HomeMy WebLinkAbout20073507.tiff WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between Kathleen Painter Littler/North Range Behavioral and
Weld County Department of Social Services for the period from
July 1, 2007 through June 30, 2008.
The following provisions, made this / day of , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of theAgreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#6220, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$178.08 per day for children placed within the
Therapeutic Residential Child Care Facility.
B. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$178.08 per day for children placed within the
Residential Child Care Facility.
C. Additional services not covered by Medicaid or considered within the above
vendor rate. These additional services/rates may be negotiated on a child by child
basis, based on the needs of the child and in accordance with the Colorado
Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006.
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. Reimbursement rates for bed hold days may
not exceed the state standard rate for administrative maintenance and administrative
services or may be a reduced rate that is mutually agreed upon. No child maintenance
will be paid for bed holds, due to the child's absence.
3. Add Paragraph 6 to Section I. The services purchased under this Agreement as Child
Maintenance, Administrative Maintenance and Services for Therapeutic Residential
Child Care Facilities and Residential Child Care Facilities include, but are not limited to:
Food, shelter, clothing, personal needs and allowance, administration, administrative
overhead, support staff, support overhead, sleep-over staff, direct child care,
transportation, therapeutic recreation, service delivery staff, parent training for teens,
independent living training, mentor/advocate, supervised visitation and all other services
as outlined in the Contractor's scope of service attached as Exhibit A or the Child
Specific Addendum. The anticipated minimum percentage for each item is as follows
and will be subject to County monitoring as outlined in Section VI of this contract:
A. Food, including meals and snacks (25%);
B. Clothing(3%);
C. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
to assure protection, emotional support and care of the child(30%);
D. Personal items and grooming care for the child, such as toothpaste, toothbrushes,
soap, combs,haircuts, and other essentials (2%); d e p J- 3
1 Weld County SS-23A Addendum
Ch : SS //aZ7-U7 s-' °Ea-
E. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%)
4. Add Paragraph 7 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
5. Add Paragraph 8 to Section I. Any additional costs for specialized services, which
include,but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
that is not provided within the vendor rate or attached Scope of Service, will need be
negotiated and authorized, in writing by the County, prior to the service being performed.
Any payment for specialized services not authorized in writing will be denied.
6. 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.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
1 1. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
2 Weld County SS-23A Addendum
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
11. Section V, Paragraph 5. Children in Therapeutic Residential Child Care Facilities,
Residential Child Care Facilities and Child Placement Agencies are not eligible to receive
clothing allowances as outlined in the Weld County Department of Social Services Policy
and Procedure Manual.
12. 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.
13. 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.
14. Add Paragraph 9 to Section VI. The Director of Social 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
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social 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 Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
3 Weld County SS-23A Addendum
' 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event in 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
Social Services' Director. The term "litigation" includes an assignment for the benefit of
creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
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
y La WELD COUNTY BOARD OF
OCIAL SERVICES, ON BEHALF
titstavt
� i�y F THE WELD COUNTY
i), 7 EPARTMENT OF SOCIAL
Fie ERVICES
By: By:
eput lerk to the and David E. Long, Cha
NV 14 Mal
CONTRACTOR
Kathleen Painter Littler/North Range
Behavioral
2350 3rd St Rd
Greeley, CO 80631
,
By: way:- 'V ' 97,70-`""'
WELD COUNTY DEPARTMENT EYecki l v< D ire e.
OF SOCIAL SERVICES /VoVt7) wjr 13$tt.v,ar< Mt
By:
Director
4 Weld County SS-23A Addendum
&oo2- 350,
Exhibit A
1
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North Range
Behavioral Health
Kathleen Painter Littler Center
Scope of Services:
The Kathleen Painter Littler Center, a facility run by North Range
Behavioral Health, provides long-term residential and day treatment for
children aged 5-12 needing placement due to severe emotional and behavioral
problems. We work to stabilize children to facilitate their return to a less-
restrictive setting. The residential program has a capacity of 24 children; the
day treatment can accommodate 12 children.
Mental Health Professionals supervise and monitor the children 24-hours
per day. Each child receives intensive therapeutic services, including
Individual, Group, and Family Therapy, milieu Peer Groups, Psychiatric
Assessment and Evaluation, Medication Management and Case Management.
Therapy and Case Management is provided by Master's level, Licensed
Professional Counselors and Social Workers.
Children admitted to the Littler Center attend school in a therapeutic
educational program offered in collaboration with Weld County School
District 6. Educational services include small self-contained classrooms,
individualized curriculum, Colorado-licensed instructors, educational testing
and evaluation, speech and occupational therapies, computerized learning
programs, and adaptive Physical Education.
II. Facility History
In the 199O's, North Range Behavioral Health, a private, non-profit
corporation governed by a volunteer Board of Directors, recognized a need for
a community-based alternative for emotionally- and behaviorally-troubled
children who had experienced abuse, emotional trauma, or other
developmental disruptions. NRBH endeavored to aid children aged 5-12 who
could not be managed at home or school, and who would otherwise be sent to
the State Hospital or to other facilities outside the local region. The Board
understood that providing services closer to the child's home makes it
possible for greater family participation in the child's treatment, and a greater
likelihood of returning the child home and to his/her local school more
quickly.
To address this need, two programs began in 1995:
i. The Children's Acute Treatment Unit (CATU), an eight-bed
residential facility operated by NRBH, and
ii. The Carson Project, a day treatment program operated jointly by
Weld County School District Six and NRBH.
2350 3I Street Road/Greeley,CO 80631/(970)347-2127/Fax(970)352-0810
Exhibit A
2
Four years after launching these programs, in 1999, a newly-constructed
15,000 square foot facility occupying a six-acre site made it possible to merge
the two entities into a coordinated service program, named the Kathleen
Painter Littler Center. In addition to benefiting needy northeastern Colorado
children and families, the Littler Center also routinely treats children from
other counties, as well, as space allows.
III. Staffing Band
The ratio of Mental Health Professionals to number of children in our care
is dependent on the needs of the children, but shall not be less than the
following:
a. 1 Mental Health Worker per 5-6 children during waking hours; 1 Mental
Health Worker per 12 children during sleeping hours
b. Teachers, para-professionals, and other school staff as contracted by Weld
County School District Six
c. 1 Master's Level Therapist per 6-8 children
d. Additional staff: Psychiatrist, Nursing staff, Program Director, Clinical
Director, Maintenance Staff, Kitchen Staff, Administrative Assistants,
Interns, Volunteers
IV. Staff Roster
a. Dave Rastatter—NRBH Director of Child and Family Services
b. Joanna Martinson—Litter Center Program Director
c. Pamela Collins Vaughn—Littler Center Clinical Director
d. Dr. Scott Shannon- Psychiatrist
e. Lisa McConnell—Behavioral Health Registered Nurse
f. Jackie Sanders—Intake Coordinator/Therapist/Case Manager
g. Erica Jones—Therapist/Case Manager
h. Nikki Juergensen—Therapist/Case Manager
i. Amy Williams—Day Treatment Therapist/Case Manager
j. Tammy Humphrey—Residential Unit Supervisor
k. Dorene Thorgesen—Administrative Assistant
1. Mental Health Workers — provide care on the residential unit and are
assigned to a child to work with them on an individual basis (called the
child's Primary)
V. Services Offered by the Littler Center include, but are not limited to:
a. Individual Therapy
b. Family Therapy (When appropriate, in-home therapy is encouraged.)
c. Group Therapy (including, but not limited to)
i. Anger Management and Conflict Resolution
ii. Art Therapy—COMING FALL 2007
iii. Communication Skills
iv. Coping Skills
v. Music Therapy—COMING FALL 2007
vi. Recreation Therapy—COMING FALL 2007
Exhibit A
• . 3
vii. Self-Esteem
viii. Sexual Reactivity
ix. Social Skills
d. Other
i. Boy Scouts/Girl Scouts
ii. Healing Garden (Children learn to grow vegetables and herbs.) —
COMING SUMMER 2008
iii. Recreation Groups and Outings
iv. Scrapbooking
v. Tai Chi
vi. Voluntary Bible Class
vii. Primary time: This time is provided to really work with the child
individually and provide the opportunity to teach life skills and
find special interests that the child can do. These can include
activities like acting class, recreational sports, shopping or just
time away from the residential unit.
e. Weld County School District Six also provides the children with
Occupational Therapy and Speech Therapy.
VI. Goals for Transition/Step-Down Services
Children are transitioned to a less-restrictive environment as soon as goals
established by a Multi-Disciplinary Team have been met. Children may
"step-down" from residential treatment to day treatment. (Day treatment
involves the child continuing to attend school on the Littler grounds but
returning home after the school-day ends.)
VII. Average Length of Stay
From June 2005-May 2006, the average LOS for residential children was
10 months; day treatment children averaged a LOS of 7 months.
VIII. Financial Impact for Level C Clients
North Range Behavioral Health currently charges $178.08 per day,
including room, board and maintenance. Should a child need 1:1 care, the
county seeking placement and the Program Director negotiate charges based
upon the child's needs.
IX. Medical Coverage
a. The Medical Team consists of a Psychiatrist, Behavioral Health
Registered Nurse, and Licensed Professional Nurse. In addition to
scheduled hours on-site, Medical Staff is available for emergency services
or consultation 24 hours per day.
b. Littler Staff schedule children for and provide them transportation to and
from off-site medical, vision, and dental appointments, as needed and
required by Colorado Medicaid regulations.
Exhibit A
4
X. Average Daily Schedule for Residential Children during the School
Year:
Children are divided into small groups called Huddles. The Huddle
leaders plan activities that are creative, interactive, and provide a variety of
learning experiences. In addition, Huddle groups complete numerous chores
and participate in community service projects. The goal of these Huddles is to
teach and assist the child with learning problem-solving skills, work on
getting along with others, and to practice the various skills they are learning in
therapy.
7:00 am-8:00 am: Waking up, showering, cleaning rooms
8:00 am-8:30 am: Breakfast
9:00 am-9:30 am School work
9:30 am-10:30 am: Monday, Wednesday, Friday: Group Therapy
Tuesday, Thursday: Physical Education
10:30 am-11:30 am: School
11:30 am-12:30 am: Lunch (rotating basis, by class)
12:30 pm-3:00 pm: School
3:00 pm-3:30 pm: Outside activities
3:30 pm-4:15 pm: Homework
4:15 pm-5:00 pm: Group
5:00 pm-5:30 pm: Outside activities
5:30 pm-6:00 pm: Dinner
6:00 pm-7:00 pm: Quiet activities
7:00 pm-8:00 pm: Educational television
8:00 pm-8:30 pm: "Mellow Minutes" (reading books, quiet
individual games, music)
8:30 pm: Bedtime
XI. Therapy Sessions
Therapeutic services vary by contract, but most children receive not less
than one Individual Therapy session per week, not less than one Family Therapy
session per week, and not less than three Group Therapy sessions.
MEMORANDUM
TO: Judy Griego - Director
IL
FROM: Lesley Cobb - Child Welfare Rate Negotiator
DATE: October 19, 2007
SUBJECT: Weld County Addendums to the Agreement to Purchase — State
SS-23A
Attached please find the Weld County Addendums to the Agreement to Purchase RCCF/TRCCF
Services for the following providers:
1) Kathleen Painter Littler/North Range Behavioral—Provider ID# 6220 2007-3507
2) PSI Cedar Springs Hospital—Provider ID #1517006
2007-3508
These contracts have been approved for consent by the Board of County Comm.ss..,...,.-
however; I am requesting your signature along with the Boards to complete these contracts
for the FY 2007-2008. If you have any questions please call me at Ext. 6441.
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