HomeMy WebLinkAbout20062865 RESOLUTION
RE: APPROVE ADDENDUMS TO FOUR AGREEMENTS TO PURCHASE THERAPEUTIC
RESIDENTIAL CHILD CARE FACILITY SERVICES AND RESIDENTIAL CHILD CARE
FACILITY SERVICES AND AUTHORIZE CHAIR TO SIGN
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 Addendums to four Agreements to
Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility
Services 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 the following
providers, commencing July 1,2006, and ending June 30,2007,with further terms and conditions
being as stated in said addendum, and
1. Kidz Ark in New Raymer Ranch
2. Kidz Ark in Sterling
3. Lost and Found, Inc.
4. Shiloh House
WHEREAS,after review,the Board deems it advisable to approve said addendums,copies
of which are 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 Addendums to the four Agreements
to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care
Facility Services 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 the
above listed providers be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said addendums.
2006-2865
SS0033
rn `. s5 /D -O.6
ADDENDUMS TO FOUR AGREEMENTS TO PURCHASE THERAPEUTIC RESIDENTIAL
CHILD CARE FACILITY SERVICES AND RESIDENTIAL CHILD CARE FACILITIES -
VARIOUS PROVIDERS
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded,adopted by
the following vote on the 16th day of October, A.D., 2006, nunc pro tunc July 1, 2006.
BOARD OF C UNTY COMMISSIONERS
, . WELD CO , COLORADO
ATTEST:
�� �* i
lug ,`3 ?`�le ".
� �a . J. eile, Chair
Weld County Clerk to the '
I . � CUSED
BY. f U ' l (i �t avid E. Long, Pro-Tem
Dep y Cler the oard EXCUSED
W. .am H. Jerke
APP AS TO
Robert D. asden
orneyd
Glenn Vaad
Date of signature: Ich-gicC=
2006-2865
SS0033
ti;;;•:,S DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
ID
Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
VI p O Fax(970)346-7663
•
COLORADO
MEMORANDUM
TO: M.J. Geile, Chair Date: October 6, 2006
Board of County Commissioners �l
FR: Judy A. Griego, Director, Social Services. ; Vt Lip
RE: Addendums to Agreements to Purchase Re identia Child Care Facilities
(RCCF)/Therapeutic Child Care Facilities(TRCCF) Services with
4 Vendors
Enclosed for Board approval are Addendums to Agreements to Purchase RCCF/TRCCF Services
between the Weld County Department of Social Services (Department)with 4 vendors. The
Addendums were reviewed at the Board's Work Session held on August 28, 2006, and October 4,
2006. 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 vendors include:
Provider ID TRCCF RCCF
Number Rate Rate
1. Kidz Ark in New Raymer Ranch #34341 $132.46/day $132.46/day
2. Kidz Ark in Sterling #34340 $128.84/day $128.84/day
3. Lost and Found, Inc. #49489 $141.45/day $141.45/day
4. Shiloh House #1539982 $160.00/day $160.00/day
C. The Shiloh House Addendum provided for payment of five guaranteed beds to structure
continuum of care services.
If you have any questions, please telephone me at extension 6510.
2006-2865
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between KidtArk In New Raymer Ranch and Weld County
Department of Social Services for the period from
July 1, 2006 through June 30, 2007.
The following provisions, made this I day of c�� , 2006, 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#34341, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$132.46 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$132.46 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 their 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 a��—
4. Add Paragraph 8 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 9 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 IV. 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.
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.
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 that the Contractor learns of any actual litigation in which it is a party defendant
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: g llide '(
Weld County Clerk to the Board
14, ‘, , s• WELD COUNTY BOARD OF
"2, OCTAL SERVICES, ON BEHALF
11743 F THE WELD COUNTY
lscl EPARTMENT OF SOCIAL
fizgh ERVICES
Curet
By: Ciuti
, 'Iii WC, By.putk to e Board . J. Gei e, Chair
OCT 16 ?rocs
CONTRACTOR
Kids Ark In New Raymer Ranch
PO Box 1725
Sterling, CO 80751
By: (Ct / 1�.� �`'`k- 1 -.
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By: tthlairqry
4 Weld County SS-23A Addendum / 5
• - (Exhibit A)
Kidz Ark, Inc Scope of Service for
Weld County Department of Social Services
Kidz Ark, Inc will focus treatment and services in each Child's Individual Case
Service Plan that will be reviewed by Kidz Ark's Therapist and Clinical Director,
Caseworker, Parent or legal guardian, and the resident. Unless otherwise
indicated, Kidz Ark will provide the following services (at a minimum):
LEVEL B:
• Milieu Therapy 7 days a week
• Individual Therapy 1 session per week
• Group Therapy 4 sessions per week
• Family Therapy 2 sessions per month (if not indicated additional
groups or individual therapy will replace)
All Individual, group, or Family Therapy will be provided or supervised
by a licensed professional and length of session adjusted to diagnosis
(for example Developmentally Delayed or ADD or ADHD will have two
30 min sessions all other sessions will be 1 hour)
Different Groups/Issues Addresses:
Anger Management Social Skills
Life Skills Grief and Loss
Substance Abuse Boundaries
Health Spirituality
Reactive Attachment Female Issues
Equine Therapy Dog Therapy
Dialectic Behavior Therapy Gang Issues
Art Therapy Music Therapy
D.D. Specific
Some of the groups will be combined for subject content, but the minimum of 4
groups per week will stay in place. During the summer months there will be an
increase in the number of groups when not attending summer education (math,
reading, and computers).
Additional cost_to the county/state will be identified and negotiated for Level C
Mental Health or Supervision, Substance Abuse, Sexual Offenders (limited
number of minor offenders accepted), and Mild Mentally Retarded or
Developmentally Delayed youth (This will be done in the "Treatment" rate on
trails).
Services and treatment will only change with Weld County agreement.
Developed July 2006
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Cale
Facility Services and Residential Child Care Facility Services (the S ,^
"Agreement") between Lost and Found Inc. and Weld County Department <•v�
of Social Services for the period from
July 1, 2006 through June 30, 2007.
The following provisions, made this ( day of 3u N , 2006, 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#49489, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$141.45 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$141.45 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%)
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 IV. 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.
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.
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: � � l "�'�
Weld County Clerk to the Board
E I,.a
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
1861 f' DEPARTMENT OF SOCIAL
y/�+ ) ---J) SERVICES
By: iUi Lf(U By:
uty C k to e Board . J. Geile, Chair
TT 18 2006
CONTRACTOR
Lost and Found Inc.
6700 W 44th Ave
Wheat Rid , CO 80033
By: r�
AN V•T co F
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES Me. et rots≤r non441 56Attrc ;
By: QireQ2' '1°
tAg43
4 Weld County SS-23A Addendum I
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between KiditArk In Sterling and Weld County Department
of Social Services for the period from
July 1, 2006 through June 30, 2007.
The following provisions, made this I day of n I y , 2006, 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#34340, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$128.84 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$128.84 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 their 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
o.pcc‘ -ae‘5
•
4. Add Paragraph 8 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 9 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 IV. 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.
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.
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 that the Contractor learns of any actual litigation in which it is a party defendant
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: �61 jet4 ✓GG�r�
Weld County Clerk to the Board
Q' , '1 f °- WELD COUNTY BOARD OF
rr• , ;.\ SOCIAL SERVICES, ON BEHALF
F THE WELD COUNTY
361 EPARTMENT OF SOCIAL
eTh .4 SERVICES
By: {i / iltL, By:
p puty C k to the Board . J. Geile, Chair
Cri i F %(?OG
CONTRACTOR
Kids Ark In Sterling
PO Box 1725
Sterling, CO 80751/ II�By:WELD COUNTY DEPARTMENT ✓/
OF SOCIAL SERVICES
By:
Directo#
4 Weld County SS-23A Addendum
�Qo6 -(2F65
• • (Exhibit A)
Kidz Ark, Inc Scope of Service for
Weld County Department of Social Services
Kidz Ark, Inc will focus treatment and services in each child's Individual Case
Service Plan that will be reviewed by Kidz Ark's Therapist and Clinical Director,
Caseworker, Parent or legal guardian, and the resident. Unless otherwise
indicated, Kidz Ark will provide the following services (at a minimum):
LEVEL B:
• Milieu Therapy 7 days a week
• Individual Therapy 1 session per week
• Group Therapy 4 sessions per week
• Family Therapy 2 sessions per month (if not indicated additional
groups prindividual therapy will replace)
All Individual, group,or Family Therapy will be provided or supervised
by a licensed professional and length of session adjusted to diagnosis
(for example Developmentally Delayed or ADD or ADHD will have two
30 min sessions all other sessions will be 1 hour)
Different Groups/Issues Addresses:
Anger Management • Social Skills
Life Skills Grief and Loss
Substance Abuse Boundaries
Health • Spirituality
Reactive Attachment Female Issues
Equine Therapy Dog Therapy
Dialectic Behavior Therapy Gang Issues
Art Therapy Music Therapy
D.D. Specific
Some of the groups will be combined for subject content, but the minimum of 4
groups per week will stay in place.' During the summer months there will be an
increase in the number of groups when not attending summer education (math,
reading, and computers).
Additional cost to the county/state will be identified and negotiated for Level C
• Mental Health or Supervision, Substance Abuse, Sexual Offenders (limited
number of minor offenders accepted), and Mild Mentally Retarded or
Developmentally Delayed youth (This will be done in the "Treatment" rate on
trails).
Services and treatment will only change with Weld County agreement.
Developed July 2006
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Carl-
Facility Services and Residential Child Care Facility Services (the
"Agreement") between Shiloh House (Contractor) and Weld County
Department of Social Services (County) for the period from
September 12, 2006 through June 30, 2007.
The following provisions, made this /d day of 59Se/fit, 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County and Contractor, identified as Provider ID#1539982, agrees as follows:
A. Contractor will provide ten guaranteed Therapeutic Residential Child Care
Facility(TRCCF) beds, located at 745 Highway 119, Longmont, CO, for the
exclusive use of the County. County agrees to pay$160.00 per day for each
guaranteed bed that is not filled by a County youth.
B. Contractor will provide Child Maintenance, Administrative Maintenance and
Services, which are listed in this Agreement at a rate of$160.00 per day for
children placed within the Therapeutic Residential Child Care Facility.
C. Contractor will provide Child Maintenance, Administrative Maintenance and
Services, which are listed in this Agreement at a rate of$160.00 per day for
children placed within the Residential Child Care Facility.
D. Contractor will give County youth priority placement at other facilities operated
by Contractor.
E. Additional services not covered by Medicaid or considered within the above rate
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,
1 Weld County SS-23A Addendum
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%)
4. Add Paragraph 8 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 9 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 IV. 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. Have the right to give the County a 30-day notice of
discharge for those clients deemed by the Contractor to no longer benefit from program
services. If the Contractor determines that removal of a youth from the program is
necessary, a staffing shall occur with both parties present to jointly plan and make
decisions regarding discharge and placement.
9. Add Paragraph 15 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 16 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 17 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;
2 Weld County SS-23A Addendum
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.
12. 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.
13. 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.
14. 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.
15. 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
16. 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: MillidAtt
Weld County Clerk to the Boartl>
*9=--...1/41‘\,WELD COUNTY BOARD OF
'1,!,(5, `el^,;. \SOCIAL SERVICES, ON BEHALF
��1 , F THE WELD COUNTY
writt_LY 6 EPARTMENT OF SOCIAL
® SERVICES
r
By: LVA ��( l G7(� By:
puty rk to-the Board M. J. eile, Chair
OCT 1 6 200E
CONTRACTOR
Shiloh House
6400 W Coal Mine Ave
Littleton, CO 80123
BYAml,y,f fl.er \\ >-(2)
Steven E. r .mirez/CEO
WELD COUNTY DEPARTMENT ✓✓✓
OF SOCIAL SERVICES
By:
Direct
4 Weld County SS-23A Addendum
mop. -di' ...5
(Exhibit A)
• THERAPEUTIC RESIDENTIAL CHILD CARE FACILITY PROGRAM OVERVIEW
Total youth served: 22 boys
➢ 10-12 placements available to boys, ages 12-16 years
requiring offense specific services
➢ 10 placements available to boys ages 8-18 years, for short-
term assessment beds or respite/emergency care
Hours of operation: 24 hours/day, 7 days/week
Type of youth accepted: Youth with behavioral and mental health issues, most often with
accompanying issues related to abuse, neglect and trauma. Youth
who require offense specific services. Youth in need of
assessment.
Program staff: Treatment counselors (certified in medication administration,Informed
Supervision/Therapeutic Care Provider,Crisis Prevention and
Intervention(CPI)and CPR/First Aid. Shiloh Home provides ongoing
training to its staff to ensure ongoing quality care.)
Clinicians (master's level and licensed)
Administrator/Manager
Teachers
Support Staff(cook, cleaning, clerical)
Resident Supervision: 1 staff to 5 resident ratio during the day
1 staff to 10 resident ratios during the overnight
Staff is awake 24 hours/day and provides ongoing supervision
Educational Services: To be provided on the Longmont property. Services will include
two special education teachers, and two teacher's aides, adhering
to the Colorado Department of Education standards and supervised
by a State Certified Special Education Director.
Program Integrity: Shiloh Home standards for care exceed those required by the
State of Colorado.
All boys referred to Shiloh Home are reviewed for
appropriateness of fit prior to placement within the program based
on Shiloh Home program integrity guidelines and available milieu.
Boy's progress in program is reviewed monthly.
Average length of stay: 3 to 9 months; 2 weeks to 45 days for Short-term TRCCF
5 Weld County SS-23A Addendum
(Exhibit A)
TRCCF: Offense Specific Services
The abuse-specific program will serve up to 12 male youth who range in age from 12 to 16
years. Youth served by the program will have an I.Q. greater than 70, can function in a reality-
based manner, are physically healthy and are not deemed assaultive at the time of admission.
Youth may experience a range of behavioral and mental health issues, and all admitted residents
qualify for a DSM IV diagnosis, meeting placement criteria for TRCCF. The focus of the abuse-
specific program covers sexual acting-out, aggressive acting-out and mental health symptoms.
The milieu and clinical program adheres to the Colorado Sex Offender Management Board's
Standards and Guidelines for the Evaluation, Treatment and Supervision of Juveniles Who Have
Committed Sexual Offenses.
Residents participating in the abuse-specific program will live in the separate home unit on the
Longmont property. Space and activities/equipment is available for on-site recreation.
Participation in off-site activities as supervised by staff also occurs. Being community-based,
Shiloh's abuse-specific program holds community safety in the highest regard. The program
assumes a victim-centered approach, with community safety at the forefront. The program is
supervised and managed by trained milieu staff. A 1:5 staff to client ratio is maintained during
awake hours, and one awake staff provides overnight supervision at each facility. The focus of
milieu programming is the maintenance of safety towards self and others, honesty/accountability
for behavior, education around abuse-specific issues and mental health stabilization. Residents
are provided positive feedback for success and consequences are assigned for inappropriate
behavior. Besides staff input, the peer group is utilized for feedback/support.
A master's level clinician will coordinate care, provides individual, family and group therapy
and serves as the primary contact for external members of the treatment team. Monthly staffings
are held where progress and ongoing needs are discussed. All members of the resident youth's
"containment" are included. Containment team members include the identified youth, parents,
Shiloh staff, county caseworker, probation officer, GAL and victim advocate/clinician. Monthly
reports summarizing progress and needs are also provided.
Components of the Abuse Specific Program include:
> No more victims
> Full accountability of all abusive behavior and resulting impacts
> Respect and safety directed toward victims and community
➢ Healing of own victimization and personal trauma
> Stabilization of mental health symptoms
➢ Ability to understand personal cycle of abuse,as well as ways to avoid maladaptive thoughts, feelings and
behavior
➢ Behavioral stability evident in consistent display of:
o Safety towards self,others and victims
o Respect towards self,others(including victims)and property
> Development of a parent-child relationship and home environment that supports abuse-free functioning and
does not tolerate abusive behavior
> Development and display of greater repertoire of adaptive coping skills
➢ Development of a relapse-prevention plan that matches individual issues/needs
➢ Recommendations upon discharge regarding ongoing needs/supports to increase likelihood of success in a less
restrictive environment
6 Weld County SS-23A Addendum
(Exhibit A)
TRCCF:Assessment Services
The short-term assessment residential program will serve up to 10 youth ages 8 to 18 years.
Youth served by the program will have an I.Q. greater than 70, can function in a reality-based
manner, are physically healthy and are not deemed assaultive at the time of admission. These
criteria will be under constant review in order to meet the population needs served by Weld
County as well as to insure a quality assessment program. This short-term TRCCF program may
benefit youth who are recently entering the child welfare system with no background information
or youth who require a change in their current treatment plan and placement. Youth may
experience a range of behavioral and mental health issues, and all admitted residents qualify for a
DSM IV diagnosis, meeting placement criteria for TRCCF. Through behavioral observation and
mental health evaluation, the assessment process will provide a concise yet comprehensive
overview of a referred youth's functioning in the arenas of psychological, behavioral, familial
and educational arenas, as well as clear recommendations for ongoing treatment or services,
including recommendations for permanency planning. Respite beds will offer a structured and
therapeutic environment for a limited time period (ranging up to 30 days) to those youth who are
in need of immediate care or transition from current placement.
As identified in the prior TRCCF section, qualified staff will be part of the internal treatment
team. Collaboration and sharing of assessment information between Shiloh and the county
worker will be imperative to a concise and timely assessment. Services provided will include
therapy via the Fee for Service model, case management, milieu therapy, medical care,
psychiatric consult, on-grounds schooling (program may be modified due to length of stay and
reason for referral) and coordination of referrals to additional diagnostic evaluations (i.e. -
psychological exams.)
Upon completion of this service, if appropriate, youth may be placed in Shiloh's continuum of
care, with first priority.
7 Weld County SS-23A Addendum
(Exhibit A)
• EDUCATION PROGRAM FOR TRCCF AND DAY TREATMENT
Shiloh School's mission is to provide a transitional, alternative education setting for at- risk
students by utilizing a variety of structured methodologies and a multifaceted curriculum with a
focus on affective development. Educational programming is provided to both the residential
and day treatment clients, specific to their Individualized Education Plan. Shiloh's school is
licensed by the Colorado Department of Education, and the school calendar mirrors that of
public school districts. A special education director supervises Shiloh's school. School staff
includes master's level teachers, bachelor level teachers currently enrolled in college programs
for special education certification and milieu counselors. Shiloh's school maintains a teacher to
student ratio of 1:10 or less and an overall staff to student ratio of 1:5. The Shiloh organization
shares with the many other schools across the nation the responsibility to train children regarding
the norms, expectations and general knowledge of our world today. Our hope is that each child
will freely utilize the many educational resources available to him in preparation for achieving
these goals.
8 Weld County SS-23A Addendum
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