HomeMy WebLinkAbout20073323.tiff Le
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
I
GREELEY, CO. 80632
WI P Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
OFax Number(970)353-5215
•
COLORADO
MEMORANDUM
TO: Judy Griego - Director
FROM: Lesley Cobb - Child Welfare Rate Negotiator
DATE: September 24, 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) Flatirons Behavioral Hospital, Corp—Provider ID# 1520898
2) Lost and Found Inc.—Provider ID#49489
3) Lost and Found Inc. —Provider ID# 1529554
4) Shiloh Home—Provider ID#20335
5) Shiloh Home—Provider ID#32567
6) Shiloh House—Provider ID# 54169
7) Shiloh Home—Provider ID# 62291
8) Shiloh House—Provider ID# 70967
9) Shiloh House—Provider ID# 1539982
10)Youth Emancipation & Services Inc. —Provider ID# 1513086
These contracts have been approved for consent by the Board of County Commissioners
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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WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between Youth Emancipation & Services, Inc. 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 v Q/ , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of the ACgreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#1513086, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$173.61 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$173.61 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 Depai tment 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%);
1 Weld County SS-23A Addendum
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.
11. 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.
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ATTEST: �/1j�"' t/l�' 5�/'
Weld County Clerk to the Board
40001.0
, � 1�°/ ' , WELD COUNTY BOARD OF
ar
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
l 'I '! �I DEPARTMENT OF SOCIAL
`•. S / SERVICES•
By: C' t41jikfl2ad6Yi( By: O41
eput ler to the B nd David E. Long, air
OCT 2 2 2007
CONTRACTOR
Youth Emancipation & Services, Inc.
1452 43rd Ave
Greeley, CO 80634
By: NA Aft-
WELD COUNTY DEPARTMENT �itea
OF SOCIAL SERVICES
By:
irector
4 Weld County SS-23A Addendum
Exhibit A
24 ;lour Standards 7.705.94 Compliance Manual
Youth Emancipation & Services. Inc.
All Programs July .5O7
PROGRAM DESCRIPTION AND INDIVIDUAL YOUTH'S PLAN
A. The YES Griffin House program may be described as follows:
1. The Program Director will be the person who has overall responsibility for
the development, implementation, and coordination of the treatment program.
2. The Clinical Coordinator (currently the Executive Director) will be
responsible for planning and implementation of the treatment procedures and
techniques.
3. YES Griffin House, Inc.,believes in the effectiveness of
Community Systems Philosophy, Family Systems Philosophy, and
Cognitive-Behavioral Therapy.
Griffin House is organized to provide emancipation preparedness,
individual therapy, group therapy, life-skills instruction, problem
solving/conflict resolution skills, anger management, etc., to teach
adolescent males ages 13-16 independent living skills.
4. The facility's responsibility for monitoring the safety of youth during
treatment are as follows:
It is our intention to provide a safe and comfortable environment for our
clients. This means focusing a high degree of supervision and person-to-
person interaction on the youth in our care at all times. The requirement is to
have each client in site at all times.
5. Review procedures for ensuring the appropriateness of the ongoing
treatment and placement for each youth.
In an effort to see that the youth's treatment needs are met, a treatment
plan will be developed for each youth based upon the diagnosis of a
licensed therapist and the expressed needs of each client, as determined in
an interdisciplinary staffing, attended by youth,parent, caseworker,
probation officer, Griffin House staff, and any other involved stakeholder.
At the initial staffing, treatment goals will be established, the
accomplishment of which will become the focus of treatment during the
youth's stay at Griffin House.
6. Policies and procedures encouraging termination of the treatment
Exhibit A
procedures at the earliest opportunity in the event of achievement of goals,
or when the procedures are proving to be ineffective or detrimental for a
particular youth.
When the youth has accomplished the treatment goals in his treatment
plan, and is deemed to be ready for discharge, he will be discharged. If
the youth is not making progress in achieving his treatment goals, he will
be discharged after all efforts have been expended in encouraging him to
meet the treatment goals. A more appropriate placement will be recommended.
7. Policies and procedures on how the facility involves the youth and the
parent(s) or guardian(s) in the plan for care and treatment of the youth and
obtains their consent of the plan.
The youth,parents/guardian will have direct input in the treatment
planning process and will sign the treatment plan to indicate consent.
8. Policies and procedures on how the facility monitors the ongoing physical
safety of a youth during treatment or therapy which involves physical
contact with the youth.
Youth Emancipation &Services, Inc. does not conduct therapy that
involves physical contact with a youth. Ongoing physical safety is
monitored through staff supervision. Youth who are working at jobs,
completing community service, and attending public school will be
periodically contacted by Griffin House staff to make sure youth are
safe, and are where they are supposed to be.
9. Requirements, where appropriate, for medical examination of a youth
prior to implementation of a treatment strategy on a regular basis.
In order to be admitted into Griffin House, the staff of Youth
Emancipation &Services requires the youth to be free of any symptoms of
illness. After admission, Griffin House staff will ensure that each youth
will undergo a thorough physical examination. A record of vaccination
will be required at admission into Griffin House.Client's ongoing health will be
carefully monitored by the staff
10. Provisions for regular and thorough review and analysis of the
individualized treatment strategies and the overall treatment orientation of
the facility, including provisions for making appropriate adjustments in the
treatment strategies and orientation, the recording practices and
procedures, and the program activities in accordance with the results of the
reviews.
Youth Emancipation & Services will have a Clinical Consultant to review
treatment orientation of the facility at quarterly intervals. Any
recommendations made by the consultant will be carefully evaluated and
policies,procedures, or practices will be adjusted within 30 days.
Youth Emancipation &Services will conduct weekly staff meetings and
make treatment plan addendums as needed. Appropriate contacts will be
made when such addendums are initiated.
Exhibit A
B. Youth Emancipation prohibits all cruel and aversive treatment and therapy,
including,but not limited to, the following:
1. Any intervention designed to or likely to cause a youth physical pain.
2. Releasing noxious, toxic, or unpleasant sprays, mists, or substances in
proximity to the youth's face.
3. Any intervention that denies-a-youth sleep, food, water, shelter, access
to bathroom facilities, adequate bedding, or appropriate physical
comfort.
4. Any intervention or type of treatment that subjects a youth to verbal
abuse, ridicule, humiliation, or that can be expected to cause excessive
emotional trauma.
5. Interventions that use a device, material, or object that is designed to
simultaneously immobilize all four of the youth's extremities.
6. Any treatment intervention that deprives a youth of the use of his/her
senses, including sight, hearing, touch, taste, or smell.
7. The use of mechanical restraints, including but not limited to the use
of handcuffs, shackles, straight jackets, Posey vests, ankle and wrist
restraints, Craig beds, Vail beds, and chest restraints.
8. Physical restraint, and locked seclusion.
9. Use of rebirthing therapy or any therapy technique that may be
considered similar to rebirthing therapy as a therapeutic treatment, as
defined by Section 12-43-222(l)(t)(IV), C.R.S.
C. Within 30 calendar days of admitting a youth in care, a facility or
certifying authority shall begin a comprehensive assessment/evaluation of
the youth.
1. The assessment/evaluation shall be conducted by a planning team.
This team shall include persons responsible for implementing the plan
on a daily basis and persons who have had direct interaction with and
observation of the youth. The Treatment Planning Team at Youth
Emancipation & Services will meet weekly.
2. The planning team shall assess and evaluate the needs and strengths of
the youth in at least the following areas where information is available:
a. Medical, health and dental care, including a health history of the
youth and family, and if appropriate health information regarding
speech therapy, occupational therapy, and physical therapy needs
of the youth
b. Mental and psychological health
c. Education
d. Personal/social development
e. Family and community relationships
f. Vocational training if appropriate
g. Recreation
h. Life skills development
i. Emancipation skills if appropriate
Exhibit A
j. Legal status and history
k. Treatment/placement history
1. Alcohol/substance abuse history
3. All direct assessments/evaluations of the youth shall be conducted in
the youth's dominant language or mode of communication, including
augmented or facilitated communication, if necessary, and shall take
into consideration the youth's age, disability, and cultural and religious
background.
D. On the basis of this assessment/evaluation, and within 30 calendar days
following completion of the assessment, a facility or certifying authority
shall develop an individual youth's plan that is written, time-limited,
strength-focused, outcome based, and goal-oriented. The plan must
become a part of the discrete case plan when it is developed for the youth.
Within 72 hours of admission, Youth Emancipation & Services, Inc. will
initiate a preliminary treatment plan.. Based upon observations,
assessments, and evaluations, a permanent treatment plan will be
prepared in time for the 30 day staffing. This plan will be evaluated
during the stoffing, augmented by the youth and parent/guardian, and will
include the input of the entire team involved with the youth. All parties
will sign the permanent treatment plan, signifying consent.
In subsequent quarterly staffings, changes in the treatment plan may be
added by addendum.
I. A facility, or certifying authority, must provide an opportunity for the
following persons to participate in the planning/evaluation process:
a. The primary caregiver for the youth
b. The youth, unless contraindicated
c. His/her parent(s) or guardian(s), unless contraindicated
d. Representatives of the placing agency
e. School personnel
f. Other persons significant in the youth's life, such as a GAL,
attorney, religious advisor, and therapist.
g. When any of the above persons do not participate, the facility shall
have documentation of its efforts to involve the persons(s). When
the involvement of parents(s) or guardian(s) of the youth is deemed
contraindicated by the agency or individual holding legal custody
of the youth, the reasons for contraindication shall be documented.
2. The individual plan shall include the following components:
a. The findings of the assessment/evaluation.
b. A statement of specific, measurable goals to be achieved or worked
toward for the child and his/her family.
c. Strategy for fostering, maintaining, and enhancing positive family
relationships with the child and his/her family, including siblings, or
Exhibit A
other individuals considered like family, or guardian(s), and including
the development of a permanent home for the child.
d. Strategy for fostering, maintaining and enhancing active community
involvement for the child.
e. Specification of the daily activities intended to achieve the stated goals
including, but not limited to, educational, vocational, and recreational
activities.
f. Specification of therapeutic services, specialized services, and
strategies for positive behavior intervention that will be provided
directly or arranged for, frequency of services, and method for
ensuring their proper integration with the child's ongoing program
activities.
g. Long-term and short-term goals and the method to be used for
evaluating the child's progress toward meeting the goals.
h. Goals and preliminary plans for discharge and aftercare.
i. Identification of all persons responsible for implementing or
coordinating implementation of the plan.
j. Signature by a representative of the facility, a representative of the
placing agency, the child, if indicated, and the child's parent(s) or
guardian(s).
k. Assurance by the facility that the plan and any subsequent revisions are
explained to the child in care and his/her parent(s) or guardian(s) in a
language or manner of communication the child and parent(s) or
guardian(s) can understand.
1. Quarterly review of each plan to evaluate the progress which the short-
term and long-term goals have been achieved. The plan shall be
revised as appropriate. The plan shall become a part of the discrete
case plan as it is developed.
E. If the assessment/evaluation process or the plan requires the services of a
specialist, such as a psychiatrist, psychologist, speech therapist, occupational
therapist, or physical therapist, the specialist shall be currently certified or licensed
according to state law.
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