HomeMy WebLinkAbout20071043 RESOLUTION
RE: APPROVE ADDENDUM TO AGREEMENT TO PURCHASE RESIDENTIAL CHILD CARE
FACILITIES(RCCF)/THERAPEUTIC CHILD CARE FACILITIES(TRCCF)SERVICES AND
AUTHORIZE CHAIR TO SIGN -ALTERNATIVE HOMES FOR YOUTH
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 an Addendum to the Agreement to
Purchase Residential Child Care Facilities (RCCF)/Therapeutic Child Care Facilities (TRCCF)
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Social Services, and Alternative
Homes for Youth, commencing April 1, 2007, and ending June 30, 2007, with further terms and
conditions being as stated in said addendum, and
WHEREAS, after review, the Board deems it advisable to approve said addendum, 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, ex-officio Board of Social Services, that the Addendum to the Agreement to
Purchase Residential Child Care Facilities (RCCF)/Therapeutic Child Care Facilities (TRCCF)
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Social Services, and Alternative
Homes for Youth be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said addendum.
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 16th day of April, A.D., 2007, nunc pro tunc April 1, 2007.
BO OF COUNTY COMMISSIONERS
as WE OUN , COL A O
ATTEST: 9 / J cam, �C�
116 i , I2 avid E. Long, Chair
Weld County Clerk to the : •a
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DeJtS/ Srm
Will F. Garcia
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APPROV,E� AS T ,
/ Robert D. Masden
ouh y A orney Q.t via h or
Douglas�Rademachek
Date of signature: tilt
2007-1043
SS0034
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DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
impel
GREELEY, CO. 80632
Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Fax Number(970)353-5215
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: April 9, 2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services. %,.(,{ ,4. " C
RE: Addendum to Agreement to Purchase Resid$ntia4hild Care Facilities
(RCCF)/Therapeutic Child Care Facilities(TRCCF) Services with
Alternative Homes for Youth
Enclosed for Board approval is an Addendum to Agreement to Purchase RCCF/TRCCF Services
between the Weld County Department of Social Services (Department)and Alternative Homes
for Youth. The Addendum was reviewed at the Board's Work Session held on April 9, 2007.
Addendums are with providers for reimbursement during SFY2006-2007 (July 1, 2006 through
June 30,2007).
A. Rates are based on State vendor rates for child maintenance, administrative maintenance
and services. Medicaid provides for therapeutic services on a fee for services basis for
TRCCF care.
B. The provider is:
Provider ID TRCCF RCCF
Number Rate Rate
1. Alternative Homes for Youth #42016 $156.86/day $156/86/day
If you have any questions, please feel free to telephone me at extension 6510.
2007-1043
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between Alternative Homes For Youth and Weld County
Department of Social Services for the period from
April 1, 2007 through June 30, 2007.
The following provisions, made this / day of Apc; I , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#2016, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$156.86 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$156.86 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 payments for a child's temporary absence from a
facility, including hospitalization, need to have prior written authorization from both the
caseworker and his or her supervisor before payment will be released.
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%);
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%)
1 Weld County SS-23A Addendum
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. Add Paragraph 13 to Section N. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
8. 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. ace Ale„,/,,q )
9. 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.
10. 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;
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.
2 Weld County SS-23A Addendum
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. (S ealt lt, (y )
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.
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.
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: latail (/uG__I
Weld Count and
: '.21'" )\
& t r'. WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
( r OF THE WELD COUNTY
DEPARTMENT OF SOCIAL
/
SERVICF
By: r� T- sC','2 By: * - - a
Deputy Clerk to the Board David E Long
APR '6 2007
ATTESTING To BOARD OF COUNTY
COir5i: tSS Crifi2 s,c L;1 JRLS ONLY
CONTRACTOR
Alternative Homes For Youth
700 West 84th Ave
Thornton, CO 80260
By
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
I
/
By: HDctot
4 Weld County SS-23A A� `�_ivs�3
Alternative Homes for Youth Addendum
Addendum to the Agreement and the Weld County Addendum to
said Agreement to purchase Therapeutic Residential Child Care
Facility services and Residential Child Care Facility Services between
Weld County Department of Social Services (County) and
Alternative Homes for Youth (Contractor) for the period April 1 , 2007
through June 30, 2007.
The following provisions made this day of , 2007, are added to the
above referenced Agreements. Except as herein modified, the Agreement and
the Weld County Addendum remain unchanged.
1 . Add Paragraph 4b to Section I. Contractor's proposed services includes
transportation up to a 50 mile radius of the Contractor's facility. Provisions
for payment of transportation costs in excess of the mileage limit may be
provided for in the treatment/service plan.
2. Add to Paragraph 14, Section IV (Weld Addendum #8). Contractor shall
not be liable for any charges incurred in conjunction with or as a result of
scheduling said examinations.
3. Section V, Paragraph 5 (Weld Addendum #11 ). An "initial clothing
allowance" for an initial placement of a child under this agreement is not
included in the Contractor's Child Maintenance, Administrative
Maintenance and Services daily rate for children placed within the
Therapeutic Residential Child Care Facility or Residential Child Care
Facility. Provisions for an initial clothing allowance may be provided for in
the treatment/service plan.
Page 1 of 2
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WHEREFORE, the parties have herein set their hands and affixed their seals the day and date
first written above.
COUNTY PROVIDER
Weld County Depaitlnent of Social Services //� �S � _S
County Department of Social/Human Services N ce •••t-+++-- _�/ ill"
P0 Box A 10 /4 S*
Address A dress
Greeley, CO 80632 C t ee/ea Co 506,31
City, State Zip
ip City, State Zi Ø%r
Co D rectors S a /Dat -
Signa Pr rder's Signature/D e
v
(Exhibit A)
Alternative Homes
Exploring Life Experiences for Youth
& Creating Positive Futures
Sex Offender Treatment Program:
AHFY is licensed by the State of Colorado as a 26 bed Therapeutic Residential Child Care Facility (TRCCF) for
males ages 13-21. AHFY is also a licensed Residential Child Care Facility (RCCF). The client population is
separated by age on two separate units.
AHFY is an offense specific (O.S.) treatment facility serving adolescent males with sex offending behaviors.
AHFY adheres to and follows the standards and guidelines established by the Sex Offender Management Board
(SOMB) which includes providing supervision and oversight of the O.S. treatment program by an approved full
operating provider. AHFY clinicians are either licensed or provisionally licensed therapists responsible for
providing treatment services and coordination of their client's individual treatment plan in collaboration with the
Multi-Disciplinary Team (MDT). Clinicians are supervised by the Clinical Director who is a licensed professional
counselor approved to provide and supervise Medicaid reimbursable services.
Independent Living Program:
The Independent Living Program for youth with sexually abusive behaviors provides a step down(less restrictive)
program for youth 16 and older who have completed the majority of the core components of their treatment plan
and who are preparing to transition back into the community. This program is for those youth who rate as a"low
risk" to re-offend but who either require additional support involving a gradual transition or those who do not
have the option of returning home or to live with family. The Independent Living program offers the youth
continued offense specific treatment and practical application for learning independent living skills.
AHFY's Philosophy:
AHFY utilizes "best practice" for working with youth with sex offending behaviors by following SOMB
standards. Our approach is victim-centered ensuring that victim and community safety is paramount. At the same
time, we believe that in order to treat the entirety of the sexual abuser we must also address the trauma and sexual
victimization that he may have endured. In order to effectively treat children who have suffered trauma, treatment
must include a variety of types of therapeutic practices. We have found that for this age group,talk therapy alone
is not as effective as a therapeutic regime that includes a variety of therapeutic modalities. Therefore, we offer a
holistic approach to working with our young clients and their families by providing an array of therapeutic
strategies and interventions.
Criteria for admission:
We recognize that we can not be successful with every client; therefore we are very selective on who we accept
into the program. Minimum criteria are as follows:
• Youth admitting to sexual offense and who are within the appropriate age range.
• Referred from county departments of social services or probation
• Youth that are able to be keep themselves and others safe with out constant redirection
• For Independent Living Program only-Youth who are assessed as low risk to re-offend and have an MDT
that has deemed them appropriate for outpatient or community based treatment.
• Prior to be admitted to the program a preliminary assessment must be completed
• Youth with current sexual offense adjudications
• Youth who are in the process of being adjudicated for a sexually based crime
• Youth who have been adjudicated of other crimes, and have inappropriate sexual behavior toward others
that were not included in their adjudication,but need to be addressed
• Youth who have admitted guilt and are invested in changing their sexually abusive behavior
• Youth with adequate intelligence and social functioning(IQ of at least 80)
• Youth with sexual or incestuous crimes against other children.
1110 M. Street Greeley CO 80631 (970) 353-6010 FAX (970) 353-5636
(Exhibit A)
SCOPE OF SERVICES
Included in the treatment package:
• Case Management- Each client receives a minimum of 10 hours/month of case management provided by
the case manager in collaboration with the client's therapist to ensure consistency of care.
• Milieu Therapy- The milieu is staffed at a minimum of 1 Youth Advisor for every 10 clients. In addition,
a back-up Youth Advisor or a supervisor is available for support during the youth's waking hours.
Overnight, during sleeping hours,the milieu is staffed with 1 (awake)Youth Advisor for every 11 clients.
Random bed checks are conducted 4 times per hour. A therapist is on-call 24/7.
• Survivor's of Sexual Abuse Group- the group meets one time per week at 1 %z hours per session and is
specifically for those clients that are victims of sexual abuse. This is a supportive, therapeutic group
facilitated by a Licensed Marriage and Family Therapist and Certified Trauma Therapist.
• Healthy Relationships Group- This group meets one time per week and is facilitated by a team of
Counselors. This group is psycho-educational in nature and teaches the clients about healthy
relationships including healthy sexuality.
▪ Substance Abuse Group Therapy- This group meets one time per week and is only open to those clients
that have abused drugs and/or alcohol. The group is facilitated by a Licensed Professional Counselor,
Certified Addictions Counselor- Level III and the curriculum is modeled after a curriculum that was
accepted by the Alcohol and Drug Abuse Division.
• Eye Movement Desensitization and Reprocessing(Francine Shapiro)- We have one Licensed Professional
Counselor and an additional therapist that are trained in using EMDR with clients who have experienced
severe trauma. EMDR is used in individual therapy as needed.
• Parent's Group- Parents group is held every month for at least 1 '/z hours per session. This group is
conducted by a Master's level therapist and is an opportunity for the client's parents to learn about the
concepts their son is learning in treatment as well as offering support for each other. All parents are
encouraged to attend and regular attendance in this group is a requirement for the parents to be able to
take their sons on pass when applicable.
• Mentoring(for Independent Living Program)-Each client will be assigned a mentor to help him apply the
knowledge he is learning on how to be independent including but not limited to using public
transportation,job searching and budgeting.
• Education and Employment- AHFY provides an on-site education program for both middle and high
school levels that includes special education and GED preparation classes. AHFY's education programs
are certified by the Colorado Department of Education.For the independent living program;the youth can
attend school at the facility, at a community public school or, if appropriate, be working toward their
GED. Community employment is also an option for the independent living program participants who will
receive assistance with job seeking, completing and submitting job applications and interviewing.
• Independent Living Skills- The Independent Living participants meet one time per week to learn various
independent living skills including: how to prepare meals, shop on a budget, file taxes, look for a job,
prepare a resume, complete a job application, obtain identification, find insurance, apply to college, clean
a house, do laundry, maintain good hygiene, use public transportation, open a checking/savings account,
write a check, pay a bill,etc. The curriculum incorporates the Casey Life Skills curriculum.
• Ongoing risk assessment-Client's level of risk will periodically be assessed using the J-SOAP II(Prentky
and Righthand).
• Informed Supervision: 2 levels of informed supervision is provided for parents and other approved adults.
1110 M. Street Greeley CO 80631 (970) 353-6010 FAX (970) 353-5636
(Exhibit A)
The following services are provided for Medicaid recipients;*billed to and paid by Medicaid:
• Cognitive Behavior Group Therapy- meets 2 times per week for 1 %z hours per session. The group
consists of a psycho-educational component and a therapeutic component. This group is facilitated by a
Licensed Professional Counselor with Full Operating Level Provider status and co facilitated by a
licensed or provisionally licensed therapist.
• Individual Therapy- Each client is assigned a therapist. The client will meet with his therapist for a
minimum of one hour per week. This therapist will also act as the client's case manager to ensure
consistency of care.
• Family Therapy- If applicable since some clients entering the program may not have family involved.
However, if the youth's family is involved, we feel family therapy is crucial to the overall and lasting
success of each youth in treatment. Family therapy is conducted with the same therapist as the client's
individual therapist and is scheduled weekly. Regular attendance and participation in family therapy is a
requirement for the parents to be able to take their sons on pass.
* These services are also available for non-Medicaid eligible clients on a fee for service basis.
The Following are Additional Services Available on a Fee for Service Basis
(Services may be provided by AHFY or through a third party provider)
Psychosexual Evaluation: Alternative Homes for Youth offers Psychosexual Evaluations for an additional
charge to the monthly rate. Clients are not required to be in AHFY's programs to be eligible for this service.
Al-WY offers comprehensive evaluations which include sex history, mental health testing, risk assessment,
clinical interview and testing for sexual interest. These evaluations are assembled with written interpretations and
recommendations that provide insight for and assist in the supervision and treatment of the individual.
Psychological testing includes but is not limited to:
1. Administering the Multiphase Sexual Inventory(MSI)- measures sexual knowledge attitudes and interest
in treatment.
2. Shipley Institute of Living-measures a quick intellectual ability score.
3. State-Trait Anger Expression Inventory-2 (STAXI-2), provides information about anger and anger
behavior.
4. Million Adolescent Clinical Inventory(MACI)is a personality inventory and offers a snapshot at how the
adolescent interprets his world.
5. Jessness Inventory-R(JI-R)helps the evaluator to see how the adolescent thinks about anti-social
attitudes and behavior.
6. Hare Psychopathy Checklist: Youth Version(PCL: YV) is a diagnostic tool to aid in severe conduct
disorders that have a high correlation with psychopathy in adulthood.
7. Substance Abuse Subtle Screening Inventory-A2(SASSI-A2)helps the evaluator better understand the
youth substance abuse issues.
8. Abel Assessment of Sexual Interest(ASI)gives a measure of the youth's sexual interest,both healthy and
deviant.
Vicarious Sensitization (VS) is a form of conditioning for the treatment of teenage boys who molest younger
children. Clients are exposed to an audio taped personal fantasy designed to evoke arousal to children that is
followed immediately by an aversive video vignette. The aversive stimuli consist of videotaped portrayals of
adolescent sex offenders who must contend with the negative social, emotional, physical, and legal
consequences of their crimes against young children. As with other conditioning procedures, many trials are
necessary for cues associated with illicit sexual activity to evoke anxiety rather than deviant fantasies or
actual abuse.
1110 M. Street Greeley CO 80631 (970) 353-6010 FAX (970) 353-5636
(Exhibit A)
Polygraph Examinations: are scheduled and coordinated by AHFY with a third party licensed polygraph
examiner. Refer to Section 7.1 of the SOMB standards for requirements and details of the polygraph
examination process.
Drug Screening— Saliva or Urine Analysis: AHFY offers either a 6 panel instant oral (saliva) test or a 5
panel urine dip (UA). Both test for Methamphetamine (meth), cocaine, opiates, THC, and
amphetamines with the addition of PCP with the saliva screen. Substitutes can be made for meth and
THC with the urine dip but no substitutes can be made with the saliva screen. All residents returning
from pass receive a UA. This service is also available on an out patient basis.
Post Discharge Support Services: on-going support is available in the form of out patient individual and
family therapy. For certain youth, this service is highly recommended to increase the chance for long term
success and in most cases can be provided by the youth's original therapist to maintain continuity.
For more information and pricing on the above fee for service components please contact
AHFY's clinical director at 303-881-1247.
1110 M. Street Greeley CO 80631 (970) 353-6010 FAX (970) 353-5636
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