verified by physician or other appropriate professional and Individual Care Plan (ICP) are provided. O Other (Please define): County Reimbursement Policy T n. a0 V1 O N u C 2 J O y O 0 O O1 T i' in ro O ro Area 5 (Cont) N tri Note to counties for original submission of county plan — THIS SECTION HAS BEEN DEVELOPED TO BE ANSWERED WITHIN THE PLAN PERIOD, BUT NOT AT ORIGINAL SUBMISSION OF THE PLAN. THE STATE WILL GIVE DIRECTION ON THE TOPIC OF OVERRIDES THROUGH AN AGENCY LETTER. WHEN THAT LETTER IS COMPLETED AND ANY SUPPORTING DOCUMENTATION IS DEVELOPED FOR COUNTY USE, THE STATE WILL INFORM THE COUNTIES TO FILL IN THIS PORTION OF THE PLAN. 3.913 MM. Prior to approving a fiscal agreement with any provider, the county shall compare the provider's private pay rates to the county's rates to ensure that county payments do not exceed private pay rates. NN. Counties shall review fiscal agreements on a random basis at least twice yearly to ensure that the provider's current private pay rates are not less than the agreed -upon county rates. If private pay rates are found to be less than the agreed upon county rates, a new fiscal agreement shall be negotiated and a recovery established against the provider. .2 Bin 0 p O a j O a) Lei n. = 4c = a) TE V E c g a) 0 E w t 3 c c a) a a z Q) • .i C In O a) an w v1° _ Y a0 lu0 a) (n -O N> E �_ a Ot' u '-;n V a) C a co 'O ,L.. c< U O ii 0 a) coo T Cl a) s o a O l ',2a 7 O a ,2 2- O �' . a) C to a) c E = O >'o O N col (j!, EC E all E c r a oc to E�°� /nlaN E O CO a¢ c C L.: a a vi z ai " .... C to O a) Y a) � l LLd .-='.+ a) C C 'O cu_c O O as a)C ❑ v m II >' N N C .L"' O m anO' .+ ❑ N T C al .C c O C ; f i❑ ❑❑❑.1 ►1❑❑❑ c — N L w Ni 0 aci=5c v v cE C a ) 62 O C C O1 x,.alto en Lc; 1H9I11 01 310N 33S - NOI1D3S U13010H3Jtlld k§ Rule/Policy Manual Reference =%se e 2,)e!\ )C --Cu /}7)2\) ye a0 ]:(+C \\\\\\\ D As requested by providers ® When allocation allows for an adjustment 92 co \ \ \3 \ §\ \\ TO1 tO CU ! ,_ Cu,_ | \ ®#/ co ®_ C < ± 0 ± \\ Ch bk \- %f §] ' 20 8 o 5 ED MUM] Cu E CI a) N. \\}\\0 CD 0 \k $2\7:56 a) \) 92 2 .C _! Ln Ln VI ( C a ek (Apo w@■pk me #)a #k Rule/Policy Manual Reference 3.906 A, (2) b. An exempt family child care home provider who has submitted to a background check may be eligible to receive moneys from publicly funded state child care assistance programs. 3.913 CC. The counties or their designee will complete a review of the State administered database for child abuse and neglect on the exempt family child care home provider(s) and any one in the provider's household who is eighteen (18) years and over. DD. The counties or their designee shall screen the exempt family child care home provider(s) and any other adult eighteen (18) years of age and older for current or previous agency contacts. a) } o No ® Yes If yes, answer a and b. a. What fees does your county underwrite? Z Cost of having fingerprints taken ® Administration fee Z CBI processing fee ® FBI processing fee Z Postage b. When are the fees that are underwritten by the county paid? ® Fees are paid upfront when packet is submitted. ❑ Fees are reimbursed when county receives clearance. ❑ Other (Please respond): ❑ Before giving the packet to the provider. ® After receiving the complete packet from the provider. ❑ Other (Please respond): ❑ Child Welfare Staff. O Clerical Staff. ❑ Child Care Staff. ❑ Supervisor. O Other (Please respond): Exempt Family Chil Care Home Provide County Options Does your county authorize care prior to CBI/FBI results? to O -2 N C -o 7 C O 2 t d O u> ,_7 70 ° a.- ncY u i Ol N ` u O _o ^. 2L .6.,p ≤ to N N U u u 9 -0N 0 to tv 0 7 w N U.6., S] (13 V When does your county do a pre - check in TRAILS? Who does this pre - check in Trails? A N L go ri 6 N to CO d pa;epn C C C C J C C C C C C C C C C paaepd(1 paaep n Rule/Policy Manual Reference 3.919 D. For families ending their participation in the Colorado Works Program due to employment or training, a Low -Income Child Care application shall not be required for transition families. All Adult Caretakers shall be required to complete and sign a Parent Responsibility Form and provide verification of income and eligible activity as set forth in Section 3.919, E AND J. Counties shall obtain needed verification, if available, through other public assistance programs. Counties shall re -determine the transition family's circumstances as defined in Section 3.921. (Please respond): A Notice of Action (NOA) is sent by the TANF worker to the Colorado Works case manager notifying them that the participant is no longer eligible for Colorado Works child care. The Colorado Works case manager then sends a Child Care Communication Form to the Low -Income child care technician with a closure date for Colorado Works child care. Upon receipt, the Low - Income child care technician closes the authorization for Colorado Works child care assistance. The TANF technician creates a new Child Care Communication referral to transition the family to Low -Income Child Care as defined in Section 3.921. (Please respond): The TANF technician forwards a signed Client Responsibility Agreement and all pertinent information from the TANF case file to the Low -Income Child Care Program worker. Information includes: demographic information, household composition and verification, activity information and verification (i.e. pay stubs , other income, training documentation), immunizations records for each child, picture ID's for adult household members and any other information as defined in Section 3.921 (Please respond): A signed Client Responsibilities Agreement. (Please respond): If the TANF case file does not contain verification of income and eligible activity or include a signed Client Responsibility Agreement; the TANF technician shall send the participant a memo requesting the information. A return envelope addressed to the Low - Income Child Care Assistance Program and appropriate technician shall is included for the client's convenience. CO Works Transition N E C o O op c n U 3 +' 4- O N N 4-. .V c cp in i4 v 0 0 5 LE 0 Ov a> V -S oo v C o �i � J 0 m 4_5o C > w L O O LJ C +7 +' Lr — 0 - : E L= O Ol OU > 0> i N rc.. What information do you obtain from the client? How do you obtain this information? Area 7 - N NJ N M n cr n (Apo #) pa;epdfl C C C C C C C [ 1 C C C C [ C C Z C C C [ [ ti u C LL F C C luo #) Paiepdfl #) P luo #) Paaepan ❑ At one month ❑ At two months ® At 3 months ❑ At 6 months ❑ Other (Please respond): When do transitioned families do a re- determination under low-income? to N. C C C C ry J C C C C z a C C C C C C 6 C u Muu #) pa;epdn Rule/Policy Manual Reference Note to counties for original submission of county plan — THIS SECTION HAS BEEN DEVELOPED TO BE ANSWERED WITHIN THE PLAN PERIOD, BUT NOT AT ORIGINAL SUBMISSION OF THE PLAN. THE STATE WILL GIVE DIRECTION ON THE TOPIC OF OVERRIDES THROUGH AN AGENCY LETTER. WHEN THAT LETTER IS COMPLETED AND ANY SUPPORTING DOCUMENTATION IS DEVELOPED FOR COUNTY USE, THE STATE WILL INFORM THE COUNTIES TO FILL IN THIS PORTION OF THE PLAN. (Please respond): ❑ Case is being transitioned from one program to another. ❑ Case is receiving services from multiple programs. O Case is moving from one county to another county ❑ Dual Custody 0 Child (ren) is moving from one household to another. O Other (Please respond): ❑ Case Worker 0 Coordinator ❑ Supervisor O Other Position: (Please respond): (Please respond): County Policy Section What is your county Policy on overrides? In what instances would your county perform an override to eligibility in the I30 or C30 screens? Who can perform a case override in your county? What is your county's policy for determining if an override to a case is valid? What is county policy of monitoring overrides? Area 8 el co N W M C7 co W ry ry C C C C C C C 1H9Ia 0131ON 33S — NOLL33S U13O10H3Dtlld Rule/Policy Manual Reference Rule/Policy Manual Reference (Please respond): Case reviews of each assigned case load are selected randomly on a monthly basis. Name: I Norma Fritchell I Position: Leadworked ® Monthly ❑ Bi Monthly ❑ Quarterly ❑ Bi Quarterly ❑ Annually Number of Cases/review period (described in question above: % of all cases reviewed review period (described in question above: 1% ❑ Random Sampling ® Random Sample by Case Load ['Random Sample by Other Method (Please describe): (Please respond): Weld County employs a Child Care Investigator and all client or provider referrals by technician or community are investigated by this investigator. Allegations of erroneous reporting are reviewed and investigated through multiple computer programs to verify information; the investigator may make numerous collateral contacts verifying reported information to prove or disprove allegations. Error Identification/ Improper Payments What is your county's process for performing reviews on case files? _ ocm ,fir' n in N O `J vyHE cncco .c y Olt r N la o° g 3 0 v N m L v C �� v ai> IL r c w N '‘.71 E$2 faL) N p • V J v T n T 01 in 0ac L O c d N Error Identification/ Improper Payments Area 9 -i 01 N O en Area 9 (Cont) (Aiuo #) pew P n luo #) paaep C C C C C c C r CC C c C z C C C L 0 C u nn N 3.913 J. County business offices shall complete at least a random monthly review of sign in/out sheets received from the provider (s) compared to the billing sheets submitted. 3.913 L. The county shall refer, within fifteen calendar days of establishing recovery, to the appropriate investigatory agency and/or the district attorney, any alleged discrepancy, which may be a suspected fraudulent act by a recipient or provider of services pursuant to Section 3.917. (Please respond): County business offices completes at least a random monthly review of sign in/out sheets received from the provider (s) compared to the billing sheets submitted. (Please respond): Establishes a recovery or if erroneous reporting or fraud is suspected complete a referral to the agency's Investigation Unit (Please respond): The county shall refer, within fifteen calendar days of establishing recovery, to the appropriate investigatory agency and/or the district attorney, any alleged discrepancy, which may be a suspected fraudulent act by a recipient or provider of services pursuant to Section 3.917. Weld County employs a Child Care Investigator and all child care cases (client and provider) are investigated by this investigator. Cases are referred to Investigations by the technicians working the case or by community. Weld County reviews all allegations of fraud and conducts an investigation to prove or disprove the allegations. When it has been determined that an overpayment occurred the county will pursue all legal remedies available in order to recover the overpayment. If the available evidence supports suspected fraud, the facts used in the determination shall be reviewed with the county department's legal advisor, investigation unit and/or a representative from the District Attorney's Office. If the decision is to file the case criminally then the referral (case) shall be compiled including the amount of assistance fraudulently received by the recipient and sent to the District Attorney. What is your county's process for identifying erroneous billing by providers? If an error is discovered, what does your agency do with the information? What is your county's process for administering recoveries? N C U o o0 N ( — Q+ � 7 , O `— M1. ((U C) C co L zoan.- t: n7 v m 7 of Ln o+ VD of N of �.., (Aiuo #) paiepdn (AWo #) paaepdn itl naaendn duo #) pa; r C C f C f J C C C f C f C C C u i C Please indicate all that apply: ® Garnishment. ® Collections. N Income Tax Intercept. ® Other method (Please describe): Establish a payment plan What is your county's policy for collection of unpaid recoveries? 0 paaepdfl Rule/Policy Manual Reference List by form name and attach a copy to county plan. ❑ Application ❑ Redetermination ❑ TANF Referral Form ® Client Responsibility Agreement ❑ Other (Please Sid: Forms What forms does your county use that is changed from the state -prescribed I form? 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