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Home My WebLink About20061612.tiff RECORD OF PROCEEDINGS MINUTES BOARD OF SOCIAL SERVICES WELD COUNTY, COLORADO JUNE 14, 2006 TAPE #2006-22 The Board of County Commissioners of Weld County, Colorado, met in regular session as the Board of Social Services in full conformity with the laws of the State of Colorado at the regular place of meeting in the Weld County Centennial Center, Greeley, Colorado, June 14, 2006, at the hour of 9:00 a.m. ROLL CALL: The meeting was called to order by the Chair and on roll call the following members were present, constituting a quorum of the members thereof: Commissioner M. J. Geile, Chair Commissioner David E. Long, Pro-Tem Commissioner William H. Jerke Commissioner Robert D. Masden Commissioner Glenn Wad Also present: County Attorney, Bruce T. Barker Acting Clerk to the Board, Jenny Luna Director of Finance and Administration, Donald D. Warden MINUTES: Commissioner Masden moved to approve the minutes of the Board of Social Services meeting of June 12, 2006, as printed. Commissioner Long seconded the motion, and it carried unanimously. WARRANTS: Don Warden, Director of Finance and Administration, presented the warrants for approval by the Board in the amount of$29,449.19. Commissioner Masden moved to approve the warrants as presented by Mr. Warden. Commissioner Jerke seconded the motion, which carried unanimously. PUBLIC INPUT: Alan Ackerman, Ackerman and Associates, presented a packet of correspondence, marked Exhibit A. He stated his company has provided vendor services for the Department of Social Services for many years; however, he has concerns with the scoring procedures used during the most recent bid process. He requested that the Board reject the recommendation of the Families, Youth, and Children(FYC)Commission regarding Ackerman and Associates being denied as a vendor for the Home Studies, Updates,and Relinquishment Counseling Services. He further stated he is committed to resolving any specific issues with the Department, and requested to move forward as a member of the vendor list. Mr.Ackerman stated the County does not have to utilize the services of all vendors listed on the vendor list. He stated his company is a State-listed vendor for these services, and he believes the basis of the evaluation is erroneous. He stated a need exists for an on-going investigation regarding activities between vendors and Department personnel. In response to Chair Geile,Judy Griego, Director of Social Services, stated Mr. Ackerman is protesting the vendor list for New Items of Business #5 and #9, for Sex Abuse Treatment Programs,and Home Studies, Updates,and Relinquishment Counseling Services. In response 2006-1612 BC0016 to Ms.Griego, Mr.Ackerman stated he only protests the vendor list of New Item of Business#9. Ms.Griego stated the bid process was completed in accordance with the way the process has been publicized. In response to Commissioner Long, Ms. Griego stated the FYC Commission has the responsibility to complete the planning for the Core Services Program, which includes the bid process. She stated the Commission is responsible for making recommendations to the Department and Board of County Commissioners regarding the types of activities and programs which are a part of the Core Services Program. She further stated the FYC Commission receives all bids, and reviews the bids in conjunction with the Department. Responding further to Commissioner Long, Ms.Griego stated the FYC Commission reviews the content and quality of the submitted bid, and how the bid addresses the required format. She further stated the Commission also reviews the quality of the bid, based upon their expertise. Mr. Ackerman stated he has procedural concerns regarding the FYC Commission. He stated a rule was adopted in 2003, which allows the Department to add reviewers who are not members of the FYC Commission, and the reviewer's score is counted in the bid process. He stated his company received a bid score of 78 from the FYC Commission, which is a passing score; however, after three reviewers from the Department completed their review, the new averaged score was not a passing score. He further stated all vendors are required to provide specifics regarding their services, and the bid template posted on the internet was not the correct form to utilize. He stated the FYC Commission gave his company a score of 78 for the Program Capacity category; and the scores of the additional reviewers were erratic, which leads him to believe the reviewers may not have been trained appropriately. Mr.Ackerman stated the summary sheet of the bid states that the bid is missing parts, which are actually contained in the bid. He believes his bid was considered within a prejudiced atmosphere. Chair Geile stated the Board has the option of rejecting all bids, based upon the finding of a flawed process,or to add Ackerman and Associates as a vendor for the Home Studies, Updates,and Relinquishment Counseling services. In response to Chair Geile, Ms.Griego stated the Board may accept the recommendation of the FYC Commission to not include Ackerman and Associates as a vendor, or the Board may approve the inclusion of the company as a vendor. Commissioner Long stated the bid process has been adhered to,and he is not sure of the validity of some of the comments made; however, the Board has an obligation to ensure the best services are provided for the families who benefit from the services. He stated he would support a motion to include Ackerman and Associates as a vendor; however, rejecting all of the bids is not a favorable option. Commissioner Vaad stated he appreciated the discussion held during the work session; however, there was no written or recorded correspondence with the vendor regarding a remediation plan. He stated he would supportthe motion of including Ackerman and Associates as a vendor. He further stated Ms.Griego has assured the Board that future discussions between the Board and the Department will include written documentation. Commissioner Vaad stated all eligible vendors have a right to provide services. Commissioner Jerke stated he does not find a reason to not amend New Item of Business#9 by adding Ackerman and Associates as a vendor at the time the matter is discussed. NEW BUSINESS: CONSIDER CHILD PROTECTION AGREEMENT FOR SERVICESANDAUTHORIZECHAIRTO SIGN- ROCKY MOUNTAIN OFFENDER MANAGEMENT SERVICES: Ms.Griego stated the term of the agreement is June 1, 2006, through May 31, 2007, and Rocky Mountain Offender Management Services will provide monitored sobriety for adults and youth involved in the child welfare system. She further stated the contractor will be reimbursed according to the fee schedule,for an amount not to exceed$30,000.00 using Child Welfare Administration funds. CommissionerJerke moved to approve said agreement and authorize the Chair to sign. Seconded by Commissioner Vaad, the motion carried unanimously. CONSIDER CHILD PROTECTIONAGREEMENT FOR SERVICESANDAUTHORIZECHAIRTO SIGN- AIMS COMMUNITY COLLEGE: Ms.Griego stated the term of the agreement is June 1,2006,through May 31,2007,and payment will be made using Child Welfare Block funds. She stated Aims will provide regularly Social Services Minutes, June 14, 2006 2006-1612 Page 2 BC0016 scheduled courses for certified foster parents who must obtain or maintain training for certification purposes. She stated Aims will be reimbursed the tuition rate of $77.00 per credit hour, with total reimbursement not to exceed $12,000.00. She further stated the Department will also reimburse Aims a total not to exceed $2,000.00 for educational materials. Commissioner Masden moved to approve said agreement and authorize the Chair to sign. Seconded by Commissioner Vaad, the motion carried unanimously. CONSIDER EIGHT NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR LIFE SKILLS PROGRAMS WITH VARIOUS PROVIDERSAND AUTHORIZE CHAIR TO SIGN: Ms.Griego stated the awards are recommended by the Department and the FYC Commission, and the award period is June 1, 2006, through May 31, 2007. She stated the source of funding is Core Services or Child Welfare Administration,and the contractors will provide life skills programs to families involved in the child welfare system. Ms. Griego read the names of the eight contractors into the record. Commissioner Vaad moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Jerke, the motion carried unanimously. CONSIDER FIVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR MENTAL HEALTH SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN: Ms. Griego stated the award period is June 1, 2006, through May 31, 2007, and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide mental health services for adults, youth, and children involved in the child welfare system. Ms. Griego read the names of the five contractors into the record. Commissioner Long moved to approve said awards and authorize the Chairto sign. Seconded by Commissioner Jerke, the motion carried unanimously. CONSIDER THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR SEX ABUSE TREATMENT PROGRAMS WITH VARIOUS PROVIDERS ANDAUTHORIZE CHAIR TO SIGN: Ms.Griego stated the award period is June 1,2006,through May 31,2007,and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide therapy services for non-offending parents,victims, siblings of victims,or juvenile sexually abusive adolescents. Ms.Griego read the names of the three contractors into the record. CommissionerJerke moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Long, the motion carried unanimously. CONSIDER TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR DAY TREATMENT SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN: Ms. Griego stated the award period is June 1, 2006, through May 31, 2007, and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide day treatment services for youth involved in the child welfare system. Commissioner Masden moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Jerke, the motion carried unanimously. CONSIDER THREE NOTIFICATION OF FINANCIALASSISTANCEAWARDS FOR OPTION B- HOME BASED INTENSIVE SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN: Ms. Griego stated the award period is June 1, 2006, through May 31, 2007, and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide home based intensive(Option B)services to families involved in the child welfare system. Commissioner Long moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Jerke, the motion carried unanimously. CONSIDER TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR INTENSIVE FAMILY THERAPY PROGRAMS WITH VARIOUS PROVIDERSANDAUTHORIZE CHAIR TOSIGN: Ms.Griego stated the award period is June 1, 2006,through May 31,2007,and the source of funding is Core Services Social Services Minutes, June 14, 2006 2006-1612 Page 3 BC0016 or Child Welfare Administration. She stated the contractors will provide mediation and facilitation services under Intensive Family Therapy Programs for families involved in the child welfare system. Commissioner Long moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Masden, the motion carried unanimously. CONSIDER TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR HOME STUDIES, UPDATES, AND RELINQUISHMENT COUNSELING SERVICES WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN: Ms.Griego stated the award period is June 1,2006,through May 31, 2007, and the contractors will provide home studies, updates, and relinquishment counseling under the child welfare system. Commissioner Jerke moved to add Ackerman and Associates to the approved contractor list,as the third contractor. The motion was seconded by Commissioner Vaad. Commissioner Long stated he supported the motion,with reservations. He stated the contractor was given a passing score of 78,since the bid met the criteria; however, questions exist regarding the delivery of service in a timely fashion. He stated the delivery of services within a timely fashion in more important than service descriptions. Commissioner Masden stated he concurred with Commissioner Long; however, he is not in support of the motion. Commissioner Vaad stated he concurred with Commissioner Long, and added Ms. Griego is committed to ensuring that all future correspondence will be written. Ms. Griego stated she has not provided a copy of the award for the Board,which includes the rates of reimbursement and specifications. She requested the matter be continued to the next Board meeting in order to present a copy of the award to the Board for a formal review. In response to Chair Geile, Mr. Barker stated the best way to proceed would be to complete the motion to add Ackerman and Associates as a vendor, and then continue the matter to June 19,2006, at 9:00 a.m. There being no further discussion,the motion to add Ackerman and Associates as an additional vendor carried four to one, with Commissioner Masden opposed. Commissioner Jerke moved to continue the matter to June 19, 2006, at 9:00 a.m. Seconded by Commissioner Vaad, the motion carried unanimously. CONSIDER FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR FOSTER PARENT CONSULTATION PROGRAMS WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN: Ms. Griego stated the award period is June 1, 2006, through May 31, 2007, and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide consultation services to certified foster parents within Weld County. Commissioner Long moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Jerke, the motion carried unanimously. CONSIDER TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR FOSTER PARENT TRAINING PROGRAMSWITH VARIOUS PROVIDERSANDAUTHORIZECHAIRTO SIGN: Ms.Griego stated the award period is June 1,2006,through May 31,2007, and the source of funding is Core Services or Child Welfare Administration. She stated the contractors will provide foster parent certification training. Commissioner Masden moved to approve said awards and authorize the Chair to sign. Seconded by Commissioner Long, the motion carried unanimously. Let the minutes reflect that the above and foregoing actions were attested to and respectfully submitted by the Acting Clerk to the Board. Social Services Minutes, June 14, 2006 2006-1612 Page 4 BC0016 There being no further business, this meeting was adjourned at 9:50 a.m. i /sp BOARD OF t ` 'I \ WELD COUNTY COUNTY COMMISSIONERS ATTEST: fug // ?tW1) tflipz '` �� iede Geile, Chair Weld County Clerk to the Board t r fp 1 ' 1 ..A ��p� y`�� David E. Long, Pro-Tern BY: \_ Atlt i C7 d Dep Clerk 4X; Board= ' ' '`` '` ‘71 ` /P is H J rke Robert D. Masd Glenn Vaad Social Services Minutes, June 14, 2006 2006-1612 Page 5 BC0016 //1 (4S Re: June 5, 2006 letter from Judy Griego concerning home study bid #06HS02 and related communication EXHIBIT I A S iVlihs.cos gip* For the County Commission: Concerning FYC Bid on Home Studies and Request for County Commission actions in relation to WCDSS relationships with vendors. From: Alan Ackerman, Ph.D., Board member For: Ackerman and Associates, P.C. CC: Mr. Bruce Barker, County Attorney Ms. Griego, Director WCDSS Summary: We seek the following actions by the County Commission in the work session on June 14, 2006 and, if needed, in the open public session at 9:00 that morning. 1.We ask the County Commission, acting as the Social Services Board,to take the unusual step to reject the recommendation of the FYC on our Home Study bid. We ask to be placed on the 2006-2007 vendor list for conducting home studies for WCDSS. 2. We ask the County Commission to review the bid process for accountability and transparency. 3. We ask the County Commission: a. to review the standards of what is being evaluated in the bid process and b. to assure that the reviewers are adequately trained in the bid process and c. that the County Commission direct the Director of General Services to oversee the actions of the FYC rather than have it supervised by the WCDSS so that it serves to be a more independent commission. d.to review the rule allowing Social Services to add scores to the work of the FYC and to call the product thereof the work of the FYC. e. to initiate a review of the FYC process particularly in regard to the question of how a potential vendor can get a passing score by the FYC reviewers and a failing score by the FYC . 4. We ask the County Commission to investigate how the scores were arrived at for this bid. 1 5. We ask the County Commission to clarify the purpose of the bid process specifically in regard to vendors who are already state certified for a program whose parameters are set by state law such as the home study state vendor list. 6.. We ask the County Commission to monitor written communication between the Department and the vendors. 7. We reiterate our request as stated in our initial and follow on emails. We ask that the County Commission undertake an independent outside investigation aimed at improving the relationships between vendors and the Department in all interactions. Conclusions: There appear to be more than enough procedural issues here to reject the FYC recommendation. Rule 27 of the bid process allows the county commission to waive irregularities.We ask the Commission to proceed under that bid rule to accept our bid to be on the vendor list.We ask that requests 1 through 7 above be accepted by the County Commission. 2 Requests and Discussion points: We seek the following actions by the County Commission in the work session on June 14 and, if needed, in the open public session at 9:00 that morning. 1. We ask the County Commission, acting as the Social Services Board, to take the unusual step to reject the recommendation of the PVC on our Home Study bid. We ask to be placed on the 2006-2007 vendor list for conducting home studies for WCDSS. Our bid was rated at 9.34 points below the cutoff for permitting the requesting of additional input from the bidder. Actually, the FYC members who reviewed the proposal, rated the bid three points above that cut off, but the added ratings apparently placed by non FYC members led the commission to reject the bid based on that lowered score. We have specific concerns about the validity of these added ratings, based on inaccuracies in comments related to the ratings. We also ask how many other bids had ratings added and how many total bids were rejected from the vendor list for all bids in all categories. As the added ratings are highly inconsistent with our overall performance as a vendor for WCDSS since the early 1990's, we ask the county to require the Department to place us on the vendor list after prompt and timely resolution of any issues that the Department wishes to present to us in writing as a vendor in the usual negotiation process for minor deficiencies in proposals. A fair reading of our proposal and a fair presentation of our history with WCDSS for the scope of our work over the past decade would demonstrate this to be a fair proposal. We consider such resolution by the Department to be able to occur within few days of your decision. We ask that all bids be retained and no official awards granted until this matter is resolved. 2. We ask the County Commission to review the bid process for accountability and transparency. The bid process fails to be fully transparent to external review by a vendor or to have appropriate oversight by the County Commission, if what we have received is indeed the only documentation available. Director Griego states there are no other documents than what we have received - a single score sheet with comments that are incorrect. Comments that the bid is missing items that the bid actually contains or that "everything in the bid is wrong" when some categories are at the top of their rating are troubling. Considering that these vendor lists provide access to millions of dollars of bid work, it is indeed hard to believe that such a process which has existed for a number of years operates at this level of accountability in which no documentation other than this single summary of the scoring is preserved. 3 3. We ask the County Commission: a. to review the standards of what is being evaluated in the bid process and b. to assure that the reviewers are adequately trained in the bid process and c. that the County Commission direct the Director of General Services to oversee the actions of the FYC rather than have it supervised by the WCDSS so that it serves to be a more independent commission. d. to review the rule allowing Social Services to add scores to the work of the FYC and to call the product thereof the work of the FYC. I believe such a rile should not be allowed as it can be abused as it appears to have been in our case in the home study bid. e.to initiate a review of the FYC process particularly in regard to the question of how a potential vendor can get a passing score by the FYC reviewers and a failing score by the INC . 4.We ask the County Commission to investigate how the scores were arrived at for this bid. The rule that allows non FYC members to add scores to the reviewer's scores and then argue against placement on the vendor list (presumably at a live meeting)based on factually inaccurate data needs to be reexamined. Unfortunately, the section of my request to Director Griego on clarification of the external and internal aspects of how the FYC operates has not been answered. No clarification of scoring procedures or selection of reviewers is described in the bylaws unless they are contained in Colorado statute as referenced in article 2 of the bylaws of the FYC as amended January 2003 CRS 19-1- 166(2)9a0, 19-1-I 16(2)b, 26-5-101 et seg26-5-.5-106(1)or 255-5-.5-106(2). The general section of the bid cited by Director Griego appears to allow the procedure but gives insufficient detail to understand the process. As to transparency, the process is unclear enough that we do not even know if the initials listed on the score sheet are groups or individual, although I understood in the meeting of May 30 that FYC was the combined score of the FYC reviewers. The FYC list, procedures, rules, meeting dates or any other data are not published on the Weld County website. Although I asked for meeting details and all rules of the process there appear to be no public minutes. A set of bylaws exist but no forms, operations materials or procedural manuals have been made available to me. I find it difficult to believe these are the only score sheets available. In an early conversation with WCDSS bid process coordinator, Andrea Shay, I was told that the raw score sheets were not available to me, not that they did not exist. An examination of the scores we received on the aggregate sheet shows a range of variation from 0-100%within a category and averages 50% variation between the evaluators across the categories. Clearly, not all of the raters are responding to the data they are being presented in a manner similar to one another. This implies a lack of understanding of the standards that should be applied, a lack of training, 4 an external interaction beyond the bid not captured in the available record or all of the above. It is my understanding that the monitoring of the FYC process is done by the Department of WCDSS and not by the Director of General Services. An independent monitoring function appears needed presumably by the director of General Services(not"just for the receipt of the bids", as I was told by the purchasing office staff.) Specifically, the County Commission should undertake a review of the FYC process to maintain tighter standards for uniform evaluation and should consider whether it is appropriate for the Department to contribute non FYC reviews that can prevent a vendor from being on the vendor list if the submitted proposal is given a passing score by the FYC reviewers. Such concerns of the Department should be addressed in the letter from the Department to the vendor either concerning the FYC reconunendations to the vendor based on the proposal or in another letter. If the Department has additional concerns, they should be addressed as the concerns of the Department to the vendor. Hopefully, Director Griego's proposal for quarterly written feedback and resolution of any issues between the Department and its vendors will minimize such issues. If the Department has issues with any vendor, it should resolve those issues in writing with the vendor and not use a non transparent process of an FYC which has no publicly available records as to the basis of its actions. 5. We ask the County Commission to clarify the purpose of the bid process specifically in regard to vendors who are already state certified for a program whose parameters are set by state law such as the home study state vendor list. Any qualified vendor should be allowed access to the Department vendor list. The Department should have a formal process for documentation of when a vendor should not be used in a home study and that process should be open to review by the vendor placed on such an internal do not use list. We question the independence of reviews arising from within the Department as the means to creation of a bather for a certified vendor to not be allowed to work in their certified trade. A vendor is qualified by their credentials and in the case of home studies by being on the state vendor list and by completing the required state vendor training and updates. The Department does not have to use any particular vendor on its list under the current rules. To deny placement of a state licensed or listed qualified vendor on a local list for that vendor's services may be inappropriate in itself, harmful to the good name of the vendor and to do so without a functioning due process to correct errors of fact damages the reputation of the vendor unfairly. The process of denying a state listed vendor placement on a local list is not the same process of the Department choosing to work with the vendor. More clarity is needed for such a bid process between the two components and should be explored as the FYC bid process and the relationship of the Department with its vendors is reevaluated. 5 6. We ask the County Commission to monitor written communication between the Department and the vendors. Ms. Griego states that the oral process of discussion within the Department is inadequate to resolve disputes and recommends a written quarterly process be implemented. We agree. Director Griego admits in her letter that such a process did not operate in relation to this bid and proposes instituting such a process. This is further reason for the County Commission to set aside this recommendation to not allow us on the bidder list. Dr. Ackerman is a specialist in dispute resolution and has made numerous and consistent oral attempts to identify and resolve any issue that has occurred. Our assessment is that the culture of the Department requires such resolution to be in writing. 7. We reiterate our request as stated in our initial and follow on emails. We ask that the County commission undertake an independent outside investigation aimed at improving the relationships between vendors and the Department in all interactions. There are numerous error of fact in Director Griego's communication to us. Most egregious is information she reports she has received from her subordinates compared to our experiences with some of those individuals. Nevertheless, details of our complaint as to what Ackerman and Associates was told by specific supervisors and the level of hostility and lack of civility we have experienced in some interactions with certain individuals in the Department on more than one occasion are not at the center of this dispute. This dispute is not about those individuals, their inappropriate derogatory statements in open meetings or activities with their coworkers that have misrepresented our work to their colleagues, or about efforts we know of, apparently designed to prevent caseworkers from using our services. What should be of interest to the commission is our concern for the value of vendors as a group to the Social Services process and the need for the Department to work with rather than be adversaries to those vendors. The level of trust between vendors and the Department is not, in my opinion, sufficient for the Department to be in charge of an internal self examination between itself and its vendors. As well, issues of possible appearance of conflict of interest in any Department's relationship with your own vendors in the handling of large sums of federal and state monies need to be considered. Potential questions of equitable access to the work associated with such funding and actual receipt of such funds allocated by the Departmental supervisors and individual caseworkers would seem to mandate an external examination. 6 REPLACEMENT of INCORRECT EXHIBIT in Director Griego's communication. The score review sheet you have received is incomplete. The document presented to you by Ms. Griego concerning scoring of our bid omits important sections of the review. This omission is, in my opinion, not intended but has apparently resulted from the computer formatting of the document we received by email from Ms. Shay who this year apparently managed coordination of the bid process. I do not know if this is a general problem in relation to all the score sheets or just one that my computer and Ms. Griego's computer seem to share in relation to the printer capacities related to how this email was formatted. Attempting to print the email loses about one half of the score, which is how Ms Griego's exhibit appears. The original document is available in the electronic data sent to Commissioner Geile and Commissioner Long. I was able after some considerable computer work to get most of the score sheet to print onto legal size paper material cut off has been added back by hand. The format is attached as our exhibit 1 The new exhibit should replace the corresponding pages of Director Griego's packet in her exhibit B. I have also typed the score for the 12 items being evaluated and included this below. Analysis of scores and their meanings: Note: Highlights and the %difference line huts been added • SCORE 1 2 3 (A) 3 (B )4 5 6 7 8 9 10(A) 10(B) 11 12 • FYC 5 15 5 5 5 5 5 10 10 10 0 0 0 3 78 • PAS 5 15 5 5 ' 5 5 - 10 5 0 0 0 0 59 • CPC 2 12 5 0 2 5 2 10 7 5 0 0 5 5 60 °o difference 60 20 0 100 60 60 80 30 50 100 40 65.66 • BOM 5 0 0 The scores of FYC are the commission reviewer ratings. The added ratings PAS CPC and BOM are difficult to interpret for me in relation to the proposal submitted. Items stated to be"missing" are not missing. Everything is not wrong with the proposal contrary to one statement. The letters were stated as not submitted when they were. In fact WCDSS required North Range to rewrite the letter we and that agency had agreed upon. The proposal was rated lower based on these"omissions"but whether the letters were required was muddled in the instructions on this bid given at the bidders meeting by Ms 7 Shay. Director Griego's response brushes over these concerns as if failure on the part of the commission being required to use acceptable criteria in creating a ranking of a bid is not a failure of the bid process and its adequate management . Evidence of the failure of the bid process can be ascertained as shown below. This analysis is limited by the lack of adequate documentation of the actual bid consideration process, which is said to not exist. Variation in scores between reviewers varied by category from 0 to100% and averaged 50%variation across categories. As follows 0 variation 3 categories 20%variation 1 category 40%variation 1 category 50% variation 1 category 60%variation 3 categories 80%variation 1 category 100%variation 2 categories Note that the passing score is 75 and that the FYC score is 78. Additionally, the added scores(PAS and CPC) scores show wide discrepancy from FYC scores and from each other. As well, the fourth reviewer did not complete a set of scores as was apparently intended. I have to wonder if it is the usual and customary procedure to have three additional reviews that are apparently about the vendor's past activities after the FYC as a group of reviewers give a score. This weights the independent review very heavily against independence from the opinion of the Department in reviewing stated criteria. Also, it is not possible to tell with certainty from the available written material if the additional scores are individuals or groups based on the limited transparency of the process. Director Griego's letter implies that BOM is an individual who apparently failed to rate the full bid. Multiple additional raters give the opportunity to pull down the score, if the added raters have other agendas or are not applying the same rating system or criteria to the evaluation.. These would be especially true if the FYC is a composite score over several reviewers and the added scores are individuals since the individuals would carry more weight than the FYC group score Sufficient details as to the process remains unexplained after several formal discussions. Considering that the FYC process is not new and is apparently mandated by law arrording to its bylaws this appears very unusual to me. This is further reason to examine the details of this practice of adding reviewers as it affects the accountability of the process. 8 DISCREPENCIES in the proposal ranking by score categories where there are discrepancies: Category 1 is Project Description. It is fully described over two pages of the bid. Two reviewers gave it a perfect score and one gave it 2 of 5 (a failing score). The one reviewer found it deficient, but no explanation is found in the notes and apparently no other record exists. One has to ask how this process can be validated based upon any actual evidence rather than on the assertions of how it was conducted described in Ms Griego's response. Category 2 is the Sample Home Study. One reviewer did not like some aspect of it, but two other reviewers gave it a perfect score. The format is fixed by the state and depends on a fully validated instrument. (SAFE model)perhaps the reviewer did not like the font we selected or had some neon they considered valid. It seems appropriate that any rating should have at least a line of explanation for each reviewer as a standard of determining any vendor access to public monies obtained from taxpayers. Category 3B is Bilingual and Bicultural services. Only one reviewer believed we could not provide these rating us a 0/5. Dr Ackerman's doctoral thesis was on utilization of services by Hispanic clients and elimination of barriers to access of those services. . How this rates a zero from a reviewer, when we also have a Spanish speaking therapist on the proposal, is a mystery to me. Category 4 is Type of Service provided. FYC reviewer(s)understood the type of service provided giving the category a perfect score. The supervisor for the Home Study bid(Dave Aldrich)wrote in his comments about the bid that we provide"quality services"(see bid page on supervisor's comments). The non FYC reviewers apparently downgraded this section for reasons not contained within the bid presumably. Here is the issue where an individual case or two are not being fairly weighted against ten years of experience, twenty five years of practice as a licensed psychologist, certification as a state vendor of this service and a lifetime of positive reputation. We are aware of serious cooperation and communication problems between the various groups in WCDSS responsible for conducting home studies, sometimes called the"upstairs/downstairs "problem. Category 6 is Service Objectives. FYC and one other reviewer gave it a perfect score. The other reviewer stated that it was 2 out of 5. The reasoning for such a ranking is hard to discern. Category 7 is Workload Standards. One reviewer apparently felt we had very little standards 2/10 which was 80% at odds with the two others who gave us a perfect score. The workload standards are clearly stated. They are the same type of workload standards we have proposed and delivered 9 since our work began with WCDSS, over a history of nearly 50 past bids and subsequent activities. Category 9 is the Unit of Service Computation. FYC gave this 100%of allowable points and two internal reviewers gave it 50%. It is hard to understand how such a discrepancy can be valid based on a calculation from clearly stated billing patterns billed as a complete service( as a Home study) and obtained with the Department's mandatory computer program. Categories 10 A and B are billing records and they represent a miscommunication. As we had participated in the program 2 years before, we believed the instructions had been met by the actual billing for these services that we had provided and been paid for in the past. As well, we assumed the Department would have these on file We also did not have access to the bid at the start of the bid process to correct our misunderstanding. Director Griego failed to note that we turned in the bid very early as we left the country on March 21 for our 35th anniversary. We turned in two bids in two weeks rather than in four weeks available, due in part to the Department's lack of notice and failure to promptly post the correct bid format. In fact the correct bid format for this bid (006B was never posted and we needed to use the 006C format that has the wrong title. We can easily produce this section, as we have billed WCDSS thousands of times in the past ten years. I believe we are the only vendor that years ago established a procedure on the recommendation of our accountant where the Department signs off on every bill we provide and makes us a copy of their signed receipt of the bill. Frankly, it has been our experience over the years that lost work and missing reports is usually on the side of the Department. Category I 1 has not meant in the past that you had to be the lowest qualified bidder as criteria for bid acceptance to be accepted as a vendor but that you should have been within an acceptable range. It also is unclear if this is the evidence based requirement section and that the bid template on evaluation may be wrong on this point. The home study is 100% based on evidence and that evidence has been thoroughly reviewed and endorsed by the State of Colorado as requirement for home study. If this is the evidence requirement and not the lowest cost it is hard to understand how it is not the full score. The evidence based ranking section is not in the evaluation and there are numerous areas where the bid template and the final material from the Department differ. In such cases it is not clear which set of standards were used in the review of the bid. 10 12 is Program Capacity by month and is clearly specified. in numerous places in the proposal. No reviewer should have perceived program capacity to be omitted unless they did not read the proposal. The score on this topic was 0/5 3/5 and 5/5 from the three recorded scores. Clearly, they are not all rating the same variable. Inaccuracies in comments made by the reviewers are documented in our mails and are conceded to in Director Griego's letter with the statement that they do not affect the score. This fails the reasonable person standard as a reasonable person would conclude that comments made reflect the state of mind of the reviewer. The reasonable person test would also require that any judgment be based on a fair representation of true facts and events not on crafted, selected or biased information designed to create a desired or predetermined outcome. Errors of fact in these recorded statements, the only objective information I have obtained after numerous requests in writing over the past several weeks, reflect the inaccuracies of the evaluators. This is especially true when those statements collectively can be read as a portrayal of Ackerman and Associates as displaying a failure to cooperate with the Department. Our ten year history clearly shows we have worked extensively with WCDSS which we continue to do. We emphatically state that we do seek to cooperate. In ten years of work with more than 20 different subcontractors that have through our efforts been brought specifically into WCDSS service, no track record will be perfect. However,the process of being on the vendor list is one of professional reputation which in this, case has been denigrated through very inaccurate representation of our interaction with the Department as reflected in the comments deemed by the director to be irrelevant to the process. Conclusion: There appear to be more than enough procedural issues here to reject the FYC recommendation. Rule 27 of the bid process allows the county commission to waive irregularities.We ask the Commission to proceed under that bid rule to accept our bid to be on the vendor list.. We ask that requests 1 through 6 above be accepted by the county commission. Respectfully Alan Ackerman Ph.D. Board Member, Ackerman and Associates P.C. June 11, 2006 11 ' _lif 1 • �--% 1/43 N1 0 0 N ‘0 O 'O fil ��`) O0 ... O cn o . N 00 009 0. 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BOX A GREELEY, CO. 80632 Website:www.co.weld.co.us Administration and Public Assistance (970) 352-1551 Fax Number (970) 346-7691 O COLORADO June 5,2006 Hand Delivered Alan Ackerman c/o Ackerman and Associates 1750 25th Avenue, Suite 101 Greeley, CO 80634 Re: Home Study Bid#06HS02 Dear Mr. Ackerman: On May 19, 2006, you protested via email the solicitation or award of Bid No. RFP-FYC 006-00, by citing Section 14, Protested Solicitations and Awards under the provisions of Bid No. 001- 06/RFP-FYC 06005 through 06011 and 006-00, Part A, Administrative Information. The bid submitted under Bid No. RFP-FYC 006-00 was not recommended for an award to the Board of County Commissioners by the Families, Youth, and Children Commission for the period of June 1, 2006, through May 31, 2007. This bid is Home Study Bid#06HSO2. 1. Preliminary Matters: At my request,a meeting was held on May 24, 2006, with you; Gloria Romansik, Social Services Manager 4; David Aldridge, Social Services Manager 2; and me. The purpose of the meeting was to gather all facts from you regarding your bid protest. We arranged for another meeting to be held with you on May 29, 2006. You sent an email on May 26,2006,with your notes of the May 24, 2006, meeting and requested additional information. On May 26, 2006, we postponed the May 29,2006, meeting until June 1, 2006. In review of your email, we cancelled the meeting of June 1, 2006, and chose to respond to your issues in writing by June 5,2006. 2. Issues: There appear to be two major issues listed in Mr. Ackerman's written complaint and as outlined in our meeting of May 24, 2006. A. Bid Protest: Ackerman & Associates requests that the Board of County Commissioners award their bid to conduct home studies and "related service", and to not accept the recommendation of the Families, Youth, and Children (FYC) Commission. Their protest of their Home Study Bid#06HS02 is based on procedural issues. The FYC Commission did not recommend the bid for an award by the Board of County Commissioners, as follows: 1 1) The score on the score sheet and the score reported in the public letter do not match differing by some 20 points. 2) The scoring sheet contains errors of fact including required letters that were submitted separately. 3) The format of the bid was posted late by the Weld County Department of Social Services B. Vendor Relationship Issue with the Weld County Department of Social Services. Ackerman &Associates requests a "functional"process by the Weld County Depai tment of Social Services to address and resolve disputes with vendors beyond an informal discussion process. Additionally, Ackerman & Associates requests a general investigation of the relationship between the Weld County Department of Social Services and its vendors. 3. Bid Protest Findings: Based upon all the information presented by you and subsequent investigation,I find the following: A. A mandatory bid conference was held by the Weld County Department of Social Services with vendors on March 1, 2006. The general bid format was reviewed. B. All bidders could not access the RFP on-line on March 2, 2006,because of formatting issues with the Purchasing Department web page. It appears that the RFP became available to all bidders on or about March 8, 2006. C. The bid proposals were due at the Weld County Purchasing Department of March 31,2006. This deadline was met by Ackerman& Associates for two bids— Home Study Bid(#06HSO2) and Sex Abuse Treatment Bid(#06SAT0I under RFP 05007). D. Two staff members from the Weld County Department of Social Services met with Dr. Joyce Ackerman regarding the bids for the upcoming core service fiscal year according to the provider review meetings scheduled for March 1, through March 15,2006. Both staff members state that they did not advise Dr. Joyce Ackerman not to submit any or all bids. E. The provisions of Item A of Part E, Evaluation Process for Bid No. 001-06/RFP- FYC 06005 through 06011 and 006-00, Part A, Administrative Information.,the bid evaluation process is as follows: "An evaluation committee composed of Families,Youth and Children Commission members,except those FYC Commission members who have submitted proposals of consideration under RFP-FYC-006-00B, will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy and completeness of the proposal. In addition to the evaluation committee's independent reviews, the evaluation committee will obtain: 1. Independent reviews from representatives from the Colorado Department of Humans Services and Weld County Social Services will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy of the proposal. 2. Any performance reports submitted by the FYC Commission in accordance with criteria defined by the FYC Commission. 2 The recommendations of the evaluation committee will be forwarded to the Board of Weld County Commissioners. The Board of Weld County Commissioners will make the final approval of the bids. Failure of the bidder to provide any information requested in the RFP may result in disqualification of the proposal and shall be the responsibility of the bidding individual or firm. The sole objective of the evaluation committee will be to recommend the bidder whose proposal is most responsible to Weld County's needs while within the available resources. The specifications within the RFP represent the minimum performance necessary for response." F. In April 2006, the bid proposals were distributed to the Evaluation Committee, in accordance with Item A of Part E, Evaluation Process for Bid No. 001-06/RFP- FYC 06005 through 06011 and 006-00, Part A, Administrative Information. All bid proposals were scored independently by using the evaluation criteria provided in the bid. No comments were made about the Ackerman &Associates bid to members of the Families, Youth, and Children (FYC)Commission members prior to the independent scoring of the bid. G. The bid score was 65.66 points out of 100 points. The proposal must obtain a minimum of 75% of total possible points to be considered for funding. The bid score was averaged from three independent reviewers with the fourth reviewer being excluded because the reviewer did not score the entire bid. The comments regarding the bid did not alter the bid score of 65.66. There are no other score sheets. H. If the bid score was over 75% of the total possible points, the FYC Commission had the option(s)to make recommendations or add a compliance requirement to the bid to ensure that areas of the bid that were not fully addressed or omitted could be attached to the bid. The FYC Commission voted not to recommend the bid on April 21, 2006. J. A letter describing the results of the bids to all bidders was distributed in May 2006. Ackerman& Associates was provided a letter dated May 15, 2006, from the Director of the Weld County Department of Social Services regarding the status of their two bids. The Sex Abuse Treatment Bid (#06SAT01) was given a bid score of 86 points; however, the FYC Commission attached a recommendation and compliance item to that bid. The FYC Commission did not recommend approval of the Home Study Bid (#06H502). The letter from the Director of the Weld County Department of Social Services documented the FYC Commission recommendation and noted the bid score of 46 points. The bid score was not accurate. The bid score was 65.66, which was still below the 75% minimum score out of 100 points required of bids to be considered for funding. 4. Vendor Relationship Issue with the Weld County Department of Social Services Findings. Based upon all the information presented by you and subsequent investigation, I find the following: 3 • A. Since February 2000, Ackerman&Associates has had the same program area supervisor from the Weld County Department of Social Services as their assigned contact to discuss concerns and problems with Core Services and Child Welfare bid programs. The program area supervisor states that she has communicated orally with Dr. Joyce Ackerman to resolve issues, not in writing. B. It was reported that two of four completed home studies in 2003-2004 Program Year took four months to complete. Six weeks is the required time frame. There were issues with past performance by Ackerman &Associates as identified by Child Welfare Division staff and as outlined by Mr. Ackerman. 5. Conclusions and Recommendations: I am submitting these conclusions and recommendations as follows: A. I conclude that the bid process was followed in accordance with the Bid Requirements for Bid No. RFP-FYC 006-00 and as provided for bids under Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00. I concur with the FYC Commission's recommendation not to provide a home study award for Ackerman &Associates for Program Year 2006-2007. B. I agree that a more formal process of identifying and addressing concerns and issues with vendors is needed, instead of an oral communication process. I will require, at a minimum, written quarterly reports from the Child Welfare Division to augment ongoing meetings between vendors and program area supervisors. Additionally, as problems and concerns arise, these issues will be formally reviewed by Child Welfare Division staff in writing, Vendors will be afforded the opportunity to respond in writing to the quarterly and other written reports regarding concerns and problems identified by Child Welfare Division staff to provide for a timely and positive resolution(s). You have the opportunity to meet with me regarding this letter by telephoning me at 352.1551, extension 6510. The Board of County Commissioners has scheduled a Work Session for June 14, 2006, at 8:30 a.m. to discuss your protest of the Home Study Bid. To confirm your attendance at the Work Session,please telephone Vicky Sprague at 356-4000, extension 4300. The finalization of bids for Program Year 2006-2007 by the Board of County Commissioners will be made at its formal Board Meeting of June 14, 2006, at 9:00 a.m. At your request, I have attached a copy of the FYC Commission By-Laws and Membership List. Sincerely, GL dy t r ego hector cc: Board of County Commissioners, Weld County, Colorado Pat Persichino, Purchasing Exhibit A: Email dated May 19, 2006, from Alan Ackerman to Commissioner M. J. Geile and Commission Dave Long 4 Exhibit B: Email dated May 26, 2006, from Alan Ackerman to Gloria Romansik, Child Welfare Division Manager 4 Exhibit C: Letter dated May 26, 2006, from Judy Griego to Alan Ackerman Exhibit D: Letter dated June 1, 2006, from Judy Griego to Alan Ackerman Exhibit E: Bid Format—Bid No. RFP-FYC 006-00B Exhibit F: Home Study Bid#06HS02 —Ackerman& Associates Exhibit G: Letter dated May 15, 2006, from Judy Griego to Joyce Ackerman 5 Page 1 of 5 Judy Griego From: Gloria L. Romansik Sent: Monday, May 22, 2006 7:18 AM To: Judy Griego Subject: FW: ReRequest for action by the county commission re FYC bid process: FW: Ackerman & Associates Telephone Call re Home Study Bid Attachments: Re: FW: Ackerman &Associates Telephone Call re Home Study Bid From: joyceackerman@comcast.net [mailto:joyceackerman@comcast.net] Sent: Friday, May 19, 2006 8:36 AM To: Mike Geile; Dave Long Cc: Gloria L. Romansik; Andrea Shay Subject: ReRequest for action by the county commission re FYC bid process: FW: Ackerman &Associates Telephone Call re Home Study Bid Dear Dave and Mike: I wish to file a protest as specified by section 14 of the Weld County FYC bids as to the recommendation of the FYC commission concerning our Home Study bid referenced on the attached score sheet. I take this directly to the commission as this is what the bid instructions specify as to procedure. Andrea Shay and Gloria Romansik of DSS have offered to meet with me to discuss the review but Andrea has stated there is no appeal. The first available date we could find of such a meeting appears to be May 25. I would be glad to meet with you or them on May 25 or after. However, the statement as to appeal of the decision seems to fall within section 14 of the bid process and the bid timeline notes May 24 as an action date by the commission to finalize the process. A review of the bid instructions notes that the FYC commission is advisory only and that the decision as to vendor list placement is made by the county commission. Further, the commission is to finalize by May 24 or has finalized the vendor list, As well, all complaints must be addressed directly to the county commission under section 14 of part one of the bid packet. This is such a complaint and constitutes a request for the commission to disregard the recommendation of the FYC commission that the commission deny our bid to be placed on the vendor list to provide home studies. We ask the commission to place Ackerman and Associates on the Vendor Bid list for home study and related service, based on procedural concerns discussed below.. We recognize that being placed on the vendor list does not obligate the County or the Department to use the services we offer. Further, we believe that the assignment and utilization of vendor services and the fairness of the process by which services are assigned by the department is a seperate matter in need of much further and deeper investigation than the relatively simple matter of possible procedural error or misconduct by DSS in relation to these FYC commission procedures as raised by this complaint. We suggest that a seperate investigation by the county be initiated. A through review of all aspects of vendor relationships with DSS and of DSS internal procedures in regard to vendors and the process and procedure in working with all Mental health service provider vendors by DSS should be initiated. In our experience, the problems are of long standing and at minimum we recommend an complete review of at least the 6/5/2006 Page 2 of 5 past five years of activity of the Department. Safeguards will need to be in place for vendors to be able to speak to you w ithout retaliation and loss of business as a result of honest diisclosures.. As to specific concerns on procedure, it appears to me that the bid submitted was not fairly reviewed. Comments on the score sheet(attached) indicate to me that the DSS staff presenting the review appears to have biased, misled or poisoned the commission reviewers with erroneous information concerning Ackerman and Associates. Apparently, those comments, by denigrating our ususal and customary level of professional performance, led the reviewers to the erroneous belief we we not qualified to undertake the bid. While we have had disputes with DSS in the past and we acknowledge that we had a specific instance of a failure of a contracted provider in relation to a DSS project, the iimpression left from the comments documented on the score sheet is that our agency was blacklisted in this review process. Comments to this effect ( as to failure of our business to respond to DSS and "everything wrong with the pro posal") are expressed on the score sheet. and constitute a harm to our business to which we can make no corection. I understand from Andrea Shay of DSS that this is the only review material a bidder has access to in relation to this bid process. From this material alone, it is difficult to verify what has occured as there are no minutes , no original forms, and no history as to when the meeting occured who attended and so forth is available to us. I believe that the FYC commission, assuming as the Department states in fact did conduct this review, and was in this case placed in the role of the agent for the Department in impliementing a predetermined denial rather than in determining if our agency should be allowed to be on the vendor list based on the proposal, as required by the bid process. An apparent prejudicial presentation by DSS apparently failed to reflect on our overall reputation and performance over ten years as a vendor to DSS and on approxametely 40 or more bids and funded projects with DSS since the mid 1990's. As such the panel was given incomplete and biased information not contained in the proposal. Specifically, we ask that the county commissioners reject the recommendation of the determination made by this reviewers , place us on the vendor list for home study and that the commission initiate an inquiry as to the integrety of the FYC process. We are also concerned with the apparent overall hostile atmosphere that the department has maintained in the past several years toward some or all of its vendors. While our agency is not alone in being the recipient of that hostile attitude, which includes apparent blacklisting of specific vendors by specific supervisors for real or imagined affronts to the department, we certainly can share our experiences as to our specific instances in regard to such attitudes and actions as they have been directed toward us. We believe most vendors could do the same if they could be assured that they would not be retaliated against with loss of business form the Department, as we have had happen to us. We acknowledge there was an issue two years ago of a provider to our agency failing to perform our standards in a Home study case. The failure of that contractor led to our agency choosing to not apply for that specific program, to make appropriate procedural improvements in relation to such a program , to renew the training of the agency director in the provision of this service in regard to new requirements to be a listed state vendor of these services, and the cessation of our business relationship that contracted provider. This atypical issue was discussed whith the staff of the home study program prior to submission and we were encouraged to apply . We also had informal discussions prior to entering this bid cycyle with an attorney at DSS concerning our perceptions of a lack of integrety of the Department's ability to fairly apply its own rules. Unfortunately those perceptions now seem to have been ju stifled. Unfortunately, we are also concemed that the determination of the FYC recommendation rests upon errors of fact, to which we had no opportunity to respond or provide correction Apparently comments or 6/5/2006 Page 3 of 5 criticisms made by the DSS staff to the FYC commission, as evidenced by comments on the attached summary sheet related to past failure, influenced the bid review process. Apparently no balance as to a fair representation of the work of Ackerman and Associates over the past ten years as a vendor to DSS was provided to the reviewers. Errors of fact or procedure include: The score on the score sheet and the score reported in the public letter do not match differing by some 20 points. The summary scores are not documented for the most part so leave little information to examine. We suspect that there are original score sheets that may have been reworked to arrive at these summary scores but are informed that original material are not available to us. They should be available to the purchasing department and to the Director of General Services who would monitor the integrety of the bid process. The review contains errors of fact. The review notes that " everything " was lacking., but several scores are at the top of their category. As such the score sheet presents in itself evidence of an inadequate or a prejudicial review. The lack of letters from Job services or housing was noted in the document submitted. They were provided seperately due to a time constraint in preparing the bids which were turned in early due to overseas travel by both Alan and Joyce Ackerman of Ackerman and Associates who wrote the bid. In addition, the format for the bid was posted late by DSS. As well the instructions of DSS as to the requirement of letters of agreement for this particular class of bid at the public bidders meeting were at best muddled, at worst completely inadequate.. We had been told by the home study staff that since there were no job service requirements or employment requirements associated with home studies as the purpose of the study was to evaluate child placement that employment and job services letters were not required for non therapeutic bids - which include this bid. However, the letters were provided directly to Social Sevices. Please call me if you desire more information or a copy of the bid. I will be away from email unti May 24 . I will be attending my daughter's MBA graduation in Boston. I will serve as the sole contact for Ackerman and Associates in regard to these discussions, as frankly the interactions between some supervisors at DSS and therapists from Ackerman and Associates have proven to be both unpleasant and hostile in the recent past. You can reach me on my cell phone Alan Ackerman Ph.D. 970-396 5945 (cell phone.) Original message From: "Andrea Shay" <SHAYXXAH@co.weld.co.us> These are the scores and input from the score sheets that you requested. 1. Ackerman RE. Associates, 06YS02 6/5/2006 Page 4 of 5 Discussion: Ackerman did not provide the billing component. The bid did not cover program capacity. This provider has not been responsible in turning in home studies in the past. Because everything was lacking in this bid and they don't respond to requests, the FYC membership did not approve this bid. The bidder did not include a letter from a job services or an employment resources, as requested under the Collaboration section of the RFP. Action: The FYC Commission did not recommend approval of this bid. Score 1 2 3 (a) 3 (b) 4 F FYC Joyce Ackerman 06HS02 5 15 5 5 5 PAS Joyce Ackerman 06HS02 5 15 5 5 2 CPC Joyce Ackerman 06HS02 2 12 5 0 2 BOM Joyce Ackerman 06H502 The above are the scores given to Ackerman's bid. Below are comments. 1-- 2-- 3 (a)-- 3(b)-- 4—late/lost work, complaints from Department staff 5-- 6-- 7Staff complaints regarding late, lost work history 8-- 9-- 10 (a)—(0 points); can't locate says on file for prior year-0 Points 10 (b)-- need invoice, with who, when, and how much 11-- 12—Don't cover minimum, didn't cover it--specifications The bid was a little unclear. Key elements were missing. Bidder has been unresponsive to referrals in the recent past. 6/5/2006 Page 5 of 5 Please note that both Gloria and I will be out of the office Friday, May 19. If you would like to set up a meeting next week, please respond to us via email about your availability. I will be at a training 5/23 and 5/24. 6/5/2006 Page 1 of 7 Judy Griego From: Gloria L. Romansik Sent: Tuesday, May 30, 2006 7:42 AM To: Judy Griego Subject: FW: FW: Ackerman & Associates Notes, Requests and questions fyi From: joyceackerman@comcast.net [mailto:joyceackerman@comcast.net] Sent: Friday, May 26, 2006 3:37 PM To: Gloria L. Romansik Cc: David Aldridge; " Subject: RE: FW: Ackerman &Associates Notes, Requests and questions Dear Gloria and Dave; Please forward to Judy for our meeting on Thursday. I do not have her email address. Notes and questions that arise from the discussion held between J. Griego, G. Romansik, D. Aldrich and A.Ackerman. The notes are compiled by A. Ackerman and are a partial summary of the discussions of action items requested and of questions raised as a result of the meeting. None of this replaces the comments and issues raised in the original letter transmitted by email,but rather documents the meeting of May 25, 2006. While this communication is only with Social Sevices at this time, it may appear in future correspondence with others as a portion of the history of our discussions. I am in receipt of the letter rescheduling our meeting to June I from Memorial Day. We are set up for 1:15 to 2:00 in Judy's office. The session on May 25,2006 was held at the request of G.Romansik and the Department for"fact finding" in order for WCDSS to prepare a response to our formal complaint to the Commissioners under section 14 of the bid process. It was my understanding that the department was asked to prepare such a response by the Commissioners. We are happy to cooperate in such clarification and appreciate the Departments doing so with us as well concerning our questions that arise as discussions continue. Notes: 1. GR.stated the department did not want to "blind side"us with comments they would provide to the commissioners in regard to our agency. We appreciate this but did not complete that task at the meeting of May 25. See action item 1. 2. It appears that the FYC reviewers in fact gave the proposal a score of 78 not of 46 as reported in the public document. See action item 2. 3. We appeared to agree that there are errors of fact in relation to the review of the proposal and what is alleged to be missing or absent. See action item 3 4. The key concern from my perspective appears to be that there is no functioning process by which disputes regardless of their validity can be addressed and resolved between the department and a vendor.Informal discussions do not appear to work and may contribute to an atmosphere of hostility and innuendo within the department.Numerous examples of this set of attitudes and behaviors were given in the meeting and a detailed list can be provided. Action Items: We respectfully request that we receive these items by close of Business on May 30,2006 so we can prepare for the June 1 meeting. (these items can be sent to me at this email address). They include: 1. The written material the department will present to the commissioners concerning this set of complaints so we may 6/5/2006 • Page 2 of 7 prepare a formal response for the work session. Please include any written concerns regarding the Home Study program so we may address these. We will provide suggestions for improvement or resolution of the issues presented, as appropriate. 2. A copy of the published riles of the how the FYC commission operates, a list of the membership of the FYC and the inclusion and exclusion criteria, if ally, to serve on the FYC , as well as where these documents can be obtained in the public domain. 3. Please explain the FYC scoring process in full detail beyond what is available in the bid sheets and provide us copies of any additional score sheet information. As well,please provide a published copy and citation as to the process by which the FYC reaches the conclusions as to their recommendations, if that recommendation is not based on the proposal score alone. Questions. I. Are employees of the Department eligible to be FYC members?If so, how is the FYC process independent of the Department as described in the bid process? 2. If employees of the Department are not FYC members, how can they add scores to the bid sheet?What is the meaning of the FYC recommendation when the scores by the commission and the final score added by non commission members differ? 3. How will our request concerning the more general investigation of the relationship between social services and its vendors proceed in an objective and open fashion if the Department is in charge of the investigation?There seems to be an inherent conflict of interest here that I believe I need to ask the County Commission to resolve.What safeguards will be in place so that vendors do not perceive they will be at risk from loss of work for cooperating in an investigation? Alan Ackerman Ph.D. Original message From:joyceackerman@comcast.net I am not available to meet on the date you mention as I am out of state on other business on May 30 and 31. I am available May 25, May 26 or May 27. For reasons as stated in my prior email, I will represent Ackerman and Associates on the issues raised. I would be also able to respond in writing if there are questions as to our complaint's clarity or in regard to any specific questions you have. I do not find the concept of a "work session" stated in the bid process rules. Could you provide me a description of what the goals would be of such a "work session" in response to this specific complaint related to FYC process. Further, I do not see how a "work session" would address the formal request for a broader investigation of the actions of DSS in both vendor relationships and distribution of bid work over the past five contract years ? Sincerely, Alan Ackerman Original message From: "Gloria L. Romansik" <romansgl@co.weld.co.us> Joyce and Alan, we have arranged for a work session with the county commissioners for May 31 at 11:00 in the commissioner's meeting room 350 at the Centennial Center. You are welcome to attend to discuss this matter with us. Thank you, Gloria . From: joyceackerman@comcast.net [mailto:joyceackerman@comcast.net] Sent: Friday, May 19, 2006 8:36 AM To: Mike Geile; Dave Long Cc: Gloria L. Romansik; Andrea Shay 6/5/2006 a DEPARTMENT OF SOCIAL SERVICES f P.O. BOX A GREELEY, CO. 80632 Website:www.co.wdd.co.us ' Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 111 C. COLORADO May 26, 2006 Alan Ackerman do Ackerman and Associates 1750 25th Avenue Greeley, CO 80634 Dear Mr. Ackerman In regards to your concerns on your Home Study Bid #06HS02, we are postponing our meeting for May 29th and would like to meet with you on June 1, 2006. In our meeting on May 24, 2006, we gave you estimates regarding the times the board could give approval for Core Service bids. After receiving further information, we have learned that your bid can still be considered after June 1, 2006, and that this time frame will not necessarily constitute a barrier to your bid being considered. Please contact Mary Figueroa at (970) 352-1551, Ext. 6503 today or Valerie Koke at (970)352-1551, Ext. 6501 on Tuesday or Wednesday to reschedule this meeting for June 1, 2006. I look forward to seeing you on June 1, 2006. Sincerely, Judy Grie Director a4j* DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 8066 322' Website:www.co.weld.co.us Administration and Public Assistance (970) 352-1551 Fax Number (970) 346-7691 Dc COLORADO This is to acknowledge receipt of a Hand Delivered Letter Dated June 1, 2006 Weld County Department of Social Services 315 N. 11"' Ave. Greeley, CO 80631 C -Y—r �--- Date k9 0Alan Ackerman ((%% ` i s/ /7 Date 6 -/ - O Witness •�� a DEPARTMENT OF SOCIAL SERVICES P.O. SOX GREELEY, CO. 80632' Website:www.co.weld.co.us Administration and Public Assistance (970) 352-1551 Fax Number(970) 346-7691 O • COLORADO June 1, 2006 Hand Delivered Alan Ackerman c/o Ackerman and Associates 1750 25th Avenue Greeley, CO 80634 Dear Mr. Ackerman: I am in receipt of a forwarded email dated May 26, 2006, from you and addressed to Gloria Romansik, Social Services Manager 4, and Dave Aldridge, Social Services Manager 2. In review of this email, you requested additional information in writing from the Department and requested additional comments regarding your concerns about your Home Study Bid #06H502. At this point, it seems more productive to provide a written response to your issues regarding your bid. I am canceling our meeting today and will address your questions about your bid in writing by June 5, 2006. Sincerely, dy Grieg irector Receipt Of Correspondence I, ()At_ ` �" �� , hereby acknowledge receipt of correspondence from the Weld County Department of Social Services addressed to Alan Ackerman. Signed Date I INVITATION TO BID OFF SYSTEM BID 001-06 (06005-06011 and 006-00, A, B , & C DATE:March 1, 2006 Bid No. RFP-FYC 006-00B RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC 006-00B) for: Adoption, Foster Care, and Expedited Permanency Planning Home Studies, and Relinquishment Counseling Deadline: March 31, 2006, Friday, 10:00 a.m. The Families, Youth and Children Commission, an advisory commission to Weld County Social Services, announces that competing applications will be accepted for approved providers pursuant to the Board of Weld County Commissioners' authority under Colorado Statute and the Weld County Home Rule Charter. The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2006, through May 31, 2007, at specific rates for home studies, home study updates, and relinquishment counseling services. The County will authorize approved providers and rates for services only. The adoption, foster care, and child welfare home studies, updates, and relinquishment counseling program must provide services that are in compliance with the uniform format utilized by the State of Colorado Department of Human Services. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK TYPED OR PRINTED SIGNATURE • VENDOR (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS TITLE DATE PHONE # The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C TERMS AND CONDITIONS RFP-FYC 006-00B 1. The provider agrees it is an independent provider and that its officers and employees do not become employees of Weld County, nor are they entitled to any employee benefits as Weld County employees if this RFP/Bid is accepted by the Board of County Commissioners. 2. Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the provider or its employees, volunteers, or agents while performing duties as described pursuant to this RFP/Bid. The provider shall indemnify, defend, and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers, and agents. The provider shall furnish adequate liability and workers' compensation insurance for all its employees, volunteers, and agents engaged in the performance as prescribed under the RFP/Bid. 3. No portion of this RFP/Bid shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, nor shall any portion of the RFP/Bid be deemed to have created a duty of care with respect to any persons not a party to this RFP/Bid. 4. No portion of this RFP/Bid shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year. 5. If any section, subsection, paragraph, sentence, clause, or phrase of this RFP/Bid is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this RFP/Bid and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 6. No public official or employee of Weld County, Colorado, and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved RFP/Bid or the proceeds thereof 7. The provider assures that they will comply with Title VI of the Civil Rights Act of 1986 and that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under an approved RFP/Bid. 8. The provider assures that sufficient, auditable, and otherwise adequate records that will provide accurate, current, separate, and complete disclosure of the status of the funds received under the RFP/Bid are maintained for three (3) years or the completion and resolution of an audit. Such records shall be sufficient to allow authorized local, federal, and state auditors and representatives to audit and monitor the provider. Page 2 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C 9. The provider assures that authorized local, federal, and state auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on-site visits, all contract activities, supported with fiords under this RFP/Bid to ensure compliance with the terms of this RFP/Bid. Contracting parties agree that monitoring and evaluation of the performance of the RFP/Bid shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. 10. A RFP/Bid which is approved by the Board of County Commissioners of Weld County, shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns and shall constitute a contract without further action by the Board. The provider or Social Services may not assign any of its rights or obligations hereunder without the prior written consent of both parties. 11. The provider assures that it will fully comply with all applicable federal and state laws, orders, and all applicable standards, regulations, interpretations or guidelines issued pursuant thereto. This includes the protection of all applicant/recipient records, papers, documents, tapes, and any other materials that have been, or may hereafter be established, which relate to the RFP/Bid. 12. The provider understands that the source of funds to be used under this RFP/Bid is: Child Welfare Regular Administration funds. 13. The provider assures and certifies that it and its principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by a federal department or agency; b. Have not, within a three-year period preceding this RFP/Bid, 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 13(b) of this certification; and d. Have not within a three-year period preceding this RFP/Bid, had one or more public transactions (federal, state, or local) terminated for cause or default. 14. The appearance of conflict of interest applies to the relationship of a provider and Social Services when the provider also maintains a relationship with a third party, and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the provider to gain from knowledge of these opposing interests. It is only necessary that the provider Page 3 of 37 • Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C know that the two relationships are in opposition. During the term of this RFP/Bid, if it is approved by the Board of County Commissioners, the provider shall not enter into any third party relationship that is a conflict of interest, or gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, the provider shall submit to Social Services a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for Social Services to terminate, for cause, their contract with the provider. 15. The provider shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this RFP/Bid, if it is approved by the Board of County Commissioners. Except for purposes directly connected with the administration of the Family and Children's Program, no information about, or obtained from any applicant/recipient, shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian. The provider shall have written policies governing access to, duplication and dissemination of, all such information. The provider shall advise its employees, agents, and sub-providers, if any, that they are subject to these confidentiality requirements. The provider shall furnish its employees, agents, and sub-providers, if any, with a copy, or written explanation of, these confidentiality requirements before access to confidential data is permitted. 16. Proprietary information for the purposes of this contract is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures, and those of its customers, clients, or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly, or indirectly, without prior written authorization any proprietary information concerning the other party obtained as a result of an executed contract. Any proprietary information removed from the State's site by the provider in the course of providing services under this RFP/Bid will be accorded at least the same precautions as are employed by the provider for similar information in the course of its own business. Page 4 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C PART A ADMINISTRATIVE INFORMATION 1. Legislative Authority The Colorado Children's Code and Expedited Permanency Planning requires, among other things, Social Services to provide adoption studies and home studies of eligible clients. The Colorado Social Services of Human Services has provided Child Welfare Regular Administration funds and authorizes the Board of Weld County Commissioners to expend funds for the development and implementation of home studies, home study updates, and relinquishment counseling. 2. Issuing Office This Request for Proposal (RFP) is issued for the Board of Weld County Commissioners by the Director of General Services for the benefit of the Families, Youth and Children Commission. The Director of General Services is the SOLE point of contact concerning this RFP. All communication must be done through the Director of General Services. 3. Purpose This RFP provides prospective bidders with sufficient information to enable them to prepare and submit proposals for consideration by the Board of County Commissioners of Weld County to satisfy the need for expert assistance in the completion of Families, Youth and Children Commission goals of this RFP. 4. Scope This RFP contains the instructions governing the proposal to be submitted and the material to be included therein; mandatory requirements that must be met to be eligible for consideration, and any other requirements to be met by each proposal. Page 5 of37 ' Bid No. 001-06/REP-FYC 06005 through 06011 and 006-00, A, B, & C 2006-2007 FYC COMMISSION BID PROCESS 5. Schedule of Activities SCHEDULE OF ACTIVITIES DATE(S) ACTIVITIES DESCRIPTION A. Announcement to February 23, through Announcement activities will include: prospective bidders February 26, 2006. - a request to all prospective concerning request for bidders to pick up a bid proposal packet(s) on March 1, 2006. a budget estimate a requirement to all prospective bidders that the bidders must attend a prospective bidders conference on March 1, 2006, or a bidder will not be allowed to compete in Bid No. 001-06 (06005 through 06011 and 006- 00, A, B, & C.) Activities will include: 1. Sending letters to our current providers. 2. Advertising the announcement to prospective bidders through newspapers & radio. 3. Releasing a press release. B. Prospective bidder March 1, 2006 (1:00 p.m. The Prospective Bidder Conference will conference to 3:00 p.m.) be mandatory and will include: Aims Corporate Education - The RFP bid format for Center renewing current programs 5590 W 11 Street, Room approved for FY 2005-2006. 129 B - The RFP bid format for all prospective bidders or current Greeley, CO 80634 providers requesting major changes to programs approved for FY 2005-2006. - an overall description of the RFP process - a release of the RFP Bid Package which will include: A. The RFP bid format-the bid format will be posted on Weld County's Website at Page 6 of 37 ' Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C http://www.co.weld.co.us/depart ment/purchasing.html B. The Uniform Format utilized by the State of Colorado Social Services of Human Services since October 1, 1999, (Exhibit A). C. An opportunity by bidders to ask questions about the RFP/ bid package, and D. A listing of assigned Social Services program area supervisors. (Each prospective bidder will be required to meet with their assigned Social Services supervisor to discuss the design of their project prior to its formal submission, as indicated by the signature of the assigned Social Services supervisor in the final bid submittal.) C. Written inquiries from March 3, 2006,by 5:00 bidders p.m. D. Response Conference to March 8, 2006, from 1:00 The Response Conference to Written Written Inquiries p.m. to 3:00 p.m., Inquiries will include: Social Services Annex - a written response to written inquiries submitted by 2"a Floor, North Conference Room prospective bidders a written response to providers requesting renewal of FY 2005- 2006 bids a unit cost description the evaluation instrument to be used by the FYC Commission to assess the quality of the bids E. Prospective provider bid March 1, through March review meeting(s)with 15, 2006 assigned Social Services supervisors F. Submission deadline March 31, 2006, by 10:00 a.m. according to the Weld County Purchasing Department time clock Page 7 of 37 • Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C G. Pre-award visits April 5 &6, 2006 (estimates; optional) H. FYC Commission final April 21, 2006 approval of 2005-2007 three-year plan/programs(estimate) Board of Weld County May 24, 2006 Commissioners' revised three-year plan/programs approval (estimate) J. A contract period June 1, 2006 — May 31, (estimate) for 12-month 2007 (Child Welfare programs Regular Administration funds) 6. Invitation for Proposals On behalf of the Board of County Commissioners of Weld County, the Families, Youth and Children Commission is hereby contacting prospective bidders who have an interest, or are known to do business relevant to this RFP. All interested individuals/firms who were not contacted are invited to submit a proposal in accordance with the policies, procedures, and dates set forth herein. 7. Written Inquiries Prospective bidders may make written inquiries concerning this RFP to obtain clarification on requirements. No inquiries will be accepted after March 3, 2006, 5:00 p.m. Send all inquiries to: Pat Persichino, Director of General Services, Bid No 001-06 (06005 through 06011 and 006-00, A, B, & C) inquiry. Responses to bidder's inquiries will be made in writing and/or through a response conference by the Families, Youth and Children Commission, on behalf of the Board of County Commissioners, Weld County, on March 8, 2006, from 1:00 p.m. to 3:00 p.m. at Weld County Social Services, 315B N 11th Avenue, Greeley, Colorado, to all prospective bidders. 8. Modification or Withdrawal of Proposals Proposals may be modified, or withdrawn, by the bidder,prior to the established due time and date. 9. Proposal Submission Proposals must be received on or before the time and date indicated in the Schedule of Activities. No proposals will be accepted after this time. Bidders mailing their proposals shall allow sufficient mail delivery time to ensure receipt of their proposals by the time specified. The proposal package shall be delivered or sent by certified mail to: Pat Persichino Director of General Services 915 10th Street Page 8 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C P.O. Box 758 Greeley, CO 80632 Bid Number: Bid 001-06 (06005 through 06011, and 006-00, A, B, &C) Proposals, which are determined to be at variance with this requirement, will not be accepted. Six (6) copies (total, including original) of the proposal must be submitted and sealed in a package showing the following information on a white label. Bidder's Name Bid Number: Bid No. 001-06 (06005 through 06011, and 006-00, A, B, & C) Proposal due: March 31, 2006, 10:00 a.m. The Invitation and Bid page MUST be signed in ink by the bidder or an officer of the bidder legally authorized to bind the bidder to the proposal. Unsigned proposals will be REJECTED. 10. Late Proposals Late proposals will not be accepted. It is the responsibility of the bidder to ensure that the proposal is received by the Director of General Services on or before the proposal opening date and time. 11. Addendum or Supplement to Request for Proposal In the event that it becomes necessary to revise any part of this RFP, an addendum will be provided to each prospective bidder who received the original RFP at the prospective bidder conference of March 1, 2006. 12. Oral Presentations/Site Visits Bidders may be asked to make oral presentations or to make their facilities available for a site inspection by the Families, Youth and Children Commission evaluation committee. Such presentations and/or site visits will be at the bidder's expense. 13. Acceptance of RFP Terms A proposal submitted in response to this RFP shall constitute a binding offer. Acknowledgment of this condition shall be indicated by the autographic signature of the bidder or an officer of the bidder legally authorized to execute contractual obligations. A submission in response to this RFP acknowledges acceptance by the bidder of all terms and conditions, including compensation, set forth herein. A bidder shall identify clearly and thoroughly any variations between its offer and the Families, Youth and Children Commission's RFP. Failure to do so shall be deemed a waiver of any rights to subsequently modify the terms of performance. 14. Protested Solicitations and Awards Any actual or prospective bidder, or agency who is aggrieved in connection with the solicitation or award of a contract, may protest to the Board of County Commissioners of Weld County. The protest shall be Page 9 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C submitted in writing within seven working days after such aggrieved person knows, or should have known, of the facts giving rise thereto. 15. Budgets Proposals MUST include Budget Information, as described under Attachment A of the RFP. 16. Proprietary/Confidential Information Any restrictions on the use or inspection of material contained within the proposal shall be clearly stated in the proposal itself Proposals submitted in response to this RFP are subject to the terms of Article 72 Public (open) Records of the Colorado Revised Statutes. 17. RFP Response Material Ownership All materials submitted regarding this RFP becomes the property of the Board of Commissioners of Weld County. Responses may be reviewed by any person after the Letter of Intent has been issued, subject to the terms of Colorado Revised Statutes 24-72-202 through 24-72-206/Public (open)Records. The Board of County Commissioners of Weld County has the right to use any or all information/material presented in reply to the RFP, subject to limitations outlined in Proprietary Information. Disqualification of a bidder does not eliminate this right. 18. Bid Prices Estimated bid prices are not acceptable. 19. Selection Time The Families, Youth and Children Commission, on behalf of the Board of County Commissioners of Weld County, intends to make recommendations concerning proposal selection on or about April 21, 2006. The Board of County Commissioners of Weld County will make the final selection of proposals within four weeks of the date the Families, Youth and Children Commission provides its recommendation. Upon selection and approval by the state, if appropriate, the Board of County Commissioners of Weld County will issue a Letter of Intent, and a contract will be completed and signed by all parties concerned, on or before the date indicated in Schedule of Activities. The bidder understands that the FYC Commission's final approval of 2006-2007 programs and the Board of Weld County Commissioners' approval are based on allocations established by the State Department of Human Services. The contract between Social Services and the bidder will be adjusted according to final allocations provided by the State Department of Human Services. These actions may result in modifications to the original approved Bid. If the proposal selection date is not met, through no fault of the Board of County Commissioners of Weld County, the Board of County Commissioners of Weld County may elect to cancel the Letter of Intent and make the award to the next most responsible bidder. 20. Award of Contract The award will be made to that bidder whose proposal, conforming to the RFP, will be the most Page 10 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C advantageous to Weld County, price and other factors considered. 21. Acceptance of Proposal Content The contents of the proposal (including persons specified to implement the project) of the successful bidder are contractual obligations if the bid is accepted by the Board of County Commissioners of Weld County. 22. Standard Contract The Board of County Commissioners of Weld County reserves the right to incorporate standard State contract provisions into any contract resulting from this RFP (Ref. Special Provisions). 23. RFP Cancellation The Board of County Commissioners of Weld County reserves the right to cancel this Request for Proposal at any time, without penalty. 24. Weld County Ownership of Contract Products/Services Proposals, upon established opening time, become the property of Weld County. All products/services produced in response to the contract resulting from this RFP will be the sole property of Weld County. The contents of the successful bidder's proposal will become contractual obligations. 25. Incurring Costs Weld County is not liable for any costs incurred by bidders in the course of preparing and submitting their bids. 26. Non-Discrimination The bidder shall comply with all applicable state and federal laws, rules and regulations involving non- discrimination on the basis of race, color, religion, national origin, age or sex. 27. Rejection of Proposals The Board of County Commissioners of Weld County reserves the right to reject any or all proposals, and waive informalities and minor irregularities in proposals received, and accept any portion of a proposal or all items proposed, if deemed in the best interest of Weld County. 28. Parent Company If a bidder is owned or controlled by a parent company, the name, main office address, and parent company's tax identification number shall be provided in the proposal. 29. Contract Cancellation Page 11 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C Weld County reserves the right to cancel, for cause, any contract resulting from this RFP,by providing a timely written notice to the provider. 30. Non-Collusion The bidder affirms, by signing the Invitation and Bid document, that the proposed bid price has been arrived at independently without collusion, consultation or communication as to any other bidder or with any competitor; the said bid price was not disclosed by the bidder and was not knowingly discussed prior to the submission, directly or indirectly, to any other bidder or to any competitor; and directly or indirectly, to any other bidder or to any competitor; and no attempt was made by the bidder to induce any other person, partnership or corporation to submit a proposal for restricting competition. 31. Taxes Weld County as purchaser, is exempt from all federal taxes under Chapter 32 of the Internal Revenue Code (Registration No. 84-730123K) and from all State and Local Government Use Taxes (Ref. Colorado Revised Statutes Chapter 39-26.114(a).) Seller is hereby notified that when materials are purchased in certain political subdivisions, the seller may be required to pay sales tax even though the ultimate product or service is provided to Weld County. This sales tax will not be reimbursed by either Weld County or the State. 32. Assignment Except for Assignment of Antitrust Claims, neither party to any resulting Contract may assign any portion of the RFP/Bid without the prior written consent of the other party. 33. Bid Bond/Security If the specifications contained herein so state, a bid security in the amount equal to 5% of your proposal shall be famished to Weld County. See 24-105-201, C.R.S. 34. Provider's Performance and Payment Bonds If the specifications contained herein so state, the provider will be required to furnish a performance bond and a labor and material-payment bond. A certified or cashier's check or bank money order may be accepted in lieu of the bonds. 35. Insurance If the specifications contained herein so state, the provider shall procure, at its own expense, and maintain for the duration of the work, the following insurance coverage; Weld County, Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance. A. Standard Workman's Compensation and Employer's Liability. Page 12 of 37 • Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C 1) As required by State Statute including occupational disease, covering all employees at work site. B. General Liability (PL & PD) (Minimum). 1) Combined single limit - $500,000 written on an occurrence basis. 2) Any aggregate limit will not be less than $1 million. 3) Provider must purchase additional insurance if claims reduce the annual aggregate below $500,000. 4) State of Colorado to be named as additional insured on each comprehensive general liability policy. 5) Certificate of insurance to be provided to Weld County and must be attached to the bid. 6) Insurance shall include provisions preventing cancellation without 60 days prior notice by certified mail to Weld County. C. Automobile Liability (Minimum). Provider to carry a minimum of$500,000 combined single limit auto insurance. D. Additional coverage may be required in specific solicitations. For any insurances that are required by this RFP, a completed Standard Certificate of Insurance Form shall be provided to Weld County by the potential provider prior to the start of any contract. 36. Indemnification To the extent authorized by law, the provider shall indemnify, save and hold harmless Weld County, its employees and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the provider, or its employees, agents, sub-providers, or assignees pursuant to the terms of this contract. 37. Venue The laws of the State of Colorado and Weld County shall govern in connection with the formation, performance and the legal enforcement of any resulting contract. Further, the provisions of Title 24, C.R.S. as amended, Article 101 and through 112, and rules adopted to implement the statutes, govern this procurement. 38. Certifications The bidder certifies that it has currently in effect, all necessary licenses, approvals, insurance, etc. required to properly provide the services and/or supplies covered by its bid. Page 13 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C PART B BACKGROUND, OVERVIEW, AND GOALS Expedited Permanency Planning and the Colorado Children's Code requires Social Services to provide adoption studies and home studies of eligible clients, the State of Colorado, through the Board of Weld County Commissioners, funds the Weld County Social Services of Social Services through Child Welfare Regular Administration finds. A. Types of Services to be Provided-Adoption, Foster Care, and Expedited Permanency Planning Home Study Content 1. These studies will be conducted in compliance with the uniform format utilized by the State of Colorado Social Services of Human Services since October 1, 1999. A written home study will be provided to Weld County Social Services. 2. All staff members conducting home studies will be listed on the State of Colorado Department of Human Services home study vendor list, having applied for inclusion. 3. The objective is to have quality home studies, updates, and relinquishment counseling completed in a timely manner. Home studies will reflect the usage of the required State format for home studies, good grammar and composition skills, and be provided to the Social Services of Social Services in a timely manner. B. To assist the Board of Weld County Commissioners in the effective use of these funds, the Board of Weld County Commissioners appointed the Weld County's Families, Youth and Children Commission to: 1. Review, on an ongoing basis, the effectiveness of programs within Weld County, which are designed to provide home studies, updates, and relinquishment counseling and report its findings to the Board of Weld County Commissioners annually. The Families, Youth and Children's Commission is pursuing providers who demonstrate the capability of meeting the FYC Commission's goals and objectives, and will adhere to the Family and Children's Program eligibility guidelines. Any public or private agency, non-profit, private for profit or community based organization (CBO) or business may receive funding; however, support and commitment to the project being proposed must be demonstrated by other appropriate local agencies and organizations in order to receive favorable consideration for funding. Page 14 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C PART C STATEMENT OF WORK I. Program Requirements A. Target/Elieible Population The population to be served under this contract includes (1) families who wish to adopt children from Weld County Social Services of Social Services, (2) relinquishment counseling for parents who are considering relinquishing children, (3) applicants for foster care certification, and (4) children identified as expedited permanency planning. B. Types of Services to be Provided-Adoption, Foster Care, and Expedited Permanency Planning Home Study Content These studies will be conducted in compliance with the uniform format utilized by the State of Colorado Social Services of Human Services since October 1, 1999 (Attached A). A written home study will be provided to Weld County Social Services of Social Services. All staff members conducting home studies will be listed on the State of Colorado Social Services of Human Services home study vendor list, having applied for inclusion (Exhibit `E'). Individual providers or vendor agency staff members will not have, nor will have had, any other professional or personal relationship with the person/family being studied. The assessment shall meet the following criteria, as stated in Volume VII, Policy and Procedures for Child Welfare Services, 7.710.56, E. F. and G. • "As part of the assessment, the agency must conduct a minimum of three joint interviews with a couple, one individual interview with each adult member in the household and an age/developmentally appropriate interview with all children residing in the home. For single applicants a minimum of three interviews will be required. • The agency must conduct at least one interview in the applicant's home. • Interviews must be spread out over a period of not less than seven (7) consecutive days." (1) Background Checks The following background checks will be completed unless otherwise indicated on the referral form. This background check will be completed for all individuals living in Colorado. • Fingerprint results sent to CBI on Weld County Social Services cards will be returned directly by CBI to Weld County Social Services. The provider will distribute, collect and submit the fingerprint cards. The provider will pay CBI the processing fee. If the individual has lived in the state less than two years, an FBI search will be requested. Page 15 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C • Department of Motor Vehicles • Local County DSS search for open case • Reference questionnaires will be sent out and returned to the provider with SASE • Local police Social Services • Central Registry All original background check information will be forwarded to the Weld County Social Services with the written home study. A copy will be retained in our files for the mandated length of record retention. (a) Service Time Frames Six weeks from initiation, time frame is subject to timely submissions by family being studied, including fingerprints, Central Registry check, application, and reference information. (b) Measurable Outcomes a) More expedient placement of children b) Quality adoptive home studies that are done in a timely manner c) Outcomes will be defined by the number of acceptable studies submitted. (2) Relinquishment Counseling A. This service will be conducted with Weld County Social Services' guidelines (Attached A) B. Proposals receiving consideration under this RFP must provide services in Weld County. II. Fiscal Provision A. Applicants must complete all budget forms specified within the RFP. B. Funding shall be under a 12-month estimated contract from June 1, 2006, through May 31, 2007. C. The provider shall make provisions for an independent financial audit to be performed annually. To the maximum practicable extent, the audit shall identify, examine, and report the income and expenditures specific to operation of the State-funded program or services. One copy of the audit report, together with associated special reports and the management letter, if any, shall be furnished to Board of County Commissioners no later than September 30th each year. III. Standards of Responsibility Page 16 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C A. The provider selected, as a result of this RFP, must be responsible for all program costs including personnel, operating, travel, equipment, audit, and capital items. Providers must have available the necessary financial, material, equipment, facility, and personnel resources and expertise, or the ability to obtain them since no start-up funds will be made available. All contracts are set up so as to reimburse the provider for allowable expenses as budgeted. B. The provider must be able to document a satisfactory record of program performance, financial solvency, and a satisfactory record of integrity. C. The following entities are eligible to bid: 1. Not-for-profit organization incorporated as 501(c)(3) agency. 2. Agencies in the process of applying for 501(c)(3) status must be fully incorporated by contract start date. 3. Private for profit business and local and state units of government. D. The RFP must reflect the appropriate time limits of the program needed to reduce risk and enhance the safety of the subject children. The RFP should reflect the precise number of sessions needed for the program to be effective, the number of sessions per week, and the cost for each session. The RFP should also reflect an average cost per family and number of sessions needed. E. The RFP must reflect a process to eliminate renewals or reduce the cost of the program should it have to be reinstated. Preference will be given to programs that incorporate a step-down plan, such as (a) fewer sessions per week or per month after intensive sessions in the first part of the program, (b) transition to ending of services or support services from provider's agency, or(c) transition to another agency. F. The RFP must include the program design that reflects maximum number of hours in the three stages of the program: start up, middle, and end of services. No service fees will be paid for any programs that exceed these measurements per month. G. The provider must agree to: 1. Be available for court testimony when given proper notification, and such testimony is included in the rates provided under the approved rate for services over the term of the contract. Court testimony includes preparation of and actual court testimony. 2. Report expenditures and case disbursement at agreed upon times. 3. Submit monthly completed billing forms to Ms. Elaine Furister CPS/CAP, Core Services Specialist, on or about the 10th day of the month after the month the services were provided. All billings must be date-stamped by Social Services by the 25th day of the month following service to be eligible for reimbursement. Billings received and Page 17 of 37 , Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C date-stamped after the 25th day of the month will not be honored and may result in forfeiture of billed fees. 4. The provider shall furnish the following deliverables required to verify services provided during the service month. The completed deliverables must be received by Social Services no later than the 25`h day of the month following the dates of service. Required Deliverables: a. An original billing signed by the provider and/or designee 1. Provider name, address, phone number, 2. Provider billing contact, phone number, 3. Program area or type of service, 4. Total dollars ($) billed, 5. Month of service, 6. Original signature from provider and/or designee., b. Request for Reimbursement will include 1. Client information (provider number/household number), 2. Caseworker name, 3. Rate, 4. Units billed, 5. Date(s) of service, 6. Completion date. A complete and timely billing form is identified by and must include the elements listed above. (See Attachment A of the Request for Proposal.) 5. Billing forms should be submitted for payment by the 10th day of the month following the service month. Billing forms or documentation will not be accepted by Social Services for processing after the 25th day following the service month. All items submitted after this date shall be returned to the provider unpaid. Social Services will determine billed services not eligible for payment by identifying conflicts in the following: a. Details provided in client referrals and renewals, including approved hours, days, or episodes of service, begin and end dates of service, client name or provider name, and provider or household number. b. Details in supporting documentation furnished by the provider and submitted with the original bill, including, but not limited to, time of service and hours of service provided, completion date, and names of clients receiving the services. c. Details provided in the current approved contract and Notification of Financial Assistance Award (NOFAA), including,but not limited to unit of service, cost Page 18 of 37 . Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C per unit of service, and Special Conditions, as stated in the Notification of Financial Assistance Award (NOFAA). The above items, Sa, b, and c, will supersede all requests from providers for review of billing errors. Items submitted for billing will be processed according to the criteria established by the above documentation. An administrative fee may be assessed to all fees reimbursed through County-only funding. The administration fee will be assessed at the rate of 15 percent for the first offense. Second offenses will be assessed at the rate of 20 percent, third offense at the rate of 25 percent. After three offenses, the provider will meet with the Director of Social Services to deem whether or not the contract for services will be terminated. Such fees include, but are not limited to, those service fees previously billed and determined by the Social Services to be not eligible for payment. 6. The provider will meet with Social Services Family Preservation Program supervisor quarterly(more if needed) to review program usage and effectiveness to discuss necessary improvements to better serve families or increase referrals; 7. The provider will be available to meet with DSS staff to explain program, time lines of response to referrals and answer questions to enhance program. 8. The provider will be available for the Families, Youth and Children Commission review and attendance at the FYC Commission meetings. Page 19 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C PART D BIDDER RESPONSE FORMAT INFORMATION TO BE INCLUDED IN PROPOSALS The following requirements exist which must be met by all proposals submitted. It is required that bidders address the proposal requirements in the following format and use the exact replication of forms included in the attachments to these guidelines. Failure of the bidder to provide all information requested in this RFP may result in disqualification of the proposal. A. Invitation for Bid The Invitation for Bid page must be signed in ink by the bidder, or an officer of the bidder, legally authorized to bind the bidder to the proposal. Unsigned proposals will be rejected. This should be the first page of the document. The Invitation and Bid page should be signed for the bid proposal submitted. B. Cover Page This page must follow the Invitation to Bid page in the document. Proposals must contain an original copy with original signatures, and six copies of the proposal (Attachment A). C. Program Narrative The body of the proposal must clearly and concisely describe the overall plan for the program. However, the bidder must use the prescribed form (excluding charts and attachments). However, the only attachments to the proposal must be those specifically related to the project: 1. Project Description (5 points) The overall mission,purpose, and design of the project should be described in this section. 2. Sample Home Study (15 points) Submitted with the bid will be a fictitious home study written using the state format. 3. Target/Eligibility Population (10 points) A profile of clients to be served including such factors as age; number of clients to be served, and duration of time to be served. The Bidder must address both Part C, statement of work and the target/eligibility populations. A. Quality of General Description (5 points) B. Ability to Provide Ethnically/Culturally Appropriate Services (5 points) 4. Types of Services Provided (5 Points) Service components should be described in this section. Services should be based on the Page 20 of 37 Bid No. 001-06/RFP-FYC 06005 through 06011 and 006-00, A, B, & C needs of clients, the community, the Colorado Children's Code and any and all applicable Federal and State laws, orders, and all applicable standards, regulations, interpretations or guidelines pursuant thereto. 5. Measurable Outcomes (5 Points) A list of measurable outcomes of the Family Preservation Program is to be addressed as required the Measurable Outcomes Section. The Bidder must address what methods the bidder will use to measure, evaluate, and monitor the outcomes. 6. Service Objectives (5 Points) The Service Objectives Section provides for service objectives as developed by the FYC Commission and the bidder. The Bidder must address what methods the Bidder will use to measure, evaluate, and monitor the objectives. 7. Workload Standards (10 Points) The bidder must address the workload standards as described in the Workload Standards Section. 8. Staff Qualifications (10 Points) The bidder must address the Staff Qualifications Section as required by the FYC Commission. 9. Unit of Service Rate Computation (10 Points) The budget must be submitted in a rate per unit of service for direct delivery of services for home studies, updates, and relinquishment counseling. 10. Billing Process (10 Points) a. The bidder must submit a description of their billing process (5 Points) b. The bidder must submit a fictional sample of a monthly billing (5 Points) 11 Lowest Qualified Bid(s) (10 Points) 12. Program Capacity by Month (5 Points) A description of maximum and minimum client capacity per month necessary to support program. Page 21 of 37 Bid No.001-06 RFP-FYC COMMISSION-006-00B PART E EVALUATION PROCESS A. An evaluation committee composed of Families, Youth and Children Commission members, except those FYC Commission members who have submitted proposals for consideration under RFP-FYC - 006-00B, will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy and completeness of the proposal. In addition to the evaluation committee's independent reviews, the evaluation committee will obtain: 1. Independent reviews from representatives from the Colorado Department of Human Services and Weld County Social Services will judge the merit of proposals received in accordance with the general criteria defined in the RFP and the adequacy of the proposal. 2. Any performance reports submitted by the FYC Commission in accordance with criteria defined by the FYC Commission. The recommendations of the evaluation committee will be forwarded to the Board of Weld County Commissioners. The Board of Weld County Commissioners will make the final approval of the bids. Failure of the bidder to provide any information requested in the RFP may result in disqualification of the proposal and shall be the responsibility of the bidding individual or firm. The sole objective of the evaluation committee will be to recommend the bidder whose proposal is most responsive to Weld County's needs while within the available resources. The specifications within the RFP represent the minimum performance necessary for response. B. Evaluation Criteria Mandatory Proposal requirements include: 1. Project Description ( 5 Points) 2. Sample Home Study (15 Points) 3. Target/Eligibility Populations (10 Points) A. General (5 Points) B. Cultural/Eligibility Populations (5 Points) 4. Type of Service Provided (5 Points) 5. Measurable Outcomes (5 Points) 6. Service Objectives (5 Points) 7. Workload Standards (10 Points) 8. Staff Qualifications (10 Points) 9. Unit of Service Rate Computation (10 Points) 10. Billing Process (10 Points) 11. Lowest Qualified Bid (10 Points) 12. Program Capacity by Month (5 Points) Total Points 100 The proposal must obtain minimum Points of 75% of total possible points to be considered for funding. Attachments A. Child Welfare Regular Administration Funding Bid Proposal Page 22 of 37 • Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A HOME STUDY, UPDATE, & RELINQUISHMENT COUNSELING BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER CHILD WELFARE ADMINISTRATION FUNDING 2006-2007 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2006-2007 Bid 001-06 RFP-FYC COMMISSION-006-00B NAME OF AGENCY: ADDRESS: PHONE: ( ) CONTACT PERSON: TITLE: DESCRIPTION OF HOME STUDY PROGRAM CATEGORY: Adoption, Foster Care, and Expedited Permanency Planning Home Studies in compliance with the uniform format utilized by the State of Colorado Social Services of Human Services since October 1, 1999 (Attached A). 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1, 2006 Start End May 31, 2007 End TITLE OF PROJECT: Name and Signature of Person Preparing Document Date Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For new and renewal bids,please initial to indicate that the following required sections are included in this Proposal for Bid. Project Description Sample Home Study Target/Eligibility Populations General Indicates Cultural/Eligibility Populations Types of services provided Measurable Outcomes Service Objectives Workload Standards Staff Qualifications Unit of Service Rate Computation _Billing Process Program Capacity per Month Certificate of Insurance Page 23 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A Date of Meeting(s)with Social Services Division Supervisor: Comments by SSD Supervisor: Name and Signature of SSD Supervisor Date Page 24 of 37 ' Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A Program Category Home Study, Update, and Relinquishment Counseling Project Title Vendor PROJECT DESCRIPTION Provide a brief, one-page description of the project. II. SAMPLE HOME STUDY Provide a fictitious home study written using the State format. III. TARGET/ELIGIBILITY POPULATIONS Provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. Sub-total of Individuals who will have access to 24-hour service. G. The monthly maximum program capacity. H. The monthly average capacity. I. Average stay in the program (weeks). J. Average hours per week in the program. IV. TYPE OF SERVICES TO BE PROVIDED Provide a two-page description of the types of services to be provided. Please address if your project will provide the service minimums as follows: A. Home Studies, Updates, and Relinquishment Counseling as referred by Weld County Social Services. Provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component. Describe your internal process to assure that FYC Commission's resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD, and professional services otherwise funded. Page 25 of 37 • Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A V. MEASURABLE OUTCOMES Provide a two-page description of your expected measurable outcomes of the project. Address the following measurable outcomes: A. More expedient placement of children. B. Quality adoptive home studies that are done in a timely manner. C. Outcomes will be defined by the number of acceptable home studies submitted. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. VI. SERVICE OBJECTIVES Provide a one-page description of your expected service objectives and quantitative measures. Address, at a minimum, the following ways the project will: A. Provide quality home studies, updates, and relinquishment counseling for Adoptive, Foster Parents, and Social Services' clients. Describe the methods you will use to measure, evaluate, and monitor each service objective. VII. WORKLOAD STANDARDS Provide a one-page description of the project's workload standards and quantitative measures. Address, at a minimum, the following areas: A. Number of hours per day, week or month. (Minimum hours per week per family.) B. Number of individuals providing the services. C. Maximum caseload per worker. D. Modality of service. E. Total number of hours per day/week/month. F. Total number of individuals providing these services. G. The maximum caseload per supervisor. H. Insurance. VIII. STAFF QUALIFICATIONS Provide a one-page description of staff qualifications and address, at a minimum, the following: A. Will your staff, including supervisors, who are providing direct services meet the minimum qualifications in education and experience required and be listed on the State of Colorado Department of Human Services vendor list, having applied for inclusion. Describe. B. Total number of staff, including supervisors, available for the project. C. Will your staff have received mandated new caseworker training? D. Will your staff have knowledge in risk assessment? IX. UNIT OF SERVICE RATE COMPUTATION Page 26 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A The budget must be submitted in an hourly unit rate cost of direct delivery of services to an individual or family unit. The bidder must address the Unit of Service Rate Computation calculation as follows on the attached budget pages. X. BILLING PROCESS A. Provide a description of your billing process, B. Provide a fictional demonstration of a monthly billing. XI. LOWEST QUALIFIED BID XII. PROGRAM CAPACITY BY MONTH Provide a description of maximum and minimum client capacity per month necessary to support your agency's program. INSTRUCTIONS-UNIT OF RATE COMPUTATION The budget form is to be used to provide detailed explanation of the hourly or daily rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill Social Services for direct, face-to-face services provided to clients referred by the Department. Requests for payment based on units of service such as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving direct face-to-face services will not be honored. Likewise, bills must be for hours or days of direct services to the client, regardless of the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. The rate for court testimony includes preparation of, and actual court testimony during the term of this contract. Please list your requested rate for court testimony separate from your direct hourly rate for client services. There are two different ways to fill out the budget form. The budget can either be done manually or by computer. Regarding the manual budget, all areas that are required to be filled in are highlighted. The computerized budget is less work due to predefined calculations, but does require Microsoft Excel for Weld County's predefined budget. There are highlighted areas on the computerized budget that are required to be filled in as well. Firms can also design its own budget form on a spreadsheet, but at minimum, it must have all of the columns that are on the manual or computerized budget. Explanations on how to fill out the budget form are provided below and on the following pages. (A) This is an estimate of the total hours or days of direct, face-to-face services each client will receive from the time he or she enters the program until completing the program. On the manual budget, the only place to put this number is on the Program Budget worksheet. The computerized budget requires this number to be entered on the Direct Service Cost worksheet only. Once filled in there, this number is populated throughout the entire budget. Page 27 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A (B) This is an estimate of the number of clients who will be served during the period from June 1, 2006, through May 31, 2007. On the manual budget, the only place to put this number is on the Program Budget worksheet. The computerized budget requires this number to be entered on the Direct Service Cost worksheet only. Once filled in there, this number is populated throughout the entire budget. (C) This is the total number of hours or days per client multiplied by the total number of clients to be served for (B). On the manual budget, this will have to be calculated manually on the Program Budget worksheet. The computerized budget will automatically calculate this then populated throughout the entire budget. (D) This is calculated by taking the total direct service costs (E) and dividing it by the total number of hours in ( C ). On the manual budget, this will have to be calculated manually. The computerized budget will automatically do this calculation for you. (E) This number represents the salary and benefits that your organization pays its direct service providers plus any costs which are directly attributable to the face-to-face session with the client. On the manual budget, all areas that are highlighted on the Direct Service Costs worksheet must be filled out according the descriptions. The Grand Total Direct Service Costs must be then carried over to the Program Budget worksheet. The computerized budget, once all of the highlighted areas are filled in, it will automatically carry the total over to the Program Budget worksheet. (F) This represents the salary and benefits of direct service, supervisory, and clerical personnel which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent on the program for activities such as travel, phone conversations,no- shows, discussions with involved parties, meeting preparation, and report completion. On the manual budget, all areas that are highlighted on the Admin Costs Non-Face-to-Face worksheet must be filled out according to the descriptions. The Grand Total Direct Service Costs Not-Face-To-Face must be carried over to the Program Budget worksheet. The computerized budget, once all of the highlighted areas are filled in on the Admin Costs Non-Face-to Face worksheet, it will automatically carry the total over to the Program Budget worksheet. (G) This represents the agency overhead costs, such as rent, utilities, supplies, postage, travel reimbursement, telephone charges, equipment, depreciation, data processing, interest, and taxes which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent on the program for activities such as travel,phone conversations,no- shows, discussions with involved parties, meeting preparation, and report completion. On the manual budget, all highlighted areas on the Overhead Costs and Profits worksheet must be completed according to the descriptions. The Total Overhead Costs must be carried over to the Program Budget worksheet. The computerized budget, once all of the highlighted areas are filled, will automatically carry over to the Program Budget worksheet. (H) This represents the total of all direct face-to-face costs, admin direct non face-to-face costs, and overhead costs. On the manual budget, this will have to be manually calculated by adding these three total costs together. The computerized budget does it automatically. Page 28 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A (I) This represents the total amount of profit your firms expects to realize as a result of operating this program. Any difference between lines (H) and (J) must be substantiated by an amount indicated on this line. The manual budget, this amount will be entered on the Overhead Costs and Profit worksheet and then have to be carried over to the Program Budget worksheet. The computerized budget, once it is filled in on the Overhead Costs worksheet, it will then automatically be carried over to the Program Budget worksheet. (J) This represents the total costs and profits added together. This is (H) and (I). On the manual budget, it will have to be calculated manually on the Program Budget worksheet. The computerized budget will automatically calculate it on the Program Budget worksheet. (K) This represents the total hours or days of direct service for the year. This is ( C) above. On the manual budget, you will have to carry this number down from ( C ). On the computerized budget, it is automatically carried down. (L) This is the actual direct, face-to-face hourly or daily rate at which you will be requesting payment for the services provided under the conditions of this Request for Proposal. This amount cannot be more then what is charged to the general public or collected from insurance providers. On the manual budget, this amount must be calculated by taking the total costs and profits (J) and dividing it by the total hours or days of direct service for the year(C or K). The computerized budget automatically calculates this total. The use of the actual program expenditures is to insure that the direct, face-to-face hours/daily rate is comparable to the budget computation. The actual numbers will be taken into consideration for the 2006-2007 Request for Proposal for that specific program. Page 29 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A ASSESSMENT OF FOSTER HOME AND ADOPTIVE HOME A. Content of the Assessment The assessment shall include, but not be limited to, the following: 1. Social HistoryBackground-Adult(s) History Element: What is the foster/adoptive parents' childhood and adult history? Consider the individual's cultural context in your description. Specific areas include: unusual circumstances regarding birth; early childhood; developmental factors; family composition/dynamics; family history of medical and emotional health; use of drugs or alcohol; strengths of relationships and lessons learned from less positive relationships; siblings-past and present relationship with each, parent(s)-education, occupation, personality, family discipline practices (as a child/adolescent); past and present relationship with each. Personal-physical, sexual or emotional abuse history and how issues have been dealt with; use of drugs or alcohol; physical/mental health (include addictive personality qualities, history of gambling or pornography); childbearing or infertility; arrests or legal encounters; relationships (including other races/cultures); marriages, divorces, births (include number of pregnancies and number of children born to the individual); employment; education; number and type of foster/adoptive placements (child protective services,juvenile justice, other); placement success or disruption, other information. 2. Adult General Functioning Element: How does the adult function with respect to daily management and general adaptation? Specific areas include: problem-solving capacity/history; response/reaction to stress, ability to communicate, styles of communication; cognitive functioning; ability to make judgments/decisions and capacity/history to follow through; use of defense mechanisms; levels of self-esteem; awareness of own capabilities and limitations; ability to control emotions; adaptation to infertility(if appropriate); levels of impulse control; expressions of emotions/feelings/general temperament; attitudes toward people of similar/different races/alternative lifestyles, cultures, religions; attitudes toward and response to sexual contact between children(if appropriate); homophobia; substance use issues; mental health issues; history of losses, strengths/weaknesses, ability to make decisions; values. 3. Parenting-Discipline: What are the disciplinary approaches used by the potential foster/adoptive parent, including the typical context? Specific areas include: view of the role/purpose of discipline (teaching, punishment, safety, etc.); attitude towards corporal punishment; parenting practices in the family in terms of expectations, frustrations, supervision, and disciplinary approaches. Ability to set limits, provide consistency, structure. Specifically include discipline used with foster children,birth and adopted children, grandchildren, daycare, etc.; flexibility in consequencing behaviors; Page 30 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A openness to new discipline techniques; typical response to control and power issues; experience with children; other information. 4. Parenting-Values and Practice: What are the overall, typical,pervasive parenting practices used by the applicant or foster/adoptive parent? Specific areas include: parenting practices in the family in terms of sensitivity, concern, provision of basics; comfort with parent/foster parent role; expectation for mutual attachment; ability to parent transracial/transcultural child if appropriate; school attendance of all children; parent's school involvement; dress, hygiene, general appearance of children; rules and responsibilities of children in the home; attitudes toward education, religion, and community activities,parent's ability to meet birth, foster, and adopted children's emotional needs (time alone with parent, parent's ability to individuate children, etc); knowledge of child development and special needs children; any reports of child maltreatment and investigations. If applicant has been a foster parent prior to the adoption application include such things as inclusion of foster children in vacations, and treatment of birth and adoptive vs. foster children(eating, privileges, clothing, etc.); other information. 5. Children (Include all children birthed or parented)/Child Functioning: How does the child function on a daily basis? Specific areas include: general temperament, expressions of emotions/feelings, typical behaviors; presence and level of peer relationships; school performance; known mental health disorders, including substance abuse (organic/inorganic); issues of independence/dependence, including emancipation of children; child's ability to accept a foster/adoptive child in the family; issues related to racial/cultural identity; other information. 6. Family System: Family Functioning: How does the family function, communicate, and interact? Consider the family's cultural context as you describe family functioning. Specific areas include: family structure and flexibility, clarity of roles and boundaries (including roles of/with foster children), who is in charge, how family decisions are reached, the level and type of communication used, the presence and use of affection, identify other persons who are permanent residents in family; ancillary family functions, such as care of elderly parents or other family members-roles and responsibilities, as well as time commitments, distance factors, etc. open/closed to transracial, transcultural, and religious experiences; general feelings/climate within the family; other information. When completing the assessment, the Quality Standards for 24-hour Child Care Section 7.714 should be consulted. Adult Relationships/Marriage: What effects has fostering/adopting had on family relationships? What effect will a defiant/acting out child/adolescent have on the entire family marriage? Page 31 of 37 • Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A Specific areas include: discuss current marriage, marital issues; unresolved infertility issues of couple (if appropriate); presence/absence of family violence; decision making; discuss conflict/stress on marriage; communication; strengths and weaknesses of relationship. If the family has been providing foster care at the time of the adoption, consider effects of fostering on family relationships, including marital. 7. Family Support Network: What is the quality of supportive relationships (formal and informal) outside the home? Consider the family's cultural context as you describe their support network. Specific areas include: nature of extended family support; support of non-related persons (friends, confidantes); openness of family to mentors/other adult input in children's lives; involvement/support of neighbors, business and social associates; if this adoption applicant family has been providing foster care consider extended family and friends' relationship with foster children; relationships with other foster parents/families; other information. 8. Demographics: What are the demographics of family? Consider the family's cultural context as you describe demographics. Inform family that a subsidized adoption may be available based on the child's eligibility. Specific areas include: assess financial situation; employment; description of home, neighborhood (include current racial/cultural/religious integration and community resources); health problems (include life and health insurance information); financially dependence on foster care; stresses related to demographics and how handled(e.g., medical, bankruptcy, family moves, household members leaving); references; valid driver's license and car insurance; other information. 9. Birth Family: Viewpoint of Birth Parent(s): How do the foster/adoptive parent(s)view maltreatment,parents who maltreat their children, parents who place their children in foster care, and parents whose children are placed by a court in foster care? When re-licensing, examine the attitude toward the birth family and understanding/support of positive relationships and/or memories of birth family. What will they tell the child about their birth parent(s) at different developmental stages? Specific areas include: when re-licensing, contact with birth parents and learning gained from the experience; general learning regarding birth parents; attitude toward openness in adoption, ability and willingness to transport to and from visits; attitudes toward teens and families with different values; ability to help children cope with separation, loss, and grief, other information. Viewpoint Towards Foster/Adopted Child(ren): How does the parent view children placed in foster care? Any differences in view based on type/age/race/cultural/religion of the child? Specific areas include: perceptions about what sorts of children are available, feelings/attitude toward and treatment of foster/adopted child(ren) (general, and specific to their foster/adopted children if re-licensing or placement currently exists); consider presentation of foster/adopted Page 32 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A children to community (sensitivity, advocacy); attitudes toward teen issues (like same sex sexual preferences; being sexually active, being bi-racial, and tolerance of adolescent behaviors); behaviors not acceptable to family, and any that are questionable based on overall study results and reference input; capacity to deal with academic problems, school behaviors, and/or ongoing need for involvement with the special education system; knowledge of developmental tasks; tolerance of adolescent behaviors; degree of difficulty the family can handle; type of child desired, and other appropriate other information. 10. Foster/Adoptive Family Preparation: How prepared is the family for fostering/adoption? How able is the family to provide foster/adoptive children with racial, cultural, and religious experiences? Include issues related to visitation with birth relatives and reunifications as appropriate. When re-licensing, describe new or significant information that indicates a change from the previous assessment. Specific areas include: family's own children's current view of fostering/adoption, including jealousy issues; ability of foster family children to deal with older child in home; parents' specific capabilities as related to foster/adoptive parenting; ability of foster/adoptive family to deal with dysfunctional child(ren)/youth; ability to be flexible in meeting the multiple needs of child (e.g. time necessary to deal with wrap around services, involvement with other agencies and services, tolerate treatment team members in home, expedited permanency and legal risk factors); when re-licensing consider effects of foster parenting on extended family; attachment to foster/adoptive children, and feelings about foster children who may have left the home; other information. 11. Motivation/Commitment: What is the nature and level of motivation and commitment demonstrated by the family? How is the family preparing themselves for fostering/adoption? Include fertility issues as appropriate. Specific areas include: basis/reasons for motivation/commitment (e.g., status, financial, emotional, adoption, own needs, service to community, etc); ability to re-evaluate and adjust expectations; child care plans; ability for parent to take Family Medical Leave, other information. 12. Intervention: Family Response: How capable are the potential foster/adoptive parent(s) to use agency involvement and to seek help on their own? Include willingness of family to seek cross cultural models and experiences. 13. Resource(s) Needed to Support the Placement: What are the resources, external to the foster/adoptive family, which support the placements? Specific areas include: the availability of support to the family 24 hours a day, including agency/staff resources; other information. How are they educating themselves at caring for abused and neglected children? Page 33 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A 14. Training: What kind(s) of training(s) is the parent now enrolled, needs to enroll in, or completed related to foster/adoptive parenting? Include ongoing training services and support groups.) Indicate summary of training attended since last licensure. Specific areas include: training completed or needed regarding chronological vs. developmental age functioning of children; the parent's viewpoint of birth parents/family; regarding developmental stage of the adoption relationship and effects on family functioning, regarding adolescent issues; concerning parent's view point of foster children when re- licensing. 15. Conclusions/Recommendations: Does the parent have the ability to provide and meet the safety needs of the foster/adoptive child? What condition(s) need remedying or strengthening? Describe the type of child(ren) that should be considered for this family by age, sex, race, legal risk and special needs (such as medical, physical, emotional). Page 34 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A WELD COUNTY SOCIAL SERVICES OF SOCIAL SERVICES RELINQUSIHMENT COUNSELING OUTLINE Background of case: Where are the children, why are they in custody of Weld County Social Services of Social Services? Reason(s) for relinquishment: Other options considered: How long have the parent(s) been considering relinquishment? Relinquishment does not automatically absolve the parent(s) of financial responsibility for the child(ren). The courts will make a determination. Severs all rights-is permanent. Does the parent(s) feel pressured by anyone? Is relinquishment in the child's best interest? What will relinquishment change for the child? Is a final good-bye visit necessary? Who is the attorney? Who is the G.A.L.? Who is the caseworker? Native American Status: Page 35 of 37 Bid No. 001-06 RFP-FYC COMMISSION-006-00B Attached A WELD COUNTY AUTHORIZATION FOR CONTRACTUAL SERVICES Date: Provider: Billing Contact: Phone #: Address: Description of Services: Service Month / Year Charges: $ I CERTIFY THE SERVICE AUTHORIZED WAS PROVIDED ON THE DATE INDICATED AND THE CHARGES ARE MADE PURSUANT TO A BONA FIDE CONTRACT BETWEEN ME AND THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES. Printed Name of Signer Provider Signature Date AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA FOR COUNTY USE ONLY: Approvals: / / Core Caseworker Date Director Date AMOUNT PAYABLE: $ ANY CHANGES LISTED BELOW: Client/ID/HH# Billed Amt Denied Paid Reason Page 36 of 37 E \ co 6 / ( \ : � � } \ / \ � \ \ \ N .{ / gam a � { j \ \ / \ / } \ a J \ . E) \ \ ( � k � \ \\ E / \ / % � � 03 \ mom = = % e = / C.) E � & 9 * » 00 ) > \ / \ \ \ \ \ Cil� ( k \ Ca et 2 / { + ! 0H / 2 - CA 6 \ ) \ / � � ° ° \ /$ / 2 3 \ 6 ® \ 5 2 2 r-- ,.., � © 2 / ° u en / \ f \ © \ ( » -)-• \ ) _ ® e ) 2 G g )_ © \ q C 2 § , / / C q - J ` � \ \ / ; _ ) / m / / @ _ / § ) / _ o } o € 2 j Cs) \ « § / / § O C 5 / 5 } � � \ Z \ E \ \ o ~ ) I ) f o / . : ( .. cn cS .! ) 00\ 0 aLi tb \ ZC ( / # \I—• � m /2 } 7 ) 25Q s « Oct2 } A • �) IC• ft C' JL INVITATION TO BID BID 001-06(06005-06011 and 006-00 A,B,& C) DATE:March 1, 2006 BID NO: 006-00C RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY no /� o/�'�e .S nitre_ p,c Request for Proposal (006-004) for: ;,.',._..,:w Fa ill - e T Deadline: March 31, 2006, Friday, 10:00 a.m. `�� C41 � �� '� S ��s • D �o/ R�►'t ton t- 41 nom.r Caun se-(7— The Families, Youth and Children Commission, an advisory commission to the Weld County Social Services, announces that applications will be accepted for approved providers pursuant to the Board of Weld County Commissioners' authority under the Colorado Family Preservation Act(C.R.S. 26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2006, through May 31, 2007, at specific rates for different types of service, the county will authorize approved providers and rates for services only. The Foster Parent Core Training Program must provide services that focus on providing Core Certification Training, satisfying all training requirements of State of Colorado Volume VII, and those required by Weld County Social Services. (See Appendices A, B, and C.) This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date 4401 ck I/ 09-0o G (After receipt of order) BID MUST BE SIGNED IN INK Qp Pk-C•14 tiAla�1 TYPE- OR PRINTED SIGNATURE PROVIDER �� r�mrYr� C3W C L 1��1M lotto ,..� � �(4 (Name) �. o ....,.��. . w en Signature By Authorized O tcer or Agent of Provider ADDRESS Q ' � qp TITLE 1 y�Q'OG `i PHONE # p)—�� — DATE Itl cs1Cth 1 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 38 C) Bid Number 002-05(RFP-FYC 006-OOC) Attached A FOSTER PARENT CORE TRAINING PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING COLORADO FAMILY PRESERVATION ACT 2006-2007 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2006-2007 BID 001-06 ( 06-0Q€fi NAME OF AGENCY: C Cam\! ADDRESS tPn Ye \n PHONE: ( CONTACT PERSON: l I rpna r\ c kV TITLE: ic3tNlo 1 DESCRIPTION FAMILY PR SERVATION PROGRAM CATEG Y. The Fo P re Tr Ming Ptjgram Cat must prod Core Certif tion Trai ' to Fost are Cern ation licants ' eld Co . (T 'spr am i mite Weld oster Car ificati Applic . The Qs m t satisfl all train' require s of State of rado Volum ee pendices B.and ) and ose re_quired by Wel oun 'al Se ' s of S ral ices. Ho Str & A 1 opth apps mate Proje ates: month contract with actual time lines of: Start June 1, 2006 Start End May 31, 2007 End (� TITLE OF PROJECT: 4-Litt r m0+' 4-A_4-A_ Ass O C i ate_ He 't S�" /M- C - ,V. G�,- , ,►�.. o� .�� 3/f-/Job Name and Signature of Person Preparing oc ent Date . -aja-l1 n Name d Si attire Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids, please initial to indicate that the following required sections are included in this Proposal for Bid. V Project Description Topical Curriculum Outline ✓ Target/Eligibility Populations V Types of services Provided V Measurable Outcomes V Service Objectives ✓Workload Standards V Staff Qualifications Unit of Service 49,4/6 Rate Computation - � qer4 Jai,E •fectit Aou tr �"-�lJlflllla' ty 1V[....s oI(,4ontr (c-sue- , 4✓O _ 'Se,- c.4J . Lo W..3t Qualif,,d Did C yr see,c e L93 t --- di ✓ Program Capacity per Month J1. Certificate of Insurance Date of Meeting(s)with Social Services Division Su pernsor. Page 25 of 38 J VVGJ UVG cadoora Bid 001-06(RFP-M-000117) Attached A Date of Meeting®with Social Services Division Supervisor. Conunents by SSD Supervisor. stieree /t More t a.a-,42c 69.44.1404.*-4 rot fry.r rococo,. ry 0-14-Pd#e77 3/-nla 6 Name and Signature of SSD S Data Page 30 of41 I , I „ I I I I , I I I co k / a 5 i g g 8 \ f ! ® ; , \ \ k Co \ ® ! \ $ C » 69 cr # Ill COT, e ® 7 2 ) § a [ 9 Q ! ® - - ci - m # ■ If 2 ) ; , ■ 2 I \ \ ( WI - ` 8 as Z 0 2 O a 2 _ § - ( \ J / w o _ ) a ) \ ( \ \§ [ § u § / I—0 cc \ \ / IX Ilj 0 \ Cocu Cl)al \io 0 EC 5 0 / / [ p § / ow \ a m / § / \ / § / m 2 % Co ) } 0 } § / § [ / Co ( ) g § 6 ) / ! 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U in O 63 to CCa CC k 8 § 0 i- > 20 § § 3 ) / 401 w ■ w © to z ) ° re- a § ® ` ! # » § Ill § ) \ - - k ) f . / / � / / / 0 0 ` .- 0 * #/ § mm@ q m § 7 e )§ _ §§$f 0 g 0 | \ �/ k § �2§®®; ; ■ g { 0 , la g U) §| $ a § (0 000 c � Ro « 0 CC �� 2 ° §. � ak # � mgq % 0 / 0 ! \ « 2o c3 o co Gmg � g (§fa f§ a . a co- OS 2; fix/ `7 69` oOU) 0 rt o - - „ ! e e „ ® k� \ § § 2 § § § § § C > / a o et F-, ° / f} - - - - - - - - - III W la% WWWWWW k / � co B� CD Q0 @o § §Kkk#FkFCD S � �! 69 69 e 2 f _ J „,;(13 • 8 / c ! ; k ) z in k g f co in T2 11 . a k ? § f ! CO I..) la k 2 { E 0 C. re ® a. a. octets, 7 a r k \ \ 7 2 \ k _ § a / — I-` § § § § ) z D § ,CC ) {\ (a 0 P w \ _ ! ! , ! ' 4 A /! {% ! ) ! / � / § § :o • Project Description 2006- 2007 ACKERMAN AND ASSOCIATES' HOME STUDY AND ADOPTION RELINQUISHMENT SERVICES Overview: Ackerman and Associates, P.C. proposes to again conduct: 1. A home study program for new or existing cases where a family study is needed to certify an adoption placement is in the best interest of the specified potential adoptee and the adoptive family. A new home study is referred to in the proposal simply as a home study. A home study that is for an existing case, where an appropriate home study has been completed previously and where new information is required is termed a home study update. 2. The home study program would be required of new foster parent homes. 3. Relinquishment counseling is designed to assure that each parent relinquishing the child is fully aware of, in agreement with and capable of making a decision related to relinquishment. We propose to provide up to two hours of relinquishment counseling as specified by Colorado and Weld County. Such services will be referred individually for each parent relinquishing their rights and giving their child permanently to another family in an adoption process. We will provide these programs primarily through services in the home of the family intending to adopt, the new foster parent home or in our offices. Services will consist of: 1. A home study format of twenty hours of work based on eleven of direct professional services as well as required background checks. Work performed will meet the state criteria for an appropriate home study as illustrated by the fictional case study appended to this bid. 2. A home study format hours based on six hours of direct professional services to update an appropriate home study. The update will meet the state criteria for an appropriate home study. 3. Two hours of relinquishment counseling services for each parent billed in one hour increments. The billing format is designed to recognize that the parents may be estranged or one unavailable for the process. A maximum of two hours per referral is set in this process. The relinquishment counseling report will document the criteria set forth in the WCDSS outline and the Colorado relinquishment guidelines for relinquishment for each parent. 1 A primary strength of this proposal is the experience of the psychologist Joyce Ackerman, EdD. who is a certified as a vendor of these services and trained in the SAFE model. Our purpose is to: 1. assure that a placement is in the best interest of the adoptee and the family intending to adopt. 2. recommend for or against the placement with clear explanation for those recommendations. 3. recommend activities and work needed to improve or enhance the adoptive process and outcomes for the adoptive child. 4. assure that relinquishment is fully understood within the context of the Weld County and Colorado process. Target/Eligibility Populations A. Total number of clients to be served in a twelve-month program has been calculated as follows. Up to two home studies, either as complete home studies or updates, per month for a maximum of 24 per year is the anticipated capacity of our program. B. Distribution of clients.We anticipate that about 1/3 of the studies will be for new foster parents. About one third will be for kinship placements and the remaining third for adoption outside the kinship system. This assumes a maximum of approximately 48 hours of counseling services for relinquishment across 24 cases of relinquishment. C. Families Served. We anticipate serving 24 family units for home study and 24 mothers and 24 fathers for relinquishment counseling. D. Sub total who will receive bicultural/bilingual services. We anticipate we can serve up to 25% of families who need these services in a bilingual manner. All of the staff have extensive cross cultural experience. We have a Hispanic member of the staff, Emily Jaramillo, M.A., L.P.C. who is fluent in Spanish. Joyce Ackerman, BID. has spent several years working in American Indian reservation populations and with Hispanic mental health in Greeley. She has practiced in Greeley since 1981. E. Accessibility. On weekdays, all providers of Ackerman and Associates are accessible through our office secretary and through cell phones. After hours ,we maintain a 24 hour answering service and page system. On 2 weekends, the 24 hour access reaches the provider on call who is always a licensed Mental Health provider. F. Maximum per month. The program maximum is estimated at two home studies and four hours of relinquishment counseling per month G. The monthly average capacity is one home study and two hours of relinquishment counseling per month. H. The average stay in the program is expected to be two months for a home study and two weeks for each parent in relinquishment counseling. Types of Services Provided Home study: The home study will consist of the following procedures (11 hours) 1. Each parent will complete a detailed questionnaire designed to assist the interview process and return it prior to the first appointment. 2. Each parent will complete the required activities for a background check. 3. An initial meeting in the home with both parents desiring to adopt or to be certified as foster parents. (2 hours) 4. One or two additional interviews and observation of family in the home setting, including age appropriate interviews with children, as needed. (4 hours) 5. Data review as needed (2 hours) 6. Home study report and recommendations. (2 hours) 7. Meeting with parents in office. (1 hour) A sample home study report is attached. Home study update: (6 hours) 1. Each parent will complete a detailed questionnaire designed to assist the interview process and return it prior to the next appointment. 2. Review of previous report. (1hour) 3. A meeting at with each parent desiring to adopt or to be certified as foster parents. (2 hours). 3 4. Additional interviews and observation of family members in the home setting. (2 hours) 5. Home study report. (1 hour) Relinquishment counseling: 1. Relinquishment counseling will consist of focused discussion based on the required WCDSS outline for provision of relinquishment services and the State of Colorado guidelines for relinquishment counseling 2. We also assure WCDSS, as we have in the past, that no individual working with Ackerman and Associates and providing therapy or having any other relationship with clients being served will provide relinquishment counseling, thus avoiding any conflict of interest. 3. Up to two hours per referral (per parent) will be provided under relinquishment counseling services. Measurable Outcomes are specified as : 1. acceptability of Home Study reports to WCDSS. Our goal is for 100% of our home study reports are acceptable to WCDSS Foster parent and adoptive services. Home study reports will be based on the SAFE model. 2. Timeliness of reports: Our goal is that 90% of reports will be completed within one month of referral for those whose background checks are processed within this period and that 100% of reports (i.e. the remaining ten percent)will be completed within eight weeks of referral. By adhering to these standards, we would expect that the department could expedite permanent placement of children assuming that failure to provide high quality home studies in a timely manner has been the factor which has limited the rate of placement. Service Objectives One aspect of all home studies will be to assess parental competency We expect that all reports will comment on strengths and weakness of the potential adoptive home. Very serious weaknesses that rise to a clinical potential for injury to the adoptive child may disqualify a family as prospective adopters in the judgment of WCDSS. However it is expected that the majority of reports will suggests strategies for improvement where areas of deficiency are noted where these deficiencies in themselves do not negate the potential of the home to serve an adoptive role for the specified child. Some of the areas may include: Improvement of parental competency 4 • The ability if the family to access resources Application of parental competencies in daily activities. After a full assessment of the family and home recommendations are made in each of these areas. The attached study report indicates how we have applied the state mandated format to a fictional example of a case study. The new SAFE model will be utilized for all new home studies. Workload Standards The program has a capacity of 24 home studies and relinquishment counseling for thirty mothers and thirty fathers. There is one provider— Joyce Ackerman Ed. D. for home studies and relinquishment counseling. One additional provider is available for home studies only— Susan Bromley, Psy. D. and one additional provider is available for relinquishment counseling only- Emily Montoya, L.P.C. The maximum caseload a maximum of two home studies and 4 hours of relinquishment counseling is projected per month. The modality of treatment is face to face assessment and background checks by written format. A questionnaire and other formats will be developed to standardize the content of the home study. Hours/month a maximum of two home studies and 4 hours of relinquishment counseling is projected per month. Staff There are 3 individual providers supported by one administrative professional in practice as well as contracted staff for billing and accounting. Supervisor This contact would be supervised by Joyce Shohet Ackerman, Ed. D., who would monitor the project for compliance. Providers are individually licensed and do not require clinical supervision. The maximum caseload per supervisor is 24 families per year. Insurance All providers carry one million/three million liability policy Ackerman and Associates carries an additional one million/three million liability policy on the group and a general liability policy, which meets the required criteria for this application. Co-listing of the state of Colorado on Ackerman and Associates insurance for professional liability is required by the procedures of the State vendor list. 5 Evidence standards: The Colorado Home study program is based upon the SAFE format, a validated instrument adopted by the Colorado program and required for certifying vendors in the home study process. Collaboration: Appended are letters related to collaboration from NRBH, Weld County Job Services and Weld County Housing services. Our letters to these agencies and their responses are either appended or did not arrive to us by the time of submission. If the later is the case they will be provided to the program managers when we receive them. Staff Qualifications Staff Qualifications Three staff are available for the project. They exceed the minimum qualifications specified as documented below. The staff members are: Joyce Shohet Ackerman, Ed. D., Licensed Psychologist; Emily Jaramillo M.A., L.P.C., and Susan Bromley Psy. D., M.S.W. All are listed as vendors for home studies by the state of Colorado. Training The staff has extensive training in family therapy and short term therapy as documented by their extensive work experience. All listed providers are vendors on the state list for home study providers. Dr. Ackerman and Dr. Bromley have completed the SAFE training. Continuing education As a part of their work in the private sector, all providers in this group maintain continuing education programs more than the minimum eight hours required. They participate in workshops and other activities. This proposal's continuing education requirements coincide with the requirements of other contractual arrangements and are being met on an ongoing basis by members of the group. Supervision All of the providers are independently licensed and not required to have clinical supervision. All the staff have advanced skills in family therapy and in individual and family assessment. The contract supervisor will monitor the specifications made in this proposal. They are not caseworkers and so they do not have training associated with that role as mandated for caseworkers in Colorado. Supervisor continuinq education The supervisor of the project is involved in ongoing training to keep current with her profession through advanced workshops and seminars. Ackerman and Associates, P.C., of which the supervisor is the president, has more than ten years contracting experience with WCDSS. Dr. Ackerman has done extensive evaluation work in child custody, Special Advocate and Child and Family Investigator cases. Dr. Ackerman manages all contracts for Ackerman and Associates, P.C. 6 Unit of service rate computation For home study professional time outlined above we are requesting a rate of $1045 for a full home study and $570 for a home study update. For relinquishment counseling, we will bill up to two hours ($120 per hour). Direct and indirect costs and how these relate to overall expenses of the corporation are shown on the required bid sheet. Standards of responsibility for 2006 bids Ackerman and Associates, P.C. is a type S professional corporation and not a 501.c.3. In 2005, Ackerman and Associates had a net loss of one half of one percent on its revenue compared to expenses, generating no profit. 7 SAFE Multi Purpose Home Study Report This home study was completed by Joyce Ackerman,Ed.D solely for use in foster care placement and/or - i adoption by and tot- United States licensed/authorized ;agencies unless otherwise specified. _ Name of Family: Rodriquez-Smith — — -- - — -- Address: xt-x. -- --' CityCity: Greeley. -,--State: ----- -_ --— - _' —_ --_ State: Co ' Postal Code: 00000- (}000 Home Phone: xxtxx Cell Phone: xxt_x APPLICATION DISPOSITION Forward for consideration by Agency Approval Team on: Home Study Application received on: 2/10/2000 The Applicants have applied to accept placement of a child between the ages of 1 to 10 The Applicants are not open to placement of a sibling group. The Applicants are primarily interested in becoming an Adoptive Family. APPLICANT INFORMATION I Fred Smith ) Mary Rodriquez i Date of Birth: 1 07/29/1966 _Date of Birth: 08/28/1967 �1 Birthplace: Denver --- - Birthplace: Greeley — _..._._J Gender: Male i t Gender: : Female L Religion: ! Methodist _ ' Religion: ' Catholic Occupation: Mechanic - T -- -- Occupation: ' Nurse's Aide Language(s): English i Language(s): Spanish and English Education: 12th grade Education: J 12th grade 1 Height: 5'10" ' Height: 5'3" Weight: 175 Weight: 1 153 fHair: ; black Hair: I black Eyes: brown Eyes: ! brown i Date of health questionnaire/report: 12/3/2000 I Date of health questionnaire/report: 2/3/2000 MARITAL INFORMATION P[Date of Marriage: 06/05/1989 I Marriage Verification: On File lace of Marriage: Greeley DATES OF CONTACT Date Individual/Couple Location 2/15/2000 couple Home 2/15/2000 Individual Home 2/15/2000 Individual Home 2/25/2000 Couple Home 2/25/2000 Individual Home _ 2/25/2000 Individual Home 3/05/2000 Couple Office Structured Analysis Family Evaluation(SAFE)*Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 1 of 9 Copyright,2005,Consortium for Children,All Rights Reserved , Indicate both Applicants' stated reasons for wanting to become a foster parent, an adoptive parent, a foster adoptive parent or resource family.Both parents believe that they are fortunate to have a good home with a healthy child. They have large extended family support and very much want to add to their family. They have good jobs, adequate income and a strong desire to parent. HOME ENVIRONMENT Type of residence: House, Apt, Condo, Etc. Square Footage: 1500 Bedrooms: 4 Bathrooms 3 Length of Time in current residence: 7 years Describe general characteristics of the Applicants'home and neighborhood. Indicate the type of residence (house, apartment, condo, etc.)and square footage. Describe the floor plan including the number of bedrooms and bathrooms.Describe the yard space and indicate if there is a pool, pond/fountain, etc. Describe the sleeping arrangements and also indicate whether or not there are guns or pets in the home. The hi-level home is in an older, residential neighborhood. There are 3 bedrooms on the main floor and an additional bedroom downstairs.There is a bathroom in the master bedroom,one other bathroom upstairs and one downstairs.The home is about 1500 square feet. A small fenced in yard has a swing set. The family has a 3 year old dog.The home appears well kept and organized.No guns are in the home and the home was been inspected for health and safety on March 10, 2000. There is a park and an elementary school nearby. Describe how the applicant presents him/her self. Also indicate any special interests, hobbies,expertise or talents the applicant possesses.Identify parents, siblings,their location and circumstances plus type and frequency of contact.lndicate name(s)and length of tune of previous marriages and/or domestic partnerships. Include how relationships were terminated,e.g., death, divorce,annulment, breakup. Identify any children born of these unions and describe their current situation. Describe how the applicant presents him/her self. Also indicate any special interests,hobbies, expertise or talents the applicant possesses. Identify parents, siblings,their location and circumstances plus type and frequency of contact. Indicate name(s)and length of time of previous marriages and/or domestic partnerships. Include how relationships were terminated, e.g., death,divorce, annulment,breakup. Identify any children born of these unions and describe their current situation. FAMILY: Fred Smith Fred indicated that he is very happy to be involved in adopting a child. He presents as a devoted husband and father. He has been married once previously and reported that he experienced some depression at the end of that marriage about 18 years ago. He stated that he believed he was too immature at the time of his first marriage and was inattentive to his wife. She asked for a divorce after the second year of the marriage.There was one child in that marriage,Debbi,who is now 17 years old. Fred sees Debbi two weekends a month and he and his x-wife have a cordial relationship. . Fred enjoys working on old cars during his spare time, however,he states that his primary goal, at this time, is to be involved in raising his children. Fred indicated that he has a good relationship with his parents, although they were initially upset that Fred and Mary choose to baptize Felize in the Catholic church. He states that this has not been a current issue and that his parents are now very appropriate with Feline his parents reside in Denver and .he sees his parents a few times a month. Felize has one brother, Tom who is divorced. Tom lives outside of Denver and Fred sees him approximately once a month. Structured Analysis Family Evaluation(SAFE)©Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 2 of 9 Copyright,2005,Consortium for Children,All Rights Reserved Mary Rodriquez Mary Rodriquez Mary is very anxious to adopt a child. She grew up in a home with seven siblings and has always wanted a large family. In the last several years, she has had two miscarriages. She believes that by adopting a child, she and Fred can provide a healthy, happy environment for at least one or more additional children. Mary reports that she enjoys making crafts during her free time. She often makes handmade gifts for friends. Mary reported that she had one very serious relationship when she was in high school. She was engaged for a while but broke off that relationship after her senior year of high school. This is her first marriage. Mary is very close to her parents. Her father used to have a serious drinking problem, but he has been sober for nine years. Her mother enjoys being a grandparent to 12 grandchildren and is very excited that Mary and Fred are adopting another child. Mary's 6 siblings all live in Weld County and they see each other on a regular basis, at least once a week. Applicants' Sons and Daughters Indicate"None"or provide name(s), DOB and gender. Describe their personality, interests, school or occupational situation, general health and living situation. Felize, (DOB 5-12-99) is the only child of this couple. He is a bright,talkative 2n°grade student. He is very excited about becoming a big brother. He has his own bedroom and is proud of his car collection. Other children living or frequently in the home Indicate "None"or provide name(s), DOB,gender. Provide description of their personality, interests, school report information if any,general health. Indicate nature of relationship to Applicants,and living situation. None Other adults residing or frequently in the home Indicate name of any adult who is living in the home or who is in the home on a regular basis. Describe the amount and type of contact they would have with a child. None Indicate each individual's occupation,general health and the nature of their relationship to the Applicant. None Describe current and proposed child care arrangements and work and non-work day routines and rituals. What are the basic household rules and expectations? Who does what in terms of chores, cooking, bill paying, home maintenance, transportation, etc.?Describe how the family deals with privacy and nudity in the home. What kind of recreational, social and religious activities does the family engage in? Does the family celebrate holidays; which ones and how are they spent? Family Lifestyle Fred drops off Felize at school each day and Mary picks him up after school. Felize is expected to complete daily chores. The rules appear to be uniformly enforced in the observations that were made. Fred does home maintenance (inside and outside). Mary does most of the cooking and pays the family bills. Nudity is not acceptable in the home. Structured Analysis Family Evaluation(SAFE)®Colorado Couple Mukipurpose Home Study Report -Version 02-17-2006 Page 3 of 9 Copyright,2005,Consortium for Children,All Rights Reserved , the family attends Catholic Church once a week . Much of the family free time is spent with Mary's siblings and their children. Christmas and Easter are reported to be especially significant events. Previous adoptions or foster care experience Indicate "None" or discuss the circumstances and the adjustment of the child or children to the family. None FINANCES Combined annual gross earned income: $56,000 from wages Sources of additional income: Explain, if any None CRIMINAL/CHILD ABUSE RECORD Indicate the name(s)of any other individuals who were screened. The required criminal record and Child Abuse Index checks were completed for Fred Smith and Mary Rodriquez. These reports were sent directly to WCDSS from CBI State automated system, CBI,ICON/Co Courts,and FBI (if applicable) Clearance Findings: Indicate the findings for each individual screened. State findings were reported directly to WCDSS. NO problems in background information were noted by the WCDSS caseworker. Other findings: Indicate who was screened for each of the following and the findings for each person: DMV (optional), local law enforcement(optional)and CPS service records. Check of these records DMV and local law enforcement revealed no relevant data on either applicant other than an occasional parking ticket for overtime meters.. EMERGENCY CARE PLAN /In case of an inca agitating illness or death of the Applicants, indicate whom the designated caretaker(s)will be and the nature of their relationship to the Applicants. Mary's sister,Betty,has two small children and has agreed to be the emergency person to care for Mary and Fred's children in case of death or incapacitating illness. Indicate if these arrangements have been discussed with the designated caretaker(s),how willing they are to assume this responsibility and whether arrangements have been formalized in a will or trust. Betty,who is Felize's godmother, is also listed in Mary and Fred's will as a caretaker in case of their mutual demise. CONTACT WITH FAMILY OF ORIGIN AND SIGNIFICANT OTHERS Describe the type of relationship and contact the Applicants are willing to have with the birth parents and other significant connections such as siblings,grandparents,foster parents,etc. Describe any written post-adoption contact agreement(s). Mary and Fred would be willing to provide pictures to the birth parents. At this time,they are somewhat hesitant about having any other contact with the birth parents, but they are willing to consider it in the future REFERENCES References received:Yes Structured Analysis Family Evaluation(SAFE)®Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 4 of 9 Copyright,2005,Consortium for Children,All Rights Reserved • , FAMILY TRAINING .Identify and describe agency family training. Include Applicants' statements regarding their participation and benefits derived from these activities. Both of these applicants have completed all of the required training LEGAL/FINANCIAL RIGHTS AND RESPONSIBILITIES Fred Smith and Mary Rodriquez have been provided with information concerning the different roles, responsibilities, legal and financial rights and benefits of relative/child specific kin caregivers, foster parents, legal guardians and adoptive parents. Also, should they file a petition to adopt, Fred Smith and Mary Rodriquez understand that they will be accepting full legal and financial parental responsibility once an adoption is finalized. The agency's grievance procedures were explained to the Applicants. Structured Analysis Family Evaluation(SAFE)®Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 5 of 9 Copyright,2005,Consortium for Children,All Rights Reserved PSYCHOSOCIAL INVENTORY RESULTS NOTE: Below is a list of the psychosocial factors found on the SAFE Psychosocial In;entor . Using the Psychosocial Inventory. each factor was considered and rated several times by the social worker during the course of this home study. The ratings below represent the final ratings. The ratings are defined as follows: I =an exceptional strength. 2 =a strength. 3 = an issue of concern. 4 = a major issue of concern and 5 = very serious problem. The OVERALL EVALUATION OF SECTION ratings reflect the degree to which all issues of concern identified in the section were either resolved, mitigated or the prognosis for change. #1 #2 HISTORY #1 #2 EXTENDED FAMILY RELATIONSHIPS 3 2 Childhood Family Adaptability 2 2 Extended Family Cohesion 2 2 Childhood Family Cohesion 2 I Extended Family Adaptability 2 2 Childhood History of Deprivation/Trauma 2 1 Relationship with own Extended Family 2 2 Childhood Histon of Victimization 2 2 Relationship with Spouse's/Partner's Family 2 2 Adult History of Victimization/Trauma 2 I OVERALL EVALUATION OF SECTION 2 2 History of Child Abuse/Neglect 2 2 History of Alcohol/Drug Use PHYSICAL/SOCIAL ENVIROT�i ' 2 2 History of Crime/Arrest/Allegations/Violence 2 Cleanliness/Orderliness/Maintenance 2 2 Psychiatric History 2 Safety 2 2 Occupational History 2 Furnishings 3 2 Marriage/Domestic Partner History 2 Play Area/Equipment/Clothing 2 2 OVERALL EVALUATION OF SECTION 2 Finances 2 Support System #1 #2 -PERSONAL CHARAC*F I T'CS ' 2 Household Pets 2 2 Communication 2 OVERALL EVALUATION OF SECTION 2 2 Commitment and Responsibility 2 2 Problem Solving #1 #2 GENERAL PAR f : st �.. �x 2 2 Interpersonal Relations 2 2 Child Development 2 2 Health and Physical Stamina 2 2 Parenting Style 2 2 Self-esteem 2 2 Disciplinary Methods 2 2 Acceptance of Differences 2 2 Child Supervision 2 2 Coping Skills 2 2 Learning Experiences 2 2 Impulse Control 2 2 Parental Role 2 2 Mood 2 2 Child Interactions 2 2 Anger Management and Resolution 2 2 Communication with Child 2 2 Judgment 2 2 Basic Care 2 2 Adaptability- 2 2 Child's Play 2 2 OVERALL EVALUATION OF SECTION 2 2 OVERALL EVALUATION OF SECTION AIL/AOM ST , AR°Its #1 #2 _=-SPECIALI may;y- „t E4 NSHIP `"3'1 " ter= 2 2 Expectations 2 Conflict Resolution 2 2 Effects of Abuse/Neglect 2 Emotional Support 2 2 Effects of Sexual Abuse 2 Attitude toward Spouse/Partner 2 2 Effects of Separation and Loss 2 Communication between Couple 2 2 Structure 2 Balance of Power 2 2 Therapeutic/Educational Resources 2 Stability of the Marriage or Partnership 2 2 Birth Sibling Relationships 2 Sexual Compatibility 2 2 Child Background Information 2 OVERALL EVALUATION OF SECTION 2 2 Birth Parent Issues 2 2 OVERALL EVALUATION OF SECTION SON U GHTL r'/ � O1 UENTLY irk��" *�' �,_ #1 #2 A04 I�Ir0i'&Wi,llin2411aa 2 Minor Sons and Daughters 2 3 Infertility 2 Minors Residing or Frequently in the Home 2 2 Telling Child about Adoption 2 Adult Sons and Daughters 3 3 Openness in Adoption 2 Adults Residing or Frequently in the Home 2 2 Adoptive Parent Status 2 OVERALL EVALUATION OF SECTION 2 2 OVERALL EVALUATION OF SECTION Structured Analysis Family Evaluation(SAFE)O Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 6 of 9 Copyright,2005,Consortium for Children,AN Rights Reserved , PSYCHOSOCIAL EVALUATION REPORT HISTORY Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3, 4 & 5 (concerns)to include how the concern was addressed, severity, mitigating factors and degree of resolution. Fred and his family initially had a dispute about what religion to raise Felize in. This has seen been discussed by all family members and is not considered an issue at this time. Felize is being raised in his mother's religion PERSONAL CHARACTERISTICS Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3, 4 &5 (concerns)to include how the concern was addressed, severity, mitigating factors and the prognosis for change. Summary of strengths include a couple who communicates well and appears to have a dedication to detailed communication. MARITAL/DOMESTIC PARTNER RELATIONSHIP .Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3, 4 &5 (concerns)to include how the concern was addressed, severity, mitigating factors and the prognosis for change. Fred was divorced after a brief marriage when he was younger. He continues to have contact with his 17 year old daughter from that marriage SONS/DAUGHTERS/OTHERS RESIDING OR FREQUENTLY IN THE HOME For each person identified in this section, provide full narration that relates to each of the Desk Guide examples for the rating given. Felize is a 7 year old child who is adjusting well to school and home. He looks forward to being a big brother EXTENDED FAMILY RELATIONSHIPS Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3,4&5 (concerns)to include how the concern was addressed, severity, mitigating factors and the prognosis for change. The family all live in Weld county area and see each other regularly. Numerous cousins constitute an ongoing extended family for an adoptee. PHYSICAL/SOCIAL ENVIRONMENT Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3,4 &5 (concerns)to include how the concern was addressed,severity, mitigating factors and the prognosis for change. Housing and physical environment are appropriate. GENERAL PARENTING Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3, 4&5 (concerns)to include how the concern was addressed, severity, mitigating factors and the prognosis for change. General parenting skills are appropriate as noted in the rating scales. SPECIALIZED PARENTING Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2(strengths). Fully narrate ratings of 3,4&5 (concerns)to include how the concern was addressed, severity,mitigating factors and the prognosis for change. No specialized parenting issues have occured.. Structured Analysis Family Evaluation(SAFE)0 Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 7 of 9 Copyright,2005,Consortium for Children,All Rights Reserved ADOPTION ISSUES Describe the basis for ratings of 1 (exceptional strengths). Briefly summarize ratings of 2 (strengths). Fully narrate ratings of 3, 4 &5 (concerns)to include how the concern was addressed, severity, mitigating factors and the prognosis for change. The couple wishes to adopt because they have had difficulty conceiving a pregnancy over the past five years including two miscarriages. They are also concerned that the biological parent will want to have access that they do not believe is appropriate. In the evaluator's opinion their anxiety was not excessive. PSYCHOSOCIAL EVALUATION CONCLUSIONS Provide your conclusions regarding the Applicants'committment, ability and readiness to parent. Highlight the strengths in any section given a rating of I and describe the effect any section rated as 3,4 or 5 will have on parenting. This couple is qualified to provide a consistent, stable, home for one or two adopted children. They are very committed to the process and are ready to parent. They have extended family members who are also excited about the adoption and will be willing to provide assistance, as needed CHILDREN THE FAMILY CAN BEST SERVE Indicate the age range,gender and number of children the Applicants are ready to accept, The family is able to accept any child ages one to ten. They would be willing to accept two children They appear well qualified to provide a safe home environment for children and would be willing to assist the children with obtaining any special assistance(e.g. counseling)that is needed.. Discuss the Applicants'ability to meet a child's special needs or considerations and level of competency to manage the characteristics, behaviors, conditions and issues of the children being considered for placement with them. They have no specific experience with special needs children,but are generally able to manage a non special needs adoption and depending on circumstances may be able to handle mild special needs of the adoptee.. Specify any child's special needs,considerations, characteristics,behaviors,conditions or issues that the Applicants are uniquely qualified to address. Also indicate what they are unable and/or unwilling to consider. No specific special needs skills of these applicants are apparent. RECOMMENDATION It is recommended that Fred Smith and Mary Rodriquez be approved for Adoption. xxxxxxxCaseworker xxxxxxxxSupervisor xxxxxxTitle xxxxxTitle Date: 7/ 10/2000 Date 7/12/2000 Additional Attachments Indicate"None"or list additional attachments. None Stnictured Analysis Family Evaluation(SAFE)®Colorado Couple Muitipurpose Home Study Report -Version 02-17-2006 Page 8 of 9 Copyright,2005,Consortium for Children,All Rights Reserved • , REVIEW OF COPY OF HOME STUDY REPORT By signing below I acknowledge that I have read a copy of this report. Fred Smith Mary Rodriquez Date: 7/2/2000 Date 7/2/2000 To check for form update• press th trl k y d I' k L' I k Structured Analysis Family Evaluation(SAFE)®Colorado Couple Multipurpose Home Study Report -Version 02-17-2006 Page 9 of 9 Copyright,2005,Consortium for Children,AN Rights Reserved • From: "LARRY POTTORFF" <larry.pottorff@northrange.org> To: <joyceackerman@comcast.net>' Subject: Core Services Date: Mon, 20 Mar 2006 21:57:24 +0000 Dr. Ackerman, I have reviewed your proposals for services with Karen Thompson, Executive Director of Northeast Behavioral Health. North Range Behavioral Health contracts with NBH to provide medically necessary mental health services to Medicaid eligible residents of Weld County. The proposal to provide home studies for prospective adoptive cases is not a covered service under our Medicaid contract and presents no duplication of services. The proposal to provide psychoeducational services to sexually abused children and the non offending parent would not be a covered service under our contract as long as the diagnosis for treatment is not a covered diagnosis. For example, the DSM-IV code V61.2, Sexual Abuse of a Child, is not a covered diagnosis under our contract and would therefore not be a duplication of service. NRBH can provide psychoeducational services as an "alternative service" under the contract but only in the case where the service is being provided to an individual carrying a covered diagnosis. NRBH would be agreeable to working with you to ensure that services provided by your agency are not services that should be paid for with Medicaid funds. Sincerely, Larry Pottorff Deputy Director North Range Behavioral Health 970.347.2373 The information contained in this e-mail is confidential and private. Its dissemination is a violation of state and federal laws. If you are not the authorized recipient, you must not disclose, copy, distribute, or retain this message or any part of it. If you have received this e-mail in error, please immediately notify the sender via telephone or return e-mail. Dear Debbie The Weld County Department of Social Services as a component of the Core services bid process for 2006 is requiring each bidder on theraputic services to obtain a letter from NRBH. The bids state the letter will " address.. whether the services provided in the RFP(that each bidder submits)are services available through NRBH and paid for by Medicaid funds for Medicaid eligible clients." If that is the case (that the services would be covered under Medicaid.) the bidder in the RFP must specify that they will contract with NRBH to provide these services or apply to become a Medicaid provider themselves. Ackerman and Associates is submitting a proposal to provide psychoeducational services to children who have been sexually abused and to the non offending parent to educate these family members on safety issues with the intent of preventing future incidents of sexual abuse. The program is modeled upon the methods documented in the Connections Workbook by Jill S Levenson and John Morin, Sage publications 2001. It is our understanding that such services are not funded under Medicaid. We are submitting an additional proposal to provide home study assessments as required by Colorado law in adoptions. Similarily we understand that adoption home studies are not provided under Medicaid funds . As clinical issues arise in clients eligible for Medicaid which are comorbid with the sexual abuse and which become more than incidental to the the patient's activities of daily living, and for which Medicaid provides treatment, such as depression,we would be referring those clients for additional treatment. As well, as we identify mental health issues in adoption studies in Medicaid eligible patients incidental to the home study process we would refer such patients to treatment by NRBH. Such referrals would be the ethical obligation of any mental health provider. Such referrals are not a contract, in the sense of the bid language, where we would pay NHRB with Department of Social services funds as a subcontractor, as the identified mental health issues would be incidental needs not specifically covered by either of these bids. Could you provide by return email an acknowledgement of the receipt of this letter and any comments you wish us to include in the bids we submit. As well could you identify how to best contact NRBH when making any incidental referrals. For your convenience I have attached an electronic file of one of the bids available to any bidder(Sexual Abuse Treatment)The requirement for all theraputioc services contain the same language found in the section VII f of that file(page 32)requiring a letter from NRBH. Thank you for your assistance. Alan Ackerman Ph.D. for Ackerman and Associates P.C. http://maileenter.comcast.net/wm/toolbar/notheme.html 3/17/2006 DEPARTMENT OF HUMAN SERVICES (it EMPLOYMENT SERVICES OF WELD COUNTY 1551 NORTH 17TH AVENUE PO BOX 1805 GREELELEY, 60800 632 (970)353-3800 FAX(970)356-3975 COLORADO March 20, 2006 To whom it may concern: This letter is being submitted to all agencies and providers requesting letters of collaboration from Employment Services of Weld County concerning the CORE services RFP from Weld County Department of Social Services. Prior to issuing any letters of collaboration, Employment Services of Weld County(ESWC)is requesting that bidders submit a letter to Linda Perez, Director, which addresses the bidders" intent and the parameters under which they will collaborate with ESWC to address the employment and training needs for the specific population group they are proposing to serve. In the letter submitted to ESWC, bidders' should outline their current process or services under CORE service funds and their intent to address the following processes for collaboration with ESWC: • Case management • A referral process • A follow-up process • Cross training of staff • Other collaborative areas • Development of a Memorandum of Understanding (MOU) concerning collaborative efforts by February 1, 2007. Letters should be addressed and sent to: Employment Services of Weld County PO Box 1805 Attn; Linda L Perez Greeley, CO 80632 From:boyceackerman@comcast.net !Add to Address Book], To: "Ted Long" <tlong@co.weld.co.us> Cc: Iperez@co.weld.co.us, Subject: Re: FW: CORE Services Collaboration Letter Monday, March 20, 2006 1:O9:58 PM'Mon 20 Date: Monday, 2006 20:09:58 +0000 fUiew Source] Thank you for your email. We are submitting our bids tommorrow. Ackerman and Associates is proposing two work areas with Core services. One is adoption home study and relinquishment counseling. the other is a program for families who have had sexual abuse, with the focus on the non offending parent. Both programs have a capacity of 24 families per year. Neither area is expected to be related directly to job services. However, here is our plan for referrals as they arise: Case management: We will be providing some case management for the isues related to sexual perpetartion that may require the non offending parent to seek employment. For such individuals we will make a referreal to Job services. It is not the role of the home study adoption process to provide case management to solve identified employment issues in families seeking to adopt. The role of the Bid by statute is defined as more investigatory than therapeutic. Therefore, we anticipate reporting adoption home study related employment issues in our report to the department program. Referral process: We will ask the client we refer to contact Job services by phone or in person and send an email to Job services attention Linda Perez that we had done so.. We will send that email within five business days of making the referral.. If you prefer another mechanism please let us know. Follow up. We will contact Job services by the same mechanism 10 business days after sending the initial e mail. Please let us know by email if the client has not contacted you and we will discuss the matter with the client at the next visit. We will provide written email of that follow up to Linada Perez within five business days. Cross training: As new staff come to Ackerman and Associates this protocol will be in the master list of tasks to provide training in for the secretary and the provider. Providers will be trained in the protocol when the bid is accepted. Other collaborative areas. We are not aware of other collaborative areas with Job service in relation to our bids at this time . If such areas arise we will include them in our memorandum of agreement discussions to be completed by Feb 2007. We request a meeting in July to initiate the collaboirative memorandum of agreement process, once the bids are accepted.. We will call in July to make an appointment with Linda Perez. Please let us know by email if these plans are acceptable for the bid process. For Ackerman and Accociates P.C. Alan Ackerman Ph.D. Treasurer 970-396-5945 it /te rot tfr c� 3��/�ob t✓Rw. 4„it J^were S4Losiftr C ro tern Sv e,lvzs0/' . One- i Ata Dear Tom: Thank you for your time on the phone today. Ackerman and Associates P.C. is a Mental Helth Provider group( www.ackermanandassociates.com). We are bidding on two programs with WCDSS core services. One is for adoption home studies. It is not usually the purpose of a home study to resolve housing issues in applicants seeking to adopt a child. However,if such issues arise, we would want to be able to refer them to the Housing Authority. We are also submitting a bid for psychoeducational treatment for the non offending spouse when there has been a sexual abuse of a child. The purpose of the bid is to reduce the risk of a future abuse incident. We could also want to be able to refer such non offending family members who may be seeking to live seperate from the alleged perpetrator to housing if they needed it. WE expect these to be unusual cases as usually the housing issue of seperation of the alleged perpetrator from the family has been accomplished before we receive the case. Please let us know how we can best work with the housing Authority in regard to such referrals . The program bid for 2006 is expected to begin on June 1 2006. We look forward to your reply. Alan Ackerman Ph.D. For Ackerman and Associates P.C. �P�r DoT re r4 Li, 3/xvoc tin bl ' were StZt ; willIt /ropw- siv ✓cSo� 1 _ _ _ •••••� •�• rHOC t]L Commercial Certificate of Insurance '"' FARMERS Agency Nils Klovdahl Name • 2705 W 10th St & • Cin elcy CO 80634 Lssue Date (MNI/DD/YY) /01/2005 Address • 970-352-1234 l- 2Ms certificate Is issued as a matter of information only and confers no rights upon the certificate St 07 Dist. 04 Agent 62 i This certificaten does not amend extend or alter the towage afforded the policies bl sliownbelow. Companies Ptaviding Coverage Insured Concern A Truck Insurance Exchange. Alan&Joyce Ackerman Lass Nate • 1750 25th Ave Ste.101 corny B Pi a Insurance Exchange Letter Adams Orcotcy,CO 80634 company CMid-Century Insurance Company Company D law CoveragTab is tlister wo certify that the ponder of Insurance Mon h ve n Sued to the binned named above for the polity period indicated.Notwithstanding any mgalrernent,tam or condition of tae'or low bin respect to which 0*artisan maybe tatted or may pestam,the Surat -� a&rdeetli by the policies described herein is subject Io all term, the te ,exinstons and conditions of sect policies.Mtn down may have been e reduced paki by Lir Type of Instance Policy Number 1]:e prMtbtxrn &_ a+wmevrl Policy Limits A N General Liability 0457103807 07/01/2005 07/01/2006 �� f Cormmesdal Genets' I,OOQ000 IJablBty X000 After $ h, Occurrence Verdun Personal& Contactual-Itxldenud Each Oe 000 r 1 1,x.000 Admitting f On& Dwrsaa&Contracted Pat Wel�� S I513,000 Bre Y Medial&pest Mimnlobile natality v We ate P $5.000 All Owned Commercial CombinedSingl eLW: Autos LW: Scheduled Autos liked Autos Nara Owned Auks Garage Liability qty Damp f Gator AfersfSef Umbrella iiab0ity Limit $ Workers'Compensation andSatatery Bach Aerldertt Employers'Liability Dosses-tore mnseten s Desctlpiion of operanonyyeM / trictkvs/Spet items: D - Unit f Certificate Holder Cancettation . Weld County social services Should Name • 3Ie N I 1 th Ave thereof any of the above described polkas be uarttraed berme the aphation d re & • Greeley,CO 8063 s holder nine the leftissuing company MR , bet S m mail el days written nodes to mthe Addresskit but faBare m roe8 arch nonce shell obk Uonorlt�y of any Ned upon the company,its agnate t� Nile Klovdabl sa_zaga �a.at ton.Sertce ter opy and Agent's Copy 11.0.1 EXECUTIVE RISK SPECIALTY INSURANCE COMPANY 12/06/05 -- A PSYCHOLOGISTS PROFESSIONAL LIABILITY POLICY THIS IS A CLAIMS MADE POLICY-PLEASE READ CAREFULLY *** RENEWAL *** ;OTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS )F SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT" IN THE POLICY). DECLARATIONS POLICY NO: 008-1766682 ACCOUNT NO: CO-KERL175-0 0099745B ITEM L (a)NAME AND ADDRESS OF INSURED: ITEM I. (b)ADDITIONAL NAMED INSUREDS: LAURENCE P. KERRIGAN, PH .D. 1750 2STH AVE. SUITE #101 GREELEY, CO 80634 TYPE OF ORG: INDIVIDUAL LEM 2. ADDITIONAL INSUREDS: CEM 3. POLICY PERIOD: FROM: 12/01/05 TO: 12/01/06 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: CEM 4. LIMITS OF LIABILITY: (a)$ EACH WRONGFUL ACT OR SERIES OF CONTINUOUS,REPEATED 1, 000, 000 OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b)$ 5, 000 DEFENSE REIMBURSEMENT (c)$ 3 , 000, 000 AGGREGATE CEM 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM 1ST PSYCHOLOGIST ?_ . 11,9:1-P0 1 , 1 .91_ 00_ . DEFENSE LIMIT . 00 SURPLUS LINES TAX 1 35 . 73 INSPECTION FEE 1 • 1 . 19 EM 6. RETROACTIVE DATE: 12/01/91 TOTAL PREMIUM: 1, 227 . 92 EM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM(if exercised):$ 2 , 149 . 00 NO DISCOUNT INCLUDED 'EM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY 22138 (7/95 ED. ) B22137 MIS IS NOT A MI r vu>:.nnlr rM HAS BEEN PAID. AUTO-I BRED COMPANY REPRE ^ ATIVE • PERSONAL . DATA SHEET Identifying Information ; Name : Laurence "Larry" P. Kerrigan , Ph . D . Address : 1706 19th Avenue Greeley , CO 80631 DOB : 9/20/32 Phone : 303 ) 353-3373 - business (17-'1O\ Degrees : BSC - Business Economics , from Creighton University , 1954 . MS Economics , from St . Louis University , St . Louis , Mo . , 1963 . MA - Theology , from St . Mary ' s University , Re Campus , Toronto , Ontario , Canada, 1967 . College Ph . L. - Philosophy, St. Louis University, St . Louis , Mo . 1960 , ( Ecclesial Degree ) . Ph . D. - California School of Professional Psychology , Berkeley/Alameda Campus , 1974 , Clinical Psychology . Currently a licensed psychologist in the state of Colorado . Educational Backeround: 1950-54 Creighton University, Business economics , 1954-56 Marquette University, Milwaukee , WI . , Classical studies and ascetics' theology, 1956-57 Springhill College , Grand Coteau LA. Campus , Classical studies , 1957-60 St . Louis University , Philosophy and Economics , 1963-67 St. Mary ' s University, Toronto Campus , Theology , 1971-74 California School of Professional Psychology , clinical psychology, Berkeley/Alameda Campus Positions Held : 1969-71 Member of Board of Directors , Campion College , Prairie du Chien, WI . 1968-71 Director, Department of Psychology, Campion College . 1971-74 Director of Student Counseling Center , Long Mountain College . 1975-80 Director of Short-term Children and Family Team, Weld Mental Health Center, Greeley, CO . 1975-S7 Clinical Psychologist , Child and Family Team , Weld Mental Health Center, Greeley , CO . ) 978^08 Co-founder of Weld County Child Protection Team, 1987-88 Member of Executive Board , Weld Mental Health Center , Greeley , CO , Honors Received : 1968-69 and Teacher of the 1970-71 Year, Campion College . 1972-73 Class Representative to Campus Executive Committee , and California School of Professional Psychology 1973-74 Bork and_ Experiential llround : 1959-60 Counselor at Dismas Halfway House for ex-convicts , St . Louis , Missouri , 1960-63 Teacher-counselor-coach , Marquette Prep High School , Milwaukee , WI . 1964-67 Counselor-therapist at Street Haven and Sancta Maria Halfway Houses for women and at the Don ( metro ) Jail in Toronto , Canada. 1967-68 Teacher and Campus Counselor at Creighton University, Omaha , NB. 1968-71 Teacher at Campion College , Prairie du Chien , WI . , Director of Psychology Department , Department chairman . 1970-71 Director. and Staff member of a total environment for Inter-city boys , late grade school age from Milwaukee , WI . 1971-73 Director of Student Counseling , Lone Mountain College , San Francisco , CA. Teacher at the Lone Mountain College , San Francisco , California. 1973-74 Psychologist Trainee at San Francisco Mental Health Center, Richmond District, Outpatient Care . 1974-75 Private Practice , So. Day Human Services Center, San Diego , CA. Part-time instructor at;California School of Professional Psychology, San Diego , CA . • 1,975-n0 Director , Short-'Perm Therapy Team , Children and Family Unit , Weld Mental Health Center , Greeley , CO . 1980-87 Member of Children and Family Therapy Team , Weld Mental Health Center, Greeley , CO . 1987- present Full time private practice with Joyce Shohet Ackerman , Ed . D . , Licensed Psychologist , Greeley , CO . Part time practice at Weld Mental Health Center , Greeley , CO . Publication : Kerrigan , Laurence P . - The Relationship Between Therapist and Client ' s Perceptions of One Therapy Session . Published Doctoral. Dissertation , University of Cali. fornia School of Professional Psychology. Copyright , 1974 Wor_ksho_ls_and S peci._al. _Traiping : Since 1974 , I have attended an average of about three workshops per year . Host of these workshops have presented specialized training in the following areas : Neuro-linguistic training , Autogenic and relaxation training , Visualization-Imagery- Hypnosis , Cognitive-Behavioral Therapy , Ericksonian approaches to hypnotherapy and psychotherapy, Family therapy, Strategic family therapy , Sexual abuse , dynamics and applied treatment , Paradoxical intention psychotherapy, and other related areas . In the last fifteen years , I have taught classes and conducted workshops in the following srlbjecLs : The - Psychology of Dreams Emotional and Physical Health through Visualization and Imagery Western Psychotherapies and Eastern Ways of Liberation Cognitive and Behavioral Therapy Hypnosis in Pain and Habit Control The Psychology of Consciousness and Meditation • Emily Montoya, M.A. Licensed Professional Counselor 1851 13th Avenue, Greeley,Colorado 80631 Home (970) 353-9361 * Cell (970) 545-0928 * Office (970) 353-3373 Email: emilymontoya2003@yahoo.com EDUCATION • Master of Arts, Counseling University of Northern Colorado, Greeley, Colorado • Graduate Fellowship Study, Criminology Rutgers State University of New Jersey, Newark, New Jersey • Bachelor of Arts, Sociology/Criminology with emphasis in Psychology University of Northern Colorado, Greeley, Colorado PROFESSIONAL EXPERIENCE 2003-Present, Marriage Education Independent Consultant, Greeley, CO Deliver marriage education with the Prevention and Relationship Enhancement Program (PREP) to a Hispanic population nationwide that includes both faith and non-faith-based populations. Delivery of marriage education (PREP) and consultation services in high Hispanic populations (Los Angeles, CA, Orlando, Florida and Philadelphia,PA.) Provide consultation to national Hispanic serving organizations on strengthening Hispanic families and marriages. Deliver PREP curriculum as a master trainer candidate (New York Puerto Rican Institute). Provide marriage education program development and oversight to Saint Patrick Presbyterian Church, Greeley, CO. 1998-Present,Licensed Professional Counselor, self-employed,Ackerman &Associates, Greeley, CO. Provide intensive home-based family therapy to families involved in the Child-Welfare System with the Weld County Department of Social Services (WCDSS) and those families voluntarily seeking assistance from WCDSS. Provide foster parent training and consultation to foster families and children in Weld County placed in WCDSS foster care. Provide psychotherapy to children placed in the Weld County foster care system. Provide therapy to children and foster parent consultation to private foster care agencies (Lutheran Family Services). Provide therapy to clients under EAP, insurance, and private-pay sectors. Areas of expertise: Marriage and Family; families in transition, and Latino cultural issues. March 1996 - February 1999, Director, Ronald E. McNair Post-baccalaureate Achievement Program, University of Northern Colorado, Greeley, CO. Directed all efforts to ensure efficient administration of the McNair federal TRIO grant. The grant's targeted population was minority, low-income, first-generation college students. Received funding for the U.S. Department of Education McNair grant. Compiled, analyzed, and submitted annual performance reports to the U.S. Department of Education. Monitored McNair's near million-dollar budget over the program's four year funding. Supervised and trained staff members. Developed and directed all student scholar activities. Collaborated with campus departments in order to exceed program objectives. Directed the publishing of the "The McNair Scholars Journal." Identified, recruited, and selected program scholars. Ensured the completion of scholar's academic research projects. Provided academic advising and guidance to the scholars. Directed the academic year research seminar series, the residential Summer Research Internship, and other scholarly activities that prepared scholars for doctoral study. Coordinated research and scholarly actives between faculty mentors and McNair scholars. Lobbied in Washington, D.C. on continued funding for TRIO programs. Counseled scholars academically and personally. September 1995 - March 1996, Assistant Director, Ronald E. McNair Post-baccalaureate Achievement Program, University of Northern Colorado. Assisted in the implementation of the McNair Scholars Program. Facilitated the recruitment and selection of program scholars. Compiled and submitted federal reports. Informed and collaborated with campus offices and departments. Implemented an academic workshop series based on student needs. Provided academic advisement and guidance to scholars. January 1995 - September 1995, Assistant Coordinator of Academic Advising, Student Support Services, University of Northern Colorado. Provided academic advisement and guidance to federal TRIO Student Support Service students. Maintained student record database. Assisted with the compilation of federal student outcome reports. Served as liaison to the athletic department and the financial aid office. Assisted in the supervision of peer advisors. Provided technological assistance within the program. August 1994- December 1994,Assistant Coordinator of Technology, Student Support Services, University of Northern Colorado. Supervised, evaluated and trained technology lab students. Provided technical assistance and advisement to federal TRIO Student support Service participants in a learning environment. RELATED EXPERIENCE 1985 - 1988, Admissions Office Assistant, University of Northern Colorado. Assisted in the daily operation of the UNC Admissions Office. Received and reviewed applications and distributed accordingly. Filed, typed, and performed data-entry on all incoming, transfer, re-entry, and non-traditional students. Trained and supervised work-study employees on office procedures, FERPA, and the CCHE Index system. Provided general information to incoming students and parents. 1995, Co-Instructor, Student Support Services, University of Northern Colorado. CSPA 359: Paraprofessionals in Student Affairs, Academic Peer Advisors. Co-facilitated the instruction of training of peer advisors who advised Student Support Service participants at the Center for Human Enrichment. Coordinated curriculum and instruction for pre-service and on-going training for a staff of fifteen peer advisors. • January 1996 - July 1996, Counselor Intern, North Colorado Medical Center, Greeley, CO. Facilitated psychotherapy counseling groups and individual counseling for chemically dependent and eating disordered patients. Performed case management from admission to discharge. Presented psychoeducational information to patients, family members, and staff. Designed a portfolio brochure distributed to health care and managed care providers. September 1994- February 1995, Clinical Care Assistant, Weld Mental Health Center, Greeley, CO. Monitored and supervised the daily activities of chronically mentally ill patients in a learning/self- development environment. Facilitated group and individual counseling sessions. Coordinated patient recreation activities. Prepared written and oral reports. PRESENTATIONS Participant: Hispanic Healthy Marriage Research Meeting, Washington, D.C. Panelist: Marriage Forum, Colorado Springs, Successful Marriage Education Programs Presenter: Fperanza USA, The Prevention and Relationship Enhancement Program, Philadelphia, PA, Orlando, FL, Los Angeles, CA. Saint Patrick Presbyterian, The Prevention and Relationship Enhancement Program, Greeley, CO. Puerto Rican Family Institute, The Prevention and Relationship Enhancement Program, New York City, NY. Moderator: University of Northern Colorado, "Research and Policy Affecting the Education of the Mexican Child in the 21st Century." Panelist: Colorado State University "Minority Students in Graduate School." Presenter: Ackerman & Associates, "Perspectives on Treating Cultural Diverse Populations." Instructor: Centennial Area Health Education Center, Greeley, CO, "Children of Divorce/Stepchildren: Feelings, Thoughts, Behaviors, and Interventions for Children and Adults of Divorce and Stepfamilies." Instructor: Centennial Area Health Education Center, Greeley, CO, "Children of Divorce: Helping Stepfamilies Succeed." Presenter: University of Northern Colorado: Cultural Sensitivity and Awareness Hispanic Women in Higher Education Communicating Across Cultures Financing a Graduate Education How to Help Someone with an Eating Disorder, National Eating Disorders Week Presenter: North Colorado Medical Center Cultural Sensitivity and Awareness Communicating Across Cultures Conflict Resolution and Communication Skills Setting Limits and Boundaries Family Dynamics in Substance Abuse An Overview of Eating Disorders Presenter: Weld County Foster Parent Program The Terrific Twos! Prenatal Insults and Long-Term Effects Social, Emotional and Sexual Development: Infancy through Adulthood Cognitive and Physical Development: Infancy through Adulthood Parenting with Love and Logic An Overview of Eating Disorders Officer/Member Board Member, Strong Marriages Northern Colorado Board Member, The Redeemer Project Mentor, Escalante At-Risk Youth Program Weld County Mental Health/Substance Abuse Coalition Professional and Administrative Staff Council, UNC Co-chair, Student Advisory Committee, Cesar Chavez Cultural Center, UNC Undergraduate Research Council, UNC Cesar Chavez Cultural Center Advisory Council, UNC Relations with UNC Board of Trustees Committee, UNC Salary Equity Committee, UNC Exempt Staff Evaluation and Performance Committee, UNC Team UNC Fund Raising Committee Academic Excellence Week Task Force, UNC Continuing Education/Training Prevention & Relationship Enhancement Program (PREP) Love Without Hurt: Compassion Power The Relationship Enhancement Program Premarital Inventories: A User's Guide Imago: Couplehood as a Spiritual Path Remarriage Preparation Divided Selves: Children of Divorce Designing Stepfamilies Play Therapy and Therapeutic Care Reaching Children Through Play Therapy Advanced Play Therapy Internship Family Preservation Basic & Advanced Dialectical Behavioral Therapy Jurisprudence for Psychotherapists Grant Writing and Evaluation Diverse Learners Academy Fire Starters Training and Prevention Counseling At-Risk Students Parent/Child Hispanic Leadership Supervised Practicum in Family Preservation Cultural Diversity Conference Yours, Mine, and Ours: Stepfanuly Finances Honors/Awards Featured in New York Times: Stepfamilies (2004) Featured in Redbook Magazine: Spiritual Marriage (Print Date: December 2005) Hispanic Leader of the Year, Cesar Chavez Cultural Center, University of Northern Colorado Keynote Speaker, Latina Youth Leadership Conference, University of Northern Colorado Distinguished Alumni, Department of Sociology, University of Northern Colorado Fellowship, Graduate Study, Rutgers State University of New Jersey , 1993 Scholarship, National Hispanic Scholarship Fund Scholarship, Candelaria Scholarship Branch B/A Producer Number Issue Date Renewal/Replacement No. 32 A 0003107 12/07/2005 RENEWAL PROFESSIONAL LIABILITY OCCURRENCE INSURANCE POLICY FOR PROFESSIONAL COUNSELORS AND HUMAN DEVELOPMENT PRACTITIONERS PURCHASING GROUP POLICY NUMBER: 44-2010129 Item DECLARATIONS CERTIFICATE NUMBER 80M- 4003488 1. Named Insured EMILY L MONTOYA MA LPC 2. MAILING ADDRESS SUITE 101 1750 25TH AVENUE GREELEY CO 8063' 3. Policy Period 12:01 AM Standard Time At Location of Designated Premises From: 11/01/2005 To: 11/01/2006 4. The insurance afforded is only with respect to such of the following types of insurance as indicated by specific premium charge or charges: COVERAGE PREMIUM A. Professional Liability X $ 293.00 B. General Liability $ 293.00 5. LIMITS OF LIABILITY each Incident $ 1 ,000,000 or each Occurrence $ 3,000,000 in the Aggregate 6. The Named Insured is: A Sole Proprietor (including Individual) _ Partnership Corporation Other: 7. Business or Occupation of the Named Insured: COUNSELING 8. This policy is made and accepted subject to the printed conditions of this policy together with the provisions, stipulations and agreements contained in the following forms(s) or endorsement(s): I PLJ-2016 (10/94) 'PLE-2189 (9/97) PLE-2081 PON-2003 I~ CHICAGO INSURANCE COMPANY 55 E. MONROE STREET, CHICAGO, ILLINOIS 60603 REPRESENTATIVE: Agent or Broker: Kirke Van Orsdel Office Address: 1776 West Lakes Parkway Town and State: West Des Moines, IA 50398 Toll-free Number: 1-800-557-5092 PLP-2016 (10/94) (Elec.) Print Date: 12/14/05 HEALTHCARE PROVIDERS CNA SERVICE ORGANI ZATION PURCHASING GROUP CERTIFICATE OF INSURANCE OCCURRENCE POLICY FORM vS-i: ' ..... �,r Yt;.. - ..._:.a:': • •.,,,•:cc.' .::.- : s:ms. _ r11 Angizt 97x1 HP(` n 2 A,9 9 d g 1 F, frnm-12-n1 AM Slanriarri Time nn- 1 n/M/nc _ to: 12:01 AM Standard Time on:10/01/06 ......_..,.. .._. µti... - ..ww Tom Pappas Healthcare_Providers Service Organization 1624 Kirkwood Dr 159 East County Line Road Fort Collins, CO 80525 -2017 Hatboro, PA 19040-1218 Medical Specialty: Code: Social Worker, Clinical 72990 :{6107 °T American Casualty Co. of Reading, PA CNA Plaza 26S Chicago, IL 60685 A. PROFESSIONAL LIABILITY Professional Liability (PL) $ 1,000,000_..' Good Professional each claim $ 6,000,000 aggregate _.._.. _..... __.._.. -6666-- mane �n Liability - -,- � � _. above :��.�� -- tmc oiled �,z��n��xi��s�_�=e�'��s�_. s-� e�rsonal rifuT rablii:y included above gam_ - _ __ -; `- ' " fpf Cernent LiabiTli- k,- T. : - ,...n% ,..{A a wspiniyY.,�R:ap s-.-h ....-. _�-g?.-im ______ y included above _..F.a. �_�:. _:� _ x_ i€ B. COVERAGE EXTENSIONS: .—License ltiroiection —` -6666--- --. ... _. r ro _.2b;000 aggregate— Defendant Expense Benefit _ --- i E-ti a T 10,000 ._. - aggregate :115-1—posit vi Representation $ 5 0 per deposition $ 5,0M— ._ aggregate Assault �—$—10,000 � per incident _$25,000 —,— aggregate �edi .--1111__._.___ 1611-- —_ —•_-- caTTayments 2 ooO 6666 ---.-.._��--1666-, per erson $ 100800 aggregate �,_. �__.-. -_ + — ._First Aid_...... -_ Nrom_si:. _- ,Esa ...BEN: , Damage to Property of Others $ 500 —� per incident $ 10,000 1116 aggregate C. WORKPLACE LIABILITY Coveyape pad C.Workplace Liability does not apply if Coverage pad 0.General Liability is made pad of this Polio/. - Worfcplace Liability A included in A.PL limit shown above -- 1111 Fire&Water Legal Liability 6661 6166-- ----------------•--....... 9 ity included in A. PL IimR shown above sub ect to$150,000 sub-limit Personal Lia 'lily - _.- . �: � -- —..._._. 4�.�.�W.�.�RS_..:r aggregate - ≤��.m. � _.. �-_.�.,.��___.o:,; X1,000,000 D. GENERAL LIABILITY Coverage pad D.General Liability does nor apply if Coverage part C Workplace Liability is made pad of this policy. General Liability (GL) none none --HTred Aoto&.-Non_Owne`dAulo none r-}xce•�• .:..rx -•E� ..s ca}sxaa,�x Fire&Water Legal Liability none none Personal Liability ° .-.--_�'.�.-�-•. �a- - - __ �: none r.______ �•-CL=�Yj!:w v_�.� Zn�:'Z.'�f.�..-'.wr :'r aw .'. `n 616.1 - —ii .S� am: Total Premium: $ 3 00. 00 QUESTIONS?CALL: 1-800-982-9491 _ --- ,:ash: _,�q-.f:•'#a r.'^trite<.:r-4.•:•'^=.�Yy -r-'^ t:»:. :"-` 31;.:.- - _..�:.. ,",.,X.....;." -." Ssfir-�'• :,'�a.... :.;�tf?• a;' ? _i:'r:'- a:tr� =8'"•'r�3:eic;: TM;k..-..; -'°._.-_:ter _ ,,,,wTri„ G-121500 -. C G- 121503 -C G-121501-C G-145184 -A G- 147292 -A G- 144872 -A G- 123846-005 Master Policy# 188711433 Keep this document in a safe place. it and proof of payment are evidence of your insurance coverage. d---)'-Y---E-t- i,--4.--sit— /178/ 211-"r4-41 LA lAj\ 'CL' ‘- Chairman of the Board Secretary G-141241-A (07/2001) Coverage Change Date: Endorsement Change Date: TOM PAPPAS, LCSW 1624 Kirkwood Drive —�-----�^�--'----------��_�___��__ Ft. Collins, Colorado 80525 970-472-1315 EDUCATION 6/86 Masters Degree in Clinical Social Work, Simmons College School of Social Work, Boston, Massachusetts. 5/80 Bachelor of Arts Degree in Psychology and Secondary Education University of Lowell,Lowell, Massachusetts. EMPLOYMENT 10/04- Psychotherapist. Group practice with Ackerman and Associates, P.C. Individual, marital and family therapy. 3/94-10/04 Clinical Social Worker. Montrose Memorial Hospital Care Center Inpatient/Outpatient Services, Montrose, Colorado. Individual, family, marital and group therapy; discharge planning services. Co-therapist for geriatric partial-hospitalization program; supervisor for Masters Level student. 3/90-3/94 Senior Clinician. Justice Resource Center/The Butler Center, Westboro, Massachusetts. Individual, family and group therapy specializing in sexual offender treatment to adjudicated adolescent males in secure treatment facility. 11/86-4/89 Clinical Social Worker. New Bedford Area For Human Services, Inc., Children Services Unit. Individual, family and group therapy in outpatient setting. Co-therapist for latency-age girls' sexual abuse groups. 9/85-6/86 Social Work Intern. Beaverbrook Guidance Center, Waltham, Massachusetts. Individual, family and group therapy with children in outpatient setting. 9/84-5/85 Social Work Intern. Children's Hospital,Boston,Massachusetts. Individual, family and group therapy in pediatric out-patient setting. 12/81-5/84 Mental Health Counselor. Marlboro Hospital Mental Health Unit, Marlboro, Massachusetts. Individual, family and group therapy with adolescents and adults in inpatient psychiatric setting. 5/80-5/81 Mental Health Counselor. Littleton Girls House, Littleton, Massachusetts. Counseling to adjudicated adolescent females in secure treatment facility. TRAINING 2/01 Certificate in Level II EMDR Training. 5/91 Postgraduate Certificate in Advanced Psychotherapy With Children and Adolescents, Boston University, Boston, Massachusetts. REFERENCES AVAILBLE UPON REQUEST © ACE American Insurance Company Psychologists' IDACE Insurance Company of Illinois ❑ Atlantic Employers Insurance Company Professional Liability Claims Made Insurance Policy Declarations (This Policy is issued by the stock insurance company listed above. Herein called "Company".) I BRANCH B/A I PRODUCER NUMBER DATE OF ISSUE PRIOR CERTIFICATE NUMBER 273865 03/21/2005 PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY NOTICE: THIS IS A CLAIMS-MADE POLICY, PLEASE READ THE POLICY CAREFULLY PURCHASING GROUP POLICY NUMBER: 45-0002000 Item DECLARATIONS CERTIFICATE NUMBER: 58G22307137 1. Named Insured Ackerman and Associates PC 1750 25th Ave ADDRESS Greeley, CO 80634-4943 Number& Street, Town, County, State&Zip No.) 2. Policy Period: 12:01 A.M.Standard Time At From:05/01/2005 To: 05/01/2006 Location of Designated Premises 3. COVERAGE LIMITS OF LIABILITY PREMIUM Professional Liability $ 1,000,000 each incident $ 3,000,000 aggregate $ 1,437.00 4. BUSINESS OF THE NAMED INSURED: Psychology 5. The Named Insured is: ❑ Sole Proprietor(including independent contractor) ❑ Partnership tj Corporation ❑ Other: 6. This policy shall only apply to incidents which happen on or after: a) the policy effective date shown on the Declarations: or b) the effective date of the earliest claims-made policy issued by the Company to which this policy is a renewal; or c) the date specified in any endorsement hereto. 05/01/1992 7. This policy is made and accepted subject to the printed conditions in this policy together with the provisions, stipulations and agreements contained in the following form(s) or endorsement(s). PF-15215, PF-15217, CC-1 K11 d, PF-15242 , PF-15225, PF-15238 , PF-15230, PF-15241 , PF-15742 , PF-15253 , PF-17914 Notice of Claim should be sent to: All other notices should be sent to: Claims Vice President Underwriting Vice President ACE USA ACE USA 140 Broadway, 40th Floor 140 Broadway, 41st Floor New York, NY 10005 New York, NY 10005 REPRESENTATIVE: Agent or broker: Trust Risk Management Services, Inc. 181 W Madison St Ste 2900 Office address: Chicago, IL 60602-4643 City, State,Zip: PF-15215(03/04) JOYCE SHOHET ACKERMAN, Ed.D. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 RESUME PERSONAL DATA Date of Birth: August 3, 1950 Health: Excellent Married; two children CERTIFICATION - LICENSURE Licensed Clinical Psychologist, State of Colorado since 1984 Listed in National Register of Health Service Providers in Psychology since 1986 Staff Privileges, North Colorado Medical Center, Greeley, Colorado since 1985 PROFESSIONAL MEMBERSHIP American Psychological Association Colorado Psychological Association (elected board member 1986-1989) HONORS President's Award - Colorado Psychological Association, 1989 EDUCATION 1978 - 1981 Ed.D. in Counseling Psychology, University of Northern Colorado, December 1981 graduate 1972- 1974 M.S. in Education (E.D./L.D.) Lesley College, Cambridge, Massachusetts, August graduate 1968 - 1971 B.S. in Special Education and Elementary Education with a minor in psychology Boston University, Boston, MA, December 1971 graduate PROFESSIONAL EXPERIENCE 1981 - present Clinical Director in group practice in Greeley, CO. Among responsibilities are: Diagnosis, therapeutic intervention and referral for adults, families, children and groups. Primary areas are: mediation, alternative conflict resolution,stress reduction. Also developing, organizing and presenting workshops and consultative programs to community, schools, organizations and agencies. 1986- present Consulting psychologist on interdisciplinary team for in-patient rehabilitation program. Progressive Care Rehabilitation Center, Greeley, CO. Medical Director Dr.Judith Vaughan, Neurologist. Adults with traumatic injuries- primary problems are: psychological aspects of physical rehabilitation,grief counseling,and brief group counseling using cognitive-behavioral goal oriented therapy. 1989- 1992 Consulting psychologist for Head Injury Treatment Team North Colorado Medical Center, Greeley CO Team coordinator - Dr. John McVicker,neurosurgeon. 1986 - 1989 Consulting psychologist for Family Recovery Center(in-patient substance abuse/chemical dependency program), North Colorado Medical Crenter,Greeley CO Coordinator Ruth Wick, R.N. • 1986 - 1989 Provider and Coordinato for Mental Health Services in Northern Colorado for Peak Health Care (HMO). Peak mental health services utilized a three-session model for initial services followed by referral. Activities included coordination of Psychological and Psychiatric Services for approximately the last two years of the Contract. Peak supervisor- Elaine Taylor 1983 - 1986 Psychologist subcontractor for a Vietnam Veteran's Counseling Program funded by the Veteran's Administration. Principal Contract Dr. Robert Stewart. 1980 - 1987 Part time faculty member with responsibilities for classes, workshops and community programs in parenting skills. Family/Life Education Program, Aims Community College, Greeley CO August 1980 - August 1981 -Clinical internship on Children's Team of Community Mental Health Center. Responsibilities included:consultation to schools and community programs; therapy for children and families; and assessment of diverse mental health programs. Assistant program evaluator - developed evaluation tools to determine cross-cultural perceptions of expectations and satisfaction with services. Supervisors - Dr. Joan Gillespie and Dr. Laurence P. Kerrigan. APA National Convention in Toronto, Canada "Psychology and National Health Reform: "National Health Insurance: Policy Considerations. Benefit Designs. and Economic Realities",and "Marketing: Psychology's Key to National Health Reform. 1993 Disaster Relief Training. Alan Keck through Colorado Psychological Association, Denver CO 1992- Fall Short Term Therapy, Bernard Bloom; University of Northern Colorado, Greeley CO 1990 - Fall National Cognitive Rehabilitation Conference, Richmond VA 1990 - summer Postgraduate training: 1. Adult Neuropsychological Method based on Lezak Neuropsychological assessment, 1983. 2. Child Neuropsychology, Dr. Hynd. 3. Child Neuropsychological Methods 1988 Cognitive Rehabilitation Training Program, Dr.Sena, Ph.D., Colorado Springs CO 1988 - present Psychologist- Head Injury Treatment Team at North Colorado Medical Center,Greeley CO 1987 Halstead Reitan Neuropsychological Assessment Training. Ralph Reitan, Ph.D., Washington DC Summer 1986 Albert Einstein School of Medicine, Workshop on Adolescent Therapy, Cape Cod MA 1985 to present North Colorado Interdisciplinary Team of Child Custody Member and participant Fall 1985 Interdisciplinary Workshop on Child Custody, Keystone CO Summer 1984 Workshop in Clinical Use of Hypnosis, Boston MA Winter 1983 Workshop on In-patient Programs for Service Related Disorders, Cheyenne Veterans Administration Hospital. Fall 1983 Veteran's Administration Workshop on Post Traumatic Stress Syndrome, Denver Veteran's Center. Fall 1981-Winter 1984 Post-Doctoral Supervised Candidate for Licensure(psychology) under Gale R. Giebler, Ph.D. Licensed Psychologist and Susan Spilman, Ph.D., Licensed Psychologist 1980 - 1981 Intern - Weld County Sexual Abuse Team,Greeley CO Weld Mental Health Center,Greeley CO adults, adolescents, families. Primary areas anxiety disorders, mood disorders and adjustment disorders. Typical problems included: trauma, physical abuse substance abuse, job stress. Orientation used - primarily cognitive-behavioral therapy. 1980 Group Facilitator- Regional and National Conferences in cross-cultural community needs. Flagstaff, AZ - Colorado Springs CO August 1975 -July 1978 Chairperson of the Department of Education and Behavioral Science at an accredited, Indian controlled community college on the Navajo Reservation. Administration responsibilities included: Supervision and evaluation of faculty; budget preparation and management;curriculum development and integration of Navajo culture; personnel recruitment and selection; class scheduling and program development. Also faculty member with academic responsibilities for instruction in Psychology, Child Development and Counseling courses, advising and counseling students. Navajo Community College,Tsaile AZ September 1974 - August 1975 Education Specialist and counselor at an Indian controlled primary and secondary school on the Navajo Reservation. Coordinated community resource program, which included: counseling, student assessment, prescriptive programming,staff development and curriculum. Also, adjunct faculty for the University of New Mexico and for Navajo Community College at the Rough Rock Demonstration school, Rough Rock, AZ September 1972-June 1974 Designed and coordinated Learning Center Program for Dedham Public Schools. A program and crisis intervention center for emotionally disturbed children. Responsibilities included: Diagnostic prescriptive programming,counseling,supervision and training of aides, tutors and volunteers, and consultation with regular classrooms teachers. Also organized group and individual meetings with parents Adjunct faculty for Curry College assisting with in-service instruction for Dedham School System employees. Dedham Public Schools, Dedham MA WORKSHOPS AND SPECIAL TRAINING 1996 Biodyne training workshop adolescent treatment in short term therapy, Tom Kalous, Ph.D. 1995 Biodyne Training Workshops in short term therapy Julian Ang, Ph.D. 1994 Certification in family mediation, CDR Associates, Boulder CO 1993 Disaster Relief Training. Alan Keck,through Colorado Psychological Association, Denver CO 1993 August Hospital Practice for Psychologists Summer 1981 Independent Study of Child Sexual Abuse, University of Northern Colorado Spring 1981 Interdisciplinary Workshop on Assessment of Sexual Assault, Boulder Social Services Summer 1979 Biofeedback Training related to labor and delivery. Summer 1974 Participant in Institute on Obstacles to Learning. Joint Symposium between McLean psychiatric hospital, Harvard University and Lesley Graduate School,Cambridge MA Summer 1973 Kennedy Memorial Hospital, Boston MA. Participant,Summer Aphasia Institute. PUBLICATIONS Ackerman A., Ackerman,J.S., Kelley K. Hale K. Family Planning Attitudes of Traditional and Acculturated Navajo Indians. Key Issues in Population and Food Policy. University Press of America, pp. 178-171 (1979) Ackerman,J.S.,Client Expectations and Satisfaction with Community Mental Health Center Services: A Cross-Cultural Analysis Between Hispanics and Anglos. Published Doctor Dissertation, University of North Colorado. Copyright 1981. ® ACE American Insurance Company Psychologists' ❑ ACE Insurance Company of Illinois Professional Liability Claims Made Insurance ❑ Atlantic Employers Insurance Company Policy Declarations (This Policy is issued by the stock insurance company listed above.Herein called"Company':) BRANCH B/A PRODUCER NUMBER DATE OF ISSUE PRIOR CERTIFICATE NUMBER 273865 03/31/2005 PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY NOTICE: THIS IS A CLAIMS-MADE POLICY, PLEASE READ THE POLICY CAREFULLY PURCHASING GROUP POLICY NUMBER: 45-0002000 I 1 Item DECLARATIONS CERTIFICATE NUMBER: 58G22320300 1. Named Insured Susan Bromley 1621 13th Ave ADDRESS Greeley, CO 80631-5415 Number&Street,Town,County,State&Zip No.) 2. Policy Period: 12:01 A.M.Standard Time At From:04/01/2005 To: 04/01/2006 Location of Designated Premises 3. COVERAGE LIMITS OF LIABILITY PREMIUM Professional Liability $ 1,000,000 each incident $ 3,000,000 aggregate $ 1,298.00 4. BUSINESS OF THE NAMED INSURED: Psychology 5. The Named Insured is: © Sole Proprietor(including independent contractor) 0 Partnership , 0 Corporation 0 Other: 6. This policy shall only apply to incidents which happen on or after a)the policy effective date shown on the Declarations: or b)the effective date of the earliest claims-made policy issued by the Company to which this policy is a renewal; or c)the date specified in any endorsement hereto. 04/05/1996 7. This policy is made and accepted subject to the printed conditions in this policy together with the provisions,stipulations and agreements contained in the following form(s)or endorsement(s). PF-15238 , PF-15230, PF-15241 , PF-15742,PF-15253,PF-17914,PF-15225,PF-15215,PF-15217,CC-1 K11d,PF-15242 Notice of Claim should be sent to: All other notices should be sent to: Claims Vice President Underwriting Vice President ACE USA ACE USA 140 Broadway, 401° Floor 140 Broadway, 41° Floor New York, NY 10005 New York, NY 10005 REPRESENTATIVE: Agent or broker. Trust Risk Management Services, Inc. 181 W Madison St Ste 2900 Office address: Chicago, IL 60602-4643 City, State, Zip: PF-15215(03/04) VITA NAME: BROMLEY. Susan Plock Mm 2004 SOCIAL SECURITY NUMBER: 483-50-9243 POSITION: Licensed Psychologist Ackerman& Associates 1750 25'h Ave_ Ste 101 Greeley. CO 80634 HOME ADDRESS: 1621 13th Avenue Greeley, CO 80631 TELEPHONE: Office: (970) 353-3373 Home: (970) 352-8750 EMAIL: sbromleyFnearthlink.net EDUCATION: Year(s) Degree Institution Area of Study 1983 Psy.D University of Denver Clinical Psychology School of Professional Psychology Denver. Colorado 1968 MSSA Case Western Reserve University Casework (MSW) School of Applied Social Sciences Cleveland, Ohio • 1965 BA Mt. Holyoke College Economics/Sociology South Hadley, Massachusetts WORK EXPERIENCE --Professional Academic: Year(s) Institution/Organization Position Responsibilities 1996-03 University of Northern Colorado Assoc. Professor Psychology Teaching/Research 1985-96 University of Northern Colorado Asst. Professor Psychology Teaching/Research 1983-84 University of Northern Colorado Asst. Professor Psychology Teaching WORK EXPERIENCE --Pr%ssionalNon-Academic: Year(s) Institution/Organization Position Responsibilities • 1996-present Ackerman and Associates Psychologist Clinical 1984-85 Kaiser Permanente Psychotherapist Clinical Lakewood, Colorado 1979-80 Bethesda Mental Health Center Psychology Intern Clinical/ Denver, Colorado Administrative 1968-79 Denver General Hospital Clinical Social Worker/ Clinical/ Denver, Colorado Supervisor Administrative AREA OF SPECIALIZATION: Behavioral Medicine/Pain Management/Clinical Hypnosis/EMDR RESEARCH AREAS/INTERESTS: Hypnosis/Pain Assessment and Management/Women's Issues/Teaching Methods 1 PROFESSIONAL ACTIVITIES: Colorado Licensure: Psychology License#1086 PUBLICATIONS --Professional:Jurled: Musgrave-Marquart, D_ Bromley. S.P. &Dailey, M.B. (1997). "Personality.academic attribution, and substance abuse as predictors of academic achievement in college students".Journal of Social Behavior and Personality 12(2), 501-511. Karlin, N.J. and Bromley, S.P. (1996). Differences in caregivers of demented and lucid chronically ill family members. American Journal of Alzheimer's Disease, 11(5)39-45. Retzlaff, P. and Bromley. S. (1994). Counseling personality disorders. In Ronch, J.L., VanOrnum. W. & Stillwell, N.C. (Eds)The counseling sourcebook: A practical reference on contemporary issues. New York: Crossroad Publishing group. pp. 466-474. Bromley. S. and Hewitt, P. (1992). Fatal attraction: The sinister side of women's conflict about career and family. Journal of Popular Culture. 26(3), pp. 17-24. Retzlaff. P. and Bromley, S. (1991). "A Multi-Test Alcoholic Taxonomy: Canonical Coefficient Clusters". Journal of Clinical Psychology, 47(2).pp. 299-309. Bromley. S.P. (1985). "Treatment of Pain: Theory and Research" in Zahourek.R. (Ed.). Clinical Hypnosis and Therapeutic Suggestion. New York: Grupe and Stratton. Reprinted in Zahourek. R. (Ed.)(1990). New York: Bnmer/Mazel, Inc., pp. 77-98. PROFESSIONAL PRESENTATIONS--furled: Touchton, M.A. &Bromley, S.P. (2000). Complementary/alternative medical use among undergraduates at the University of Northern Colorado. Poster session presented at the Rocky Mountain Psychological Association, Tucson, AZ. (April). Nickisson. J.W. and Bromley, S.P. (1999)"Hypnosis: Attitudes,knowledge and experience among psychology and nursing students". Paper presentation at the American Psychological Association Convention,Boston. (August) Bromley.S. (1998)Hypnosis, psychology and managed care.In S.Bromley (Chair) Complementary, nontraditional and indigenous healing practices. Symposium conducted at the combined meetings of the Western and Rocky Mountain Psychological Associations, Albuquerque, (April) Bromley, S. (1998). Complementary healing methods: A psychological and artistic exploration. In L. Wickerlgren (Chair). Interdisciplinary courses involving psychology: A sampler. Symposium conducted at the combined meetings of the Western and Rocky Mountain Psychological Associations, Albuquerque. (April) Campbell, J. S., Titus, J. and Bromley S. P. (1998). "Neuroanatomy teaching technique for introductory psychology students. Poster presented at the joint WPA/RMPA convention, Albuquerque. NM. (April) Bromley, S. (1997) (Chair)"Linking through honors programs: The cross-discipline course).Paper presentation as part of a symposium titled"Creating links between psychology and other disciplines," American Psychological Association Convention, Chicago. (August) Bromley, S. , Gilliam D., &Johnson, T. (1995). "Assessment of student created tests as an evaluation method". Poster presented at the American Psychological Association Convention, New York Ciy. (August) Bromley, S.(1994). "Student created tests-as an evaluation method", Poster presented at 16th Annual National Institute on the Teaching of Psychology, St. Petersburg, Florida. Karlin, N. and Bromley. S. (1992). " Similarities and differences for caregivers of demented and lucid chronically ill". Poster presented at the Rocky Mountain Psychology Association Convention,Boise, Idaho. (April) 2 Montoya- K.J. and Bromley. S. (Chair) (1992). " Changes in undergraduate counseling styles in an introductory counseling theories course". Paper presented at the Rocky Mountain Psychology Association Convention, Boise, Idaho (April) Bromley, S. (1992). " Connected learning methods to facilitate research understanding"- Paper presentation as part of panel titled. 'Teaching techniques in the social sciences', Western Social Science Association Convention, Denver, Colorado. (April) Bromley. S.. Ramirez, S., and McCoy. J. (1991). " Impact of a health psychology course on student health beliefs". Poster presented at the Rocky Mountain Psychology Association Convention. Denver, Colorado- (April) Karlin, N. and Bromley, S. (1991). " Support. burden and affect among caregiver of dementia and non-dementia patients". Poster presented at the American Psychology Association, San Francisco, California. (August) Bosley. G. and Bromley, S. (1990). Post death ritual in a Colorado community. Paper presentation at the American Psychology Association, San Francisco, California. (August) Bromley, S. (1990). "Husbands at Childbirth: Who Does It Help?" Paper presentation at Far West Popular Culture Association, Las Vegas, Nevada (January). Hewitt. P. and Bromley S. (1989). "Images of Work and Intimacy in 'Turning Point'and'Fatal Attraction"'. Paper presentation National Convention of Popular Culture Association and American Culture Association, St. Louis, Missouri. (Session Chair) Retzlaff, P. and Bromley, S. (1989). "The Basic Personality Inventory: Alcoh Sub-Group Identification". Poster session at the Joint Convention of the Rock Mountain Psychological Association and Western Psychological Association, Reno. Nevada. Bromley, S. (1988). "Our Culture Affects Our Pain." Paper presentation, National Convention of Popular Culture Association and American Culture Association. New Orleans,LA. (March). Bromley.S. (1987). "Husband-Assisted Autohypnosis for Labor and Delivery: A Clinical Model". Paper presented at Rocky Mountain Psychological Association, Albuquerque,New Mexico(April). Bromley,S. and Loy. P. (1987). "Politics of PMS". Paper presentation Association of Women Psychologists, Denver, Colorado(March). PROFESSIONAL PRESENTATIONS --Invited: Bromley,S.P. & Canales, G. (2000). Issues in presenting information on historically underrepresented groups in the classroom. Symposium conducted at the Rocky Mountain Psychological Association, Tucson. (April). Strongin,D. &Bromley, S. (1999). Student and faculty reactions to the introduction of a graduate ethics course. In Miller,R. (Chair)Ethics in college teaching. Symposium conducted at the Rocky Mountain Psychological Association, Ft. Collins, CO(April) Bromley, S. (1999). Issues of religion and spirituality with therapists and clients. In S- Bromley(Chair)Religion and spirituality in research, practice and the classroom. Symposium conducted at the Rocky Mountain Psychological Association.Ft. Collins. Co(April) Handelsman.M.M., Bromley, S.P. &Davis, S.F. (1995). "Clinical Psychologist, Counseling Psychologist, Clinical Social Worker,or Psychology Professor: Which Degree is Right for Me?"Psi Chi invited panel presentation,Rocky - Mountain Psychological Association, Boulder, CO(April). Bromley, S. (Co-Chair), Seibert. P. (Co-Chair), Knuckey, D.,Bohlin,M., Zaweski, C., Watson, D., Hammon,D., West, K. &Robins, J. (1994). "Training the Teaching Assistant"Invited Panel Presentation,Rocky Mountain Psychological Association,Las Vegas, Nevada (April) 3 Bromley. S. (1993). "Hypnosis in Dentistry."Presentation at Monthly Meeting of Weld County Dentistry Association. Greeley, Colorado (February). Bromley. S. (1993). "Learning about the author as a way to understand research." Presentation at "Teaching Take Out", CTUP Special Event. WPA/RMPA Convention, Phoenix, Arizona(April). Allen. M. and Bromley. S. (1993). Co-Chairs Two CTUP Special Event Sessions, "Teaching Take Out: Experiences in Collaborative Learning". Western Psychological Association/Rocky Mountain Psychological Association Convention,Phoenix. Arizona (April). Bromley. S. (1993). Chair, Invited Symposium. "Psychological and Social Perspectives on Male Violence Against Women", Western Psychological Association/Rocky Mountain Psychological Association Convention, Phoenix, Arizona (April). Bromley, S. (1992)."Enhancement of student research and writing skills in any course". CTUP Workshop presented at the Rocky Mountain Psychology Association Convention, Boise, Idaho. (April) Bromley. S. and Karlin, N. (1992). "General and health locus of control of adult caregivers". Poster session at the UNC Research Forum, Greeley, Colorado. Bromley. S. (1992). Panel member in Mental Health Symposia for Victim Compensation Convention as part of the Colorado Organization for Victim Assistance Conference. (Estes Park/October) Bolocofski, Bromley, Foster and Mean(1988). "Hypnosis: Research and Clinical Perspectives," symposium presentation. Colorado Psychological Association, Greeley(March). Bromley, S. (1986). "Pain: A Psychological Event". Presenter-20th Annual Emotional Crisis Workshop,University of Northern Colorado, Greeley, Colorado (July). LECTURES--Invited: Bromley. S. (1998)"Psychological methods of pain control" Invited lecture for the annual meeting of the Weld County Arthritis Society. Bromley. S. (1998). "Hypnosis for pain control of arthritis"Invited lecture for"Brown Bag" lunch series sponsored by the Greeley Medical Clinic. Bromley, S. (1998)"Headache Control -Psychological Methods". Invited lecture as part of a seminar titled"Coping with headache". Sponsored by the Greeley Medical Clinic. Bromley, S. & Ackerman J. (1998)."What to do to handle burnout"A workshop conducted for foster parents working with Weld County Social Services. Bromley, S. (1995). Keynote speaker for Golden Key Honor Society Induction Ceremony. University of Colorado, Boulder, Co. (November) Bromley, S. (1992). Keynote speaker for Sophomore Honor Society Induction Ceremony. Bromley. S. (1991)Featured speaker. UNC Academic Honors Convocation. (April) Bromley, S. (1991). Banquet speaker Emotional Crisis Workshop, Greeley, Colorado. (July) GRANTS: Bromley,S(1994) Honors Grant($500)to attend research training at the Society for Clinical Hypnosis meeting, San Francisco(October) Bromley,S. (1994). Research and Publications award of$1500.00. "Assessment protocols to measure the efficacy of 4 hypnotic treatment for injured workers. Karlin. N. and Bromley. S. (1990). Research and Publications award of$2.4440.00. "Control, support,burden and affect differences among dementia and non-dementia caregivers". BOOK/GRANT REVIEWS: Grant review for Boise State Department of Education (1995) Review of Santrock.J. (1991). The science of mind and behavior. W.C. Brown and Benchmark. Review of McKee,P. &Thiem_J. (1993). Real life: Ten stories of aging. University of Colorado Press. PROFESSIONAL CONSULTATION/PRACTICE: Year(s) Institution/Organization Role 1996-presnt Ackerman and Associates Clinical Psychologist 1988 Bonnel Good Samaritan Center Pain Management Consultant and Trainer 1984-85 Denver Metropolitan Dental Care Consultant in Pain Management 1984 Iowa Association of Registered Physical Therapists Hypnosis for Pain Management Consultant and Teacher PROFESSIONAL ASSOCIATION PARTICIPATION: Membership 1986-2003 Rocky Mountain Psychological Association 1988-present American Psychological Association(Divisions 2, 30. 35) 1989-96 Greeley Area Mental Health Network 1987-88 Association of Women in Psychology 1980-89 Colorado Psychological Association 1988 CPA Program Committee Member for Spring Meeting--Greeley Coordinator SERVICE: EXTERNAL: NATIONAL SERVICE: 1994-2002 Rocky Mountain Coordinator- American Psychological Association, Division 2 -Teaching of Psychology 1992-94 Co-Chair, Rocky Mountain Region Council of Teachers of Undergraduate Psychology(CTUP). 1991-94 Mountain States Regional Academic Coordinator, Golden Key National Honor Society REGIONAL/STATE SERVICE: 2O00 -Moderator for G. Stanley Hall Lecturer-Dweck, C. (2000). Motivation and the self. Presented at the Rocky Mountain Psychological Association Convention, Tucson. (April) 1999- Moderator for G. Stanley Hall Lecturer-Viney. W. (1999). A larger canopy for psychology: Unifying themes and pragmatic empiricism. Presented at the Rocky Mountain Psychological Association Convention, Ft. Collins, CO(April) 1989- present Rocky Mountain Psychology Association 1998-present Ex-Officio Board Member As Division 2 Coordinator 1992-1998 Board Member 1995- 1998 Elected Chair, Groups Under-Represented in Psychology Committee 1992-94 Co-Chair, Groups Under Represented in Psychology Committee 1991 Coordinator of Student Volunteers,RMPA Convention, Denver, Colorado. 1995 Psychology Chair-CCHE Faculty to Faculty Conference(October) COMMUNITY SERVICE: 2003-present Board Member Weld County Area Agency on Aging 1999-present Member Weld Senior Wellness Program Evaluation Committee 1999-2000 Member, Weld County Area Agency on Aging, Grandparenting Committee 1998-present Member, Weld County Medical Society Committee on Alternative and Complementary Healing 1997-1998 UNC Loaned Executive-United Way of Weld County 5 1997 Mental Health Pro Bono Workshop, "Communication in the Workforce" 1991- 1996 Board Member. 19th Judicial District Victim Compensation Board 1995-96 Chair 1990-93 Board Member. Weld County Area Agency on Aging 1992-93 Chair 1991-92 Vice-Chair 1986-2001 Exam Supervisor-American Institute for Property and Liability Underwriters/Insurance Institute of America 1987-present Clinical Psychologist-pro-bono work with individual clients and community training INTERNAL: DEPARTMENTAL: 1993-2003 Member, Department Executive Committee 2000- 2003 Advisor Psi Chi National Honor Society 1995-1999 Co-Advisor Psi Chi National Honor Society 1996-present Guest lecturer for Psi Chi Grad Night on getting into clinical/counseling grad programs. 1989-91,93- 199.5-1998 Department Representative, CCHE Faculty to Faculty Conference 1987 -94 Department Representative to graduation ceremonies 1986-94 Library Representative 1983. 86 89, 90-93,97,98 Member,Faculty Search and Screen Committee 1990-92 Member,Psychology Department Undergraduate Committee(Chair 1992) 1987-88 Co-Coordinator Semester Conversion Committee COLLEGE: 1992,93,96,97 Member of faculty invited to teach in the Cluster Program 1990-93 Graduation Marshall, Arts& Sciences 1988-89 Member, Arts and Sciences Teacher Education Committee 1986-89 Chair, Interdisciplinary Committee to develop and revise Human Development Major in the College of Arts and Sciences and Psychology Department UNIVERSITY: 2002 - present Graduate Faculty 2002-present Field Experience Coordinator for students at Ackerman&Associates 1992-94 1996-99 Member-Research and Publications Board 1993-94 Chair-Elect 1988-99 Founding Co-Advisor, Golden Key Honor Society 1992-95 Member-UNC Women's Commission 1992-94 Co-Chair-Assessment Task Force 1989-90 Faculty Representative, Student Fee Allocation Committee 1986-89 Member, Faculty Senate 1988-89 Secretary 1987-88 Vice-Chair 1986-87 At-Large Member, Executive Committee 1986-89 Member, Academic Policies Committee 1986-87 Member,Elections Committee 1988 Representative, Western States Faculty Leadership Conference. Reno 1988 Senate Representative, Statewide Commission Advisory Committee 1988 Advisor, In-Touch Help Line 1985-86 Volunteer Therapist, UNC Counseling Center • GRADUATE STUDENT COMMITTEES--Doctoral: 2003-present Committee Member, Stefanie Stecker(School Psychology) 2002-present Committee Member, Karen Bender(Professional Psychology) 6 • 1998-99 Committee Member, Shu-Shin Lu,Professional Psychology.Y gy_ "Using Metaphor in Child Counseling in Taiwan" 1997-00 Committee Member, Christine Rogers, Professional Psychology. "A Qualitative study of the experiences of pastor's wives." 1995-1997 Committee Member.Lisa Ing. Special Education 1994-2003 Committee Member, Marla Gallagher,Educational Psychology 1993 Committee Member, Hsiu-Lan Ma. Science Ed. -Oral Comprehensives 1993 Committee Member. Jerry Buford. School Psychology, "Treatment of depressive symptoms of early adolescents"_ 1993-1998 Committee Member. Pat Flanagan, CSPA, Orals, "A comparison of attitudes and practices of Teaching faculty regarding student academic dishonesty at a two year and four year institution". 1991 Committee Member, Mike Propriano, School Psychology 1990-94 Committee Member. Paul Jantz, School Psychology, 1989 Committee Member. Mike Peters, Vocational Rehabilitation, "The Effectiveness of Vocational Evaluation for Various Disabling Conditions 1987 Committee Member, Ane Marie Kajenckii.English, "The Concept of Free Association in Virginia Woolf s The Waves" 1986 Committee Member, Fuming Liao,Mechanical Kinesiology, "Development and Validation of a Method for Providing Immediate Feedback Information on Speed and Angle of Release in Shotputting" GRADUATE STUDENT COMMITTEES --Masters: 2001 Jeremy Ehmke, Chair 1999-00 Jennifer Lawrence, Committee Member 1998-99 Vanessa Ewing, Committee Member 1997 Stephanie Blasi, Committee Member 1997 John Nickisson, Chair 1994 David Watson, Committee Member 1994 Tiernan McIlwaine, Committee Member 1994 Jerrod McCoy, Committee Member 1993 Sheldine Runyan, Committee Member 1993 Sue Cole, Committee Chair,"Influences on Occupational Goals of Selected Male and Female College Students". 1990 Jerry Benner, Committee Member 1990 Kurtis Armstrong, Committee Member. "Attitudinal Consequences of Pre-Employment and Random Employee Drug Testing" 1989 Michelle Hozer, Committee Member 1989 Anne Schnittgrund, Committee Chair. " Age and Electrothermal Biofeedback Training". 1988 Cherri Hockett, Committee Member, "The Effects of Turnover on Those Who Remain in an Organization" 1988 Tony Ambrosio, Committee Member. "The Belief in a Just-World and the AIDS Epidemic: Predictors of Attitudes Towards Individuals with AIDS" 1988 Steve Foster, Committee Chair, "Hypnotic Susceptibility As a Function of Locus of Control and Director Indirect Induct ional Deepening and Suggestion Style" 1988 Lisa Dillon. Committee Chair, "Cognitive-Behavioral Approach to the Treatment of Elderly Rheumatoid Arthritis Patients" 1987 Deanna Holmes, Committee Member 1987 Darlene Nold, Committee Member, "Reading and Writing Assessment Tests as Predictors of Success in the Basic Peace officer Academy at Aims Community College" 1987 Dan May, Committee Member 1986 Jeff Schiels, Committee Member. "The Refonnulated Hypothesis: Is Its dominator of Learned Helplessness Literature Justifiable?" 1986 Linda Coulthard-Morris,Committee Member, "Biofeedback of Cortical Slow Wave Potentials, Hand Temperature and Muscle Tension in Normal and Attention Deficit Disorder with Hyperactivity Children" TEACHING: Honors Activities: 7 2000-2002 Thesis Co-coordinator. Stephanie Price, Allison Osag, Anna Grenier. Jennifer Donnelly 2000-2002 Thesis Co-advisor, Shanti Pepper."Hindsight bias and prejudice against homosexuals" 2000-2002 Thesis Advisor, Angela Hanson."Effects of aromatherapy on attention" 2000 Thesis Coordinator, Cindy Mitchell, Christin Hillyer, Angela Hanson 1999 Thesis Advisor. Melissa Touchion"Complementary/alternative medical use among undergraduates at the University of Northern Colorado'. 1999 Thesis Advisor, Sarah Painton. "Early parent loss in terms of maintaining a connection with the deceased. 1999 UNC Research Day, Faculty Panel Coordinator, " Complementary Healing Methods" 1999 Thesis Coordinator-Kristin Pietry'zick, Jennifer Kimberling, Cristine Dickey 1997 Thesis Co-Advisor Kelly Kinser."An evaluation of the city of Greeley community outreach program". 1997 Honors Connection Course development- Alternative Healing Methods 1996-2002 Honors Co-Coordinator. Psychology Department 1989-94 Honors Coordinator, Psychology Department 1994 Thesis Co-Advisor, Diane Musgrave, "The Relationships Among Personality Traits, Alcohol. Caffeine, and Nicotine Consumption, and Academic Performance in College Students" 1994 UNC Research Day, Faculty Panel Coordinator, "Hypnosis: Theory and Research" 1993 UNC Research Day, Faculty Panel Coordinator,"Non-traditional Theories of Therapy Serving Women and Minorities". 1993 Thesis Co-Advisor, Linda Norman, "Clozapine and Event Related Brain Potentials in Schizophrenics" 1992 Thesis Advisor. Deborah Knuckey, "The Effect of Touch on Affect Among Strangers Under Mildly Stressful Conditions" 1992 UNC Research Day, Faculty Panel Coordinator 1992 UNC Research Day, Faculty Panel Coordinator(2 student panels)"Sex Roles and Psychology,"The Power of Social Influence 1989 Thesis Advisor, Geri Bosley, "Post Death Ritual in a Small Colorado Community" 1988 Thesis Advisor, Pam Clasen, "The Use of Relaxation and Imagery Techniques in Pain Management" 1989&97 Honors Connection Course Development Courses Taught: (1-4 Scale with 1 as Highest)(*1-5 Scale with 5 as highest) AVG. DATE COURSE TITLE FIRS ENR AVG.RATING 1986-1988 PSY 101 Intro Seminar Psychology 1 30 1.16 1983-1997 PSY 120 Principles of Psychology 4 113 2.35 1984 PSY 121 Intro to Psychology I 4 40 ---- 1985-1988 PSY 230 Human Growth &Development 5 68 1.46 1984 PSY 265 Social Psychology 3 25 ---- 1988-2000 PSY 323 Health Psychology 3 43 3.02 1986 PSY 330 Child&Adolescent Psych3 27 1.4 1986-1993 PSY 331 Maturity& Aging 3 36 1.51 1984-2000 PSY 455 Abnormal Psychology 3 32 3.01 1983-1998 PSY 350 Theories of Personality 3 40 2.05 1986-2000 PSY 407 Intro to Counseling Theories 3 23 2,52 1987 PSY 499 Psychology of Sex Roles 3 16 1.18 2000 PSY 508 Health Psychology and Healing 2 17 457 1989 PSY 508 Emotional Crisis Workshop 1-2 39 --- "Frontiers of Mental Health And Education" 1988 PSY 508 Emotional Crisis Workshop 2-3 63 "Mind/Body'Interactions" 1987 PSY 508 Emotional Crisis Workshop 2-3 106 "Relationships" 1991 PSY 595 Health Psychology 3 15 1990-2000 PSY 620 Assessment&Interviewing 3 12 3.13 1988 PSY 620 Issues in Behavioral-Medicine 3 5 2.08 1992-1997 PSY 621 Practicum College Teaching 2 12 3.11 1997 HON 200 Honors Connections Seminar: "Alternative Healing Methods" 2 20 3.67 of 4 1989 HON 200 Honors Connection Seminar II: 2 9 --- 8 "Love" 1986 Elderhostel "Dream Oii" NC (25) 1987 Elderhostel "Mind/Body Interactions" NC 19 Courses Developed: 2000 PSY/PPSY 508,Health Psychology and Healing 1997 HON 200, Alternative Healing Methods 1991 PSY 595, Issues in Health Psychology, Summer 1989 23rd Annual Emotional Crisis Workshop.Frontiers of Mental Health and Education. Summer 1988 PSY 620, Assessment in Behavioral Medicine. Fall (Revised Spring 1998) 1988 PSY 423, Health Psychology, Fall 1988 22nd Annual Emotional Crisis Workshop, Mind/Body Interactions. Summer 1987 21st Annual Emotional Crisis Workshop, Relationships, Summer 1987 Mind/Body Interactions-Elderhostel Program. Summer 1987 PSY 499, Psychology of Sex Roles- Summer 1986 Dream On -Elderhostel, Summer • Directed Studies: Graduate: 1995 Cynthia Holley, Hypnosis 1994 Tara Johnson, Hypnosis Theory and Practice 1994 Marla Gallagher, Sociometric Processes 1994 Marla Gallagher, Cluster Development in Intro Psychology Classes 1992 Bruce Holoman, Hypnosis Research and Practice 1988 Paul Jantz, Hypnosis for Pain With Children 1988 Lon Kochevar, Women as Leaders 1988 Jerri Israel, Man Shaw. Issues in Health Psychology 1988 Steve Foster, Michele Hozer, Teaching Apprenticeship 1987 Tony Ambrosio, Hypnosis Models 1986 Candy Disch, Psychological Testing Undergraduate: 2000_ Lynell Rice-Cross-cultural attitudes towards healing methods 2000_ Andrea Hagedorn -Attitudes towards counseling(in lieu of honors thesis) 2000_ Laura Bell -Psychology of childbirth 1999 Lynell Rice-Healing Methods 1999 Stefani Stecker-Student's perceptions of parent-child sex communication (in lieu of honors thesis 1998 Jennifer Altman -Exercise and Psychology 1996 Kindra Sanchez -Biracial Identity 1996 Jenna Weatherbee-Pain Coping Styles • 1995 Allison Ellis -Psychological Theories in Business Management 1995 Holli Elrick, Counseling and the Hearing-Impaired Child 1994 Lewis Garza, Etiology of Schizophrenia 1994 Suzanne Bodetko, Autogenic Training 1994 Rebecca Furstenberg, Impact of Alzheimer's Disease on Families 1994 Bonnie Sarton,Hypervigilence in Youth(Hon 351) 1993 Mary Jo Hamilton,Hypnosis Theory 1994 Greg Schooley, Forgiveness as a Therapy Tool 1993 Jason DeBueno, Youth Advocacy 1993 Kelley Ferguson -Women in Psychology 1993 David Rosenberg-Offender Programs 1992 Robin Trostel, Analysis of Learning Styles 1992 Robin Trostel, Health Locus of Control 1992 Roberta Inman, Family Violence and Lesbians(Hon 351) 1991 Mark Kahl, Back Pain 1991 Tracy Moulton, Treatment of Sexual Abuse 9 1991 Alice McPherson. African American Women and Higher Education 1991 Jody Huffier, Hypnosis: Theory and Practice 1990 Jimmie Berg. Women's Learning Styles 1989 Elary Violets, Cognition and Pain Management 1989 Geri Bosley, Chris Snodgrass, Bev Foster, Elary Violett, Issues in Personality 1989 Penny Vaughn, Female Pioneers in Social Work 1989 Lori Peterson, Pain and the Elderly 1988 Peer Training for Hotline Service 1987 Tracy Boh, Issues in Child Abuse 1987 Julie Stoddard, Grief and Divorce 1987 Eric Bolick Hypnosis Models 1987 Mike Lesser, Assessment in Sport Psychology 1986 Lynne Sheffield, Childhood and Loss 1986 Jennifer March, Adolescence Practia 2000 Rebecca Kuhn- Aromatherapy research 2000 Ackerman and Associates-Berkely Holston 1999 Melissa Touchton- Applied statistics 1998 Andrea Lamb -Hypnosis and golf performance 1998 Rebecca Varoula - Women's Place 1998 Greeley Medical Clinic -Gay Lemons, Renae Smith 1998 Ackerman and Associates-Amy Munnel, Kristin Pietrzyk, Jennifer Kimberling. Greg Pedersen 1997 Greeley Medical Clinic -Lori Darst, Barbara Glode, Ann Marie McCullen, Jeff Titus 1993 Greg Schooley, Bereavement Research 1993 Di Smice, Women's Commission 1992 Mary Jo Hamilton, Hypnosis Research 1992 Carol Sexton,Psychology Testing 1992 Lisa Schlott,Learning Styles PROFESSIONAL DEVELOPMENT ACTIVITIES: Workshops. Clinics, Symposia, Conferences: (Excluding Conferences as a Presenter) 1999 Cognitive Behavioral Therapy Training Program, Institute for Behavioral Healthcare 1999 EMDR training and Level 1 certification 1998 Qualitative research lecture series-UNC 1998 Lewis M. Terman Western Regional Teacher's Conference sponsored by APA Division2 in conjunction with the WPA/RMPA joint convention. 1998 "Spirituality and health in counseling", CAHEC Workshop, Greeley 1998 "Divorce Busting: Solution oriented brief therapy with couples", Colorado Assoc. Marriage and Family 1997 Health Maintenance-Legal and Ethical Issues 1997 Body and Soul: Healing in the 90's 1996 Celebrating our Essence: Women's Health and Spirituality 1995 International Society for Clinical and Experimental Hypnosis-Research Workshop, San Francisco, CA (30 more hours toward certification) 1989 "Minding the Body, Mending the Mind", CAHEC Workshop,Ft. Collins 1988 "Demystifying Publishing", CAI-IEC Workshop,NCMC, Greeley 1985 "Attentional Deficit Disorders in Children", Meichenbaum,Denver 1980 International Society for Clinical and Experimental Hypnosis-30 certification hours, Denver Numerous other workshops on Parent Loss. Child Abuse, Grantsmanship, Short-Term Treatment, Supervision, Pain Management, Medical Terminology,Depression, Personality Disorders Courses Taken Credit: 1994 EPRE 603 -Analysis of Variance Audit: 1993 EPRE 602 -Elements of Statistics 1990 EPRE 700-Advanced Research Methods Continuing Education Credit: 10 • 1976 C.U. Medical School -Medical Ethics 1972 C.U. School of Nursing- Hypnosis (10 weeks) 1969 University of Chicago -Kubler-Ross,Death and Dying HONORS AND AWARDS: 2000 "Wonderful Outstanding Woman" Award 1998 Distinguished Service Award-Rocky Mountain Psychological Association 1998 Arts and Sciences Teacher of the Year Award 1998 "Wonderful Outstanding Woman" Award-Highlighted in October newsletter- Women's Resource Center 1993 Commencement Banner Carrier. Arts and Sciences 2002,1993, 91.89, 88 -Mortar Board Favorite Professor 1992 Student Representative Council University Professor of the Year 1992 Student Representative Council University Advisor of the Year 1989 Arts and Sciences Achievement Award 1988 Honors Advisor of the Year 1984 Psi Chi. University of Northern Colorado Chapter 1982-83 Writing Associateship-Rocky Mountain Women's Institute 11 Page 1 of 1 March 24, 2006 RECEIVED MAR 3 01A4 Alan Ackerman Ackerman and Associates P.C. Dear Mr. Ackerman: As a Housing Authority we would be glad to accept any appropriate referrals for clients needing our services from Ackerman and Associates. If you are awarded a contract to work with Weld County clients we will be agreeable to enter into a Memorandum of Understanding concerning the services provided by each agency. If you have any questions please contact me at(970) 353-7437 ext 103 Sincerely, Thomas Teixeira Executive Director https://webmailcluster.perfora.net/xml/download/attaehmentijsessionid=4I E573CB2F68C90... 3/30/06 - li RECEIVED MAR 30 10D6 - .:_ North Range Behavioral Health To: Applicants for CORE Services Funding From: Wayne Maxwell eA),,r p Executive Director Re: Letter to Support CORE Services Applications Date: March 26, 2006 After the Weld County Department of Social Services issued its RFP through which mental health service providers could apply for CORE Services funding, we began to receive requests from applicants for letters from North Range Behavioral Health. We were aware that applicants need a letter from us, but we were unsure of what the Department of Social Services was specifically requesting. To obtain a clarification we met yesterday with Judy Griego and Dave Aldridge to determine the DSS expectations. I believe the letter we have written in response to your request will meet your need and fulfill the DSS expectation. If you have any questions, please give me a call. 1306 11th Avenue/Greeley,CO 80631/(970)347-2120/Fax(970)3.3-3906 t ;a� 1;. J .. 11 ra. North Range Behavioral Health March 29, 2006 Joyce Ackerman 1750 25th Avenue #101 Greeley, CO 80634 Re: Letter to Accompany Proposal to Weld County Department of Social Services To Whom it May Concern: This letter is written to support the application of Joyce Ackerman to provide CORE Services through the Weld County Department of Social Services. North Range Behavioral Health is pleased to commit to a collaborative relationship with Joyce Ackerman to develop a system of care for children and families served to ensure that duplications in services are minimized, that gaps in needed services are eliminated and that services are billed to the appropriate payer source. For services involving Medicaid eligible clients North Range Behavioral Health will work with Joyce Ackerman to determine which services are benefits of the Medicaid Mental Health program and to facilitate a process through which Joyce Ackerman can be compensated with Medicaid funds when services provided are a benefit of Medicaid. Sincerely, Were-4717 Wayne A. Maxwell, Ph.D. Executive Director Mission: North Range Behavioral Health provides professional culturally competent mental health services for Weld County. 1306 11th Avenue/Greeley,CO 80631/(970)347-2120/Fax(970)353-3906 • (tie a isits......N.;\\ DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 ' Webilte:anvw.ctawdd.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-4933 1111 e. COLORADO May 15,2006 Joyce Ackerman Ed. D. Ackerman&Associates,P.C. 1750 25th Avenue, Suite 101 Greeley, CO 80631 Re: REP 06SAT01-Sex Abuse Treatment RFP 06-HS-02-Home Studies, Updates, Relinquishment Counseling Dear Ms. Ackerman: The purpose of this letter is to outline the results of the Bid process for PY 2006-2007 and to request written information or confirmation from you by Monday,May 22,2006. A. Results of the Bid Process for PY 2006-2007 • Through the 2006-2007 bid evaluation process,the Families, Youth and Children (FYC) Commission recommended approval of Bid ft 06SAT01 (REP 05007) Sex Abuse Treatment.The score given to this bid was 86 points. The FYC Commission attached the following recommendation and compliance item to your bid. Reco 1nm enddation• You must explain how you will provide outcome measurements to Weld County Department of Social Services. Compliance Item: The bidder must provide the required letter under the Collaboration Section from Employment Services. Hourly Rate for Court Testimony: The bidder did not provide a rate for court testimony. For bidders carrying over services to 2006, the Department will use last year's court testimony hourly rate. The rate for court testimony will be billed at is $100 per hour. • The Families, Youth, and Children(FYC) Commission did not recommend approval of your bid for Home Studies, Updates,and Relinquishment Counseling. The score given was 46 points. Page 2 Ackerman&Associates, P.C./Results of Bid Process for PY 2006-2007 B. Required Response by FYC Bidders Concerning FYC Commission Recommendations; You are requested to review the FYC Commission recommendations and to: 1. accept the recommendation(s)as written by the FYC Commission; or 2. request alternatives to the FYC Commission's recommendation(s); or 3. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate the recommendation(s)into your bid. If you do not accept the recommendation,please provide written reasons why.All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. Please respond in writing to Gloria Romansik, Weld County Department of Social Services, P.O. Box A, Greeley,CO, 80632,by Monday,May 22,2006, close of business. If you have questions concerning the above,please call Gloria Romansik, 970.352.1551, extension 6230. Sincerely, J ' . 'ego, I -ctor cc: Juan Lopez, Chair, FYC Commission 1 Gloria Romansik, Social Services Administrator I Hello