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Home My WebLink About20062392 RESOLUTION RE: APPROVE ADDENDUM TO TWENTY-SIX AGREEMENTS TO PURCHASE THERAPEUTIC RESIDENTIAL CHILD CARE FACILITY SERVICES AND RESIDENTIAL CHILD CARE FACILITYSERVICESAND 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 twenty-six 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. Alternative Youth Adventures 14. Namaqua Center (#45142) 2. Courthouse, Inc. (#45724) 15. Namaqua Center (#100889) 3. Courthouse, Inc. (#46050) 16. PSI Cedar Springs Hospital, Inc. 4. El Pueblo Boys' and Girls' Ranch 17. Reflections for Youth, Inc. (#1530128) 5. Excelsior Youth Centers 18. Reflections for Youth, Inc. (#1530130) 6. Flatiron Behavioral Health Hospital, 19. Reflections for Youth, Inc. (#1530131) Corp. 20. Savio House 7. Friends of Children 21. The University of Colorado Health Sciences Center, dba Synergy 8. Griffith Centers for Children, Inc. 22. Third Way Center (#49487) (#39212) 23. Third Way Center (#65346) 9. Griffith Centers for Children, Inc. 24. Third Way Center (#77810) (#49547) 25. Third Way Center (#1507881) 10. Griffith Centers for Children, Inc. 26. Youth Emancipation and Services, Inc. (#1534554) 11. Griffith Centers for Children, Inc. (#1512515) 12. Midway Youth Services, Inc. 13. Mount St. Vincent Home 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 twenty-six 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. 2006-2392 cc: SS SS0033 ADDENDUM TO TWENTY-SIX AGREEMENTS TO PURCHASE THERAPEUTIC RESIDENTIAL CHILD CARE FACILITY SERVICES AND RESIDENTIAL CHILD CARE FACILITY SERVICES - VARIOUS PROVIDERS PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 30th day of August, A.D., 2006, nunc pro tunc July 1, 2006. is IT ' BOARD OF CO NTY COMMISSIONERS nct<J WELD COUN ' , COLORADO ATTEST: i ,_k® �"scrf . -ile, Chair Weld County Clerk to the •- y David E. Long, Pro-Tem BY: ( �/ ?"De()1,11,(1,Cecei Clerk t the Board Wil ' m H. Jerke APP AS TO FO Robert D. Masden ouOlt/Attorney EXCUSED g j i� Glenn Vaad Date of signature: 2006-2392 SS0033 jttio a DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 IDWebstte:www.co.weld.co.us INI Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 OFax(970)346-7663 • COLORADO MEMORANDUM TO: M.J. Geile, Chair Date: August 28, 2006 Board of County Commissioners FR: Judy A. Griego, Director, Social Services Q�(1 �� (//y RE: Addendums to Agreements to Purchase Re idential Child Care Facilities (RCCF)/Therapeutic Child Care Facilities(TRCFF) Services with 26 Vendors Enclosed for Board approval are Addendums to Agreements to Purchase RCCF/TRCCF Services between the Weld County Department of Social Services (Depaitnrent)with 26 vendors. The Addendums were reviewed at the Board's Work Session held on August 28, 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. Alternative Youth Adventures #105500 $139.94/day $139.94/day 2. Courthouse Inc. #45724 $158.59/day $158.59/day 3. Courthouse Inc. #46050 $158.59/day $158.59/day 4. El Pueblo Boys' and Girls' Ranch #45146 $141.13/day $141.13/day 5. Excelsior Youth Centers #45243 $169.87/day $169.87/day 6. Flatiron Behavioral Health Hospital, #1520898 $118.09/day $118.09/day Corp 7. Friends of Children #45205 $187.53/day $187.53/day 8. Griffith Centers for Children,Inc. #39212 $174.87/day $174.87/day 9. Griffith Centers for Children, Inc. #49547 $184.17/day $184.17/day 10. Griffith Centers for Children, Inc. #1534554 $184.17/day $184.17/day 11. Griffith Centers for Children,Inc. #153444,- $184.17/day $184.17/day itiS 12SE5 12. Midway Youth Services,T re. #44002 $120.54/day $120.54/day 13. Mount St. Vincent Home #45174 $161.02/day $161.02/day 14. Namaqua Center #45142 $151.28/day $151.28/day 15. Namaqua Center #100889 $151.28/day $151.28/day 2006-2392 MEMORANDUM Page 2 M.J. Geile, Chair, Board of County Commissioners August 28,2006 --12. Mount St. Vinceat Home #45174 $161.02/day $161.02/day 14. Namaqua Center #45142 $15l.28/day $151.28/day ��CQ�t 15. Nansaqua Center #1.00889 $151.28/day $151.28/day 16. PSI Cedar Springs Hospital) Tnc - #1517006 $146.86/day $146.86/day 17. Reflections for Youth, Inc. #1530128 $144.43/day $144.43/day 18. Reflections for Youth,Inc. #1530130 $144.43/day $144.43/day 19. Reflections for Youth, Inc. #1530131 $144.43/day $144.43/day 20. Savio House #48170 $167.30/day $167.30/day 21TrUniversity of Colorado Health #49488 $130.69/day $169.69/day Sciences Center, dba Synergy 22. Third Way Center #49487 $157.94/day $157.94/day 23. Third Way Center #65346 $157.94/day $157.94/day 24. Third Way Center #77810 $157.94/day $157.94/day 25. Third Way Center #1507881 $157.94/day $157.94/day 26. Youth Emancipation&Services,lnc #1513086 $138.09/day $138.09/day If you have any questions,please telephone me at extension 6510. • 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 Youth Adventures and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this day of 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#105500, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$139.94 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$139.94 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 maybe 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%) ,0,24106-&594 1 Weld County SS-23A Aen um 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: Weld County Clerk to the Board ,T,IA WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF 4 ;; OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES 9 C By: MI 4 /gil By: eputy rk to the Board . . eile, Chair AUG 3 0 2006 CONTRACTOR Alternative Youth Adventures 1236 N. T ns d Montrose, 140 By: ( //�et, / L WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: L(A " irector a a'3 4 Weld County SS-23A Addendum WELD COUNTY ADDENDUM < t> To that certain Agreement to Purchase Therapeutic Residential Child Ge Facility Services and Residential Child Care Facility Services (the '2. "Agreement") between Courthouse Inc. and Weld County Department of S Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ` day of ,Sy' , 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#45724, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$158.59 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$158.59 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 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 W. 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 W. 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: �� " /�'(/v ' Weld County Clerk to the Board WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF C '.\ OF THE WELD COUNTY` DEPARTMENT OF SOCIAL lssl SERVICES By: ; t1 t .1 ,,L i 'r3 By: s puty Cl to t e Board . J. Geile, Chair AUG 3 O L0Ob CONTRACTOR Courthouse Inc. 333 W Hampden Ave, Suite 305 Englewood, CO 80111-2333 / BY: 447441140-�r1 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Ct Direct 4 Weld County SS-23A Addendum &e6-d.39. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Courthouse Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of lT lq , 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#46050, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$158.59 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$158.59 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 �I 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 W. 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: l ' tel �U'.4 j Weld County Clerk to the Board "� ' >l` ? WELD COUNTY BOARD OF _' •.�' •a \ SOCIAL SERVICES, ON BEHALF , ,:. \\1 OF THE WELD COUNTY 1851 40;'_-''.;--v t-..0 ,t T Ae DEPARTMENT OF SOCIAL � ` SERVICES f,mow U 7 By: /tit 4/I L Il �� By putt'Cle to the Board . . eile, hair AUG 3 0 2006 CONTRACTOR Courthouse Inc. 333 W Hampden Ave, Suite 305 Englewood, CO 80110-2333 BY: ' t,/filai WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Directo 4 Weld County SS-23A Ad / =,/354 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between El Pueblo Boys' and Girls' Ranch and Weld County r7, Department of Social Services for the period from July 1, 2006 through June 30, 2007. The4ollowing provisions, made this ]Y1 day of , 2006, are added to the referenced .4gfeement. Except as modified hereby, all terms of the Agreement remain unchanged. ,:'' • '1. County agrees to purchase and Contractor, identified as Provider ID#45146, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$141.13 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are iiOted in this Agreement at a rate of$141.13 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the abo k 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, 2U06. These services will be for children who have been deemed eligible for social servjg4s 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 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, falsifitation 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: Weld County Clerk to the Board 11„ WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF ' OF THE WELD COUNTY 1361 0 --� � DEPARTMENT OF SOCIAL i. SERVICES Nat"" 4 a ti dy✓ By: to 4 - CL J ``' By. eputy erk to the Board . J. eile, Chair AUG 3 0 2006 CONTRACTOR El Pueblo Boys' and Girls' Ranch One El Pueblo Ranch Way Pueblo, CO 81006 By: C q cc" <-1 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum acre,-a7,39,? (Exhibit A) Office of the President One El Pueblo Ranch Way • Pueblo, CO 81006 (719) 5447496 • Fax(719) 5447705 • wowv.elpuebloklds.org ?"', r� I n3 n„ .teal Adolescent Treatment Community June 22, 2006 Ms. Leslie Cobb Business Manager Weld County DSS P.O. Box A Greeley, CO 80631 Dear Leslie: Per your recent request, please find pertinent information regarding El Pueblo...an Adolescent Treatment Community effective Julyl, 2006, as we begin to function as a Therapeutic Residential Childcare Facility. Please refer to the "Plan of Service" for an extensive overview of the treatment services provided by El Pueblo. However, should you have additional questions, please do not hesitate to give me a call. We value your business and look forward to a mutually rewarding relationship as we muddle through the next few months. We remain committed to serving the needs of children and their families as a Center of Excellence in Residential Care. Sincerely, Patty Erjavec President/CEO CC: Dave Dillingham (Exhibit A) A Center of Excellence in Therapeutic Residential Child Care Economic conditions prevailing, note: El Pueblo, a nationally recognized, JCAHO Accredited Therapeutic Residential Child Care Facility (TRCCF), delivers high quality treatment for 20 - 27% less than similar-sized, same socio/economic facilities, serving children in the State of Colorado! ❖ Masters-Level Licensed Therapists providing: ♦ DBT ♦ EMDR ❖ CAC III Therapists—Delivering Substance Education and Addiction Recovery ❖ SOMB Approved Providers—Delivering Offense Specific treatment to both boys&girls ❖ Full-spectrum of treatment • Co-Occurring Disorders • Sexual Abuse • Self-Injurious Behavior • Trauma • Crisis Stabilization • Abuse Reactive ❖ Coordinated Wrap-Around Services ❖ Video-conferencing available for family therapy and staffings outside of the immediate service area ❖ Extended Summer Enrichment Program ❖ A multitude of normalizing recreation and leisure opportunities El Pueblo makes the most effective use of your limited County dollars Immediate Openings for both Boys and Girls, ages 10 - 18: ❖ Mental Health and Behavior Problems Sex Offenders 4 Substance Abuse Issues KJp$f For Admissions Information: is All, ABOUTf Please contact Courtney Montoya at u, (719) 404-1107 or cmontoya ZI elpueblokids.org El Pueblo is an approved licensed Medicaid Provider One El Pueblo Ranch Way Pueblo, CO 81006 (719) 544-7496 (719)544-7705 fax In 2006, the El Pomar Awards for Excellence Selection Commission recognizes El Pueblo...an Adolescent Treatment Community as one of the three best among all similar nonprofits in Colorado. A Co) cs U to G V) V) 0 a U o N v N N M ti U N Oo aO Z o, 5 t.a o 7 U N O N H en N O\ \O N E. hv17 N NM NMN c, �"� M M OO O� 0O O� O Vt N O\ E F4 ' N M N Cl M - Cl O t U ettV .C O� ^.is C 00 IX! b0Cy TTNJ "y' I O OD L ,S .fJ' id .E b9 d an WW Q k ) S V ..r V +� .R 7 x =-0 0 o 7 ,r N 0 7 � UU go .5 U --; b 4 EE oEu or) 055E z al a; o 0 0 o y o y o 0 0 ;; ,a UUUUO. Up. - UUU cu Ii W L of L°/ Y V V mil. ° ° Y ° Y V q a . 0 N e •t V1 cu b cia iv F 1 o- U U tb o as $ s z a2 .9 sr� o ei 0 Q Ca •! 'a v r as y.b ai ' U •- g m 00 0 ° U � t 0 0 c5q y7 E `�' t0 UUc 40 . °, . °ti' 001 (V 3TIMM) (Exhibit A) O O O N ONNNNNOINNN N w co CO CO 1n 1n in )O i0 1O ., (O J O) W CP in u-) in in � 2^ �� a, o E a)oOo o, v 3 a E a) a a .0 -dcip co a O is E Z E" It ,--0 M N o. Q S M o 18 rn .0 O A • co) 8 ca OD N co •t~" CA -O1 0 E w w Z a `" 11 CD Ca < < < a 1.. l''' }. -I- ""H ••-4 Q., , a ... t,.. w a000O0u) ccowct co o c`d a � C7waa, U m } co CO Cn N co co cn N co co ��≥ (1 ' minim CO I- C0000000000 � � .2" .2 � D � 2 � 2" O T C a C C a C C C C a c C OOOOOOOOOO O- ,.0000000000'0 ... a v a v 'O U v vV f 33333 E co w Zn el) m E 2 `m z 0 O w o Ev ..I- tC N o `m d o m 'm c) co m m ;.. . N N Q O a0i J 2 2,3 —a Cn O M Z Y 2 N N O 3 3 E 4 d 3 r O 3 W N Cl N Q, al a a a t m c c a)03 so 2 _a T CD N N O N Y Cn 2 Y - F N J W W :•sue. •a-. �+ •,.+ a-+ •a+ ,--4 ,-, .-4 N N Z) rn M co m co ao o co cam WN V o O N CO N CO O O Q) '. O (O O M (O O W O'O) W 07 N N N N. N. N N N N_ ° . co‘ ) A. 1 ZZZ J J J J JJ ., — ❑ O O O O O O se O sa OA 200HHHaau< u< aa t 0 oivwi (n �,cWnai •06 � ¢ 4 w Q WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Excelsior Youth Centers and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of J;+I/ , 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#45243, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$169.87 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$169.87 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%) Weld County SS-23A Addendum 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: Weld County Clerk to the Board ?� l� WELD COUNTY BOARD OF ° A O SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY `)µ � DEPARTMENT OF SOCIAL SERVICES By: tit l (/ (7_, . By:eputy Cl k to the Board . J. Gei e, Chair AUG 3 0 2006 CONTRACTOR Excelsior Youth Centers 15001 E. Oxford Ave Aurora, CO 80014 (1 By )CU*)Vi� WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Direr 4 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Flatirons Behavioral Health Hosptial, Corp. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this/day of J,4 1 , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1520898, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$118.09 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$118.09 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 oz-e6-,523%12 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 teens 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 sewed 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: 12"iadid-' l Weld County Clerk to the Board Egts WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF so* awci OF THE WELD COUNTY r DEPARTMENT OF SOCIAL ` SERVICES _y 1' } By: IL/ /14 By: puty Cle to t e Board M J. Geile, Chair AUG 3 0 2006 CONTRACTOR Flatirons Behavioral Health Hosptial, Corp. 2255 S 88th Street Louisville, O 8002 �- By: WELD COUNTY DEPARTMENT CtceI.Mc I'r«kar OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum 77 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Friends of Children and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of Oak , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#45205, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$187.53 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$187.53 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 i i ,'2 J3 i.se 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: ,&may /iVet Weld County Clerk to the Board I,n . i -. WELD COUNTY BOARD OF 7 Est , ,, ✓ t SOCIAL SERVICES, ON BEHALF A/ lr �(Ski': � OF THE WELD COUNTY lul eh*:' It,�,d , z DEPARTMENT OF SOCIAL v., , , ,ti V ,A, - ,rc SERVICES 47.,‘,..4, By: A pn ' Qal L"-- '' BY:�t putt'Cl k to the Board . Geile, Chair AUG 3 Q 2006 CONTRACTOR Friends of Children 2950 Tennyson St Denver, C 0 1 30 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum c,?Oo‘> - 0239'07 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Griffith Centers for Children Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of (77, 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#39212, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$174.87 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$174.87 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 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: L c/d014 Weld County Clerk to the Board WELD COUNTY BOARD OF lisa SOCIAL SERVICES, ON BEHALF Ath Wit` OF THE WELD COUNTY east res-TAikr DEPARTMENT OF SOCIAL • ' SERVICES 4 By: �l l ' �!" L By 7 _. �' puty Cl t to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Griffith Centers for Children Inc. 14142 Denver West Pkwy, Suite #225 Lakewood, CO 80401-3189 f WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: • C irector 4o 4 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Griffith Centers for Children Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of S , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#49547, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.51 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$176.51 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 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: " ek" girl Weld County Clerk to the Board E Ta WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF ( 44 OF THE WELD COUNTY 1861 : �,'E ti, t--- DEPARTMENT OF SOCIAL SERVICES By: it,t1 t , By: 4,-, uty Cler Ito the Board M. J. Geile, Chair AUG 3 0 2006 CONTRACTOR Griffith Centers for Children Inc. 14142 Denver West Pkwy, Suite #225 Lakewood, CO 80401-3189 B,Y: � t7 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: _ Director 4 Weld County SS-23A Addendum �Jlt'4 �3%aZ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Griffith Centers for Children Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of 31 I'Agreement 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1534554, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$184.17 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$184.17 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%) ] Weld County SS-23A Addendum 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: L MA Weld County Clerk to the Board s EL a WELD COUNTY BOARD OF " SOCIAL SERVICES, ON BEHALF t g r"rtvtii A OF THE WELD COUNTY la* { „1 DEPARTMENT OF SOCIAL ", o- SERVICES By: iUt rk/1 By: puty Cl k to the Board . J. Geile, Chair G 3 0 2006 CONTRACTOR Griffith Centers for Children Inc. 14142 Denver West Pkwy, Suite #225 Lakewood, CO 80401-3189 B/Y , 22? WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Aid $? s� WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Griffith Centers for Children Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ] day of v , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1512515, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$184.17 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$184.17 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,'-2394 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: ALL / da4 Weld County Clerk to the Board .r� 1," 1�.,z�, WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF ` y OF THE WELD COUNTY g w t t DEPARTMENT OF SOCIAL • "„, �► SERVICES ;r^ • 1 By: By. eputy C k to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Griffith Centers for Children Inc. 14142 Denver West Pkwy, Suite #225 Lakewood, CO 80401-3189 By- 3J 2 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendcat _ 31;7�j 7` WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child are Facility Services and Residential Child Care Facility Services (the 1 `% "Agreement") between Midway Youth Services Inc. and Weld County /?y Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this Zrfq'day of la , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of t�ement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#44002, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$120.54 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$120.54 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' de e �late • 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: MAIWIS4 Weld County Clerk to the Board •1 r.-.)\„. ik. ��' ,4 WELD COUNTY BOARD OF fr ewu�`� SOCIAL SERVICES, ON BEHALF Iasi Is ci � k 1 OF THE WELD COUNTY ie v i DEPARTMENT OF SOCIAL . SERVICES f By: ,i r t%2 t By: D uty Cle to the Board . J. ei e, Chair AUG 3 0 206 CONTRACTOR Midway Youth Services Inc. 729 Remington Fort Co ' s, CO 8 52 B : WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D rector 4 Weld County SS-23A Addendum &a6 -x394' WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care ?, Facility Services and Residential Child Care Facility Services (the .°) "Agreement") between Mount St. Vincent Home and Weld County Department of Social Services for the period from /, July 1, 2006 through June 30, 2007. O� The following provisions, made this I day of i"1 \4 , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of thelAgreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#45174, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$161.02 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$161.02 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 AWrit 12* 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 W. 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 N. 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 N. 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: ALU,4/h Weld County Clerk to the Board WELD COUNTY BOARD OF -�A4.4./A SOCIAL SERVICES, ON BEHALF A' s' r``..A, OF THE WELD COUNTY f'125 '=` " \ r""` DEPARTMENT OF SOCIAL C4 4I� i SERVICES ' fit -fr`. By: c\RAULfr1 Ll By:D uty Clerthe Board . J. Geile, Chair AUG 3 O 2006 CONTRACTOR Mount St. Vincent Home 4159 Lowell Blvd Denver, CO 80211 By: , „Ili /1011 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: DirettUt 4 Weld County SS-23A Addendum a�s2 7 ,y+ �fXJf (Exhibit A) MIUnTi SAiNT d VINCENT HSMt June 29, 2006 Lesley Cobb Weld County DSS 315 North 11th Ave Greeley, CO 80631 Dear Lesley, Mount Saint Vincent Home is grateful for the opportunity to work together with Weld County to serve the children in your care. As we transition from an RTC to a TRCCF program, we look forward to continuing our partnership. Through the years, Mount Saint Vincent Home has kept our costs low, while at the same time provided quality care, with positive outcomes, for children who need our services. We all seem caught by the current rate setting process which still seems to penalize agencies like ourselves who have worked to keep costs low. Our agency rate, with the potential addition of the 1.25% COLA is $160.77. It does not cover our costs, but in order to continue to work with the counties who refer children to our care, we accept the rate as it's given. We believe that our program is the best program for children ages 3 to 14, no matter what the price. We just so happen to be the lowest cost while having highest quality! For 123 years, Mount Saint Vincent Home has cared for children and families. We have changed our programs over the years to address the changing needs of children in Colorado. We began as an orphanage and today are an accredited agency serving children ages 3 to 14 in our continuum of care services. These services include a therapeutic residential child care facility, day treatment, outpatient, aftercare, therapeutic preschool, early learning center and beginning in August, a transition program for children ready to leave residential, but not yet able to go home or to a foster home. This new program will allow children the opportunity to be successful in a smaller group, less institutional setting while being reincorporated into the community. I will send you brochures which include more description of each of our programs. Our Staff Mount Saint Vincent Home staff and therapists are very skilled and have advanced training and experience working with children who have experienced severe trauma, grief and loss, child abuse and family concerns. We have a talented treatment staff of ten therapists. These therapists include six licensed LCSW's, one LPC, one MSW and two MA's. In addition we have three consulting psychiatrists and one full time nurse practitioner. Our therapeutic milieu staff ratio is 1 staff to 4 children, providing close supervision and positive interaction in a relationship based model of care. There are six special education teachers at Mount Saint Vincent Home. Three of the six have their master's degree in special education and three are completing their special (Exhibit A) • education endorsement. In addition, by August 2007, each of the classroom teachers will have met the new Highly Qualified requirements as set by the Colorado Department of Education. Each classroom is also staffed with an educational mental health worker who has met the Highly Qualified requirements for paraprofessionals in the state of Colorado. The school program is coordinated by two supervisors, one of which has a degree in elementary education and a master's degree in diverse learners. This supervisor is also completing her special education endorsement. The other administrator has an undergraduate degree in elementary and special education, a master's degree in special education, a principal's license and director of special education endorsement. The school program at Mount Saint Vincent Home is both approved by the Colorado Department of Education and accredited through the North Central Association. The school day is six and one half hours, 180 days per year. Students receive instruction in the core academics as well as music, art and recreational therapy. Literacy instruction is provided through the Literacy Place curriculum and math classes utilize the Everyday Math program. Once the treatment team determines that a child is ready to return to public school, the district of residence is notified and a transition meeting is scheduled. At that time, an individualized transition plan is developed depending on the child's needs and the location of the school. Mount Saint Vincent Home school staff continues to be available for support even after a child has successfully transitioned to their new school. Referral Process Mount Saint Vincent Home's admissions coordinator receives referrals for all of its child care and therapeutic programs. They may be initiated by either legal guardians or individuals from outside organizations who are working directly with the child and his/her family. Referrals may be received by phone, email or fax, and need to include basic information regarding the child (e.g., name, age, birth date, social security number, Medicaid number/funding source). The admissions coordinator will make contact with the referral source within 24 hours, but most often within the same day. The admissions coordinator will gather further information from the appropriate parties in order to help determine whether or not the child meets admissions criteria. After this is determined a formal intake interview is scheduled with our admissions supervisor, as well as a visit with staff and peers, to provide further assessment of how Mount Saint Vincent's could most affectively provide for the child's needs. In most circumstances an admissions date is determined within 24 hours of the child's interview. Our admissions coordinator's phone number is 303-458-7220 ext. 262. Treatment Planning Our admissions coordinator works closely with the caseworker during the intake process. An individual service plan(ISP) is completed within 72 hours of admission. Within 10 days, a multidisciplinary team meets, including MSV staff, the child's case worker and family to develop service plan goals. These goals are reviewed monthly by the multidisciplinary team. The therapist at Mount Saint Vincent Home in charge of the child's case is the case manager and therapist and is the primary contact for the case worker and the family. Mental Health Services (Exhibit A) Based on the child's individual needs, there will be individual therapy at least once a week. The need for family therapy is determined upon intake and is generally planned for once a week, depending on the need and family availability. Based on a child's need and individual service plan goals, group therapy may occur twice a week. Mount Saint Vincent Home serves children ages 3 to 14 so we do not provide any drug or alcohol services or offense specific services. While we do not work with sexual offenders, we do work well with sexually reactive children. We also work well with children who have a severe trauma history, mood difficulty such as bi-polar, major depression or schizoaffective disorder. Many children who come to Mount Saint Vincent Home have multiple diagnoses. We tailor our treatment to the multiple needs of our clients and when possible work closely with families to improve our clients' situation. Additional Activities At Mount Saint Vincent Home, we encourage children to explore ways to appropriately express themselves and we provide opportunities to enhance their growth physically, creatively and spiritually. We provide pottery, occasional art therapy and a tactile therapy program, funded by a generous donor. Our children enjoy the self-expression and the help with making the link between their"insides" and what they have created or accomplished. Recreation therapy is an integral part of the program at Mount Saint Vincent Home. The primary goals of the Therapeutic Recreation Department are to assist each child to improve the physical, psychological, cognitive and social functions that are fundamental towards the acquisition of daily living skills and to facilitate the development, maintenance and expression of an appropriate leisure lifestyle. The program assesses each child in the areas of physical, emotional, social and cognitive deficits and needs and treats them accordingly via group programming. The focuses for the children include but are not limited to leisure education, community re-entry program, leisure attitudes, leisure activity skills, leisure resources, social skills, gross motor leisure skills, relaxation/stress management, creative arts and music movement. The Therapist within the Therapeutic Recreation Department serves as an integral member of the treatment team. The Recreation Therapist is certified (CTRS, Certified Therapeutic Recreational Specialist) in her field and is dedicated to enabling each individual to use his/her existing strengths, skills and interests as building blocks to new learning and development. Summary As you can see, Mount Saint Vincent Home provides an array of services for children and families. Throughout our history we have grown and changed in order to meet the changing needs of children and those who refer children to our care. We will work together with Weld County to provide the best services for each child. If you have any questions about our services,please contact me at 303-458-7220 ext. 226 or Kirk Ward, our Clinical Director at 303-458-7220 ext. 238. Sincerely, (Exhibit A) *(14471,4)C 'e Sister Amy Willcott Executive Director WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Namaqua Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of cJ u Jy' , 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#45142, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$151.28 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$151.28 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 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: �� 'vvG Weld County Clerk to the Board -1 WELD COUNTY BOARD OF 411. '„� ' 'r3„)j SOCIAL SERVICES, ON BEHALF p� 1 OF THE WELD COUNTY f G r\ 42 DEPARTMENT OF SOCIAL 1 ; r. SERVICES ti R s-1 ° By: Litt Li a By: , puty C 'k to the Board . . Gel e, hair AUG 3 0 2006 CONTRACTOR Namaqua Center 1327 W Eisenhower Blvd Lovelljdd, CO 805 / By: r"A'� I" WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendym,135q WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Namaqua Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ) day of J , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the Xgreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#100889, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$151.28 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$151.28 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 ,9Ont-;139a 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: a �d"„�� 41 Weld County Clerk to the Board w,� E WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF tlz s 1 OF THE WELD COUNTY - .4 (1. /32. DEPARTMENT OF SOCIAL i �'r`Y „,% A SERVICES c , t N U By: a ' 47 By: eputy rk to the Board M. J. Geile, Chair AUG 3 0 2006 CONTRACTOR Namaqua Center 1327 W Eisenhower Blvd Lovel d, CO 805311 By: 1* 1 k'JG(4 \l WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a Dire or xl 4 Weld County SS-23A Addendum xt106 -,'.39:,7 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between PSI Cedar Springs Hospital, Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of Jr 2006, are added to the referenced Agreement. Except as modified hereby, all terms of t Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1517006, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$146.86 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$146.86 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 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 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: i / da Weld County Clerk to the Board WELD COUNTY BOARD OF C , EL,4f, SOCIAL SERVICES, ON BEHALF + OF THE WELD COUNTY Is; 4 `-'' ,-91_.--.{. DEPARTMENT OF SOCIAL tSERVICES By: ti I CPZCU By: puty C k to e Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR PSI Cedar Springs Hospital, Inc. 2135 Southgate Rd Colorado Springs, CO 80906-2605 BJ(� UAZ Iiti fA�111?lldtl f WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum (Exhibit A) SYSTEM OVERVIEW Facility Location and Programs Cedar Springs Hospital is located in the South central area of Colorado Springs, Colorado at the base of Cheyenne Mountain. The campus is large, with a park spanning the space between buildings that have, in some cases, been here since 1923. There is a strong sense of history and tradition in this setting, as well as a peaceful atmosphere. The facility is licensed for 110 acute and residential beds. Cedar Springs offers acute psychiatric services to adults, adolescents, and children on two (2) units comprising 40 beds. There are three (3) distinct Residential Treatment Programs for children and adolescents. Cedar Springs offers both the PRTF and the TRCCF levels of care to our residential patients. Thirty-six (36)beds are reserved for the general child/adolescent population, 12 beds are utilized for young patients challenged with Reactive Attachment Disorder, and 22 beds are used for sexually reactive and offending adolescent males. There is also a step-down program for boys who have progressed through the sexual offender's program and are ready to begin to re-integrate into the community. Intensive Outpatient Services, and a Driving with Care program are also available at the hospital. Cedar Springs maintains a treatment philosophy that is based upon sound clinical theory, maintains the dignity and individuality of each patient, and provides for a strengths-focused approach to mastering second-order changes in the lives of the persons served. Individual treatment will include intensive psychotherapy for the patient with additional emphasis upon the family system and opportunities to participate in group dynamics. Milieu treatment is generally based upon Cognitive-Behavioral principles, with adjustments made to best meet the needs of each particular population. All clinicians are independently licensed or licensed eligible, master's prepared professionals. The Director of Clinical Services supervises the therapists, and is also independently licensed with doctoral level preparation. All nursing staff are also licensed, and are supervised by the Director of Nursing. Cedar Springs also employs a master's prepared Milieu Director, who provides supervision and training to the direct care mental health technicians. Staffing ratios vary depending upon time of day and acuity level, but for the most part look like the following: (please be aware that therapists, support staff, and supervisors are not counted in the staffing ratio) MVP and Threshold: 1:6 daytime 1:12 overnight Connections: 1:4 daytime 1:12 overnight Treatment planning and case management is an individualized process for each patient. Most treatment plans include individual (minimum lx per week) and family(minimum 2X per month) therapy, group therapy(minimum 2x per week), and milieu therapy(daily). Additional services may be utilized as needed, such as Equine Assisted Therapy. Treatment planning is completed via a treatment team approach, which includes the patient and guardian. All programs also include a Recreational Therapy element, designed to teach the patient skills for interacting effectively in society. Bible study is provided for those patients who desire to participate, and individual mentoring with a spiritual counselor from Youth for Christ may be arranged if needed. Cultural activities are provided throughout all programs via activities, craft projects, special meals, field trips, and so on. (Exhibit A) Bed and Space Compliment UNIT PROGRAMS/TRACKS POPULATION SERVED Aspen Acute 14 Beds Adult Acute Care Services Adults Crisis Stabilization Ages 18+ Psychiatric Evaluation and Intervention Chemical Detoxification and Rehab 12 Beds Adolescent and Child Acute Care Services Adolescents and Children Crisis Stabilization Ages 4-18 Psychiatric Evaluation and Intervention Behavioral Evaluation and Intervention Chemical Detoxification 14 Beds Overflow Beds Available for Either Acute Program Aspen Residential Care for Reactive Attachment Disorder Adolescents and Children PRTF Ages up to 18 "Connections" 12 Beds Juniper Residential Care for General RTC Population Adolescents and Children PRTF & Contracted Tricare RTC Beds Ages up to 18 TRCCF Faith-based RTC Program "Mountain View Place" 36 Beds Juniper Long-term Residential Care for Sexually Offending Adolescents PRTF & and Sexual Abuse Reactive Males Ages 12-18 TRCCF "Threshold" and"Peak House" 22 Beds Commons Outpatient Day Treatment Adolescents Southgate Educational Services for RTC Patients Ages 5-18 School GED Services for RTC Patients Intensive Outpatient Group Therapy for Chemical Dependency, Adults Outpatient Psychiatric, and Dual-Diagnosis Clients Ages 18+ Program Driving with Court Sanctioned Outpatient Group Program for Adults Care Clients Required to Complete a DUI Program Ages 18+ (Exhibit A) Educational Services Southgate School at PSI Cedar Springs is a fully accredited private school providing education services for the patient of Cedar Springs. The school is accredited through the Colorado Department of Education. Southgate School provides educational services to all residential patients and has an outpatient education program. The program is a Cognitive-Behaviorally based program and provides services in a positive peer culture environment. Educational services are designed to provide Kindergarten through High School level education. A GED Program is available for those students for whom it is appropriate. Cedar Springs employs all education staff. Besides a regular staffing ratio of 1:6, education staff includes a Title One resource teacher, a therapist, a school secretary, and a Director of Education. The Director of Education supervises all education staff. The educational curriculum meets the Colorado Department of Education standards and benchmarks. Educational services are provided for both regular and special education students, to include those with Individual Education Plans. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Reflections For Youth, Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of t Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1530128, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$144.43 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$144.43 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 o7a&,•&3%7 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: Weld County Clerk to the Board WELD COUNTY BOARD OF < -?SOCIAL SERVICES, ON BEHALF e kkk '�,A�;" !�� OF THE WELD COUNTY 181. ` a EPARTMENT OF SOCIAL , r ERVICES By: 4U ateu By: uty Clei to the Board . J. eile, Chair AUG 3 0 20n6 CONTRACTOR Reflections For Youth, Inc. PO Box 1860 Berthoud Cata O80513 By: \tl . WELD COUNTY DEPARTMENT V TA VD OF SOCIAL SERVICES By: ,/4 kt 'rector 4 Weld County SS-23A Addendum 6 aY -939,7 (Exhibit A) Reflections for Youth The scope of service would be based on the individual treatment needs of the youth being served but on an average would be 1 individual, 1 family and 12 units of groups per week (group units are 15 minutes long). An exception may occur if a youth has a separated family and both mother and father are involved in therapy (two sessions per week) or if there is no or limited family involvement then the sessions would be less than one per week. In terms of individual, an exception may occur for a crisis intervention session by a licensed therapist (all of our therapists in the TRCCF are fully licensed). This could be reviewed each month at the staffing to discuss if extra sessions occurred and the continuing need for them. The group therapies should stay at 12 units per week unless a youth refuses to attend or other unforeseen circumstances occur. The scope of service would be the same in all of our programs (Prairie View #1530128, Grismore #1530130 and Wilderness #1530131), although the individual group themes may be different depending upon the issues of each program or the make-up of each program. In addition, our psychiatrist will be affiliated with us through our Medicaid provider application as a rendering service provider non-pay. So, ongoing medication evaluation and psychiatric assessment appointments will occur on an as needed basis for all youth in TRCCF care with Reflections. All youth in our education-based drug and alcohol program will be covered in the base rate of `%Am $1-42.39. We are looking at an additional charge of$7.75 a day for the youth identified as a "6" or higher on the CCAR in the areas of drug and alcohol to cover the costs of UA tests, individual drug and alcohol work weekly and a weekly drug and alcohol therapy/art therapy group (this is in addition to the weekly education group and only for those youth identified at intake or over the course of treatment as in need of those services.) When youth are admitted to our program with offender status and the need for offender services, we have set our daily rate (in addition to thg It+439) at$31.40 a day for offender services. This covers the costs of polygraphs, individu'&I 1i1 and group therapy, additional training for staff, transportation to and from appointments, consultation and offender provider attendance and participation in scheduled treatment planning and staffing meetings. The second option for offenders can be that Weld County contracts directly with the offender provider affiliated with us and pays that person directly. Weld County would then also be responsible fro the cost of polygraphs and covering the costs of the provider attending staffings, etc. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Reflections For Youth, Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of 07 , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of t�ement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1530130, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$144.43 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$144.43 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%) ] Weld County SS-23A Addendum &cat —9,3S2 • 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 W. 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: /' "`TM"1 / G AL Weld County Clerk to the Board , ® WELD COUNTY BOARD OF 174 tip`} -: SOCIAL SERVICES, ON BEHALF (A' S OF THE WELD COUNTY Yt T ,,'�'.�..k... • ) DEPARTMENT OF SOCIAL viii 3 sir,,. "; SERVICES tn. v' By: /Li 1 lit ,„i>" By: 971 puty Cl k to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Reflections For Youth, Inc. PO Box 1860 Berthoud CO 80513 By4tIlLit 4,UP WELD COUNTY DEPARTMENT J OF SOCIAL SERVICES By: Directo 4 Weld County SS-23A Addendum :RcZ -o39 (Exhibit A) • Reflections for Youth The scope of service would be based on the individual treatment needs of the youth being served but on an average would be 1 individual, 1 family and 12 units of groups per week (group units are 15 minutes long). An exception may occur if a youth has a separated family and both mother and father are involved in therapy (two sessions per week) or if there is no or limited family involvement then the sessions would be less than one per week. In terms of individual, an exception may occur for a crisis intervention session by a licensed therapist (all of our therapists in the TRCCF are fully licensed). This could be reviewed each month at the staffing to discuss if extra sessions occurred and the continuing need for them. The group therapies should stay at 12 units per week unless a youth refuses to attend or other unforeseen circumstances occur. The scope of service would be the same in all of our programs (Prairie View #1530128, Grismore #1530130 and Wilderness #1530131), although the individual group themes may be different depending upon the issues of each program or the make-up of each program. In addition, our psychiatrist will be affiliated with us through our Medicaid provider application as a rendering service provider non-pay. So, ongoing medication evaluation and psychiatric assessment appointments will occur on an as needed basis for all youth in TRCCF care with Reflections. All youth in our education-based drug and alcohol program will be covered in the base rate of mtktt\44427-39. We are looking at an additional charge of$7.75 a day for the youth identified as a "6" "1 or higher on the CCAR in the areas of drug and alcohol to cover the costs of UA tests, individual drug and alcohol work weekly and a weekly drug and alcohol therapy/art therapy group (this is in addition to the weekly education group and only for those youth identified at intake or over the course of treatment as in need of those services.) When youth are admitted to our program with offender status and the need for offender services,we have set our daily rate (in addition to the $ �j at$31.40 a day for offender services. This covers the costs of polygraphs, individugl and group therapy, additional training for staff, transportation to and from appointments, consultation and offender provider attendance and participation in scheduled treatment planning and staffing meetings. The second option for offenders can be that Weld County contracts directly with the offender • provider affiliated with us and pays that person directly. Weld County would then also be responsible fro the cost of polygraphs and covering the costs of the provider attending staffings, etc. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Reflections For Youth, Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of j vv 4 , 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#1530131, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$144.43 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$144.43 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%) Weld County SS-23A Addendum .›9er6- 0735:41 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: Weld County Clerk to the Board i� r�� WELD COUNTY BOARD OF 4!\. SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY 1867 pea-� M�1 DEPARTMENT OF SOCIAL Si4w*1 SERVICES / ,� By: C1 ,Ll �. �, . By: Duty Cle to the :oard . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Reflections For Youth, Inc. PO Box 1860 Berthoud 0513 By: WELD COUNTY DEPARTMENT '21\IS(4 OF SOCIAL SERVICES By: irector Weld County SS-23A Addendum a; 4 &e .. .3901 (Exhibit A) Reflections for Youth The scope of service would be based on the individual treatment needs of the youth being served but on an average would be 1 individual, 1 family and 12 units of groups per week (group units are 15 minutes long). An exception may occur if a youth has a separated family and both mother and father are involved in therapy (two sessions per week) or if there is no or limited family involvement then the sessions would be less than one per week. In terms of individual, an exception may occur for a crisis intervention session by a licensed therapist (all of our therapists in the TRCCF are fully licensed). This could be reviewed each month at the staffing to discuss if extra sessions occurred and the continuing need for them. The group therapies should stay at 12 units per week unless a youth refuses to attend or other unforeseen circumstances occur. The scope of service would be the same in all of our programs (Prairie View #1530128, Grismore #1530130 and Wilderness #1530131), although the individual group themes may be different depending upon the issues of each program or the make-up of each program. In addition, our psychiatrist will be affiliated with us through our Medicaid provider application as a rendering service provider non-pay. So, ongoing medication evaluation and psychiatric assessment appointments will occur on an as needed basis for all youth in TRCCF care with Reflections. All youth in our education-based drug and alcohol program will be covered in the base rate of Myyl $142.39. We are looking at an additional charge of$7.75 a day for the youth identified as a "6" 7 or higher on the CCAR in the areas of drug and alcohol to cover the costs of UA tests, individual drug and alcohol work weekly and a weekly drug and alcohol therapy/art therapy group (this is in addition to the weekly education group and only for those youth identified at intake or over the course of treatment as in need of those services.) When youth are admitted to our program with offender status and the need for offender services, we have set our daily rate (in addition to the.$-142.39) at $31.40 a day for offender services. This covers the costs of polygraphs, individun9Mil and group therapy, additional training for staff, transportation to and from appointments, consultation and offender provider attendance and participation in scheduled treatment planning and staffing meetings. The second option for offenders can be that Weld County contracts directly with the offender provider affiliated with us and pays that person directly. Weld County would then also be responsible fro the cost of polygraphs and covering the costs of the provider attending staffings, etc. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Savio House and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this J day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of thAgreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#48170, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$167.30 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$167.30 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 352-17 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: J� tet �D� " G'""" Weld County Clerk to the Board sk WELD COUNTY BOARD OF " SOCIAL SERVICES, ON BEHALF e ' \,+,-- "1-- OF THE WELD COUNTY 1%61 \ y) ' DEPARTMENT OF SOCIAL /att ;t 't • ` SERVICES By: u ILL- By eputy C rk to e Board . J. ei e, Chair AUG 3 0 2006 CONTRACTOR Savio House 325 King St Denver,��C��O 80219 By: G%l//lj��!1c` c. i WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Directo 4 Weld County SS-23A Addendum ; p�j WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential WId Care Facility Services and Residential Child Care Facility Services (Ibt,› "Agreement") between The University of Colorado Health Sciences Cenp- dba Synergy and Weld County Department of Social Services for the perioQ. , from %P8 July 1, 2006 through June 30, 2007. The following provisions, made this r^day of 2006, are added to the referenced Agreement. Except as modified hereby, all terms oft e Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#49488, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$130.69 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$130.69 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 4. Add Paragraph 8 to Section I. A minimum of one polygraph test per Col4do fiscal year, if needed by the child, will be furnished under this contract for facilitie94at 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;"o 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 no$Jigible to receive clothing allowances as outlined in the Weld County Department of Sociaf*rvices Policy and Procedure Manual. /J '2 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 •4 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: jN /��!/YG ! /J Weld County Clerk to the Board 4 ry -,/ WELD COUNTY BOARD OF jr-9 :,,,, fi ,i \ M3OCIAL SERVICES, ONBEHALF e. -: OF THE WELD COUNTY �� ;DEPARTMENT OF SOCIAL r� `4I SERVICES 11 By: a" thit'L By: puty C rk to the Board . J. et e, Chair AUG 3 0 2006 CONTRACTOR The University of Colorado Health Sciences Center dba Synergy 3738 W Princeton Cir Denver, CO 0236 By: 1-1,7 WELD COUNTY DEPARTMENT Harlan L. Ray OF SOCIAL SERVICES Contracts Manager 'grants a,^ Contracts By: edl i/lion irector 4 Weld County SS-23A Addendum (Exhibit A) Synergy TRCCF: Brief Scope of Services G • Synergy is licensed as a TRCCF and plans to provide onsite, individual, group and family Yn therapy, via licensed therapists (who currently are also certified addictions counselors) "tom reimbursed via Medicaid fee for service. Synergy serves and expects to continue to serve, primarily Level B clients meeting criteria for TRCCF via their needs and DSM diagnosis(es) and who also have substance abuse/dependence. Synergy plans to continue to offer the below services: • Comprehensive assessment for mental health and substance use disorders • Attention to cultural issues and diversity • Fully approved (Colorado Department of Education) on-site school for regular and special education students • Individual educational plans and school contracts • Case management • Individual, group, family therapy (Medicaid fee for service) at the required frequency for level B clients • Psychiatric evaluation (medication evaluation/management) as indicated • Highly specialized programming with thoroughly integrated substance treatment services, including: diagnosis of substance abuse/dependence; relapse prevention; urinalysis/breathalyzer; evidence based practices/ADAD approved curriculum • Organized, supervised daily living "Therapeutic Community" environment with level system, incentives, consequences (nurturing, non-permissive) with integrated drug/alcohol counseling services and focus; ADAD licensed • Concurrent treatment of substance and co-occurring disorders (Conduct Disorder, Major Depression, Bipolar, etc) • Life skills assessment/training, vocational development • Recreation • Psycho-educational groups • Introductions to NA/AA and other community supports/services • HIV/Hepatitis C counseling and testing if indicated • Behavioral intervention • Referrals for community based support • Aftercare/continuing care arrangements • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this J day of (TIi , 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#49487, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$157.94 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$157.94 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 nn ca4' 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: ilaidalL Weld County Clerk to the Board ,41'..r:/- WELD COUNTY BOARD OF ti :A " .- a SOCIAL SERVICES, ON BEHALF k:,,.?:\,,.: ism T H)::: OF THE WELD COUNTY DEPARTMENT OF SOCIAL Vt SERVICES 1" tamik- I ,r ire By: tit' 4 a% By: I D uty Clei to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Third Way Center PO Box 61385 Denver, 20 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: tip irecto 4 Weld County SS-23A Addendum y Ga i'xl`951O (Ekhibit A) Third Way Center, Inc. Third Way Center serves clients age 13-20, but the vast majority of our clients are 15-18. All persons seeking admission are given equal consideration without regard to race, color, national origin,religion,political affiliation, sex, sexual orientation, financial status or disability. Except for our Teen Mother Program, all of our programs are co-educational. We do treat sex offenders. The needs,problems, situations, or patterns best addressed by Third Way Center's programs include; serious psychiatric illness, delinquencies,runaways, truancies, substance abuse,and disturbed family relationships. Our clients have averaged 12 previous placements prior to entering our program. Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Third Way Center is a non-profit agency that has a 35-year history of providing community based de-institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Residential Child Care Facilities and certified as Residential Treatment Centers. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is a Level A, step down program from our Lincoln Street facility. Services we provide in all of our facilities include, but are not limited to psychiatric evaluations, medication prescribing and monitoring, individual, group and family therapy, teaching of independent living skills, substance abuse counseling, vocational counseling and recreational programming. In addition, we have 14 years of experience serving teen mothers. Currently we serve up to twelve teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Regarding the sex offender population we work with Redirecting Sexual Aggression to provide assessment and treatment. In addition, Third Way Center has a licensed alternative school named The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative- building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Our senior staff averages 17 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 28 years. York, Pontiac and Lincoln facilities are centrally located in Denver County and we have a 35 year positive history working with the Colorado Department of Human Services. York,Pontiac, Lincoln, and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. Page 1 of 17 • There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition,there is a full-time Registered Nurse on staff. Safety in our facilities is of paramount importance. Third Way Center has a fire alarm system in each house connected to the Denver Fire Department. There are security screens installed on an as needed basis. Each house has an interior and exterior camera system to aid in supervising the building and the exterior entrances. Certain doors have an alarm system. Our staff/child supervision ratios meet all State requirements. Overnight workers are equipped with emergency pagers that will silently alert the police in case of an emergency and offices also have a panic button for security purposes. Facilities: York: 1295 York Street, Denver CO 80206 Pontiac: 1735 Pontiac Street, Denver CO 80220 Lincoln: 1133 Lincoln Street, Denver, CO 80203 Teen Mother House: 4821 S Bannock Street, Englewood, CO 80110 Type of License or Certification (include licensing#s and Date of Expiration) RTC/RCCF License: 16 clients—York#49487 Exp: 7/2006 RTC/RCCF License: 23 clients plus 4 infants—Lincoln#77810 Exp: 6/2006 RTC/RCCF License: 16 clients—Pontiac#65346 Exp: 6/2006 RTC/RCCF License: 22 clients, may include 9 children of clients —Teen Mother House#1507881 Exp: 8/2006 Mental Health Services—RTC Certification Exp: 2/12/06 Council on Accreditation Exp: 2/2008 ADAD certification Exp: 4/2008 Description of all Program Services York: Capacity 16=9-10 boys, 6-7 girls Pontiac: Capacity 16= 10 boys, 6 girls Lincoln: Capacity 23,no gender specific criterion,we take up to 2 teen mothers Teen Mother House: Capacity 13 girls and up to 9 babies Next Steps: Capacity 10, no gender specific criterion. Page 2 of 17 STAFF LIST Umbrella Staff(agency-wide) Executive Director Human Resource Coordinator/Finance Rep David Eisner, M.Ed. Heather Fralick Medical/Program Director Information Technology Coordinator Hildegard Messenbaugh, M.D. Mike Bond Clinical Director Resource Coordinator Renee Johnson, L.C.S.W., C.A.C.III Erin Martin Assistant Clinical Director Operations Coordinator Kristi Thiede, M.A., L.P.C Jody Groves Nurse Office Manager(Lincoln) Holly Vause,RN. Allison Sager Psychologist Operations Associate Patricia Duffy, Psy.D. Mike Connors Drug&Alcohol Treatment Coordinator Relief Mental Health Counselors Claudia Drinks,L.C.S.W., CAC III Emily Anderson, B.S.W. Alyssa Clark, B.A. Director of Independent Living Jennifer Crowe Anita McKiernan,B.A. Christi Dailey, B.A, Asheabarka Duru Career&Academic Development Ali Kaba, B.A. Counselor Katie Eichelberger, B.A. Kristina Coates, B.A. Greg Murphy Tanya Finkel, B.A. Nutritionist Karley Nobles, B.A. Shannon Bishop, R.D. Drew Hodgson Maureen Lewis, B.S. Athletic Director Jeanetta Taylor Mischelle Brown, B.A. Bodessa Trotman, B.S. Amanda Wilcox Tutor Sherilyn Derstine, M.A. Director of Administration & Development Tami Lack Director of Operations Heidi Coughlin Director of Finance&Technology Ron Goss, C.P.A. Page 3 of 17 York Facility Treatment Leader Mental Health Counselors Amber Lacy, M.A. Karen Briscoe, B.S. Leigh Foster,B.S. Therapists Justin Ryan,B.A. Steven Ferradino, M.S. Lenora Rodgers, B.S. Craig Thornhill, M.A. Liz Whiffet, B.S. Yuna Yi, M.S.W. Leon Reynolds, M.A. Pontiac Facility Treatment Leader Mental Health Counselors Andrea Berger, M.A. Lisa Call, B.S. Theresa McGrath, B.S. Therapists Jack Wilson, A.A. Michelle Cook, M.S.W. Aaron Olson, B.S. Dana Loeb, M.S.W. Tiffany Taylor, B.A. John Soldano, M.Ed. Zachary Kauffman, M.S.W. Teen Mother Facility Treatment Leader Mental Health Counselors Carol Pitts, M.S.S. (in progress) Megan Carroll, B.A. Matt Crum, A.A. Therapists Mindy Meyer, B.A. Kimberly Renner, M.S.W. Genevieve Smith, B.S. Irrit Gamliel, M.S. Amy McGowan, B.S. Melissa Sturges, M.S. Sheldine Runyan, M.A. Lincoln Facility Treatment Leaders Mental Health Counselors Tim Wright, M.A., L.P.C. (leaving 7/06) Erin Cunningham, B.A. James Linderman, B.S. Therapists Tarah Mast,B.A. Christine Fuhrman, M.S.W. Steven Meldahl, B.A. Brandon Lee, M.S. (In Progress) Jen Flock, M.A. Caitlin Haynes, M.A.,L.P.C., CAC III (to be promoted to Treatment Leader 7/06) Alexandra Naday,M.A. John Tinniswood, M.A. Jen Bresser, M.A. Next Steps Treatment Coordinator Next Steps Counselor Laura Seese, L.C.S.W. Hilary Pekar, B.A. Page 4 of 17 Joan Farley Academy Educational Director Teachers Linda Lindsay, B.A., Special Ed Cert. Lisa Baylon,B.S. Kyle Moreno, B.A. School Principal Jason Geoffrion, B.A. Chanon Bernstein, B.A. David Sidwell Nimita Weiss,M.Ed. School Social Worker Kristin Taavialma, B.A. Bruce Avery, M.S.W. Monica Snyder,M.A. Mental Health Counselors Cambra Cameron, B.S. Laurie McConnell, B.A. George Hemingway, B.A. (in progress) STAFFING SCHEDULE We have a minimum of one staff member on overnight shifts and a minimum of two staff members on thy-time shifts. In general, during peak times we average between three and five staff on duty. The following is a sample schedule for M-F. Therapist Therapist Therapist Therapist Counselor Counselor Counselor 1 2 3 4 1 2 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM Page 5 of 17 The following is a sample schedule for weekends. Therapist 1 Therapist 2 Counselor 1 Counselor 2 Counselor 3 12:00 AM 1:00AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM STAFF TRAINING PLAN Recently we have been offering specialized training sessions to aid staff in preparing for the LPC and LSW licensing process. In addition, we have an extensive staff training procedure, which involves an initial presentation covering the organization's history, mission, structure, clinical orientation, fire and safety procedures, critical incidents, appropriate boundaries, cultural awareness, suicide assessment and prevention, universal precautions,technology and communications. After this initial presentation the employee begins 80 hours of on-site training which covers the facilities policies and procedures in greater detail. This also includes certification in Medication Administration,CPR and First Aid. In addition we have a training manual that is located at each site with the following topics in written format. These manuals are available to be checked out for the staff to use at their convenience. In our training, the following areas are covered: 1. Introduction To Third Way Center, 2. Staff Information, 3. Fire Procedures, 4. Shift Duties, 5. Independent Living 6. Cultural Diversity and Gender Specific Training '7. Restorative Justice 8. Performance Appraisal And Staff Supervision, Page 6 of 17 9. Groups 10. Intake 11. Check-In/Out, AWOL Procedure 12. Record-Keeping 13. Special Consent Forms 14. Medication 15. Medical Procedure 16. Urinary Analysis 17. Psychological Emergencies 18. Critical Incidents 19. Finances 20. Shopping 21. Maintenance 22. Human Resources 23. Sexual Harassment In addition to our initial orientation,we offer ongoing training on a weekly basis in conjunction with our weekly staffings. All aspects of early childhood development, clinical issues involving adolescents, group therapy, family therapy, and diagnostic assessment are continually and periodically addressed through In-Service Trainings. We also,whenever possible, send our staff to training sessions,workshops, and conferences. Referral Process and Timelines 1. Referrals are taken by the Executive Director and the Clinical Director. 2. Referrals consist of: a. Initial contact is made by email, telephone or the mailing of a client information packet. A written package must be received before the client is placed on the referral list. Once a packet is received, it is reviewed and the client manager is contacted by phone to discuss the appropriateness of the referral. This is done within 5 business days of receiving the package. b. If review of the packet information indicates the client may be appropriate, there are 1 or 2 intake meetings with the client,his/her parents or guardians, caseworker, and one or more staff members of Third Way Center. c. The purpose of the intake meeting is: 1. to provide a thorough description of Third Way Center's programs and to advise the parents or guardians of their responsibility if they participate in the program. 2. to explain the non-discriminatory policies of Third Way Center 3. to conduct a tour of the facility for all interested parties 4. to conduct a thorough diagnostic interview with the potential client, including an educational,vocational, and avocational evaluation and a determination of substance abuse factors. Page 7 of 17 d. Caseworker and client are informed as to the probable length of the waiting list, and a discussion of other treatment possibilities is conducted. Wait lists generally average 4 to 8 weeks. e. Prior to admission into any Third Way Center program the clients case is reviewed at weekly team meetings consisting of Program Director (psychiatrist), Executive Director,Treatment Team Leader, and a team of therapists. The client manager is notified between one and 5 business days regarding whether or not the client has been accepted into the program. 5. All clients must meet the eligibility requirements for Medicaid rehabilitative services. a. The individual has a psychiatric disorder as described in Diagnostic Statistical Manual (DSM-4) as determined by a licensed professional person. b. The individual is being treated in the most appropriate and least restrictive setting. c. The individual has had an initial assessment to determine that he/she is capable of benefiting from the program at Third Way Center. d. As a result of the disorder the individual is experiencing psycho-social disruption which interferes with his/her functioning. e. The parent/guardian accepts the responsibility to participate in the treatment program and/or discharge planning. f. The client must have specific treatment goals which include: 1. Expected resolution of the problem that necessitated this Third Way Center treatment and the specific functional achievement to be obtained in measurable terms. 2. The anticipated duration and frequency of treatment. 3. Indications why the planned services can reasonably be expected to improve the child's condition. Treatment Planning And Case Management Treatment planning and Quality Assurance are a joint effort between Third Way Center staff, caseworker or client manager, client and client's family. All treatment planning works in coordination with a client's case plan,where all decisions regarding a client's disposition is a collaborative process between Third Way Center and the Department of Human Services. All residents receive a Mental Status Exam and subsequent 72 Hour, 10 Day and 30 Day(thereafter) evaluations. The following services are provided to all clients: • Psychological Therapeutic Services (including: individual, group, family, milieu, and behavioral modification therapy) • Supervision of the treatment by a licensed professional person. • Independent Living Training • Community Reintegration Preparation. • Involvement of parents, legal guardian, family member or custodian as scheduled in the treatment pan. • Documentation by a multi-disciplinary team at least every month including a statement of progress toward established goals. Page 8 of 17 • Documentation by the licensed professional person at least every month that the individual will benefit from continued Third Way Center rehabilitative therapy. Quality Assurance is an integral part of our case management. Third Way Center's Quality Assurance is grounded in six processes: 1. Clinical Supervision, 2. Psychiatric Consultation, 3. Monthly Peer Review/Q.A. Committee,4. Staffings, 5. Six Month Reviews, 6. Data Collection and Analysis Review. Case Management Services are the same for all levels of care. Mental Health Services All clients receive appropriate mental health services. This includes initial psychiatric evaluation, medication evaluation,medication prescription and monitoring, and professional supervision and treatment planning. We have a full-time psychiatrist on staff who directly does all the psychiatric and medication assessment. In addition, we have our Clinical Director(LCSW, CACIII), and Assistant Clinical Director(LPC), who do all supervision with the psychiatrist. Our Drug and Alcohol Treatment Coordinator (LCSW, CAC III), supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. They also are in charge of staff education at In-Services. Being a therapeutic community, treatment components are integrated into the milieu through both group therapy and daily milieu contact. All clients know that therapeutic issues will be addressed on an as needed basis in the community. All levels of care receive the same mental health services. Clients who are Level C receive additional psychiatric and clinical services. All clients who are classified as Level B receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist is available • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 4-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups, Males Group, Females Group, DYC Group, Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group(2 per week), Grief Group, Independent Living Group, Family Support Group, and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations, co-facilitate groups, conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Page 9 of 17 Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community, milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu, and can be observed, addressed, and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. All treatment plans are individualized to our clients' needs and are integrated with the Discrete Case Plan. This is a joint process, which includes the Client Manager, facility, client, and client's family. Treatment plans are continually reviewed to ensure that the needs of the client are being met. Next Steps We only offer Level A services at out Next Steps program. Next Steps is a step-down program designed for adolescents leaving a higher level of care and those in the foster care system who are in need of transitional independent living services. It was opened to better ease the transition from Third Way Center's Lincoln Apartments into the community and shorten the overall length of care. The program has the capacity of 10 clients and is directed by a full-time LSW Treatment Coordinator, in addition to a full- time Counselor. Most clients in the Next Steps program move into apartments in the community. The residents pay a percentage of their income toward rent,with the percentage gradually increasing to help the resident adjust to living on their own. Some clients are reunified with their families and they receive home-based transition services through Next Steps. A case manager supervises the resident's living situation. The amount of time a resident stays in Next Steps is determined by social services and Third Way Center personnel. Clients still receive therapeutic intervention, in addition to the independent living skills. The client receives two -three individual therapy sessions per week, a weekly family therapy session and two—five therapeutic or life skills groups per week. Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include, but are not limited to: Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group(co-facilitated with Redirecting Sexual Aggression), Grief Group, Life Skills Group, and Parenting Group. Next Steps also includes services for teenage mothers. The life skills groups focus on a variety of independent living topics, such as: > Budgeting > Grocery shopping > Cooking > Cleaning > Employment counseling- short/long term > Educational guidance (finding appropriate educational program) Page 10 of 17 > Finding leisure time activities ➢ Increasing awareness of community resources There is a full-time psychiatrist on staff to both prescribe and monitor medication administration. The doctor will also provide well baby care. There is 24 hour, on call service and crisis management. And our Lincoln facility offers respite care. Medical Services: There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition, there is a full-time Registered Nurse on staff. Whenever the M.D. or R.N. handles a routine medical issue in one of the facilities, a note is written in the chart documenting the actions taken and/or the medications or treatments prescribed. York, Pontiac and Lincoln use Children's Hospital for emergency medical services and specialty clinics. The Teen Mother House uses Swedish Hospital. Our policy for medical emergencies and the handling of prescription medications follows: XV.MEDICAL SERVICES 1. Third Way Center will meet all the rules and regulations issued by the Office of Child Care Services, Colorado Department of Human Services relative to medical and health services. The obligation to insure availability of medical services shall not be construed to pay for such services. Any client of Third Way Center has the right to visit the emergency room of choice and receive treatment if necessary. However, each client has the obligation to contact the attending on call staff as to the appropriateness of such a visit. The staff is then to contact the medical director or his/her representative on call, to check on the necessity of an emergency or medical consultation visit. 2. Within the first 30 days of admission, the client has to have a physical examination and a dental examination unless one was done within 60 days of admission. A statement of the examiner will be retained in each client's file. This exam shall include the following: a. an examination for physical injury and disease b. vision and hearing screening c. a current assessment of the resident's health, including immunizations. Subsequent examinations shall be done annually or as directed by the Medical Director. 3. A review of immunizations in accordance with state law and regulations is to be conducted upon admission. If a resident needs diagnostic services, emergency care, corrective care, recuperative care, and/or immunization updates a consultation form needs to be completed by the primary therapist and the resident together with the form is to be referred to Children's Hospital, Denver Health, or University of Colorado Health Science Center. Page 11of17 4. The Medical Director is on call on a 24 hour, 7 day a week basis. Emergency room facilities are available on a 24 hour, 7 thy a week basis at Children's Hospital and Denver Health. If the client has a life threatening immediate emergency the staff has been instructed to call 911 and an ambulance, administer first aid as they have been taught in CPR classes and have the client transferred to one of the above named emergency rooms. 5. In non-emergency medical situations the Medical Director is to be contacted and will triage the situation. A referral to the appropriate specialty departments at Children's Hospital, Denver Health, Colorado Health Science Center, or a hospital covered by the medical insurance of the client will be made. 6. After the resident returns from his/her appointment with the appropriately completed consult form, the primary therapist and if necessary the Medical Director will explain to the resident in language understandable to him/her any medical treatment administered. 7. Health education and sex education are incorporated in male/female gender groups and special issues group. 8. Dental care is provided by Dr. Johnson, (303) 322-1177,he is licensed in the State of Colorado. Residents shall receive annual dental examinations. 9. If a resident wishes an exemption from medical examination or treatment due to religious beliefs, the resident shall submit a written statement, signed by his/her parents or legal guardian which states the reason for such exemption. Third Way Center has the right to request a statement of general health from a medical examiner. Third Way Center has the right to refuse admission to a client whose parent or guardian refuses medical examination or treatment. 10. Through its independent living curriculum staff at Third Way Center are to teach the clients how to maintain a safe, hygienic, and sanitary environment. All independent living skills such as cooking, cleaning, washing of clothes and dishes, and chores are supervised and monitored by staff. Public health inspections on a regular basis ensure compliance. Visual inspection by Treatment Leaders and program directors ensure on-going monitoring of health procedures. 11. When a client is ill, he/she is confined to his/her room and staff instructs other residents and adults in advisability of contact and the cleaning of materials used by the sick client. 12. Cleaning supplies and other hazardous materials are located in a locked staff-only accessible room. 13. All facilities at Third Way Center meet state regulations for a hazard free environment and these inspections ensure checking of water temperatures, covered electric outlets, securing floor covering and equipment, adequacy of lighting and ventilation, and identifying hazardous conditions. Page 12 of 17 14. Whenever a client is admitted to Third Way Center who might likely expose Third Way Center staff and residents who come in contact with his/her blood, the likelihood of exposure to blood-borne pathogens is reported to the Medical Director by the intake officer. The Medical Director then holds a meeting with the staff and residents as to the procedures involved in preventing such an occurrence. This includes meeting the standards of the Center for Disease Control and the Occupational Safety and Health Administration. These procedures include dealing with HIV/AIDS, hepatitis, TB, and other contagious and infectious diseases. The instructions include, but are not limited to, receiving TB or hepatitis tests, insuring proper treatment of the infected client, common sense preventative measures such as, washing hands and keeping separate eating utensils, and the wearing of rubber gloves when coming into contact with any client's bodily fluids. It is the Medical Director's responsibility to seek current medical advice from experts in the field and in complying with applicable health regulations governing contagious or infectious disease and problems associated with immuno-deficiency. If necessary the Medical Director will administer TB tests and record results. XIX. HANDLING AND DISPENSING MEDICATION Third Way Center will follow the Office of Child Care Services, Colorado Department of Human Services' rules and regulations Staff Manual Volume 7, Section 7.705.31. 1. All documentation of medication and administration of medication, medication errors, and drug reactions must be noted in the medication chart. 2. Discontinuing and disposing of medications must be documented in the medication chart. 3. Acceptance of verbal medication orders must be confirmed by written or electronic transmittal. 4. Third Way Center shall maintain records of all prescription medications dispensed to clients for 5 years. 5. Only persons authorized by the Colorado Department of Human Services Regulations shall administer medications. All direct care staff shall be trained in the recognition of common side affects of medication. This training must be documented and the certification by the Health and Human Services Department in the personnel chart of the direct care staff administering medications. 6. All medication is kept in a locked safe place, accessible only to direct treatment staff who is authorized to dispense medication. Page 13 of 17 Family Counseling Third Way Center uses an eclectic,psycho-dynamic, systemic approach to family therapy. Families are included in the treatment process from intake until discharge. Most families attend weekly meetings. Some families require additional individual counseling. We have an all-inclusive approach with the ultimate goal of family reconciliation, whether that means the child can return home or the family will be a strong support system when the child emancipates. Family sessions are conducted by Master's level therapists,both licensed and unlicensed. Licensed professionals provide supervision for all family therapy. All levels of care receive the same services. Substance Abuse Treatment: Third Way Center has ADAD certification that was granted in April 2005. Third Way Center's full-time Drug and Alcohol Treatment Coordinator is a LCSW, CAC III. This position is supervised by our CAC III certified LCSW Clinical Director. The coordinator is responsible for managing the drug and alcohol treatment program throughout all TWC facilities. This is an all inclusive program, utilizing all four listed program areas. Education, prevention, intervention, and treatment in regards to substance related issues are intertwined and are included in the treatment planning process for each individual client. Appropriate assessments are utilized to identify the level of services needed. The coordinator is also trained in administering and interpreting the SASSI when needed. The Drug and Alcohol Treatment Coordinator co-facilitates a treatment level group at each facility on a weekly basis. In addition, the staff at each facility is supervised and responsible for following through with the specific individualized treatment plan. The groups address issues from education to treatment, which include, but are not limited to, relapse prevention, triggers for identifying a cycle of substance abuse, familial patterns of drug and alcohol abuse and emotional issues connected to substance related issues. Individual and family therapy are also conducted with respect to drug and alcohol issues, as needed. Random urinalysis screens are performed on all clients on an average of two per month. Considering that Third Way Center is a community based program, our clients are expected to transition into the community, and therefore special attention is given in assisting them to find a safe work environment, as well as how to spend their leisure time. We encourage the residents to expand their support systems within the community to help them maintain their sobriety(such as NA or AA). Also,when appropriate, consideration and coordination of more intensive services could be facilitated. Clients are encouraged to complete a drug abstinence plan identifying all their reasons for abuse and how they intend to stay sober once out on their own. The coordinator also is available to provide in-services for the staff or residents related to drug and alcohol issues. At a minimum, an annual education in-service is conducted for the staff in relation to chemical dependency. The drug and alcohol coordinator has also developed a curriculum for the TWC School to assist in the education, as well as the prevention process. The Drug and Alcohol Support Group is also provided on a bi- monthly basis; for those who either have graduated from the treatment group, or who have family members with a history of chemical abuse. The Drug and Alcohol program Page 14 of 17 is essential in the overall treatment of our clients. The youth at TWC are high risk for drug and alcohol abuse. Our philosophy is to provide an individualized treatment plan, within a multi-disciplinary treatment team. All levels of care receive the same Drug and Alcohol Services. Life Skills: Third Way Center has all-inclusive services,which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups, which require residents to display competencies in 12 independent living categories. At all our facilities, with staff supervision, the clients do the menu planning, cooking, cleaning, and grocery shopping. We also address issues such as budgeting, using public transportation, and banking. This is a hands-on approach that requires client participation(i.e. most of our clients use public transportation, have joint bank accounts with our staff and are required to save 80% of their paychecks and appropriately budget the rest). At our Lincoln facility, each client is required to attend 12 independent living groups and display competencies in the following areas: cleaning, apartment comfort, hygiene, apartment information, cooking and menu planning, shopping and food storage, budgeting skills, savings and checking, school and work,being alone and support systems, leisure time and time management, conflict resolution and anger management. These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Vocational Preparation: Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background, goal setting(short and long term) and assessing community resources. Clients attend weekly groups pertaining to career exploration, employment and job hunting skills. Once a client is determined to be ready to seek employment he/she will attend a 5-8 session seminar which covers: interviewing skills, including videotaped practice interviews; resume writing;job hunting; filling out job applications; career exploration;job retention; and how to access community resources available to them. Individual job coaching is provided during each stage of the job search, including: picking up applications, completing and submitting applications, and interview preparation. There is a vocational /educational resource room that has educational and financial aid information, software for ACT, SAT reading skill development, GED preparation,career exploration, keyboard skills, and post secondary educational and vocational training resources. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed, including Vocational Rehabilitation, Job Corp, Youth at Work, Mile High Youth Corp, One Stop Career Centers, Safe City, Goodwill's Earn and Learn, Youth Biz, Summer Scholars, Governors Summer Job Hunt, Page 15 of 17 Art Street, Elitch's Summer Job Program, Arapahoe/Douglas Works, Women's Bean Project,and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. Education: At admission, Third Way Center works with all the involved parties to develop an educational plan for each client. Third Way Center operates our own certified high school. Small classrooms and individualized instruction enable each child to maximize their educational opportunities. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. When appropriate, we also access community based high schools and GED programs. The GED programs we use are Emily Griffith, Empowerment Program, and Northeast Women's Center. In addition, each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college, the application and financial aid process, course selection, and coordinating the use of academic support services. We have clients who attend local community colleges, Metro State, technical colleges and other universities. In addition,we have scholastic scholarships offered in conjunction with Mile High Rotary Club and Guardian Scholars. Recreational, Cultural and Spiritual activities: Third Way Center encourages residents to participate in recreational, cultural and spiritual activities appropriate to their needs. Third Way Center offers on average three to four recreational and cultural activities per week. This is done on both a group and individual level. The Athletic Director organizes athletic leagues that are open to all residents of TWC. The sporting programs offered include: boys and girls basketball, girls volleyball, snowboarding, skiing, and boys and girls track and field. In addition, facility staff arranges more casual group activities such as hiking, fishing,bowling, rollerblading, basketball,weight lifting, running, swimming, and camping. Cultural activities can include art classes,musicals, singing lessons, theatre, sporting events, etc. Some of the agencies we work with are CHILL Snowboarding Program, ArtReach, Outward Bound, Winter Park Handicap Association, and Women's Wilderness Institute. The Joan Farley Academy also includes cultural awareness as part of their educational curriculum. The highlights of this component of the curriculum are student trips. Annually two student trips are taken to allow the youth to experience new things and expose them to the Native American culture. The Chin Le trip is an 8 day service- learning trip for between 8 and 16 clients where they visit a Native American Reservation and receive special permission to camp in a protected canyon. They plant fruit trees to help provide additional sustenance to the low income community and the cross-cultural experience tends to be an important eye-opening encounter for the students. They also camp at the Grand Canyon during this trip. The other trip goes to Taos, New Mexico where between 18 and 25 students visit Pueblos and cliff dwellings. Students participate Page 16 of 17 in traditional Native American arts and crafts projects and study Native American culture. Furthermore,TWC initiates contact, on behalf of the client,with local cultural centers to encourage involvement with other members of his/her cultural heritage. This includes the Gay and Lesbian Center, Korean Christian Community, Japanese Center,Native American Center, etc. We educate each client to all the available appropriate community resources to help them develop a network of positive, affordable activities that they can do during their leisure time. In addition, we encourage all residents to participate in positive activities specific to a client's culture. We attempt to hire multi-cultural staff in order to provide proper education and role modeling in such areas. In addition, all children are encouraged to participate in religious activities in the community. We assist residents in finding the religious center of their choice and have worked with clergy to foster their religious education and growth. All levels of care receive the same adjunct services. Transition Services Third Way Center has a long history of providing transition services to clients. We emancipate 70% of our clients and have developed a continuum of care from community based residential treatment(York, Pontiac and Teen Mother Facilities) to supervised apartment living(Lincoln Facility, also RTC), to scattered site apartments in the community(Next Steps, Level A). If a child is to return home we provide transition services consisting of home passes to ensure a successful return to a parent or relative. All levels of care receive the same transition services. Third Way Center offers a residential continuum of care leading toward emancipation. We do intensive independent living training in our facilities. All residents are required to save 80% of their paychecks. It's our goal that they save a minimum of$1500 by the time they emancipate. We work with landlords to ensure affordable quality housing upon emancipation(i.e. Next Steps program). Services are the same for all levels of care. Page 17 of 17 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of �1 p i j , 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#65346, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$157.94 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$157.94 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-23 Addendum 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: /�'(/vG✓% Weld County Clerk to the Board i n WELD COUNTY BOARD OF l� ' '' SOCIAL SERVICES, ON BEHALF et.1'. ) OF THE WELD COUNTY Ir ism DEPARTMENT OF SOCIAL I SERVICES a'By: C*uAil ;UZ 4 ��, By:y Cle to the oard . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Third Way Center PO Box 61385 Denver, By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Direc > 4 Weld County SS-23A Addendum (Ekhibit A) Third Way Center, Inc. Third Way Center serves clients age 13-20,but the vast majority of our clients are 15-18. All persons seeking admission are given equal consideration without regard to race, color, national origin, religion,political affiliation, sex, sexual orientation, financial status or disability. Except for our Teen Mother Program, all of our programs are co-educational. We do treat sex offenders. The needs,problems, situations, or patterns best addressed by Third Way Center's programs include; serious psychiatric illness, delinquencies,runaways, truancies, substance abuse, and disturbed family relationships. Our clients have averaged 12 previous placements prior to entering our program. Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Third Way Center is a non-profit agency that has a 35-year history of providing community based de-institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Residential Child Care Facilities and certified as Residential Treatment Centers. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is a Level A, step down program from our Lincoln Street facility. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations, medication prescribing and monitoring, individual, group and family therapy, teaching of independent living skills, substance abuse counseling, vocational counseling and recreational programming. In addition, we have 14 years of experience serving teen mothers. Currently we serve up to twelve teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Regarding the sex offender population we work with Redirecting Sexual Aggression to provide assessment and treatment. In addition,Third Way Center has a licensed alternative school named The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative- building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Our senior staff averages 17 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 28 years. York, Pontiac and Lincoln facilities are centrally located in Denver County and we have a 35 year positive history working with the Colorado Department of Human Services. York, Pontiac, Lincoln, and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. Page 1 of 17 There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition, there is a full-time Registered Nurse on staff. Safety in our facilities is of paramount importance. Third Way Center has a fire alarm system in each house connected to the Denver Fire Department. There are security screens installed on an as needed basis. Each house has an interior and exterior camera system to aid in supervising the building and the exterior entrances. Certain doors have an alarm system. Our staff/child supervision ratios meet all State requirements. Overnight workers are equipped with emergency pagers that will silently alert the police in case of an emergency and offices also have a panic button for security purposes. Facilities: York: 1295 York Street, Denver CO 80206 Pontiac: 1735 Pontiac Street, Denver CO 80220 Lincoln: 1133 Lincoln Street, Denver, CO 80203 Teen Mother House: 4821 S Bannock Street, Englewood, CO 80110 Type of License or Certification(include licensing#s and Date of Expiration) RTC/RCCF License: 16 clients—York#49487 Exp: 7/2006 RTC/RCCF License: 23 clients plus 4 infants—Lincoln#77810 Exp: 6/2006 RTC/RCCF License: 16 clients—Pontiac#65346 Exp: 6/2006 RTC/RCCF License: 22 clients,may include 9 children of clients —Teen Mother House#1507881 Exp: 8/2006 Mental Health Services—RTC Certification Exp: 2/12/06 Council on Accreditation Exp: 2/2008 ADAD certification Exp: 4/2008 Description of all Program Services York: Capacity 16=9-10 boys, 6-7 girls Pontiac: Capacity 16= 10 boys, 6 girls Lincoln: Capacity 23,no gender specific criterion, we take up to 2 teen mothers Teen Mother House: Capacity 13 girls and up to 9 babies Next Steps: Capacity 10, no gender specific criterion. Page 2 of 17 STAFF LIST Umbrella Staff(agency-wide) Executive Director Human Resource Coordinator/Finance Rep David Eisner, M.Ed. Heather Fralick Medical/Program Director Information Technology Coordinator Hildegard Messenbaugh, M.D. Mike Bond Clinical Director Resource Coordinator Renee Johnson, L.C.S.W., C.A.C.III Erin Martin Assistant Clinical Director Operations Coordinator Kristi Thiede, M.A., L.P.C Jody Groves Nurse Office Manager(Lincoln) Holly Vause, R.N. Allison Sager Psychologist Operations Associate Patricia Duffy, Psy.D. Mike Connors Drug &Alcohol Treatment Coordinator Relief Mental Health Counselors Claudia Drinks, L.C.S.W., CAC III Emily Anderson, B.S.W. Alyssa Clark, B.A. Director of Independent Living Jennifer Crowe Anita McKiernan, B.A. Christi Dailey, B.A, Asheabarka Duru Career& Academic Development Ali Kaba, B.A. Counselor Katie Eichelberger, B.A. Kristina Coates, B.A. Greg Murphy Tanya Finkel, B.A. Nutritionist Karley Nobles, B.A. Shannon Bishop, R.D. Drew Hodgson Maureen Lewis, B.S. Athletic Director Jeanetta Taylor Mischelle Brown, B.A. Bodessa Trot-than, B.S. Amanda Wilcox Tutor Sherilyn Derstine, M.A. Director of Administration &Development Tami Lack Director of Operations Heidi Coughlin Director of Finance& Technology Ron Goss, C.P.A. Page 3 of 17 York Facility Treatment Leader Mental Health Counselors Amber Lacy, M.A. Karen Briscoe, B.S. Leigh Foster, B.S. Therapists Justin Ryan, B.A. Steven Ferradino, M.S. Lenora Rodgers, B.S. Craig Thornhill, M.A. Liz Whiffet, B.S. Yuna Yi, M.S.W. Leon Reynolds, M.A. Pontiac Facility Treatment Leader Mental Health Counselors Andrea Berger, M.A. Lisa Call, B.S. Theresa McGrath, B.S. Therapists Jack Wilson,A.A. Michelle Cook, M.S.W. Aaron Olson, B.S. Dana Loeb, M.S.W. Tiffany Taylor, B.A. John Soldano, M.Ed. Zachary Kauffman, M.S.W. Teen Mother Facility Treatment Leader Mental Health Counselors Carol Pitts, M.S.S. (in progress) Megan Carroll, B.A. Matt Crum, A.A. Therapists Mindy Meyer, B.A. Kimberly Renner, M.S.W. Genevieve Smith, B.S. Irrit Gamliel, M.S. Amy McGowan, B.S. Melissa Sturges, M.S. Sheldine Runyan, M.A. Lincoln Facility Treatment Leaders Mental Health Counselors Tim Wright, M.A., L.P.C. (leaving 7/06) Erin Cunningham, B.A. James Linderman, B.S. Therapists Tarah Mast, B.A. Christine Fuhrman, M.S.W. Steven Meldahl, B.A. Brandon Lee, M.S. (In Progress) Jen Flock, M.A. Caitlin Haynes, M.A.,L.P.C., CAC III (to be promoted to Treatment Leader 7/06) Alexandra Naday, M.A. John Tinniswood, M.A. Jen Bresser, M.A. Next Steps Treatment Coordinator Next Steps Counselor Laura Seese, L.C.S.W. Hilary Pekar, B.A. Page 4 of 17 Joan Farley Academy Educational Director Teachers Linda Lindsay, B.A., Special Ed Cert. Lisa Baylon, B.S. Kyle Moreno,B.A. School Principal Jason Geoffrion, B.A. Chanon Bernstein, B.A. David Sidwell Nimita Weiss,M.Ed. School Social Worker Kristin Taavialma, B.A. Bruce Avery, M.S.W. Monica Snyder, M.A. Mental Health Counselors Cambra Cameron, B.S. Laurie McConnell, B.A. George Hemingway, B.A. (in progress) STAFFING SCHEDULE We have a minimum of one staff member on overnight shifts and a minimum of two staff members on day-time shifts. In general, during peak times we average between three and five staff on duty. The following is a sample schedule for M-F. Therapist Therapist Therapist Therapist Counselor Counselor Counselor 1 2 3 4 1 2 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM Page 5 of 17 • The following is a sample schedule for weekends. Therapist 1 Therapist 2 Counselor 1 Counselor 2 Counselor 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM STAFF TRAINING PLAN Recently we have been offering specialized training sessions to aid staff in preparing for the LPC and LSW licensing process. In addition, we have an extensive staff training procedure,which involves an initial presentation covering the organization's history, mission, structure, clinical orientation, fire and safety procedures, critical incidents, appropriate boundaries, cultural awareness, suicide assessment and prevention, universal precautions, technology and communications. After this initial presentation the employee begins 80 hours of on-site training which covers the facilities policies and procedures in greater detail. This also includes certification in Medication Administration, CPR and First Aid. In addition we have a training manual that is located at each site with the following topics in written format. These manuals are available to be checked out for the staff to use at their convenience. In our training, the following areas are covered: 1. Introduction To Third Way Center, 2. Staff Information, 3. Fire Procedures, 4. Shift Duties, 5. Independent Living 6. Cultural Diversity and Gender Specific Training 7. Restorative Justice 8. Performance Appraisal And Staff Supervision, Page 6 of 17 9. Groups 10. Intake 11. Check-In/Out, AWOL Procedure 12. Record-Keeping 13. Special Consent Forms 14. Medication 15. Medical Procedure 16. Urinary Analysis 17. Psychological Emergencies 18. Critical Incidents 19. Finances 20. Shopping 21. Maintenance 22. Human Resources 23. Sexual Harassment In addition to our initial orientation, we offer ongoing training on a weekly basis in conjunction with our weekly staffings. All aspects of early childhood development, clinical issues involving adolescents, group therapy, family therapy, and diagnostic assessment are continually and periodically addressed through In-Service Trainings. We also, whenever possible, send our staff to training sessions,workshops, and conferences. Referral Process and Timelines 1. Referrals are taken by the Executive Director and the Clinical Director. 2. Referrals consist of: a. Initial contact is made by email, telephone or the mailing of a client information packet. A written package must be received before the client is placed on the referral list. Once a packet is received, it is reviewed and the client manager is contacted by phone to discuss the appropriateness of the referral. This is done within 5 business days of receiving the package. b. If review of the packet information indicates the client may be appropriate, there are 1 or 2 intake meetings with the client, his/her parents or guardians, caseworker, and one or more staff members of Third Way Center. c. The purpose of the intake meeting is: 1. to provide a thorough description of Third Way Center's programs and to advise the parents or guardians of their responsibility if they participate in the program. 2. to explain the non-discriminatory policies of Third Way Center 3. to conduct a tour of the facility for all interested parties 4. to conduct a thorough diagnostic interview with the potential client, including an educational, vocational, and avocation] evaluation and a detemunation of substance abuse factors. Page 7 of 17 d. Caseworker and client are informed as to the probable length of the waiting list, and a discussion of other treatment possibilities is conducted. Wait lists generally average 4 to 8 weeks. e. Prior to admission into any Third Way Center program the clients case is reviewed at weekly team meetings consisting of Program Director (psychiatrist), Executive Director,Treatment Team Leader, and a team of therapists. The client manager is notified between one and 5 business days regarding whether or not the client has been accepted into the program. 5. All clients must meet the eligibility requirements for Medicaid rehabilitative services. a. The individual has a psychiatric disorder as described in Diagnostic Statistical Manual (DSM-4) as determined by a licensed professional person. b. The individual is being treated in the most appropriate and least restrictive setting. c. The individual has had an initial assessment to determine that he/she is capable of benefiting from the program at Third Way Center. d. As a result of the disorder the individual is experiencing psycho-social disruption which interferes with his/her functioning. e. The parent/guardian accepts the responsibility to participate in the treatment program and/or discharge planning. f. The client must have specific treatment goals which include: 1. Expected resolution of the problem that necessitated this Third Way Center treatment and the specific functional achievement to be obtained in measurable terms. 2. The anticipated duration and frequency of treatment. 3. Indications why the planned services can reasonably be expected to improve the child's condition. Treatment Planning And Case Management Treatment planning and Quality Assurance are a joint effort between Third Way Center staff, caseworker or client manager, client and client's family. All treatment planning works in coordination with a client's case plan, where all decisions regarding a client's disposition is a collaborative process between Third Way Center and the Department of Human Services. All residents receive a Mental Status Exam and subsequent 72 Hour, 10 Day and 30 Day(thereafter) evaluations. The following services are provided to all clients: • Psychological Therapeutic Services(including: individual, group, family, milieu, and behavioral modification therapy) • Supervision of the treatment by a licensed professional person. • Independent Living Training • Community Reintegration Preparation. • Involvement of parents, legal guardian, family member or custodian as scheduled in the treatment pan. • Documentation by a multi-disciplinary team at least every month including a statement of progress toward established goals. Page 8 of 17 • Documentation by the licensed professional person at least every month that the individual will benefit from continued Third Way Center rehabilitative therapy. Quality Assurance is an integral part of our case management. Third Way Center's Quality Assurance is grounded in six processes: 1. Clinical Supervision, 2. Psychiatric Consultation, 3. Monthly Peer Review/Q.A. Committee,4. Staffings, 5. Six Month Reviews, 6. Data Collection and Analysis Review. Case Management Services are the same for all levels of care. Mental Health Services All clients receive appropriate mental health services. This includes initial psychiatric evaluation, medication evaluation, medication prescription and monitoring, and professional supervision and treatment planning. We have a full-time psychiatrist on staff who directly does all the psychiatric and medication assessment. In addition,we have our Clinical Director(LCSW, CACIII), and Assistant Clinical Director(LPC), who do all supervision with the psychiatrist. Our Drug and Alcohol Treatment Coordinator (LCSW, CAC III), supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. They also are in charge of staff education at In-Services. Being a therapeutic community, treatment components are integrated into the milieu through both group therapy and daily milieu contact. All clients know that therapeutic issues will be addressed on an as needed basis in the community. All levels of care receive the same mental health services. Clients who are Level C receive additional psychiatric and clinical services. All clients who are classified as Level B receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist is available • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 4-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups, Males Group, Females Group, DYC Group, Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group (2 per week), Grief Group, Independent Living Group, Family Support Group, and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations, co-facilitate groups, conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Page 9 of 17 Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community, milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu, and can be observed, addressed, and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. All treatment plans are individualized to our clients' needs and are integrated with the Discrete Case Plan. This is a joint process, which includes the Client Manager, facility, client, and client's family. Treatment plans are continually reviewed to ensure that the needs of the client are being met. Next Steps We only offer Level A services at out Next Steps program. Next Steps is a step-down program designed for adolescents leaving a higher level of care and those in the foster care system who are in need of transitional independent living services. It was opened to better ease the transition from Third Way Center's Lincoln Apartments into the community and shorten the overall length of care. The program has the capacity of 10 clients and is directed by a full-time LSW Treatment Coordinator, in addition to a full- time Counselor. Most clients in the Next Steps program move into apartments in the community. The residents pay a percentage of their income toward rent, with the percentage gradually increasing to help the resident adjust to living on their own. Some clients are reunified with their families and they receive home-based transition services through Next Steps. A case manager supervises the resident's living situation. The amount of time a resident stays in Next Steps is determined by social services and Third Way Center personnel. Clients still receive therapeutic intervention, in addition to the independent living skills. The client receives two -three individual therapy sessions per week, a weekly family therapy session and two—five therapeutic or life skills groups per week. Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include,but are not limited to: Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group (co-facilitated with Redirecting Sexual Aggression), Grief Group, Life Skills Group, and Parenting Group. Next Steps also includes services for teenage mothers. The life skills groups focus on a variety of independent living topics, such as: > Budgeting > Grocery shopping > Cooking > Cleaning > Employment counseling- short/long term > Educational guidance(finding appropriate educational program) Page 10 of 17 > Finding leisure rime activities > Increasing awareness of community resources There is a full-time psychiatrist on staff to both prescribe and monitor medication administration. The doctor will also provide well baby care. There is 24 hour, on call service and crisis management. And our Lincoln facility offers respite care. Medical Services: There is one licensed full time M.D. on the premises,who is a member of the staff at Children's Hospital. In addition, there is a full-time Registered Nurse on staff Whenever the M.D. or R.N. handles a routine medical issue in one of the facilities, a note is written in the chart documenting the actions taken and/or the medications or treatments prescribed. York, Pontiac and Lincoln use Children's Hospital for emergency medical services and specialty clinics. The Teen Mother House uses Swedish Hospital. Our policy for medical emergencies and the handling of prescription medications follows: XV.MEDICAL SERVICES 1. Third Way Center will meet all the rules and regulations issued by the Office of Child Care Services, Colorado Department of Human Services relative to medical and health services. The obligation to insure availability of medical services shall not be construed to pay for such services. Any client of Third Way Center has the right to visit the emergency room of choice and receive treatment if necessary. However, each client has the obligation to contact the attending on call staff as to the appropriateness of such a visit. The staff is then to contact the medical director or his/her representative on call, to check on the necessity of an emergency or medical consultation visit. 2. Within the first 30 days of admission, the client has to have a physical examination and a dental examination unless one was done within 60 days of admission. A statement of the examiner will be retained in each client's file. This exam shall include the following: a. an examination for physical injury and disease b. vision and hearing screening c. a current assessment of the resident's health, including immunizations. Subsequent examinations shall be done annually or as directed by the Medical Director. 3. A review of immunizations in accordance with state law and regulations is to be conducted upon admission. If a resident needs diagnostic services, emergency care, corrective care,recuperative care, and/or immunization updates a consultation form needs to be completed by the primary therapist and the resident together with the form is to be referred to Children's Hospital, Denver Health, or University of Colorado Health Science Center. Page 11 of 17 4. The Medical Director is on call on a 24 hour, 7 day a week basis. Emergency room facilities are available on a 24 hour, 7 day a week basis at Children's Hospital and Denver Health. If the client has a life threatening immediate emergency the staff has been instructed to call 911 and an ambulance, administer first aid as they have been taught in CPR classes and have the client transferred to one of the above named emergency rooms. 5. In non-emergency medical situations the Medical Director is to be contacted and will triage the situation. A referral to the appropriate specialty departments at Children's Hospital, Denver Health, Colorado Health Science Center, or a hospital covered by the medical insurance of the client will be made. 6. After the resident returns from his/her appointment with the appropriately completed consult form, the primary therapist and if necessary the Medical Director will explain to the resident in language understandable to him/her any medical treatment administered. 7. Health education and sex education are incorporated in male/female gender groups and special issues group. 8. Dental care is provided by Dr. Johnson, (303) 322-1177, he is licensed in the State of Colorado. Residents shall receive annual dental examinations. 9. If a resident wishes an exemption from medical examination or treatment due to religious beliefs, the resident shall submit a written statement, signed by his/her parents or legal guardian which states the reason for such exemption. Third Way Center has the right to request a statement of general health from a medical examiner. Third Way Center has the right to refuse admission to a client whose parent or guardian refuses medical examination or treatment. 10. Through its independent living curriculum staff at Third Way Center are to teach the clients how to maintain a safe, hygienic, and sanitary environment. All independent living skills such as cooking, cleaning, washing of clothes and dishes, and chores are supervised and monitored by staff. Public health inspections on a regular basis ensure compliance. Visual inspection by Treatment Leaders and program directors ensure on-going monitoring of health procedures. 11. When a client is ill, he/she is confined to his/her room and staff instructs other residents and adults in advisability of contact and the cleaning of materials used by the sick client. 12. Cleaning supplies and other hazardous materials are located in a locked staff-only accessible room. 13. All facilities at Third Way Center meet state regulations for a hazard free environment and these inspections ensure checking of water temperatures,covered electric outlets, securing floor covering and equipment, adequacy of lighting and ventilation, and identifying hazardous conditions. Page 12 of 17 14. Whenever a client is admitted to Third Way Center who might likely expose Third Way Center staff and residents who come in contact with his/her blood, the likelihood of exposure to blood-borne pathogens is reported to the Medical Director by the intake officer. The Medical Director then holds a meeting with the staff and residents as to the procedures involved in preventing such an occurrence. This includes meeting the standards of the Center for Disease Control and the Occupational Safety and Health Administration. These procedures include dealing with HIV/AIDS, hepatitis, TB, and other contagious and infectious diseases. The instructions include, but are not limited to, receiving TB or hepatitis tests, insuring proper treatment of the infected client, common sense preventative measures such as, washing hands and keeping separate eating utensils, and the wearing of rubber gloves when coming into contact with any client's bodily fluids. It is the Medical Director's responsibility to seek current medical advice from experts in the field and in complying with applicable health regulations governing contagious or infectious disease and problems associated with immuno-deficiency. If necessary the Medical Director will administer TB tests and record results. XIX. HANDLING AND DISPENSING MEDICATION Third Way Center will follow the Office of Child Care Services, Colorado Department of Human Services' rules and regulations Staff Manual Volume 7, Section 7.705.31. 1. All documentation of medication and administration of medication, medication errors, and drug reactions must be noted in the medication chart. 2. Discontinuing and disposing of medications must be documented in the medication chart. 3. Acceptance of verbal medication orders must be confirmed by written or electronic transmittal. 4. Third Way Center shall maintain records of all prescription medications dispensed to clients for 5 years. 5. Only persons authorized by the Colorado Department of Human Services Regulations shall administer medications. All direct care staff shall be trained in the recognition of common side affects of medication. This training must be documented and the certification by the Health and Human Services Department in the personnel chart of the direct care staff administering medications. 6. All medication is kept in a locked safe place, accessible only to direct treatment staff who is authorized to dispense medication. Page 13 of 17 Family Counseling Third Way Center uses an eclectic,psycho-dynamic, systemic approach to family therapy. Families are included in the treatment process from intake until discharge. Most families attend weekly meetings. Some families require additional individual counseling. We have an all-inclusive approach with the ultimate goal of family reconciliation, whether that means the child can return home or the family will be a strong support system when the child emancipates. Family sessions are conducted by Master's level therapists,both licensed and unlicensed. Licensed professionals provide supervision for all family therapy. All levels of care receive the same services. Substance Abuse Treatment: Third Way Center has ADAD certification that was granted in April 2005. Third Way Center's full-time Drug and Alcohol Treatment Coordinator is a LCSW, CAC III. This position is supervised by our CAC III certified LCSW Clinical Director. The coordinator is responsible for managing the drug and alcohol treatment program throughout all TWC facilities. This is an all inclusive program, utilizing all four listed program areas. Education,prevention, intervention, and treatment in regards to substance related issues are intertwined and are included in the treatment planning process for each individual client. Appropriate assessments are utilized to identify the level of services needed. The coordinator is also trained in administering and interpreting the SASSI when needed. The Drug and Alcohol Treatment Coordinator co-facilitates a treatment level group at each facility on a weekly basis. In addition,the staff at each facility is supervised and responsible for following through with the specific individualized treatment plan. The groups address issues from education to treatment, which include, but are not limited to, relapse prevention, triggers for identifying a cycle of substance abuse, familial patterns of drug and alcohol abuse and emotional issues connected to substance related issues. Individual and family therapy are also conducted with respect to drug and alcohol issues, as needed. Random urinalysis screens are performed on all clients on an average of two per month. Considering that Third Way Center is a community based program, our clients are expected to transition into the community, and therefore special attention is given in assisting them to find a safe work environment, as well as how to spend their leisure time. We encourage the residents to expand their support systems within the community to help them maintain their sobriety(such as NA or AA). Also,when appropriate, consideration and coordination of more intensive services could be facilitated. Clients are encouraged to complete a drug abstinence plan identifying all their reasons for abuse and how they intend to stay sober once out on their own. The coordinator also is available to provide in-services for the staff or residents related to drug and alcohol issues. At a minimum, an annual education in-service is conducted for the staff in relation to chemical dependency. The drug and alcohol coordinator has also developed a curriculum for the TWC School to assist in the education, as well as the prevention process. The Drug and Alcohol Support Group is also provided on a bi- monthly basis; for those who either have graduated from the treatment group, or who have family members with a history of chemical abuse. The Drug and Alcohol program Page 14 of 17 is essential in the overall treatment of our clients. The youth at TWC are high risk for drug and alcohol abuse. Our philosophy is to provide an individualized treatment plan, within a multi-disciplinary treatment team. All levels of care receive the same Drug and Alcohol Services. Life Skills: Third Way Center has all-inclusive services, which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups, which require residents to display competencies in 12 independent living categories. At all our facilities, with staff supervision, the clients do the menu planning, cooking, cleaning, and grocery shopping. We also address issues such as budgeting, using public transportation, and banking. This is a hands-on approach that requires client participation(i.e. most of our clients use public transportation, have joint bank accounts with our staff and are required to save 80% of their paychecks and appropriately budget the rest). At our Lincoln facility, each client is required to attend 12 independent living groups and display competencies in the following areas: cleaning, apartment comfort, hygiene, apartment information, cooking and menu planning, shopping and food storage,budgeting skills, savings and checking, school and work,being alone and support systems, leisure time and time management, conflict resolution and anger management. These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Vocational Preparation: Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background, goal setting(short and long term) and assessing community resources. Clients attend weekly groups pertaining to career exploration, employment and job hunting skills. Once a client is determined to be ready to seek employment he/she will attend a 5-8 session seminar which covers: interviewing skills, including videotaped practice interviews; resume writing;job hunting; filling out job applications; career exploration;job retention; and how to access community resources available to them. Individual job coaching is provided during each stage of the job search, including: picking up applications, completing and submitting applications, and interview preparation. There is a vocational /educational resource room that has educational and financial aid information, software for ACT, SAT reading skill development, GED preparation,career exploration, keyboard skills, and post secondary educational and vocational training resources. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed, including Vocational Rehabilitation, Job Corp, Youth at Work, Mile High Youth Corp, One Stop Career Centers, Safe City, Goodwill's Earn and Learn, Youth Biz, Summer Scholars, Governors Summer Job Hunt, Page 15 of 17 Art Street, Elitch's Summer Job Program, Arapahoe/Douglas Works, Women's Bean Project, and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. Education: At admission, Third Way Center works with all the involved parties to develop an educational plan for each client. Third Way Center operates our own certified high school. Small classrooms and individualized instruction enable each child to maximize their educational opportunities. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. When appropriate, we also access community based high schools and GED programs. The GED programs we use are Emily Griffith, Empowerment Program, and Northeast Women's Center. In addition, each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process, course selection, and coordinating the use of academic support services. We have clients who attend local community colleges, Metro State, technical colleges and other universities. In addition,we have scholastic scholarships offered in conjunction with Mile High Rotary Club and Guardian Scholars. Recreational,Cultural and Spiritual activities: Third Way Center encourages residents to participate in recreational, cultural and spiritual activities appropriate to their needs. Third Way Center offers on average three to four recreational and cultural activities per week. This is done on both a group and individual level. The Athletic Director organizes athletic leagues that are open to all residents of TWC. The sporting programs offered include: boys and girls basketball, girls volleyball, snowboarding, skiing, and boys and girls track and field. In addition, facility staff arranges more casual group activities such as hiking, fishing,bowling, rollerblading,basketball,weight lifting, running, swimming, and camping. Cultural activities can include art classes, musicals, singing lessons,theatre, sporting events, etc. Some of the agencies we work with are CHILL Snowboarding Program, ArtReach, Outward Bound, Winter Park Handicap Association, and Women's Wilderness Institute. The Joan Farley Academy also includes cultural awareness as part of their educational curriculum. The highlights of this component of the curriculum are student trips. Annually two student trips are taken to allow the youth to experience new things and expose them to the Native American culture. The Chin Le trip is an 8 day service- learning trip for between 8 and 16 clients where they visit a Native American Reservation and receive special permission to camp in a protected canyon. They plant fruit trees to help provide additional sustenance to the low income community and the cross-cultural experience tends to be an important eye-opening encounter for the students. They also camp at the Grand Canyon during this trip. The other trip goes to Taos,New Mexico where between 18 and 25 students visit Pueblos and cliff dwellings. Students participate Page 16 of 17 in traditional Native American arts and crafts projects and study Native American culture. Furthermore,TWC initiates contact, on behalf of the client,with local cultural centers to encourage involvement with other members of his/her cultural heritage. This includes the Gay and Lesbian Center, Korean Christian Community, Japanese Center,Native American Center, etc. We educate each client to all the available appropriate community resources to help them develop a network of positive, affordable activities that they can do during their leisure time. In addition,we encourage all residents to participate in positive activities specific to a client's culture. We attempt to hire multi-cultural staff in order to provide proper education and role modeling in such areas. In addition, all children are encouraged to participate in religious activities in the community. We assist residents in finding the religious center of their choice and have worked with clergy to foster their religious education and growth. All levels of care receive the same adjunct services. Transition Services Third Way Center has a long history of providing transition services to clients. We emancipate 70% of our clients and have developed a continuum of care from community based residential treatment(York, Pontiac and Teen Mother Facilities) to supervised apartment living(Lincoln Facility, also RTC),to scattered site apartments in the community(Next Steps, Level A). If a child is to return home we provide transition services consisting of home passes to ensure a successful return to a parent or relative. All levels of care receive the same transition services. Third Way Center offers a residential continuum of care leading toward emancipation. We do intensive independent living training in our facilities. All residents are required to save 80% of their paychecks. It's our goal that they save a minimum of$1500 by the time they emancipate. We work with landlords to ensure affordable quality housing upon emancipation(i.e. Next Steps program). Services are the same for all levels of care. Page 17 of 17 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of a /,� , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the�greement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#77810, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$157.94 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$157.94 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 weed-.;B94R 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. 11 ATTEST: 111,111444 ATTEST: Weld County Clerk to the Board *?...., ;SA WELD COUNTY BOARD OF 4) OCTAL SERVICES, ON BEHALF t '`t *Oa THE WELD COUNTY :,. i�+l � s'^ ;152'NM PARTMENT OF SOCIAL _ RVICES ‘eorin4,- 1 By: /-. JU 'k ‘ .t lhZ By: puty CSe'rk to the Board . J. Geile, Chair G 3 0 2006 CONTRACTOR Third Way Center PO Box 613 Denver, C• 80 16 By: / W WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: U Direct r 4 Weld County SS-23A ddendum (Ekhibit A) Third Way Center, Inc. Third Way Center serves clients age 13-20,but the vast majority of our clients are 15-18. All persons seeking admission are given equal consideration without regard to race, color, national origin,religion, political affiliation, sex, sexual orientation, financial status or disability. Except for our Teen Mother Program, all of our programs are co-educational. We do treat sex offenders. The needs, problems, situations, or patterns best addressed by Third Way Center's programs include; serious psychiatric illness, delinquencies,runaways, truancies, substance abuse, and disturbed family relationships. Our clients have averaged 12 previous placements prior to entering our program. Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Third Way Center is a non-profit agency that has a 35-year history of providing community based de-institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Residential Child Care Facilities and certified as Residential Treatment Centers. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is a Level A, step down program from our Lincoln Street facility. Services we provide in all of our facilities include, but are not limited to psychiatric evaluations, medication prescribing and monitoring, individual, group and family therapy, teaching of independent living skills, substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to twelve teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Regarding the sex offender population we work with Redirecting Sexual Aggression to provide assessment and treatment. In addition,Third Way Center has a licensed alternative school named The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative- building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Our senior staff averages 17 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 28 years. York, Pontiac and Lincoln facilities are centrally located in Denver County and we have a 35 year positive history working with the Colorado Department of Human Services. York, Pontiac, Lincoln, and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. Page 1 of 17 There is one licensed full time M.D. on the premises,who is a member of the staff at Children's Hospital. In addition, there is a full-time Registered Nurse on staff. Safety in our facilities is of paramount importance. Third Way Center has a fire alarm system in each house connected to the Denver Fire Department. There are security screens installed on an as needed basis. Each house has an interior and exterior camera system to aid in supervising the building and the exterior entrances. Certain doors have an alarm system. Our staff/child supervision ratios meet all State requirements. Overnight workers are equipped with emergency pagers that will silently alert the police in case of an emergency and offices also have a panic button for security purposes. Facilities: York: 1295 York Street, Denver CO 80206 Pontiac: 1735 Pontiac Street, Denver CO 80220 Lincoln: 1133 Lincoln Street, Denver, CO 80203 Teen Mother House: 4821 S Bannock Street, Englewood, CO 80110 Type of License or Certification (include licensing#s and Date of Expiration) RTC/RCCF License: 16 clients—York#49487 Exp: 7/2006 RTC/RCCF License: 23 clients plus 4 infants—Lincoln#77810 Exp: 6/2006 RTC/RCCF License: 16 clients—Pontiac #65346 Exp: 6/2006 RTC/RCCF License: 22 clients, may include 9 children of clients —Teen Mother House #1507881 Exp: 8/2006 Mental Health Services—RTC Certification Exp: 2/12/06 Council on Accreditation Exp: 2/2008 ADAD certification Exp: 4/2008 Description of all Program Services York: Capacity 16 =9-10 boys, 6-7 girls Pontiac: Capacity 16= 10 boys, 6 girls Lincoln: Capacity 23, no gender specific criterion, we take up to 2 teen mothers Teen Mother House: Capacity 13 girls and up to 9 babies Next Steps: Capacity 10, no gender specific criterion. Page 2 of 17 STAFF LIST Umbrella Staff(agency-wide) Executive Director Human Resource Coordinator/Finance Rep David Eisner,M.Ed. Heather Fralick Medical/Program Director Information Technology Coordinator Hildegard Messenbaugh, M.D. Mike Bond Clinical Director Resource Coordinator Renee Johnson, L.C.S.W., C.A.C.III Erin Martin Assistant Clinical Director Operations Coordinator Kristi Thiede, M.A., L.P.C Jody Groves Nurse Office Manager(Lincoln) Holly Vause,R.N. Allison Sager Psychologist Operations Associate Patricia Duffy, Psy.D. Mike Connors Drug& Alcohol Treatment Coordinator Relief Mental Health Counselors Claudia Drinks, L.C.S.W., CAC III Emily Anderson, B.S.W. Alyssa Clark, B.A. Director of Independent Living Jennifer Crowe Anita McKiernan, B.A. Christi Dailey, B.A, Asheabarka Duru Career&Academic Development Ali Kaba, B.A. Counselor Katie Eichelberger, B.A. Kristina Coates, B.A. Greg Murphy Tanya Finkel, B.A. Nutritionist Karley Nobles, B.A. Shannon Bishop, R.D. Drew Hodgson Maureen Lewis, B.S. Athletic Director Jeanetta Taylor Mischelle Brown, B.A. Bodessa Trotman, B.S. Amanda Wilcox Tutor Sherilyn Derstine, M.A. Director of Administration &Development Tami Lack Director of Operations Heidi Coughlin Director of Finance& Technology Ron Goss, C.P.A. Page 3 of 17 York Facility Treatment Leader Mental Health Counselors Amber Lacy, M.A. Karen Briscoe, B.S. Leigh Foster, B.S. Therapists Justin Ryan, B.A. Steven Ferradino, M.S. Lenora Rodgers, B.S. Craig Thornhill, M.A. Liz Whittet, B.S. Yuna Yi, M.S.W. Leon Reynolds, M.A. Pontiac Facility Treatment Leader Mental Health Counselors Andrea Berger, M.A. Lisa Call, B.S. Theresa McGrath, B.S. Therapists Jack Wilson, A.A. Michelle Cook, M.S.W. Aaron Olson, B.S. Dana Loeb, M.S.W. Tiffany Taylor, B.A. John Soldano, M.Ed. Zachary Kauffman, M.S.W. Teen Mother Facility Treatment Leader Mental Health Counselors Carol Pitts, M.S.S. (in progress) Megan Carroll, B.A. Matt Crum, A.A. Therapists Mindy Meyer, B.A. Kimberly Renner, M.S.W. Genevieve Smith, B.S. Irrit Gamliel, M.S. Amy McGowan, B.S. Melissa Sturges, M.S. Sheldine Runyan, M.A. Lincoln Facility Treatment Leaders Mental Health Counselors Tim Wright, M.A., L.P.C. (leaving 7/06) Erin Cunningham, B.A. James Linderman, B.S. Therapists Tarah Mast, B.A. Christine Fuhrman, M.S.W. Steven Meldahl, B.A. Brandon Lee, M.S. (In Progress) Jen Flock, M.A. Caitlin Haynes, M.A., L.P.C., CAC III (to be promoted to Treatment Leader 7/06) Alexandra Naday,M.A. John Tinniswood, M.A. Jen Bresser, M.A. Next Steps Treatment Coordinator Next Steps Counselor Laura Seese, L.C.S.W. Hilary Pekar, B.A. Page 4 of 17 • Joan Farley Academy Educational Director Teachers Linda Lindsay, B.A., Special Ed Cert. Lisa Baylon, B.S. Kyle Moreno, B.A. School Principal Jason Geoffrion, B.A. Chanon Bernstein, B.A. David Sidwell Nimita Weiss,M.Ed. School Social Worker Kristin Taavialma, B.A. Bruce Avery, M.S.W. Monica Snyder,M.A. Mental Health Counselors Cambra Cameron, B.S. Laurie McConnell,B.A. George Hemingway, B.A. (in progress) STAFFING SCHEDULE We have a minimum of one staff member on overnight shifts and a minimum of two staff members on day-time shifts. In general, during peak times we average between three and five staff on duty. The following is a sample schedule for M-F. Therapist Therapist Therapist Therapist Counselor Counselor Counselor 1 2 3 4 1 2 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM III 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM Page 5 of 17 The following is a sample schedule for weekends. Therapist 1 Therapist 2 Counselor 1 Counselor 2 Counselor 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM STAFF TRAINING PLAN Recently we have been offering specialized training sessions to aid staff in preparing for the LPC and LSW licensing process. In addition, we have an extensive staff training procedure,which involves an initial presentation covering the organization's history, mission, structure, clinical orientation, fire and safety procedures, critical incidents, appropriate boundaries, cultural awareness, suicide assessment and prevention, universal precautions,technology and communications. After this initial presentation the employee begins 80 hours of on-site training which covers the facilities policies and procedures in greater detail. This also includes certification in Medication Administration, CPR and First Aid. In addition we have a training manual that is located at each site with the following topics in written format. These manuals are available to be checked out for the staff to use at their convenience. In our training, the following areas are covered: 1. Introduction To Third Way Center, 2. Staff Information, 3. Fire Procedures, 4. Shift Duties, 5. Independent Living 6. Cultural Diversity and Gender Specific Training 7. Restorative Justice 8. Performance Appraisal And Staff Supervision, Page 6 of 17 9. Groups 10. Intake 11. Check-In/Out,AWOL Procedure 12. Record-Keeping 13. Special Consent Forms 14. Medication 15. Medical Procedure 16. Urinary Analysis 17. Psychological Emergencies 18. Critical Incidents 19. Finances 20. Shopping 21. Maintenance 22. Human Resources 23. Sexual Harassment In addition to our initial orientation,we offer ongoing training on a weekly basis in conjunction with our weekly staffings. All aspects of early childhood development, clinical issues involving adolescents, group therapy, family therapy, and diagnostic assessment are continually and periodically addressed through In-Service Trainings. We also, whenever possible, send our staff to training sessions, workshops, and conferences. Referral Process and Timelines 1. Referrals are taken by the Executive Director and the Clinical Director. 2. Referrals consist of: a. Initial contact is made by email,telephone or the mailing of a client information packet. A written package must be received before the client is placed on the referral list. Once a packet is received, it is reviewed and the client manager is contacted by phone to discuss the appropriateness of the referral. This is done within 5 business days of receiving the package. b. If review of the packet information indicates the client may be appropriate, there are 1 or 2 intake meetings with the client, his/her parents or guardians, caseworker, and one or more staff members of Third Way Center. c. The purpose of the intake meeting is: 1. to provide a thorough description of Third Way Center's programs and to advise the parents or guardians of their responsibility if they participate in the program. 2. to explain the non-discriminatory policies of Third Way Center 3. to conduct a tour of the facility for all interested parties 4. to conduct a thorough diagnostic interview with the potential client, including an educational,vocational, and avocational evaluation and a determination of substance abuse factors. Page 7 of 17 d. Caseworker and client are informed as to the probable length of the waiting list,and a discussion of other treatment possibilities is conducted. Wait lists generally average 4 to 8 weeks. e. Prior to admission into any Third Way Center program the clients case is reviewed at weekly team meetings consisting of Program Director (psychiatrist), Executive Director,Treatment Team Leader, and a team of therapists. The client manager is notified between one and 5 business days regarding whether or not the client has been accepted into the program. 5. All clients must meet the eligibility requirements for Medicaid rehabilitative services. a. The individual has a psychiatric disorder as described in Diagnostic Statistical Manual (DSM-4) as determined by a licensed professional person. b. The individual is being treated in the most appropriate and least restrictive setting. c. The individual has had an initial assessment to determine that he/she is capable of benefiting from the program at Third Way Center. d. As a result of the disorder the individual is experiencing psycho-social disruption which interferes with his/her functioning. e. The parent/guardian accepts the responsibility to participate in the treatment program and/or discharge planning. f. The client must have specific treatment goals which include: 1. Expected resolution of the problem that necessitated this Third Way Center treatment and the specific functional achievement to be obtained in measurable terms. 2. The anticipated duration and frequency of treatment. 3. Indications why the planned services can reasonably be expected to improve the child's condition. Treatment Planning And Case Management Treatment planning and Quality Assurance are a joint effort between Third Way Center staff, caseworker or client manager, client and client's family. All treatment planning works in coordination with a client's case plan,where all decisions regarding a client's disposition is a collaborative process between Third Way Center and the Department of Human Services. All residents receive a Mental Status Exam and subsequent 72 Hour, 10 Day and 30 Day(thereafter) evaluations. The following services are provided to all clients: • Psychological Therapeutic Services (including: individual, group, family, milieu, and behavioral modification therapy) • Supervision of the treatment by a licensed professional person. • Independent Living Training • Community Reintegration Preparation. • Involvement of parents, legal guardian, family member or custodian as scheduled in the treatment pan. • Documentation by a multi-disciplinary team at least every month including a statement of progress toward established goals. Page 8 of 17 • Documentation by the licensed professional person at least every month that the individual will benefit from continued Third Way Center rehabilitative therapy. Quality Assurance is an integral part of our case management. Third Way Center's Quality Assurance is grounded in six processes: 1. Clinical Supervision, 2. Psychiatric Consultation, 3. Monthly Peer Review/Q.A. Committee,4. Staffings, 5. Six Month Reviews, 6. Data Collection and Analysis Review. Case Management Services are the same for all levels of care. Mental Health Services All clients receive appropriate mental health services. This includes initial psychiatric evaluation, medication evaluation, medication prescription and monitoring, and professional supervision and treatment planning. We have a full-time psychiatrist on staff who directly does all the psychiatric and medication assessment. In addition,we have our Clinical Director(LCSW, CACIII), and Assistant Clinical Director(LPC), who do all supervision with the psychiatrist. Our Drug and Alcohol Treatment Coordinator (LCSW, CAC III), supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. They also are in charge of staff education at In-Services. Being a therapeutic community, treatment components are integrated into the milieu through both group therapy and daily milieu contact. All clients know that therapeutic issues will be addressed on an as needed basis in the community. All levels of care receive the same mental health services. Clients who are Level C receive additional psychiatric and clinical services. All clients who are classified as Level B receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist is available • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 4-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups, Males Group,Females Group, DYC Group, Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group (2 per week), Grief Group, Independent Living Group, Family Support Group, and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations, co-facilitate groups, conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Page 9 of 17 Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community, milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu, and can be observed, addressed, and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. All treatment plans are individualized to our clients' needs and are integrated with the Discrete Case Plan. This is a joint process, which includes the Client Manager, facility, client, and client's family. Treatment plans are continually reviewed to ensure that the needs of the client are being met. Next Steps We only offer Level A services at out Next Steps program. Next Steps is a step-down program designed for adolescents leaving a higher level of care and those in the foster care system who are in need of transitional independent living services. It was opened to better ease the transition from Third Way Center's Lincoln Apartments into the community and shorten the overall length of care. The program has the capacity of 10 clients and is directed by a full-time LSW Treatment Coordinator, in addition to a full- time Counselor. Most clients in the Next Steps program move into apartments in the community. The residents pay a percentage of their income toward rent, with the percentage gradually increasing to help the resident adjust to living on their own. Some clients are reunified with their families and they receive home-based transition services through Next Steps. A case manager supervises the resident's living situation. The amount of time a resident stays in Next Steps is determined by social services and Third Way Center personnel. Clients still receive therapeutic intervention, in addition to the independent living skills. The client receives two- three individual therapy sessions per week, a weekly family therapy session and two—five therapeutic or life skills groups per week. Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include, but are not limited to: Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group (co-facilitated with Redirecting Sexual Aggression), Grief Group, Life Skills Group, and Parenting Group. Next Steps also includes services for teenage mothers. The life skills groups focus on a variety of independent living topics, such as: > Budgeting > Grocery shopping > Cooking > Cleaning > Employment counseling- short/long term > Educational guidance(finding appropriate educational program) Page 10 of 17 > Finding leisure time activities > Increasing awareness of community resources There is a full-time psychiatrist on staff to both prescribe and monitor medication administration. The doctor will also provide well baby care. There is 24 hour, on call service and crisis management. And our Lincoln facility offers respite care. Medical Services: There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition,there is a full-time Registered Nurse on staff. Whenever the M.D. or R.N. handles a routine medical issue in one of the facilities, a note is written in the chart documenting the actions taken and/or the medications or treatments prescribed. York, Pontiac and Lincoln use Children's Hospital for emergency medical services and specialty clinics. The Teen Mother House uses Swedish Hospital. Our policy for medical emergencies and the handling of prescription medications follows: XV.MEDICAL SERVICES 1. Third Way Center will meet all the rules and regulations issued by the Office of Child Care Services, Colorado Department of Human Services relative to medical and health services. The obligation to insure availability of medical services shall not be construed to pay for such services. Any client of Third Way Center has the right to visit the emergency room of choice and receive treatment if necessary. However, each client has the obligation to contact the attending on call staff as to the appropriateness of such a visit. The staff is then to contact the medical director or his/her representative on call, to check on the necessity of an emergency or medical consultation visit. 2. Within the first 30 days of admission, the client has to have a physical examination and a dental examination unless one was done within 60 days of admission. A statement of the examiner will be retained in each client's file. This exam shall include the following: a. an examination for physical injury and disease b. vision and hearing screening c. a current assessment of the resident's health, including immunizations. Subsequent examinations shall be done annually or as directed by the Medical Director. 3. A review of immunizations in accordance with state law and regulations is to be conducted upon admission. If a resident needs diagnostic services, emergency care, corrective care, recuperative care, and/or immunization updates a consultation form needs to be completed by the primary therapist and the resident together with the form is to be referred to Children's Hospital, Denver Health, or University of Colorado Health Science Center. Page 11 of 17 4. The Medical Director is on call on a 24 hour, 7 day a week basis. Emergency room facilities are available on a 24 hour, 7 day a week basis at Children's Hospital and Denver Health. If the client has a life threatening immediate emergency the staff has been instructed to call 911 and an ambulance, administer first aid as they have been taught in CPR classes and have the client transferred to one of the above named emergency rooms. 5. In non-emergency medical situations the Medical Director is to be contacted and will triage the situation. A referral to the appropriate specialty departments at Children's Hospital, Denver Health, Colorado Health Science Center, or a hospital covered by the medical insurance of the client will be made. 6. After the resident returns from his/her appointment with the appropriately completed consult form, the primary therapist and if necessary the Medical Director will explain to the resident in language understandable to him/her any medical treatment administered. 7. Health education and sex education are incorporated in male/female gender groups and special issues group. 8. Dental care is provided by Dr. Johnson, (303) 322-1177,he is licensed in the State of Colorado. Residents shall receive annual dental examinations. 9. If a resident wishes an exemption from medical examination or treatment due to religious beliefs, the resident shall submit a written statement, signed by his/her parents or legal guardian which states the reason for such exemption. Third Way Center has the right to request a statement of general health from a medical examiner. Third Way Center has the right to refuse admission to a client whose parent or guardian refuses medical examination or treatment. 10. Through its independent living curriculum staff at Third Way Center are to teach the clients how to maintain a safe, hygienic, and sanitary environment. All independent living skills such as cooking, cleaning,washing of clothes and dishes, and chores are supervised and monitored by staff. Public health inspections on a regular basis ensure compliance. Visual inspection by Treatment Leaders and program directors ensure on-going monitoring of health procedures. 11. When a client is ill,he/she is confined to his/her room and staff instructs other residents and adults in advisability of contact and the cleaning of materials used by the sick client. 12. Cleaning supplies and other hazardous materials are located in a locked staff-only accessible room. 13. All facilities at Third Way Center meet state regulations for a hazard free environment and these inspections ensure checking of water temperatures, covered electric outlets, securing floor covering and equipment, adequacy of lighting and ventilation, and identifying hazardous conditions. Page 12 of 17 14. Whenever a client is admitted to Third Way Center who might likely expose Third Way Center staff and residents who come in contact with his/her blood, the likelihood of exposure to blood-borne pathogens is reported to the Medical Director by the intake officer. The Medical Director then holds a meeting with the staff and residents as to the procedures involved in preventing such an occurrence. This includes meeting the standards of the Center for Disease Control and the Occupational Safety and Health Administration. These procedures include dealing with HIV/AIDS, hepatitis, TB, and other contagious and infectious diseases. The instructions include, but are not limited to,receiving TB or hepatitis tests, insuring proper treatment of the infected client, common sense preventative measures such as,washing hands and keeping separate eating utensils, and the wearing of rubber gloves when coming into contact with any client's bodily fluids. It is the Medical Director's responsibility to seek current medical advice from experts in the field and in complying with applicable health regulations governing contagious or infectious disease and problems associated with immuno-deficiency. If necessary the Medical Director will administer TB tests and record results. XIX. HANDLING AND DISPENSING MEDICATION Third Way Center will follow the Office of Child Care Services, Colorado Department of Human Services' rules and regulations Staff Manual Volume 7, Section 7.705.31. 1. All documentation of medication and administration of medication, medication errors, and drug reactions must be noted in the medication chart. 2. Discontinuing and disposing of medications must be documented in the medication chart. 3. Acceptance of verbal medication orders must be confirmed by written or electronic transmittal. 4. Third Way Center shall maintain records of all prescription medications dispensed to clients for 5 years. 5. Only persons authorized by the Colorado Department of Human Services Regulations shall administer medications. All direct care staff shall be trained in the recognition of common side affects of medication. This training must be documented and the certification by the Health and Human Services Department in the personnel chart of the direct care staff administering medications. 6. All medication is kept in a locked safe place, accessible only to direct treatment staff who is authorized to dispense medication. Page 13 of 17 Family Counseling Third Way Center uses an eclectic,psycho-dynamic, systemic approach to family therapy. Families are included in the treatment process from intake until discharge. Most families attend weekly meetings. Some families require additional individual counseling. We have an all-inclusive approach with the ultimate goal of family reconciliation, whether that means the child can return home or the family will be a strong support system when the child emancipates. Family sessions are conducted by Master's level therapists, both licensed and unlicensed. Licensed professionals provide supervision for all family therapy. All levels of care receive the same services. Substance Abuse Treatment: Third Way Center has ADAD certification that was granted in April 2005. Third Way Center's full-time Drug and Alcohol Treatment Coordinator is a LCSW, CAC III. This position is supervised by our CAC III certified LCSW Clinical Director. The coordinator is responsible for managing the drug and alcohol treatment program throughout all TWC facilities. This is an all inclusive program, utilizing all four listed program areas. Education,prevention, intervention, and treatment in regards to substance related issues are intertwined and are included in the treatment planning process for each individual client. Appropriate assessments are utilized to identify the level of services needed. The coordinator is also trained in administering and interpreting the SASSI when needed. The Drug and Alcohol Treatment Coordinator co-facilitates a treatment level group at each facility on a weekly basis. In addition, the staff at each facility is supervised and responsible for following through with the specific individualized treatment plan. The groups address issues from education to treatment, which include,but are not limited to, relapse prevention, triggers for identifying a cycle of substance abuse, familial patterns of drug and alcohol abuse and emotional issues connected to substance related issues. Individual and family therapy are also conducted with respect to drug and alcohol issues, as needed. Random urinalysis screens are performed on all clients on an average of two per month. Considering that Third Way Center is a community based program, our clients are expected to transition into the community, and therefore special attention is given in assisting them to find a safe work environment, as well as how to spend their leisure time. We encourage the residents to expand their support systems within the community to help them maintain their sobriety(such as NA or AA). Also, when appropriate, consideration and coordination of more intensive services could be facilitated. Clients are encouraged to complete a drug abstinence plan identifying all their reasons for abuse and how they intend to stay sober once out on their own. The coordinator also is available to provide in-services for the staff or residents related to drug and alcohol issues. At a minimum, an annual education in-service is conducted for the staff in relation to chemical dependency. The drug and alcohol coordinator has also developed a curriculum for the TWC School to assist in the education, as well as the prevention process. The Drug and Alcohol Support Group is also provided on a bi- monthly basis; for those who either have graduated from the treatment group, or who have family members with a history of chemical abuse. The Drug and Alcohol program Page 14 of 17 is essential in the overall treatment of our clients. The youth at TWC are high risk for drug and alcohol abuse. Our philosophy is to provide an individualized treatment plan, within a multi-disciplinary treatment team. All levels of care receive the same Drug and Alcohol Services. Life Skills: Third Way Center has all-inclusive services,which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups,which require residents to display competencies in 12 independent living categories. At all our facilities, with staff supervision, the clients do the menu planning, cooking, cleaning, and grocery shopping. We also address issues such as budgeting, using public transportation, and banking. This is a hands-on approach that requires client participation(i.e. most of our clients use public transportation,have joint bank accounts with our staff and are required to save 80% of their paychecks and appropriately budget the rest). At our Lincoln facility, each client is required to attend 12 independent living groups and display competencies in the following areas: cleaning, apartment comfort,hygiene, apartment information, cooking and menu planning, shopping and food storage, budgeting skills, savings and checking, school and work,being alone and support systems, leisure time and time management, conflict resolution and anger management. These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Vocational Preparation: Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background, goal setting(short and long term) and assessing community resources. Clients attend weekly groups pertaining to career exploration, employment and job hunting skills. Once a client is determined to be ready to seek employment he/she will attend a 5-8 session seminar which covers: interviewing skills, including videotaped practice interviews; resume writing;job hunting; filling out job applications; career exploration;job retention; and how to access community resources available to them. Individual job coaching is provided during each stage of the job search, including: picking up applications, completing and submitting applications, and interview preparation. There is a vocational /educational resource room that has educational and financial aid information, software for ACT, SAT reading skill development, GED preparation, career exploration, keyboard skills, and post secondary educational and vocational training resources. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed, including Vocational Rehabilitation, Job Corp, Youth at Work, Mile High Youth Corp, One Stop Career Centers, Safe City, Goodwill's Earn and Learn, Youth Biz, Summer Scholars, Governors Summer Job Hunt, Page 15 of 17 Art Street, Elitch's Summer Job Program, Arapahoe/Douglas Works, Women's Bean Project, and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. Education: At admission, Third Way Center works with all the involved parties to develop an educational plan for each client. Third Way Center operates our own certified high school. Small classrooms and individualized instruction enable each child to maximize their educational opportunities. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. When appropriate, we also access community based high schools and GED programs. The GED programs we use are Emily Griffith, Empowerment Program, and Northeast Women's Center. In addition, each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education, our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process, course selection, and coordinating the use of academic support services. We have clients who attend local community colleges, Metro State, technical colleges and other universities. In addition, we have scholastic scholarships offered in conjunction with Mile High Rotary Club and Guardian Scholars. Recreational, Cultural and Spiritual activities: Third Way Center encourages residents to participate in recreational, cultural and spiritual activities appropriate to their needs. Third Way Center offers on average three to four recreational and cultural activities per week. This is done on both a group and individual level. The Athletic Director organizes athletic leagues that are open to all residents of TWC. The sporting programs offered include: boys and girls basketball, girls volleyball, snowboarding, skiing, and boys and girls track and field. In addition, facility staff arranges more casual group activities such as hiking, fishing,bowling, rollerblading,basketball, weight lifting, running, swimming, and camping. Cultural activities can include art classes,musicals, singing lessons, theatre, sporting events, etc. Some of the agencies we work with are CHILL Snowboarding Program, ArtReach, Outward Bound, Winter Park Handicap Association, and Women's Wilderness Institute. The Joan Farley Academy also includes cultural awareness as part of their educational curriculum. The highlights of this component of the curriculum are student trips. Annually two student trips are taken to allow the youth to experience new things and expose them to the Native American culture. The Chin Le trip is an 8 day service- learning trip for between 8 and 16 clients where they visit a Native American Reservation and receive special permission to camp in a protected canyon. They plant fruit trees to help provide additional sustenance to the low income community and the cross-cultural experience tends to be an important eye-opening encounter for the students. They also camp at the Grand Canyon during this trip. The other trip goes to Taos,New Mexico where between 18 and 25 students visit Pueblos and cliff dwellings. Students participate Page 16 of 17 in traditional Native American arts and crafts projects and study Native American culture. Furthermore,TWC initiates contact, on behalf of the client, with local cultural centers to encourage involvement with other members of his/her cultural heritage. This includes the Gay and Lesbian Center, Korean Christian Community, Japanese Center,Native American Center, etc. We educate each client to all the available appropriate community resources to help them develop a network of positive, affordable activities that they can do during their leisure time. In addition, we encourage all residents to participate in positive activities specific to a client's culture. We attempt to hire multi-cultural staff in order to provide proper education and role modeling in such areas. In addition, all children are encouraged to participate in religious activities in the community. We assist residents in finding the religious center of their choice and have worked with clergy to foster their religious education and growth. All levels of care receive the same adjunct services. Transition Services Third Way Center has a long history of providing transition services to clients. We emancipate 70% of our clients and have developed a continuum of care from community based residential treatment(York, Pontiac and Teen Mother Facilities) to supervised apartment living(Lincoln Facility, also RTC), to scattered site apartments in the community(Next Steps, Level A). If a child is to return home we provide transition services consisting of home passes to ensure a successful return to a parent or relative. All levels of care receive the same transition services. Third Way Center offers a residential continuum of care leading toward emancipation. We do intensive independent living training in our facilities. All residents are required to save 80% of their paychecks. It's our goal that they save a minimum of$1500 by the time they emancipate. We work with landlords to ensure affordable quality housing upon emancipation (i.e.Next Steps program). Services are the same for all levels of care. Page 17 of 17 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of cSu// , 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#1507881, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$157.94 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$157.94 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 .�7ch6-7-'739R 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 sewed 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: LIMIT Weld County Clerk to the Board WELD COUNTY BOARD OF E `j,‘, SOCIAL SERVICES, ON BEHALF toe 0."\-0, F THE WELD COUNTY 351 -. ,; j_...#. EPARTMENT OF SOCIAL :'F' .! '~- " ERVICES / By kM 4 �i�-a_, By: eputy C rk to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Third Way Center PO Box 613 Denver, 6 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irecto 4 Weld County SS-23A Addendum c-. a(6-'3Ja (Ekhibit A) Third Way Center, Inc. Third Way Center serves clients age 13-20, but the vast majority of our clients are 15-18. All persons seeking admission are given equal consideration without regard to race, color, national origin, religion,political affiliation, sex, sexual orientation, financial status or disability. Except for our Teen Mother Program, all of our programs are co-educational. We do treat sex offenders. The needs,problems, situations, or patterns best addressed by Third Way Center's programs include; serious psychiatric illness, delinquencies, runaways, truancies, substance abuse,and disturbed family relationships. Our clients have averaged 12 previous placements prior to entering our program. Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Third Way Center is a non-profit agency that has a 35-year history of providing community based de-institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Residential Child Care Facilities and certified as Residential Treatment Centers. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is a Level A, step down program from our Lincoln Street facility. Services we provide in all of our facilities include, but are not limited to psychiatric evaluations, medication prescribing and monitoring, individual, group and family therapy, teaching of independent living skills, substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to twelve teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Regarding the sex offender population we work with Redirecting Sexual Aggression to provide assessment and treatment. In addition,Third Way Center has a licensed alternative school named The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative- building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Our senior staff averages 17 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 28 years. York, Pontiac and Lincoln facilities are centrally located in Denver County and we have a 35 year positive history working with the Colorado Department of Human Services. York, Pontiac, Lincoln, and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. Page 1 of 17 There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition, there is a full-rime Registered Nurse on staff. Safety in our facilities is of paramount importance. Third Way Center has a fire alarm system in each house connected to the Denver Fire Department. There are security screens installed on an as needed basis. Each house has an interior and exterior camera system to aid in supervising the building and the exterior entrances. Certain doors have an alarm system. Our staff/child supervision ratios meet all State requirements. Overnight workers are equipped with emergency pagers that will silently alert the police in case of an emergency and offices also have a panic button for security purposes. Facilities: York: 1295 York Street, Denver CO 80206 Pontiac: 1735 Pontiac Street, Denver CO 80220 Lincoln: 1133 Lincoln Street, Denver, CO 80203 Teen Mother House: 4821 S Bannock Street, Englewood, CO 80110 Type of License or Certification(include licensing#s and Date of Expiration) RTC/RCCF License: 16 clients—York#49487 Exp: 7/2006 RTC/RCCF License: 23 clients plus 4 infants—Lincoln#77810 Exp: 6/2006 RTC/RCCF License: 16 clients—Pontiac #65346 Exp: 6/2006 RTC/RCCF License: 22 clients, may include 9 children of clients —Teen Mother House #1507881 Exp: 8/2006 Mental Health Services—RTC Certification Exp: 2/12/06 Council on Accreditation Exp: 2/2008 ADAD certification Exp: 4/2008 Description of all Program Services York: Capacity 16=9-10 boys, 6-7 girls Pontiac: Capacity 16= 10 boys, 6 girls Lincoln: Capacity 23,no gender specific criterion,we take up to 2 teen mothers Teen Mother House: Capacity 13 girls and up to 9 babies Next Steps: Capacity 10, no gender specific criterion. Page 2 of 17 STAFF LIST Umbrella Staff(agency-wide) Executive Director Human Resource Coordinator/Finance Rep David Eisner, M.Ed. Heather Fralick Medical/Program Director Information Technology Coordinator Hildegard Messenbaugh, M.D. Mike Bond Clinical Director Resource Coordinator Renee Johnson, L.C.S.W., C.A.C.III Erin Martin Assistant Clinical Director Operations Coordinator Kristi Thiede, M.A., L.P.C Jody Groves Nurse Office Manager (Lincoln) Holly Vause, R.N. Allison Sager Psychologist Operations Associate Patricia Duffy, Psy.D. Mike Connors Drug&Alcohol Treatment Coordinator Relief Mental Health Counselors Claudia Drinks, L.C.S.W., CAC III Emily Anderson, B.S.W. Alyssa Clark, B.A. Director of Independent Living Jennifer Crowe Anita McKiernan, B.A. Christi Dailey, B.A, Asheabarka Duru Career &Academic Development Ali Kaba, B.A. Counselor Katie Eichelberger, B.A. Kristina Coates, B.A. Greg Murphy Tanya Finkel, B.A. Nutritionist Karley Nobles, B.A. Shannon Bishop, R.D. Drew Hodgson Maureen Lewis, B.S. Athletic Director Jeanetta Taylor Mischelle Brown, B.A. Bodessa Trotman, B.S. Amanda Wilcox Tutor Sherilyn Derstine, M.A. Director of Administration & Development Tami Lack Director of Operations Heidi Coughlin Director of Finance&Technology Ron Goss, C.P.A. Page 3 of 17 York Facility Treatment Leader Mental Health Counselors Amber Lacy, M.A. Karen Briscoe, B.S. Leigh Foster, B.S. Therapists Justin Ryan, B.A. Steven Ferradino, M.S. Lenora Rodgers, B.S. Craig Thornhill, M.A. Liz Whittet, B.S. Yuna Yi, M.S.W. Leon Reynolds, M.A. Pontiac Facility Treatment Leader Mental Health Counselors Andrea Berger, M.A. Lisa Call, B.S. Theresa McGrath, B.S. Therapists Jack Wilson, A.A. Michelle Cook, M.S.W. Aaron Olson, B.S. Dana Loeb, M.S.W. Tiffany Taylor, B.A. John Soldano, M.Ed. Zachary Kauffman, M.S.W. Teen Mother Facility Treatment Leader Mental Health Counselors Carol Pitts, M.S.S. (in progress) Megan Carroll, B.A. Matt Crum, A.A. Therapists Mindy Meyer, B.A. Kimberly Renner, M.S.W. Genevieve Smith, B.S. Irrit Gamliel, M.S. Amy McGowan, B.S. Melissa Sturges, M.S. Sheldine Runyan, M.A. Lincoln Facility Treatment Leaders Mental Health Counselors Tim Wright, M.A., L.P.C. (leaving 7/06) Erin Cunningham, B.A. James Linderman, B.S. Therapists Tarah Mast, B.A. Christine Fuhrman, M.S.W. Steven Meldahl, B.A. Brandon Lee, M.S. (tn Progress) Jen Flock, M.A. Caitlin Haynes, M.A., L.P.C., CAC III (to be promoted to Treatment Leader 7/06) Alexandra Naday,M.A. John Tinniswood, M.A. Jen Bresser, M.A. Next Steps Treatment Coordinator Next Steps Counselor Laura Seese, L.C.S.W. Hilary Pekar, B.A. Page 4 of 17 Joan Farley Academy Educational Director Teachers Linda Lindsay, B.A., Special Ed Cert. Lisa Baylon, B.S. Kyle Moreno, B.A. School Principal Jason Geoffrion, B.A. Chanon Bernstein, B.A. David Sidwell Nimita Weiss,MEd. School Social Worker Kristin Taavialma, B.A. Bruce Avery, M.S.W. Monica Snyder, M.A. Mental Health Counselors Cambra Cameron, B.S. Laurie McConnell, B.A. George Hemingway, B.A. (in progress) STAFFING SCHEDULE We have a minimum of one staff member on overnight shifts and a minimum of two staff members on day-time shifts. In general, during peak times we average between three and five staff on duty. The following is a sample schedule for M-F. Therapist Therapist Therapist Therapist Counselor Counselor Counselor 1 2 3 4 1 2 3 12:00 AM - 1:00AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 8:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM Page 5 of 17 The following is a sample schedule for weekends. Therapist 1 Therapist 2 Counselor 1 Counselor 2 Counselor 3 12:00 AM 1:00 AM 2:00 AM 3:00 AM 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM :.. . 5:00 PM 6:00 PM 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM STAFF TRAINING PLAN Recently we have been offering specialized training sessions to aid staff in preparing for the LPC and LSW licensing process. In addition, we have an extensive staff training procedure,which involves an initial presentation covering the organization's history, mission, structure, clinical orientation, fire and safety procedures, critical incidents, appropriate boundaries, cultural awareness, suicide assessment and prevention, universal precautions, technology and communications. After this initial presentation the employee begins 80 hours of on-site training which covers the facilities policies and procedures in greater detail. This also includes certification in Medication Administration, CPR and First Aid. In addition we have a training manual that is located at each site with the following topics in written format. These manuals are available to be checked out for the staff to use at their convenience. In our training,the following areas are covered: 1. Introduction To Third Way Center, 2. Staff Information, 3. Fire Procedures, 4. Shift Duties, 5. Independent Living 6. Cultural Diversity and Gender Specific Training 7. Restorative Justice 8. Performance Appraisal And Staff Supervision, Page 6 of 17 9. Groups 10. Intake 11. Check-In/Out,AWOL Procedure 12. Record-Keeping 13. Special Consent Forms 14. Medication 15. Medical Procedure 16. Urinary Analysis 17. Psychological Emergencies 18. Critical Incidents 19. Finances 20. Shopping 21. Maintenance 22. Human Resources 23. Sexual Harassment In addition to our initial orientation,we offer ongoing training on a weekly basis in conjunction with our weekly staffings. All aspects of early childhood development, clinical issues involving adolescents, group therapy, family therapy, and diagnostic assessment are continually and periodically addressed through In-Service Trainings. We also,whenever possible, send our staff to training sessions, workshops, and conferences. Referral Process and Timelines 1. Referrals are taken by the Executive Director and the Clinical Director. 2. Referrals consist of: a. Initial contact is made by email, telephone or the mailing of a client information packet. A written package must be received before the client is placed on the referral list. Once a packet is received, it is reviewed and the client manager is contacted by phone to discuss the appropriateness of the referral. This is done within 5 business days of receiving the package. b. If review of the packet information indicates the client may be appropriate, there are 1 or 2 intake meetings with the client, his/her parents or guardians, caseworker, and one or more staff members of Third Way Center. c. The purpose of the intake meeting is: 1. to provide a thorough description of Third Way Center's programs and to advise the parents or guardians of their responsibility if they participate in the program. 2. to explain the non-discriminatory policies of Third Way Center 3. to conduct a tour of the facility for all interested parties 4. to conduct a thorough diagnostic interview with the potential client, including an educational, vocational, and avocational evaluation and a determination of substance abuse factors. Page 7 of 17 d. Caseworker and client are informed as to the probable length of the waiting list, and a discussion of other treatment possibilities is conducted. Wait lists generally average 4 to 8 weeks. e. Prior to admission into any Third Way Center program the clients case is reviewed at weekly team meetings consisting of Program Director (psychiatrist), Executive Director,Treatment Team Leader, and a team of therapists. The client manager is notified between one and 5 business days regarding whether or not the client has been accepted into the program. 5. All clients must meet the eligibility requirements for Medicaid rehabilitative services. a. The individual has a psychiatric disorder as described in Diagnostic Statistical Manual (DSM-4) as determined by a licensed professional person. b. The individual is being treated in the most appropriate and least restrictive setting. c. The individual has had an initial assessment to determine that he/she is capable of benefiting from the program at Third Way Center. d. As a result of the disorder the individual is experiencing psycho-social disruption which interferes with his/her functioning. e. The parent/guardian accepts the responsibility to participate in the treatment program and/or discharge planning. f. The client must have specific treatment goals which include: 1. Expected resolution of the problem that necessitated this Third Way Center treatment and the specific functional achievement to be obtained in measurable terms. 2. The anticipated duration and frequency of treatment. 3. Indications why the planned services can reasonably be expected to improve the child's condition. Treatment Planning And Case Management Treatment planning and Quality Assurance are a joint effort between Third Way Center staff, caseworker or client manager, client and client's family. All treatment planning works in coordination with a client's case plan,where all decisions regarding a client's disposition is a collaborative process between Third Way Center and the Department of Human Services. All residents receive a Mental Status Exam and subsequent 72 Hour, 10 Day and 30 Day(thereafter) evaluations. The following services are provided to all clients: • Psychological Therapeutic Services (including: individual, group, family, milieu, and behavioral modification therapy) • Supervision of the treatment by a licensed professional person. • Independent Living Training • Community Reintegration Preparation. • Involvement of parents, legal guardian, family member or custodian as scheduled in the treatment pan. • Documentation by a multi-disciplinary team at least every month including a statement of progress toward established goals. Page 8 of 17 • Documentation by the licensed professional person at least every month that the individual will benefit from continued Third Way Center rehabilitative therapy. Quality Assurance is an integral part of our case management. Third Way Center's Quality Assurance is grounded in six processes: 1. Clinical Supervision, 2. Psychiatric Consultation, 3. Monthly Peer Review/Q.A. Committee,4. Staffings, 5. Six Month Reviews, 6. Data Collection and Analysis Review. Case Management Services are the same for all levels of care. Mental Health Services All clients receive appropriate mental health services. This includes initial psychiatric evaluation, medication evaluation, medication prescription and monitoring, and professional supervision and treatment planning. We have a full-time psychiatrist on staff who directly does all the psychiatric and medication assessment. In addition, we have our Clinical Director(LCSW, CACIII), and Assistant Clinical Director(LPC), who do all supervision with the psychiatrist. Our Drug and Alcohol Treatment Coordinator (LCSW, CAC III), supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. They also are in charge of staff education at In-Services. Being a therapeutic community, treatment components are integrated into the milieu through both group therapy and daily milieu contact. All clients know that therapeutic issues will be addressed on an as needed basis in the community. All levels of care receive the same mental health services. Clients who are Level C receive additional psychiatric and clinical services. All clients who are classified as Level B receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist is available • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 4-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups, Males Group, Females Group, DYC Group, Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse), Sexual Perpetration Group (2 per week), Grief Group, Independent Living Group, Family Support Group, and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations, co-facilitate groups, conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Page 9 of 17 Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community, milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu, and can be observed, addressed, and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. All treatment plans are individualized to our clients' needs and are integrated with the Discrete Case Plan. This is a joint process, which includes the Client Manager, facility, client, and client's family. Treatment plans are continually reviewed to ensure that the needs of the client are being met. Next Steps We only offer Level A services at out Next Steps program. Next Steps is a step-down program designed for adolescents leaving a higher level of care and those in the foster care system who are in need of transitional independent living services. It was opened to better ease the transition from Third Way Center's Lincoln Apartments into the community and shorten the overall length of care. The program has the capacity of 10 clients and is directed by a full-time LSW Treatment Coordinator, in addition to a full- time Counselor. Most clients in the Next Steps program move into apartments in the community. The residents pay a percentage of their income toward rent, with the percentage gradually increasing to help the resident adjust to living on their own. Some clients are reunified with their families and they receive home-based transition services through Next Steps. A case manager supervises the resident's living situation. The amount of time a resident stays in Next Steps is determined by social services and Third Way Center personnel. Clients still receive therapeutic intervention, in addition to the independent living skills. The client receives two- three individual therapy sessions per week, a weekly family therapy session and two—five therapeutic or life skills groups per week. Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include, but are not limited to: Drug and Alcohol Group, Special Issues Group (victims of physical or sexual abuse), Sexual Perpetration Group(co-facilitated with Redirecting Sexual Aggression), Grief Group, Life Skills Group, and Parenting Group. Next Steps also includes services for teenage mothers. The life skills groups focus on a variety of independent living topics, such as: ➢ Budgeting ➢ Grocery shopping ➢ Cooking ➢ Cleaning ➢ Employment counseling- short/long term ➢ Educational guidance(finding appropriate educational program) Page 10 of 17 > Finding leisure time activities > Increasing awareness of community resources There is a full-time psychiatrist on staff to both prescribe and monitor medication administration. The doctor will also provide well baby care. There is 24 hour, on call service and crisis management. And our Lincoln facility offers respite care. Medical Services: There is one licensed full time M.D. on the premises, who is a member of the staff at Children's Hospital. In addition, there is a full-time Registered Nurse on staff. Whenever the M.D. or R.N. handles a routine medical issue in one of the facilities, a note is written in the chart documenting the actions taken and/or the medications or treatments prescribed. York, Pontiac and Lincoln use Children's Hospital for emergency medical services and specialty clinics. The Teen Mother House uses Swedish Hospital. Our policy for medical emergencies and the handling of prescription medications follows: XV.MEDICAL SERVICES 1. Third Way Center will meet all the rules and regulations issued by the Office of Child Care Services, Colorado Department of Human Services relative to medical and health services. The obligation to insure availability of medical services shall not be construed to pay for such services. Any client of Third Way Center has the right to visit the emergency room of choice and receive treatment if necessary. However, each client has the obligation to contact the attending on call staff as to the appropriateness of such a visit. The staff is then to contact the medical director or his/her representative on call, to check on the necessity of an emergency or medical consultation visit. 2. Within the first 30 days of admission, the client has to have a physical examination and a dental examination unless one was done within 60 days of admission. A statement of the examiner will be retained in each client's file. This exam shall include the following: a. an examination for physical injury and disease b. vision and hearing screening c. a current assessment of the resident's health, including immunizations. Subsequent examinations shall be done annually or as directed by the Medical Director. 3. A review of immunizations in accordance with state law and regulations is to be conducted upon admission. If a resident needs diagnostic services, emergency care, corrective care, recuperative care, and/or immunization updates a consultation form needs to be completed by the primary therapist and the resident together with the form is to be referred to Children's Hospital, Denver Health, or University of Colorado Health Science Center. Page 11 of 17 4. The Medical Director is on call on a 24 hour, 7 day a week basis. Emergency room facilities are available on a 24 hour, 7 day a week basis at Children's Hospital and Denver Health. If the client has a life threatening immediate emergency the staff has been instructed to call 911 and an ambulance, administer first aid as they have been taught in CPR classes and have the client transferred to one of the above named emergency rooms. 5. In non-emergency medical situations the Medical Director is to be contacted and will triage the situation. A referral to the appropriate specialty departments at Children's Hospital, Denver Health, Colorado Health Science Center, or a hospital covered by the medical insurance of the client will be made. 6. After the resident returns from his/her appointment with the appropriately completed consult form, the primary therapist and if necessary the Medical Director will explain to the resident in language understandable to him/her any medical treatment administered. 7. Health education and sex education are incorporated in male/female gender groups and special issues group. 8. Dental care is provided by Dr. Johnson, (303) 322-1177,he is licensed in the State of Colorado. Residents shall receive annual dental examinations. 9. If a resident wishes an exemption from medical examination or treatment due to religious beliefs,the resident shall submit a written statement, signed by his/her parents or legal guardian which states the reason for such exemption. Third Way Center has the right to request a statement of general health from a medical examiner. Third Way Center has the right to refuse admission to a client whose parent or guardian refuses medical examination or treatment. 10. Through its independent living curriculum staff at Third Way Center are to teach the clients how to maintain a safe, hygienic, and sanitary environment. All independent living skills such as cooking, cleaning, washing of clothes and dishes, and chores are supervised and monitored by staff Public health inspections on a regular basis ensure compliance. Visual inspection by Treatment Leaders and program directors ensure on-going monitoring of health procedures. 11. When a client is ill, he/she is confined to his/her room and staff instructs other residents and adults in advisability of contact and the cleaning of materials used by the sick client. 12. Cleaning supplies and other hazardous materials are located in a locked staff-only accessible room. 13. All facilities at Third Way Center meet state regulations for a hazard free environment and these inspections ensure checking of water temperatures, covered electric outlets, securing floor covering and equipment, adequacy of lighting and ventilation, and identifying hazardous conditions. Page 12 of 17 14. Whenever a client is admitted to Third Way Center who might likely expose Third Way Center staff and residents who come in contact with his/her blood,the likelihood of exposure to blood-borne pathogens is reported to the Medical Director by the intake officer. The Medical Director then holds a meeting with the staff and residents as to the procedures involved in preventing such an occurrence. This includes meeting the standards of the Center for Disease Control and the Occupational Safety and Health Administration. These procedures include dealing with HIV/AIDS, hepatitis, TB, and other contagious and infectious diseases. The instructions include, but are not limited to, receiving TB or hepatitis tests, insuring proper treatment of the infected client, common sense preventative measures such as, washing hands and keeping separate eating utensils, and the wearing of rubber gloves when coming into contact with any client's bodily fluids. It is the Medical Director's responsibility to seek current medical advice from experts in the field and in complying with applicable health regulations governing contagious or infectious disease and problems associated with immuno-deficiency. If necessary the Medical Director will administer TB tests and record results. XIX. HANDLING AND DISPENSING MEDICATION Third Way Center will follow the Office of Child Care Services, Colorado Department of Human Services' rules and regulations Staff Manual Volume 7, Section 7.705.31. 1. All documentation of medication and administration of medication, medication errors, and drug reactions must be noted in the medication chart. 2. Discontinuing and disposing of medications must be documented in the medication chart. 3. Acceptance of verbal medication orders must be confirmed by written or electronic transmittal. 4. Third Way Center shall maintain records of all prescription medications dispensed to clients for 5 years. 5. Only persons authorized by the Colorado Department of Human Services Regulations shall administer medications. All direct care staff shall be trained in the recognition of common side affects of medication. This training must be documented and the certification by the Health and Human Services Department in the personnel chart of the direct care staff administering medications. 6. All medication is kept in a locked safe place, accessible only to direct treatment staff who is authorized to dispense medication. Page 13 of 17 Family Counseling Third Way Center uses an eclectic,psycho-dynamic, systemic approach to family therapy. Families are included in the treatment process from intake until discharge. Most families attend weekly meetings. Some families require additional individual counseling. We have an all-inclusive approach with the ultimate goal of family reconciliation, whether that means the child can return home or the family will be a strong support system when the child emancipates. Family sessions are conducted by Master's level therapists,both licensed and unlicensed. Licensed professionals provide supervision for all family therapy. All levels of care receive the same services. Substance Abuse Treatment: Third Way Center has ADAD certification that was granted in April 2005. Third Way Center's full-time Drug and Alcohol Treatment Coordinator is a LCSW, CAC III. This position is supervised by our CAC III certified LCSW Clinical Director. The coordinator is responsible for managing the drug and alcohol treatment program throughout all TWC facilities. This is an all inclusive program, utilizing all four listed program areas. Education,prevention, intervention, and treatment in regards to substance related issues are intertwined and are included in the treatment planning process for each individual client. Appropriate assessments are utilized to identify the level of services needed. The coordinator is also trained in administering and interpreting the SASSI when needed. The Drug and Alcohol Treatment Coordinator co-facilitates a treatment level group at each facility on a weekly basis. In addition, the staff at each facility is supervised and responsible for following through with the specific individualized treatment plan. The groups address issues from education to treatment, which include,but are not limited to, relapse prevention, triggers for identifying a cycle of substance abuse, familial patterns of drug and alcohol abuse and emotional issues connected to substance related issues. Individual and family therapy are also conducted with respect to drug and alcohol issues, as needed. Random urinalysis screens are performed on all clients on an average of two per month. Considering that Third Way Center is a community based program, our clients are expected to transition into the community, and therefore special attention is given in assisting them to find a safe work environment, as well as how to spend their leisure time. We encourage the residents to expand their support systems within the community to help them maintain their sobriety(such as NA or AA). Also,when appropriate, consideration and coordination of more intensive services could be facilitated. Clients are encouraged to complete a drug abstinence plan identifying all their reasons for abuse and how they intend to stay sober once out on their own. The coordinator also is available to provide in-services for the staff or residents related to drug and alcohol issues. At a minimum, an annual education in-service is conducted for the staff in relation to chemical dependency. The drug and alcohol coordinator has also developed a curriculum for the TWC School to assist in the education, as well as the prevention process. The Drug and Alcohol Support Group is also provided on a bi- monthly basis; for those who either have graduated from the treatment group, or who have family members with a history of chemical abuse. The Drug and Alcohol program Page 14 of 17 is essential in the overall treatment of our clients. The youth at TWC are high risk for drug and alcohol abuse. Our philosophy is to provide an individualized treatment plan, within a multi-disciplinary treatment team. All levels of care receive the same Drug and Alcohol Services. Life Skills: Third Way Center has all-inclusive services, which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups, which require residents to display competencies in 12 independent living categories. At all our facilities, with staff supervision, the clients do the menu planning, cooking, cleaning, and grocery shopping. We also address issues such as budgeting, using public transportation, and banking. This is a hands-on approach that requires client participation(i.e. most of our clients use public transportation, have joint bank accounts with our staff and are required to save 80% of their paychecks and appropriately budget the rest). At our Lincoln facility, each client is required to attend 12 independent living groups and display competencies in the following areas: cleaning, apartment comfort, hygiene, apartment information, cooking and menu planning, shopping and food storage, budgeting skills, savings and checking, school and work,being alone and support systems, leisure time and time management, conflict resolution and anger management. These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Vocational Preparation: Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background, goal setting(short and long term) and assessing community resources. Clients attend weekly groups pertaining to career exploration, employment and job hunting skills. Once a client is determined to be ready to seek employment he/she will attend a 5-8 session seminar which covers: interviewing skills, including videotaped practice interviews; resume writing;job hunting; filling out job applications; career exploration;job retention; and how to access community resources available to them. Individual job coaching is provided during each stage of the job search, including: picking up applications, completing and submitting applications, and interview preparation. There is a vocational /educational resource room that has educational and financial aid information, software for ACT, SAT reading skill development, GED preparation, career exploration, keyboard skills, and post secondary educational and vocational training resources. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed, including Vocational Rehabilitation, Job Corp, Youth at Work, Mile High Youth Corp, One Stop Career Centers, Safe City, Goodwill's Earn and Learn,Youth Biz, Summer Scholars, Governors Summer Job Hunt, Page 15 of 17 Art Street, Elitch's Summer Job Program, Arapahoe/Douglas Works, Women's Bean Project, and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. Education: At admission, Third Way Center works with all the involved parties to develop an educational plan for each client. Third Way Center operates our own certified high school. Small classrooms and individualized instruction enable each child to maximize their educational opportunities. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. When appropriate, we also access community based high schools and GED programs. The GED programs we use are Emily Griffith, Empowerment Program, and Northeast Women's Center. In addition, each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education, our Vocational/Educational program assists them with visiting and selecting the appropriate college, the application and financial aid process, course selection, and coordinating the use of academic support services. We have clients who attend local community colleges, Metro State, technical colleges and other universities. In addition,we have scholastic scholarships offered in conjunction with Mile High Rotary Club and Guardian Scholars. Recreational, Cultural and Spiritual activities: Third Way Center encourages residents to participate in recreational, cultural and spiritual activities appropriate to their needs. Third Way Center offers on average three to four recreational and cultural activities per week. This is done on both a group and individual level. The Athletic Director organizes athletic leagues that are open to all residents of TWC. The sporting programs offered include: boys and girls basketball, girls volleyball, snowboarding, skiing, and boys and girls track and field. In addition, facility staff arranges more casual group activities such as hiking, fishing,bowling, rollerblading, basketball,weight lifting, running, swimming, and camping. Cultural activities can include art classes, musicals, singing lessons, theatre, sporting events, etc. Some of the agencies we work with are CHILL Snowboarding Program, ArtReach, Outward Bound,Winter Park Handicap Association, and Women's Wilderness Institute. The Joan Farley Academy also includes cultural awareness as part of their educational curriculum. The highlights of this component of the curriculum are student trips. Annually two student trips are taken to allow the youth to experience new things and expose them to the Native American culture. The Chin Le trip is an 8 day service- learning trip for between 8 and 16 clients where they visit a Native American Reservation and receive special permission to camp in a protected canyon. They plant fruit trees to help provide additional sustenance to the low income community and the cross-cultural experience tends to be an important eye-opening encounter for the students. They also camp at the Grand Canyon during this trip. The other trip goes to Taos,New Mexico where between 18 and 25 students visit Pueblos and cliff dwellings. Students participate Page 16 of 17 in traditional Native American arts and crafts projects and study Native American culture. Furthermore,TWC initiates contact, on behalf of the client,with local cultural centers to encourage involvement with other members of his/her cultural heritage. This includes the Gay and Lesbian Center, Korean Christian Community, Japanese Center,Native American Center, etc. We educate each client to all the available appropriate community resources to help them develop a network of positive, affordable activities that they can do during their leisure time. In addition, we encourage all residents to participate in positive activities specific to a client's culture. We attempt to hire multi-cultural staff in order to provide proper education and role modeling in such areas. In addition, all children are encouraged to participate in religious activities in the community. We assist residents in finding the religious center of their choice and have worked with clergy to foster their religious education and growth. All levels of care receive the same adjunct services. Transition Services Third Way Center has a long history of providing transition services to clients. We emancipate 70% of our clients and have developed a continuum of care from community based residential treatment(York, Pontiac and Teen Mother Facilities)to supervised apartment living (Lincoln Facility, also RTC),to scattered site apartments in the community(Next Steps, Level A). If a child is to return home we provide transition services consisting of home passes to ensure a successful return to a parent or relative. All levels of care receive the same transition services. Third Way Center offers a residential continuum of care leading toward emancipation. We do intensive independent living training in our facilities. All residents are required to save 80%of their paychecks. It's our goal that they save a minimum of$1500 by the time they emancipate. We work with landlords to ensure affordable quality housing upon emancipation(i.e. Next Steps program). Services are the same for all levels of care. Page 17 of 17 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, 2006 through June 30, 2007. The following provisions, made this day of O 44 , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th€Agreement 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$138.09 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$138.09 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, 3 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 r 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 AddVrry _473,9;"? 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. 3 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 convictecb 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 a4 provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Seices 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 Contract, 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. LISA ATTEST: Weld County Clerk to the Board 'tom` • WELD COUNTY BOARD OF f, J.' SOCIAL SERVICES, ON BEHALF fifij OF THE WELD COUNTY ta55 °• DEPARTMENT OF SOCIAL SERVICES By: C Lri-tom By: G.c.- puty C rk to the Board . J. Geile, Chair AUG 3 0 zuub CONTRACTOR Youth Emancipation & Services, Inc. 3400 16th St, Suite 3R Greeley, CO/ 80634 By.7 12�/4/)�0141,/dC� WELD COUNTY DEPARTMENT OF SOCIAL SERVICES 3 By: - irector 4 Weld County SS-23A Addendum b rn r3) "4 _,c) a •1 '� o a w aj 'q ° p o G a�i y 0i. 3ct bb < g O , o°nb 3 p Ja .o p° ti w I. o `d 3 G o ° ai V a> A c F t x• •� o 0a Q o,CJ a0i 3 0 ° o > ° ❑ m e .. C • rrr0tj °�r••,, P. A 0 .+ p 6; cC ° AN' .s.' U ° Q. N N OA ,01 M w cal W Ct V V> a rot- U U 3 4•Yl' ° Va y b 75 y Cn w Q ° a ° a w o Y o ° p., W ,�- c' d U W U Q U 3 P. O C) 1 �ll4. 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