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Home My WebLink About20061592.tiff RESOLUTION RE: APPROVE FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR FOSTER PARENT CONSULTATION PROGRAMS WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with four Notification of Financial Assistance Awards for Foster Parent Consultation Programs,between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Social Services, and various providers, listed below, commencing June 1, 2006, and ending May 31, 2007, with further terms and conditions being as stated in said awards: 1. Julie Box, LCSW 2. Sherri Malloy, Ph.D. 3. Transitions Psychology Group, LLC 4. Jubilee Retreat Center- Lori Kochevar, LLC WHEREAS,after review,the Board deems it advisable to approve said awards, copies of which are attached hereto and incorporated herein by reference. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the four Notification of Financial Assistance Awards for Foster Parent Consultation Programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Department of Social Services,and various providers listed above,be,and hereby are,approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. 2006-1592 CO SS SS0033 O17-io--oH FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR FOSTER PARENT CONSULTATION PROGRAMS PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 14th day of June, A.D., 2006, nunc pro tunc June 1, 2006. BOARD OF COUNTY COMMISSIONERS II_�0 ��`► E114a y ELD OUNTY OLORADO ATTEST: �_� s _ � Ll,6 rte. . eile, Chair Weld County Clerk to the B { David E. Long, Pro-Tern BY: Depi Clerk the Board Willi H. Jerke AP AS TO • tt),,b1).—/ Robert D. asden' 2 orney �I(P 10 Glenn Vaad ate of signature: 2006-1592 SS0033 a res ctitDEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO. 80632 ' Website: www.co.weld.co.us Administration and Public Assistance(970) 352-1551 CFax Number(970) 346-7691 O COLORADO MEMORANDUM TO: M.J. Geile, Chair Date: May 31, 2006 Board of County Commissioners i l FR: Judy A. Griego,Director, Social Services, ,{,y\ti ( L 1 ', er RE: Notification of Financial Assistance Awards with Various Contractors— Foster Parent Consultation Enclosed for your approval are Notification of Financial Assistance Awards with Various Contractors for Foster Parent Consultation. The Department and the Families, Youth, and Children(FYC) Commission are recommending approval of these Awards. These Awards were reviewed at the Board's work session of May 24, 2006. The major provisions of these Awards are as follows: 1. The Award period is June 1, 2006 through May 31, 2007. 2. The source of funding is Core Services or Child Welfare Administration. 3. -The Contractors will provide consultation to County Certified Foster Parents. 4. The Contractors include: A. Julie Box, LCSW $58.33 group rate per foster parent $90.00 per hour per individual rate B. Sherri Malloy,Ph.D. $58.33 group rate per foster parent $90.00 per hour per individual rate C. Transitions Psychology $58.33 group rate per foster parent Group, LLC $90.00 per hour per individual rate D. Jubilee Retreat Center-Lori $58.33 group rate per foster parent Kochevar $90.00 per hour per individual rate If you have any questions,please telephone me at extension 6510. 2006-1592 Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core)Funds Type of Action Contract Award No. X Initial Award FY06-CORE-71 Revision (PY 06-07 RFP-FYC-006-00A; 06FPC03) Contract Award Period Name and Address of Contractor Beginning 06/01/2006 and Julie Box,Private Practice Ending 05/31/2007 Foster Parent Consultation 1702 68th Avenue Greeley, CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Program provides foster care consultation services Assistance Award is based upon your Request for and foster parent support groups around placement Proposal (RFP). The RFP specifies the scope of issues, behavioral management, foster home issues services and conditions of award. Except where it involving biological children in home, interpretation is in conflict with this NOFAA in which case the and implementation of treatment plans, discipline in NOFAA governs, the RFP upon which this award is the home, group training, visitation issues, legal risk based is an integral part of the action. and commitment issues,and solution oriented planning. Maximum of 20 individuals per group,two Special conditions group consultations per week. Group participation is limited to one group session per foster parent per 1) Reimbursement for the Unit of Services will be month. Individual consultation services will only be based on a per group rate. provided when approved by the Resource Services 2) Rates will only be remitted on cases open with, and Manager or Child Welfare Administrator of Social referrals made by the Weld County Department of Services. Bilingual-Bicultural and South County Social Services. services are available. 3) Requests for payment must be an original and Cost Per Unit of Service submitted to the Weld County Department of Social Per individual foster parent Services by the end of the 25th calendar day participant per episode following the end of the month of service. The Treatment Package $58.33 provider must submit requests for payment on Other Services Per Hourly Rate $90.00 forms approved by Weld County Department of Social Services. Enclosures: 4) Requests for payment must include original client X Signed RFP: Exhibit A verification signatures (blue or red ink preferred) Supplemental Narrative to RFP: Exhibit B and dates and hours of service. Recommendation(s) 5) The Contractor will notify the Department of any change in staff at the time of the change. Conditions of Approval Approvals: Program Official: By By M. J. G ile, Chair Jud . Grie o, Direct Board of Weld Coumkcpmmissioners We County Department of Social Services Date: JUN 14 UIJU 6/3i/pU Date: SIGNED RFP-EXHIBIT A INVITATION TO BID OFF SYSTEM BID 001-06(06005-06011 and 006-00, A, B.&C) DATE: March 1, 2006 BID NO: 006-00A RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (006-OOA)for: Colorado Family Preservation Act—Foster Parent Consultation, Emergency Assistance Program 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 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-I01). 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 Consultation Program must provide services that focus on providing psychological consultations and parenting support to foster parents which are designed to improve foster parent competency, family conflict management, and effectively access community resources. 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 22 TYPED OR PRINTED SIGNATURE PROVIDER Sal t,e 0 L.C.5-vt/ (Name) dwri en Signa a By Authorized •" cer • Agent of Provider ADDRESS Li O2 („01(6-1\v-e._ . TITLE i 15iA; Pr-i vast, ?rpm r. Co 8(X,31{ DATE PHONE # . ?-10 z. I c} The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 39 Bid Number 001-06(RFP-FYC COMMISSION 006-OOA) Attached A FOSTER PARENT CONSULTATION 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 (1.1_06-00A) NAME OF AGENCY: I3 O ? c, ?r i r„AY, ra c1-rc, LC-5--W ADDRESS: Igo 2 (oR C& < 6 r-Ge l ei fsas PHONE: (c to ) 3o2-. N-'1 CONTACT PERSON: ZT C ac/ , LCsiJ TITLE: LC t/ DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Foster Parent Consultation Program Category must provide services that focus on teaching life skills designed to facilitate implementation of the case plan by improving household management competency,parental competency, family conflict management and effectively accessing community resources. 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: ,r-t,4' (6yics. d4rd-c 1 Itsc- S attire of Person Preparing Document Date N e and ignature 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. Project Description Target/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 Assurance Statement .s 10 Ski rhumba 00146(R1T-FYC COMMISSION 106A0A) Attacked A Date of Meeting(s)with Social Services Division Supervisor: Comments by SWSuperviso fJ / r.�� / a_rte/e. As 'AI -447 �2; 314-ot Name and Signature of SS or Date Page 30 of 39 June 2006 Off-System Bid 001-06 (06005-06011 and 006-00, A, B, &C) Bid No. RFP-FYC 006-00B Colorado Family Preservation Act--- Foster Parent Consultation, Emergency Assistance Program Julie Box, LCSW Private Practice I. PROJECT DESCRIPTION Julie Box(Bidder) is a Licensed Clinical Social Worker offering a wide range of services to children, families and adults. Bidder has been providing human services to the Northern Colorado area since 1986. During the past 20 years, Bidder has provided services as a counselor, a caseworker and a therapist in the field of child welfare. Bidder has provided services to all individuals without consideration of religious beliefs, race, ethnicity, sex or economic status. From June of 2004, Bidder has provided home studies and relinquishment counseling services to the Weld County Department of Social Services. Bidder assures that she will comply with the 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 the approved RFP/Bid. Bidder will provide consultation services to the Weld County Department of Social Services and families providing foster care services for the Department for the express purpose of providing consultation services and foster parent support groups around placement issues, behavioral management, foster home issues involving biological children in the home, transition and loss issues, working with foster parents and caseworkers around interpretation and implementation of treatment plans, discipline in the home,group training for foster parent access to training materials,working with foster/adopt parents on legal risk and commitment issues, visitation issues, and solution oriented planning. Bidder will provide services to prevent the placement of children and/or to reunify the children with their families as soon as safely possible. Bidder will promote constructive communication between foster/adopt families and the Department by using techniques such as reframing, positive connotation, separating people from the problem, metaphoric storytelling and establishing ground rules for dialogue. Bidder will provide individual foster parent consultation on a time-limited basis, which will be provided only with approval of the Department Bidder will provide mandated training for foster parents under the corrective action plans and the will provide follow-up services when referred by the Department. Bidder will also provide training to satisfy the State training requirements for foster/adopt parents by offering a minimum of one training credit per month, which will be recorded for each critical care foster parent participating in the mandated monthly consultation group. Bidder acknowledges that all additional foster parent training will be approved by Department staff; i.e., Foster Care Coordinators or Resource Services Managers. Bidder also acknowledges that all training will be offered to all Weld County foster parents, whether they are involved in the Consultation Program or not. The flat fee for conducting such training will be agreed upon between Bidder and the Department on a per event basis. II. TARGET/ELIGIBILITY POPULATIONS: The population to be served under this contract includes Weld County foster/adoptive parents' certified in Weld County. These consultation groups, individual consultations and corrective- action consultations are limited to Weld County foster care/adoption certification applicants only. A. Total Number of Clients to be served: Each consultation group is 'worth'2 hours and will be spread over a one-week period of time. Bidder estimates she could complete 96 group consultations per year. Individual consultation and corrective action consultation are accepted only on a time-limited basis, with specific permission from the Department. Bidder estimates that she can provide individual consultation and corrective action consultation services as referred by the Department with no maximum hours given. B. Total family units. Bidder estimates she could provide group consultation services for a maximum of 20 individuals per group. C. Subtotal of individuals who will receive bicultural/bilingual services Unfortunately, Bidder is not bilingual; however, Bidder would be able to contract with a qualified Spanish speaking clinician to provide translation as referred. Bidder would not refuse any bicultural services. D. Subtotal of individuals who will receive services in South Weld County. Bidder does not limit her services to specific geographical areas so Bidder will provide services in the Southem part of Weld County as they are referred. E. The monthly program capacity per group. Bidder estimates she could provide group consultation services for a maximum of 20 individuals per group. Bidder will provide one-on-one individual consultation and corrective action services as arranged by the Department. F. The monthly average capacity per group. Bidder estimates she could provide group consultation services for a maximum of 20 individuals per group. Bidder will provide one-on-one individual consultation and corrective action services as arranged by the Department. G. Average stay in the program (weeks) Bidder estimates that the average stay in the program as measured by weeks, would be dependent upon the needs of the foster/adopt families as well as the needs of the Department. Bidder would not limit weekly groups, but would provide weekly services as needed. H. Average groups per week in the program. Bidder estimates that she can provide 2 group consultation services per week. III. TYPE OF SERVICES TO BE PROVIDED Foster Parent Consultation Bidder will provide group, one-on-one and corrective action consultation services. Bidder will provide consultation and foster parent group support around placement issues, behavioral management, foster home issues involving biological children in the home, transition and loss issues, work with the foster parents and caseworkers around interpretation and implementation of treatment plans, discipline in the home, group training for foster parents with access to training materials, work with foster adopt parents on legal risk and commitment issues, visitation issues and solution oriented planning. Bidder will also provide individual foster parent consultation on a time-limited basis only with approval of the Department. Bidder will provide mandated training for foster parents under corrective action plans as well as referring foster parents to follow-up services as referred by the Department. Bidder will provide training to foster parents to satisfy State training requirements within the following guidelines: one training credit per month will be recorded for each critical care foster parent participating in the mandated monthly consultation group; all additional foster parent training will be pre-approved by Department staff, i.e., Foster Care Coordinators or Resource Services Manager. Bidder stipulates that all training will be offered to all Weld County foster parents, whether they are involved in the consultation program or not. The flat fee for conducting such training will be agreed upon between the provider and the Department on a per event basis. Contracted individual and group consultation rates cannot be charged for training. It is expected that post training testing will be part of the training component. Bidder will not be providing foster parent group consultation if Bidder is also providing therapeutic services for a child in the same home. Bidder will provide all assessments, clinical recommendations and other opinions directly to the assigned caseworker of the children involved in consultations. If there is disagreement over the implementation of the treatment plan with the caseworker, a meeting shalt be held with this Bidder, assigned caseworker, foster parents and the caseworker's supervisor. The objective will be to determine a unified response for the court. Bidder will not use the legal system to oppose the Department's recommendations. Bidder agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. Bidder assures the FYC Commission and the Department that Bidder's resources will not supplant existing and available services in the community; e.g., mental health capitation services, ADHD and professional services otherwise funded. IV. MEASURABLE OUTCOMES Bidder will provide improvement of household management competency as measured by (pre and post assessment instruments). Bidder will also provide improvement of parental competency as measured by (pre and post assessment instruments). Bidder will assess foster parents ability to independently work with other sources in the community and within the local, state and federal govemments by direct observation. Bidder will access whether foster parents are able to demonstrate higher skill and competency levels in fulfilling their designated function for children in out-of-home placement by direct observation as well as discussion with Foster Parent Coordinator about the foster parents required training hours. Bidder will observe foster parents ability to positively meet their biological children's needs in adjusting to and coping with the presence of foster children in the home. Bidder will measure, evaluate and monitor measurable outcomes by the retention of foster children in the foster homes, by the retention of foster families and by the relief of concerning or corrective actions given by the Department. V. SERVICE OBJECTIVES The service objectives are the same as the measurable outcomes,that is: the provision of quality foster parent consultation, assessment of foster families and support of foster families in a timely manner. In addition to the measurable outcomes, Bidder will address specific referral issues. Services will be solution focused and address issues specified by the Department. VI. WORKLOAD STANDARDS Bidder estimates that she will be able to run 2, two-hour consultation groups per week, approximately two consultation groups per month, with no more than 20 individuals or 10 couples per group. Bidder is currently the only staff providing training services. However, Bidder may choose to invite a trained clinician to address specific topics. Bidder estimates that she can provide, at a minimum, 48 consultation groups per year and a maximum of 96 group consultations per year. Bidder estimates a minimum total of 2 hours of direct service, with 2 hours of indirect service every week. Bidder is a Licensed Clinical Social Worker with a private practice and does not have a supervisor. Please see attached insurance coverage form. VII. STAFF QUALIFICATIONS Bidder has a bachelor's degree in Psychology(BA), a Masters degree in Social Work (MSW) and is a Licensed Clinical Social Worker(LCSW) since January 21, 2003 (license number: 992996). Please see the attached copy of Bidder's license. Bidder has her own private practice and is the only staff available. However, Bidder can provide a qualified professional that can translate during mediations as needed. As an LCSW, Bidder does not have a clinical supervisor. Bidder secures a minimum of 8 hours per year of continuing education training. Bidder has not received the mandated new caseworker training. Bidder has extensive knowledge of risk assessment. VIII. UNIT OF RATE COMPUTATION Please refer to the attached budget for computation of direct service rate. This hourly rate is what Bidder will charge for each hour of direct service of group consultation, individual consultation and corrective action consultation provided. Group consultation: $58.33 per person in the group, per group. Individual consultation: $90.00 per consultation. Corrective action consultation: $90.00 per consultation (maximum 3 hours). Bidder estimates that she can provide 7 to 8 groups per month at two hours per group, maximum. IX. BILLING PROCESS Bidder will use the Department's Monthly Request for Reimbursement-PY 2006-2007, as well as the Department's Provider Attendance Sheet for all billing purposes. Bills will be submitted on or about the 10th day of the month following the month the services were provided. X. PROGRAM CAPACITY BY MONTH Bidder can provide consultation services at a maximum of 8 groups per month, 2 hours per group. AMERICAN HOMb ASSURANCt CU• • THIS!?7.CLAIMS MADE POLICY PLEASE READ CAREFULLY • 2/05/05 SOCIAL WORKER PROFESSIONAL E LLIABILITY POLICY NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTSNORWSETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT'IN THE POLICY). DECLARATIONS POLICY NO: SWL-1919252 ACCOUNT NO: CO—BOXJ170—O 0426974S ITEM 1.(a)NAME AND ADDRESS OF INSURED: . ITEM 1.(14 ADDITIONAL NAMED INSUREDS: JULIENNE E. BOX 1702 68TH AVENUE GREELEY. CO 80634 TYPE OF ORG: INDIVIDUAL ITEM 2. ADDITIONAL INSUREDS: STATE OF COLORADO/THE WELD CNTY. DEPT. OF S.S. P.O. HOX A GREELEY. CO 80631 ITEM 3. POLICY PERIOD: FROM: 02/20/06 TO: 02/20/07 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN, ITEM 4. LIMITS OF LIABILITY: (a)$ 1 ,000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS,REPEATEI _.., OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b)$ 1,000,000 AGGREGATE (c)5 5,000 _ DEFENSE REIMBURSEMENT TEM 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM PROFESSIONALS 1 133.00 133.00 DEFENSE LIMIT .00 , ADDITIONAL INSUREDS 1 27.00 27.00 rEM 6. RETROACTIVE DATE: 02/20/04 TOTAL PREMIUM: 160.00 rEM 7. EXTENQED REPORTING PERIOD ADDITIONAL PREMIUM(If exercised):$ 160.DO rEM 8. 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I will mail the original to you tomorrow. Re: Response to FYC Commission's recommendation re: RFP 06008 and RFP 006- 00C. If you have any questions, please feel free to call at 970.302.1471. Thank i u, LCS)-7 Jul' i ox, LCSW � NOTE:This message is intended for the use of the individual or entity to which it is addressed, and may contain information that is PRIVILEGED AND CONFIDENTIAL. If you are not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient,you are hereby notified that any dissemination,distribution,or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the above sender immediately by telephone and return the original message to us at the above address via the U.S. Postal Service. Thank you. 6klet: DEPARTMENT OF SOCIAL SERVICES A P.O. BOXGREELEY, CO. ox80632A ;;; Website:www.co.weld-co-us ' Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 C. COLORADO May 15, 2006 Julie Box, Private Practice 1702 68 Avenue Greeley, CO 80634 Re: Bid#06IFT02 (RFP 06008)Mediation&Facilitation under IFT Bid#06FPT02 (RFP 006-00C)Foster Parent Training Bid#06FPC03 (RFP 006-00A)Foster Parent Consultation Bid#0611507(006-00B)Home Studies and Relinquishment Counseling Dear Ms. Box: 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 • The Families, Youth and Children(FYC) Commission recommended approval of your Bid# 061FT02, Mediation and Facilitation under the Intensive Family Therapy program area, for inclusion on our vendor list. This bid scored 93 points. The FYC Commission attached the following recommendations to your bid. Recommendation#1: The FYC Commission recommended that you pursue becoming certified in mediation. Recommendation#2: The bidder must get written permission in order to do telephone mediation. Hourly Rate for Court Testimony: You did not provide a rate for court testimony. For new bidders the Department will use your approved rate for services, $100.00 per hour, to bill for court testimony. • The Families, Youth and Children(FYC)Commission recommended approval of your Bid# 06FPT02, (RFP 006-00C)Foster Parent Training for inclusion on our vendor list. This bid scored 90 points. The FYC Commission attached the following recommendations to your bid. Recommendation: The FYC Commission recommended that you coordinate your schedule according to foster parent work times for their convenience. The FYC Commission recommended a detailed formal training outline be submitted. • The Families, Youth and Children(FYC)Commission recommended approval of your Bid# 06FPC03, (RFP 006-00A)Foster Parent Consultation for inclusion on our vendor list. This bid scored 93 points. Page 2 Julie Box,Private Practice/Results of Bid Process for PY 2006-2007 • The Families, Youth and Children(FYC)Commission recommended approval of your Bid# 06HS07, (RFP 006-00B)Home Studies,Updates,and Relinquishment Counseling, for inclusion on our vendor list. This bid scored 92 points. B. Required Response by FYC Bidders Concerning FYC Commission Recommendations: 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. You may fax your response to us at 970.346.7698. If you have questions concerning the above,please call Gloria Romansik, 970.352.1551,extension 6230. Sincerely, J y A. 'ego, ector cc: Juan Lopez, Chair, FYC Commission Gloria Romansik, Social Services Administrator Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission(Core)Funds Type of Action Contract Award No. X Initial Award 06-CORE-68 Revision (PY 06-07 RFP-FYC-006-00A; 06FPC08) Contract Award Period Name and Address of Contractor Beginning 06/01/2006 and Sherri Malloy, Ph. D. Ending 05/31/2007 Foster Parent Consultation 1228 8th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Individual and group foster parent consultation Assistance Award is based upon your Request for provided for all referred Weld County foster Proposal(RFP). The RFP specifies the scope of parents,to a maximum of four groups per services and conditions of award. Except where it is month, 12 individuals each,and two individual in conflict with this NOFAA in which case the consultations per week, averaging two adults per NOFAA governs, the RFP upon which this award is household. Group participation is limited to one based is an integral part of the action. group session per foster parent per month. Individual consultation services will only be Special conditions provided when approved by the Resource Services Manager or Child Welfare 1) Reimbursement for the Unit of Services will be based Administrator of Social Services. Culturally on a per participant rate. sensitive with the expectation of 20-30 percent 2) Payment will only be remitted on currently certified minority families; South County services are WCDSS foster parents, and referrals made by the available. Weld County Department of Social Services. 3) Requests for payment must be an original submitted to Cost Per Unit of Service the Weld County Depai talent of Social Services by the end of the 25th calendar day following the end of Per individual foster parent the month of service. The provider must submit Participant per episode responses for payment on forms approved by Weld Treatment Package $58.33 County Department of Social Services. Other Services per Hourly Rate $90.00 4) Requests for payment must include original foster parent verification signatures (blue or red ink Enclosures: preferred) and dates and hours of service. X Signed RFP: Exhibit A 5) The Contractor will notify the Department of any Supplemental Narrative to RFP: Exhibit B change in staff at the time of the change. Recommendation(s) Conditions of Approval Approvals: Program Official: By By M.J. Gei e, Chair Judy . Grie o, Direc r Board of Weld County Commissioners Wel oun Department of Social Services Date: JUN 14 2006 Date: 5fs/o(a :a#)oC6- /5-c41 INVITATION TO BID OFF SYSTEM BID 001-06(06005-06011 and 006-00,A,B,&C) DATE: March 1, 2006 BID NO: 006-00A RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (006-00A) for: Colorado Family Preservation Act—Foster Parent Consultation, Emergency Assistance Program 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 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 Consultation Program must provide services that focus on providing psychological consultations and parenting support to foster parents which are designed to improve foster parent competency, family conflict management, and effectively access community resources. 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 erri /ot , Ph.D. TYPED OR PRINTED SIGNATURE PROVIDER Jh�rr1 i l a ��oc� Prl•�• 54444, Ma if, PAD. (Name) (I Handwritten Signature Authorized Officer or Agent of Provider ADDRESS 1228 2111 5r. TITLE Pst Gho/o 1st (;reejey Co806,3/ DATE V 3 -2 06 PHONE # 97o) S"56 EL/ 82- The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 39 Bid Number 001-06(RFP-FYC COMMISSION 006-00A) Attached A FOSTER PARENT CONSULTATION 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 (006-00A) NAME OF AGENCY: ,j iia_rri /yy�/ la hI c , Pti,D- ADDRESS: (228 3'1 H .S �roel S Cree Iect Co 8063 PHONE: (120J 356-- 84 R Z M CONTACT PERSON: sS(1 err; I ' 1 a f l oj, Ph,ISTITLE: Psi-ho t o q iSr DESCRIPTION OF FAMILY PRESERVATIO(N4 PROGRAM CATEGORY: The Foster Parent Consultation Program Category must provide services that focus on teaching life skills designed to facilitate implementation of the case plan by improving household management competency, parental competency, family conflict management and effectively accessing community resources. 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: roster Pa re or Cor)SLA It :Fri on er i )'�1a l 10 ,Ph,D- man, Ph, D. 3-z?--G6 Name and Signatlfre of Person Preparing Documena Date Slierri 'Mallo�y{, l WD. 2a:. 21/16zQa P%.b. 3-28-a4- Name and Signaturb'Chief Administrative Officer Appltnt 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. 8)22 Project Description la_ Target/Eligibility Populations &M._Types of services Provided /1LMeasurable Outcomes ein Service Objectives 87/1 Workload Standards 11721_Staff Qualifications Unit of Service Rate Computation 6991 Billing Process $ Program Capacity per Month isifly Certificate of Insurance or 1-haAssurance Statement -Per Dcc v Irl ) t yr i s I s nor p ci rr �oster arent- onsu/rat on- le Page 29 of 39 03717/2006 FRI 15:13 FAX Q002/002 Hid Number 001-06(RFP-FYC COMMISSION 006.00A) Attached A Date of Meeting(s)with Social Services Division Supervisor: Comments by SSD Supervisor: n /, at# 04,40-26 at c � . , � f /3 P �� ',an( e - -u A -o afts" .Cam.I n 4 rae.t c.� Gz��i�C „ igaireessIn Name and Signature of SSD sor Date • Page 30 of 39 I. PROJECT DESCRIPTION Individual and group foster parent consultation will be provided for all referred Weld County foster parents, up to a maximum of four groups per month and two individual consultations per week. The consultation services are designed to improve knowledge about and the ability to work effectively with placement issues, behavioral management and discipline, family conflict resolution, transition and loss issues, visitation issues, safety plans for suicidal or violent children, attachment issues, dealing with difficult behaviors, recognizing the impact of trauma on children, responding to traumatized children, and identifying common symptoms of mental illness in children. Foster parents will receive information about helping their biological children adjust to foster children in the home. Recent research on brain development will be used to guide the foster parents in creating conditions in the home that will optimize brain development, and attachment. Culturally sensitive services will be provided to all foster homes, and consultation will be geared toward heightening the understanding for foster parents of the importance of supporting foster children's cultural values, practices, and religious beliefs. Special attention will be given to situations in which a foster child in the home has additional needs, arising from a physical disability, developmental delay, drug exposure, fetal alcohol syndrome/effects, or other medical conditions. Supplemental readings, additional support, and suggestions will be offered to help deal with these unique situations. All referred foster parents will be supported in building upon their strengths, and will be guided by suggestions and recommendations to improve areas of weakness. My extensive library of resources (books, articles, DVDs, CDs, and videos) will be readily available for interested foster parents. The use of self care techniques such as stress management and using respite care when necessary will be suggested to help foster parents function effectively. Foster parents will also be given help when needed to understand and adhere to all foster parent regulations, and to understand and operate in a professional manner within their role as foster parents. Encouragement and support will be given when difficulties arise, and guidance will be offered to enhance the foster parent's communication, coordination, and cooperation with all those involved in the foster child's case. Mandated training for foster parents will be available when needed. Following group or individual consultation, foster parents will be able to demonstrate higher skill and competency levels in the areas of initial concern. Foster parents will show more willingness and ability to maintain challenging placements. They will have increased knowledge about accessing community resources to help the children in their care. They will feel recognized for their strengths, supported and guided in handling challenges, and come away with ideas to improve areas of weakness. Consultation will also result in an improvement over time of emotional and behavioral functioning for foster children, who will benefit from the improved parenting competency of their foster parents. Foster parents, caseworkers, and foster care coordinators will report that foster parents have benefited from consultation in that they have received the support and information they needed to successfully meet the needs of their foster and biological children, and to effectively overcome the many challenges facing foster families each day. II. TARGET/ELIGIBILITY POPULATIONS A. Total number of clients to be served: I. up to four monthly groups, with a maximum of 12 people each: 48 2. up to two individual consultations per week, averaging two adults per household: 208 Maximum of: 256 B. Total family units: Maximum of: 128 C. Sub-total of individuals who will receive bicultural/bilingual services: Approximately 20 to 30 percent of foster parent families that I have worked with in past years have been minority families. Over the last 18 years, I have worked extensively with culturally diverse families, and I will provide culturally sensitive services to people of various ethnic backgrounds. In college I minored in Spanish, and I have retained some phrases and vocabulary that helps me connect with Spanish speaking families. D. Sub-total of individuals who will receive services in South Weld County: Based on my experiences over these last several years, I would estimate that approximately 15% of individuals will receive services in South Weld County. E. The monthly program capacity per group: up to 12 group members F. The monthly average capacity per group: 8 group members G. Average stay in the program (weeks): 1. individual consultation: 2 weeks 2. group consultation: ongoing, up to 52 weeks (up to 12 groups per year) H. Average groups per week in the program: one III. TYPES OF SERVICES TO BE PROVIDED A. Consultation and Foster Parent Group Support will provide services designed to improve knowledge about and ability to work with the following topics: 1. Placement issues (e.g. making decisions about whether a potential placement is feasible for the foster family's current resources; helping the new child/children feel welcomed, and oriented to the foster family; support and problem solving to avoid disruption when the placement is difficult). 2. Behavioral management (e.g. ways to structure the home, provide praise and nurturing, ways to teach children self-care, various tasks and chores, and problem- solving skills; reduction of sibling rivalry, conflict resolution, appropriate expression of feelings). 3. Foster home issues involving biological children in the home (e.g. grief and loss issues, resolving jealously issues, safety concerns when foster children are violent, or acting out sexually). 4. Transition and loss issues (e.g. supporting foster parents through losing foster children; teaching foster parents to help foster children appropriately express grief and loss, and helping foster children transition back to biological family or to a foster-adopt home). 5. Working with caseworkers around interpretation and implementation of treatment plans (e.g. support foster parents in cooperating with all professionals involved in the case; assist in open and clear communication between parties to facilitate maximum progress toward the treatment plan). 6. Discipline in the home (e.g. use of logical consequences, praise and rewards, removal of privileges, clearly stated house rules; reducing power struggles). 7. Foster parents will receive relevant articles and handouts, and will have access to books, cassette tapes, CDs, videos, and DVDs from my extensive library of resources dealing with issues that foster parents face. 8. Foster parents will receive support and information around legal risk and commitment issues. 9. Visitation issues (e.g. dealing with difficult biological relatives; helping children cope with anxiety around visits; helping children with grief and loss responses after visits; dealing with children acting out around visits). 10. Solution oriented planning (e.g. maintaining a professional attitude, and remembering one's role as foster parent when working toward solutions in stressful or conflicted situations). 11. Understanding and supporting the foster child/family's cultural values, practices, and religious beliefs. 12. Understanding the impact of child abuse, neglect, and witnessing domestic violence on children; dealing with traumatized children, and children who have symptoms of attachment disorder. 13. Safety plans for suicidal or violent children. 14. Children who have special needs (e.g. fetal alcohol syndrome and effects; physical disabilities; developmentally delayed; medical conditions; drug exposed children). 15. Creating conditions in the home for optimal brain development, and optimal attachment. 16. Appropriate use of respite care, and accessing community resources for children. 17. Dealing with false allegations of child abuse. 18. Dealing with difficult behaviors (e.g. lying, stealing, food issues, property destruction, wetting and soiling, self-inflicted injuries, sexualized behavior, defiance). 19. Recognizing mental illness in children (e.g. depression, anxiety, post-traumatic stress, attachment disorder, bipolar disorder, psychosis). 20. Understanding and adhering to foster parent regulations. 21. Recognizing and building upon the unique strengths and gifts that each foster parent brings to foster care. Number to be served: up to four ongoing groups, up to 12 members (48 maximum served in group; up to 104 individual consultations per year). B. Time limited, individual foster parent consultation will be provided only with Department approval. Number to be served: up to two consultations per week, averaging two foster parents per household (208 maximum). C. I will provide mandated training for foster parents in areas including, but not limited to items under"IIA" under corrective action plans, when referred by the Department. Number to be served: maximum of 12 households per year. D. I will adhere to the following guidelines, in order to satisfy State training requirements for foster parents: 1. One training credit per month will be recorded for each critical care foster parent participating in the mandated monthly consultation group. 2. All additional foster parent training will be pre-approved by Agency staff(i.e., Foster Care Coordinators or Resource Services Manager). 3. All training will be offered to all Weld County foster parents, whether they are involved in the Consultation Program or not. The flat fee for conducting such training will be agreed upon between the provider and the Agency on a per event basis. Contracted individual and group consultation rates will not be charged for training. Post training testing will be part of the training component. E. I will not provide foster parent group consultation if I am already providing therapeutic services to foster children in the same home. F. All assessments, opinions, and clinical recommendations derived by the contractor in the performance of this contract will be shared directly with the assigned caseworker of the children involved. If there is disagreement over the implementation of the treatment plan with the caseworker, a meeting shall be held with the contractor, assigned caseworker, foster parents, and the caseworker's supervisor. The objective will be to determine a unified departmental response for court. The contractor will not use the legal system to oppose the Department's recommendations. G. I agree to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. H. I will consult with the Foster Care Coordinators or Resource Services Manager, and the caseworker to ensure that FYC resources will not supplant existing and available community services. IV. MEASURABLE OUTCOMES A. Improvement of household management competency as measured by pre and post assessment instruments: Per David Aldridge, Resource Services Manager, Weld County Department of Social Services, this item is not relevant to the Foster Parent Consultation RFQ. B. Improvement of parental competency as measured by pre and post assessment instruments: Per David Aldridge, Resource Services Manager, Weld County Department of Social Services, this item is also not relevant to the Foster Parent Consultation RFQ. C. Foster parents will be able to work independently with others in the community and within the local, state, and federal governments: The individual and group foster parent consultation that I provide will result in an enhanced understanding of the distinct role of the foster parent, and an improved ability to carry out this role in a professional manner. There will also be increased awareness of the roles and functions of the Foster Care Coordinator, Resource Services Manager, Caseworker, Department Supervisor, CASA workers, Guardian Ad Litem, Attorneys, and service providers (e.g. mental health workers, occupational therapists, speech/language therapists, and physical therapists, visit supervisors and case aides). Respect for and good communication with other foster parents, and all of those involved in the foster child's life will be strengthened by individual and group foster parent consultation. When necessary, clarification about local, state, and federal guidelines for foster parents will be given. Support and information will be provided to foster parents around issues of cooperating and coordinating with all other parties involved in the foster child's case, and in successfully accessing community resources. Foster parents will be given guidance regarding ways to efficiently supply caseworkers, guardian ad !items, and Foster Care Coordinators with information pertinent to the foster child in their care. In the event that a foster parent is called to testify in court, support and information will be provided about the process of testifying. D. Following group or individual consultation, foster parents will demonstrate higher skill and competency levels in fulfilling their designated function for children in out-of- home placement, as measured by: 1. The ability to consistently nurture their foster children, even when faced with challenging behaviors. 2. Creation of a written list of house rules and consequences, and the foster parent will demonstrate the ability to provide effective, fair discipline for the foster child. 3. Knowledge of and sensitivity to cultural and religious values, practices, and beliefs, so that the foster child and his or her family feels valued and respected. 4. Emotional and behavioral problems that the child evidenced when entering care will subside over time, as reported by the foster parent, and as observed by the other professionals involved in the child's case. 5. The foster parent will be able to identify common symptoms of mental illness in children, and to consult with the child's caseworker about seeking appropriate services for the child. Foster parents will be able to articulate the impact of trauma and loss on foster children, and an understanding of attachment difficulties. 6. The foster parent will demonstrate an increasing ability to maintain a calm, rational approach with difficult children, to avoid power struggles, to resolve family conflict, and to use self-care (e.g. the foster parent will take a time out, use stress management techniques, or will seek respite care) when needed. 7. The foster parent will demonstrate the ability to help a child express feelings appropriately, and make a smooth transition when a transition is necessary, as measured by the observations of the other professionals involved with the foster child. 8. Foster parents will be able to recognize when a foster child is a danger to himself or herself or to others and to make an appropriate safety plan. 9. Foster parents will request and use training materials on any special needs their foster child has. 10. Foster children will appear clean, appropriately clothed, well fed, and well cared for. 11. Professionals involved with the foster child will observe that the foster child appears to be comfortable with the foster parent, safe, and over time develops emotional closeness with the foster parent, looks happy, and seems to be thriving in the care of the foster parent. 12. In cases where the placement of the child is in jeopardy, foster parents will report an increased willingness to maintain a difficult placement. E. Foster parents will be able to positively meet the needs of their biological children in adjusting to and coping with the presence of foster children in the home, as measured by: I. The foster parent will demonstrate the ability to help their biological children understand (based on their developmental level), the role of foster care and the need for confidentiality, and to have compassion and respect for the foster children in their home. 2. The foster parent will educate their biological children about appropriate boundaries, and will provide supervision to ensure that the biological children are kept safe from aggressive or sexualized foster children. 3. The foster parent will be able to articulate the need for and provide to their biological children a time and space to express their frustrations about their foster siblings, and to receive extra support and nurturing when needed. V. SERVICE OBJECTIVES A. Foster Parent Consultation will focus on providing information, support and recommendations to improve household management competency. At the outset of the consultation, the foster parent, caseworker, and/or foster care coordinator will assist in identifying areas of strength to build on in household management, as well as areas to work on. The foster parent will be given training materials and suggestions on household management, directed to the areas needing support. Areas to be discussed include meal planning, laundry, managing paperwork, budgeting, and household cleaning and maintenance. Improvements will be measured by the foster parent's, caseworker's, and/or foster care coordinator's observations of improved competency in the areas identified to work on. B. Foster Parent Consultation will also be geared toward improving parental competency. At the beginning of the consultation period, the foster parent, caseworker, or foster care coordinator will specify the particular objectives of the consultation. The foster parent's strengths will be recognized, and areas of weakness will be improved by offering training materials, support, suggestions, and recommendations designed to improve the capability of the foster parent to have healthy relationships with biological and foster children, to keep the children clean, well fed, and safe, and to provide the children with nurturing, structure, supervision, conflict resolution, and appropriate discipline. Suggestions and recommendations will be offered to the foster parent based on research about parenting methods that promote optimal emotional health in the child, optimal brain development, healthy and appropriate behavior, and self-esteem around cultural and religious values that are important to the children. The foster parent's understanding and acceptance of the training information will be monitored throughout the consultation, and results will be measured by the foster parent's, caseworker's, and/or foster care coordinator's reports of improvement in parental competency. C. Another service objective will be to assist the foster parent in improving his or her ability to access resources. Suggestions will be given to help the foster parent coordinate, cooperate, and communicate successfully with all of the other professionals involved with the foster child. Recommendations will be given when appropriate to help the foster parent access community resources, such as Parks and Recreational programs, summer programs, and Senior Partner services (all with caseworker approval). The foster parent's ability to maintain professionalism during discussions about difficult or conflicted situations, and to correctly articulate the foster parent's role will be monitored during the duration of the consultation. Feedback from the foster care coordinator or caseworker will also be important in monitoring and evaluating this service objective. D. Specific referral issues will be carefully noted, and will be the focus of the consultation period. Information pertinent to the referral issues will be shared with the foster parent/s, and materials (articles, DVDs, books, etc.) will be offered to the the foster parent/s to take home with them if they wish. E. Per David Aldridge, since its inception,this program has played a significant role in the retention of foster parents. VI. WORKLOAD STANDARDS A. Number of groups per month: maximum of 4 B. Number of anticipated requests for individual consultation per month: maximum of 8 C. Number of individuals providing services: 1 D. Maximum caseload per worker: 4 groups and 8 individual consultations per month E. Modality of treatment: individual or group consultation F. Total number of hours per day/week/month: maximum of 3 hours in any given day 8 hours total per week 32 hours per month G. Total number of individuals providing these services: / H. The maximum caseload per supervisor: not applicable I. I. Insurance: the provider has auto insurance and malpractice insurance; general liability insurance is covered as part of the provider's rent (please see attachments). Workman's Compensation and Employer's Liability is not applicable to this project, as there are no employees. VII. STAFF QUALIFICATIONS A. My qualifications meet the criteria for education and experience as defined by Staff Manual Volume VII, Section 7.303.17, and Section 7.000.6,Q, Colorado Department of Human Services. Sherri Malloy, Ph.D. Licensed Clinical Psychologist Ph.D. 1993, Clinical Psychology. University of Colorado, Boulder. M.A. 1989, Clinical Psychology. University of Colorado, Boulder. B.A., 1987, Major: Psychology, Minor: Spanish. Arizona State University. Teaching Certificate, 1977. Montessori Elementary Education Certificate. Since 1986 I have enjoyed working with culturally diverse children and families. I have provided inpatient and outpatient psychotherapy to children, adolescents, adults and families. I also have many years of experience working in emergency psychiatric services, family preservation home-based services, and as a consultant to foster and adoptive families. I have extensive experience working as a clinical supervisor, and as a consultant to various agencies. My teaching experience includes graduate level instruction in play therapy practicum; college level psychology courses, presenter of numerous seminars and workshops, and seven years as a Montessori elementary teacher. For four years, I was a columnist for The Boulder County Parent, answering questions about child development and parenting concerns. I am currently teaching a seminar for local clinicians on attachment disorder. Also, I subscribe to publications relevant to foster care consultation, and attend conferences to stay abreast of the latest research on children in foster care. If additional detail is needed, please refer to my vita, which is an attachment to this RFQ. B. Total number of staff: one C. New caseworker training is not applicable to this program. D. I have had years of training, supervision, and course work in risk management, pre- and post-doctoral. I served on an Emergency Psychiatric Services team at Boulder County Mental Health Center for six years, providing direct services, and supervision and training to other team members. VIII. UNIT OF SERVICE RATE COMPUTATION Fixed rate for foster parent consultation contracts: $90.00 per hour for individual consultation $58.33 per foster parent per support group IX. BILLING PROCESS A. Internal Process Used in Order to Bill for Services: I. Foster Parent Groups: a. During the foster parent group, each foster parent will provide their signature and printed name on a signature sheet (sample blank signature sheet included). The original signature sheets will be submitted along with the monthly billing summary forms. 2. Individual Consultation: a. During individual consultation, the dates and times of consultation will be filled out on the Client Verification Form by the provider, and the foster parent/s will provide a signature for the face-to-face consultation time provided. The original verification forms will be submitted along with the monthly billing summary forms. 3. Monthly Totals: a. The original signature sheets for group consultation, and the Client Verification Forms for individual consultation will be referenced in order to complete the "Weld County Core Services Program Monthly Request for Reimbursement-PY 2006- 2007" form. b. The "Weld County Authorization for Contractual Services" form will then be completed. c. The entire packet consisting of original verification and signature forms, and the forms referenced in Cl and C2 will be mailed to Weld County Department of Social Services during the first week of the month. B. Fictional Billing Demonstrating the Documents that will be Submitted for Payment of Monthly Fees: attached X. PROGRAM CAPACITY BY MONTH A. Maximum and minimum capacity per month necessary to support program: 1. Minimum capacity: there is no minimum necessary to support program 2. Maximum capacity: 5 monthly groups; 8 consultations per month PictIovier I Bi I I1 o f Bid Number 001-06(RFP-FYC COMMISSION 006-00A) Attached A WELD COUNTY AUTHORIZATION FOR CONTRACTUAL SERVICES Date: 6-30-v6 Provider: Sherri Yt)ci l,oi.I , PhD. Billing Contact: Skip yr; c, lo , Ph. D- 1 #: (R70) 356 ?Hgz Address: 12zg gth Sy-reel 1 6sec/ej Co bG6.3i Description of Services: Foster Pa re n t- Cc ns u l t ati o n Service Month / Year 7t4 he 2O06 Charges: $ I9 9 I, 62 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. SS/4Prtl a /rO , Ph. b. p. AD 6-30-06 Printed Name of Sigler 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 37 of 39 • LO I- CO I- T A O O 6 G ae O Ca v V N. > z a' y z N � 0 z no r o OO.‘ 01 C N a A o o .� O X E E O Vl ,9 w yi (Qo�y 'ccX u PI uttEl , 75 A A O N 0 C7 ❑ N 9 N Z v� o g c '5., d u N Z `' `n a a � [i U W o w > 64 U O Q � A LuE W . az z, e6z — O . a v N un M .2 O — M z A Q M � v ❑ E O'' grid cd o k = "- E E .o Q wQ - Oc°as o o gw Gz c, ._ ,o a n U E LA O v O - " 4 ai DiE w H O 0 O 00 3- d c dO * . O o b C � .� O W a < a -- a c o N OO w •rn m SI M (Yl F o ., o g o m m ai zon z s a c., m f(N q a. F c v y C c it z 2 w u 0` 0" 0� Ul I j U Qa O Q 0LL O C aK • N(1 L La o c.,)iT4 r/] U V I 't 1 u p W L'" To 4 > N V) % I— vu 0'O z e o a o T O z A O d 9_p N s o C] U u F .Z �p 1 N N N i 1 w cl a.4 'z S' on rn a w O 'Ftor° `D �0 0 'm C U •rd ro a 5 E o - _ F a C N Gib O I!n So 3 L it IN) U I. ,, q r t1/2 ‘,1) N Co a. ao z m ti U1 a N E P. N 'a .T N. S v° z Z a — N M m `0 u v ;O t m C] m E rn E 'Si z h Q -1 ,.1, -, Q� a a o G l V\ V v o a l.C > t J) k$ p s �l ` , v, a CL a`. Z V i Vo O List of Attachments A. Curriculum Vitae B. Professional Liability Insurance Certificate C. Automobile Insurance D. General Liability Insurance Certificate (this is included in my rent) Sherri Malloy, Ph.D. Licensed Clinical Psychologist 1228 8h Street Greeley, Colorado 80631 970.356.8482 Education Ph.D. Double Major: Child Clinical Psychology; Clinical Psychology. August 1993 University of Colorado, Boulder. Licensed as Psychologist 1-5-95 M.A. Department of Psychology, Clinical Program. University of July 1989 Colorado, Boulder. B.A. Major: Psychology; Minor: Spanish. Arizona State University. May 1987 Summa Cum Laude. Teaching Cert. Roston Montessori Teacher Training Institute. August 1977 Orange, California. Montessori Elementary Education Certificate. Clinical Experience April 1998- Clinical Psychologist, Private Practice, Greeley, Colorado. present Provide outpatient psychotherapy to children, adolescents, adults & families. Family preservation home-based services. Assessment & consultation. Consultation to foster and adoptive families. August 1991- Child and Family Psychotherapist, Mental Health Center of Boulder March 1997 County, Boulder, Colorado. Provided outpatient psychotherapy to children and their families. Parent, teacher, and other agency consultation. Consultation to foster and adoptive families. September 1992- Psychology Intern; Denver General Hospital, Denver, Colorado. August 1993 Outpatient assessment, consultation, and treatment To children, adolescents, and adults; Inpatient treatment to adolescents &their families. Consultation to multidisciplinary hospital staff. Attended regular seminars and case conferences. Completed an additional rotation in neuropsychology. August 1990- Psychotherapist, University of Colorado, Farrand Residence Hall. May 1992 Provided individual, conjoint, and group psychotherapy to Farrand residents. Psychiatric consultation to faculty and staff. Presented seminars and workshops to faculty, staff, and students. 1228 8th Street • Greeley, CO 80631 970.356.8482 • Fax: 970.356.9646 2 Malloy August 1988- Emergency Psychiatric Services Clinician, Mental Health Center August 1992 of Boulder County, Boulder, Colorado. Evaluation and disposition planning for clients with psychiatric emergencies. Composed a training manual for emergency psychiatric clinicians January 1988- Psychotherapy Intern, Raimy Psychology Clinic, May 1992 Department of Psychology, University of Colorado, Boulder. Provided outpatient psychotherapy to adults, families, and children. Parent and teacher consultation. February 1986- Intake Clinician; Group Facilitator, Tri-City Behavioral Health July 1987 Center, Mesa, Arizona. Conducted intakes for the adult team. Facilitator for children's psychotherapy groups. Administrative and Supervisory Experience April 1998- Private consultation and supervision provided to colleagues and to Present unlicensed practitioners who are working toward licensure. Jan 1996- Team Leader, Mental Health Center of Boulder County, Boulder, May 1998 Colorado. Clinical and administrative supervision of a team of psychologists and psychotherapists. Budgeting. Supervision of support staff. Coordinate outpatient services/consultation to joint- agency programs, including Head Start, Specialized Foster Care, Fost-Adopt, 1178, School-Based Services, Boulder Day Nursery, and People's Clinic. August 1990- Adult Team Coordinator, Raimy Psychology Clinic,Department August 1991 of Psychology, University of Colorado, Boulder. Chaired the adult team meetings and case conferences. Assisted clinic director with administrative tasks. August 1990- Peer Counselor Supervisor, Farrand Residence Hall, University of May 1991 Colorado,Boulder. Developed and implemented a peer counseling training program. Provided ongoing training and supervision to peer counselors. January 1989- Supervisor in Training, Raimy Psychology Clinic, August 1991 Department of Psychology,University of Colorado, Boulder. Received training and supervision in supervisory techniques. Supervised the psychotherapy of first-year clinical psychology graduate students. June 1989- Adult Team Intake Coordinator, Raimy Psychology Clinic, August 1990 Department of Psychology, University of Colorado, Boulder. Intake and disposition of psychotherapy clients. 3 Malloy September 1989- Clinical Supervisor, Emergency Psychiatric Services Team, August 1992 Mental Health Center of Boulder County, Boulder, Colorado. Trained and supervised Masters level student interns in emergency clinical assessment techniques, legal and procedural practices, and psychological report writing. February 1988- Volunteer Trainer, Maslin House for Chronically Mentally I11, May 1989 Mental Health Center of Boulder County,Boulder, Colorado. Recruited and trained volunteer college students to work with the chronically mentally ill population at this facility. Publications December 1994- Columnist: The Boulder County Parent, a monthly publication of the April 1998 Parenting Place, Boulder, Colorado. Circulation: 8,000. Topics include child development and parenting concerns. Teaching Experience January 2001- Instructor, University of Northern Colorado, Greeley, CO May 2001 Graduate Level Play Therapy Practicum August 1989- Psychology Instructor, Front Range Community College, May 1992 Boulder Campus, Colorado. Fall 1988 Head Teaching Assistant, Department of Psychology, University of Colorado, Boulder. Trained and supervised graduate level Teaching Assistants. August 1987- Teaching Assistant, Department of Psychology, University of May 1989 Colorado, Boulder. August 1977- Montessori Elementary Teacher, Roston Montessori School, May 1983 Orange, California; and subsequently, Tempe Montessori School, Tempe, Arizona. Taught preschool through second grade classes. Responsibilities included academic program planning and implementation, supervising teacher assistants, conducting parent- teacher conferences, academic record-keeping, and giving educational presentations to parents. August 1976- Student Teacher, Roston Montessori Teacher Training Institute, August 1977 Anaheim, California. Taught in a Montessori classroom under the supervision of a certified Montessori teacher. Duties were the same as in the entry above. 4 Malloy • Presentation Topics and Trainings Given Legal and Emotional Aspects of Adoption Reactive Attachment Disorder Inclusiveness: The Child With Different Needs Parents and Teachers Working Together in a Culturally Sensitive Way Transitions for Children in Foster Care Corrective Attachment Therapy Eye Movement Desensitization and Reprocessing(EMDR) Creation of Life Books for Foster and Adopted Children Play Therapy Engaging so-called"resistant" clients Psychotherapy with adolescents and their families Case Conferences Parent-Toddler Attachment Patterns Child Abuse Child Psychopathology Stress Management Workshop Depression and Risk of Suicide in College Students Research Projects Adult Attachment Style and College Functioning(Doctoral Dissertation), 1992 Parent-Toddler Attachment Relationships (Masters Thesis), 1990 Post-Divorce Visitation Patterns and Parent-Toddler Attachment, 1988 Effects of Divorce on Children, 1987 Mental Health Center Client Satisfaction Study, 1986 • • 5 Malloy Professional Affiliations 1997- 1998 Member: Internal Review Board MHCBC 1996-1997 Member: Professional Advisory Board, Mental Health Center of Boulder County 1991- 1992 Co-Chair: Multi-Ethnic Action Committee, Department of Psychology, University of Colorado, Boulder. 1991- 1993 Member: American Psychological Association, Division 12, Clinical Child Psychology. 1989- 1991 Member: Multi-Ethnic Action Committee, Department of Psychology, University of Colorado, Boulder. 1988- 1989 Student Representative: Department of Clinical Psychology, University of Colorado, Boulder. 1987- 1989 Member: Developmental Psychology Research Group, Department of Psychology, University of Colorado, Boulder. 1987-present Member: (intermittent)American Psychological Association. Honors and Awards 1988 Department of Clinical Psychology Scholarship; University of Colorado, Boulder. 1987 Phi Beta Kappa 1987 Academic Scholarship, Arizona State University, Tempe, Arizona. 1986 Phi Kappa Phi Honor Society 1986 Golden Key National Honor Society 1979 West Valley College Track Team, West Valley, California; State Champions. 1977 Fellowship Award; Roston Montessori School, Orange, California. Updated 2-03 In 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 03/03/2006 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: 58G22297843 1 Named Insured Sherri Malloy 24 Alles Dr ADDRESS Greeley, CO 80631-6829 Number&Street,Town, County,State&Zip No.) 2. Policy Period: 12:01 A.M.Standard Time At From:04/01/2006 To: 04/01/2007 Location of Designated Premises 3. COVERAGE LIMITS OF LIABILITY • PREMIUM Professional Liability $ 1,000,000 each incident $3,000,000 aggregate $ 1,253.00 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. 04/01/1998 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). 815polcov, PF-15215(03/04), PF-15217(03/04), CC-1 K11 d(04/02), PF-15238(03/04), PF-15230(03/04), PF-15241 (03/04), PF-15225(03/04), PF-15242(03/04), PF-15253(06/04), PF-15742(06/04), 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, 40'" Floor 140 Broadway, 41' Floor New York, NY 10005 New York, NY 10005 REPRESENTATIVE: Agent or broker: Potomac Risk Management Services, Inc. 181 W Madison St Ste 2900 Office address: Chicago, IL 60602-4643 City, State, Zip: PF-15215(03/041 USAA CASUALTY INSURANCE COMPANY ADDL INFO ON NEXT PAGE MAIL MCH—M—I hits RENEWAL OF IA Stock Insurance Company) State I 07 08 yen POLICY NUMBER USAA 9800 Fredericksburg Road - San Antonio, Texas 78288 CO P85b831 Terr 00211 02 59C 7103 5 COLORADO AUTO POLICY POLICY PERIOD: 112:01 A.M. standard time) RENEWAL DECLARATIONS EFFECTIVE APR 17 2006 TO OCT 17 2006 (ATTACH TO PREVIOUS POLICY ) OPERATORS Named Insured and Address 01 SHERRI R MALLOY-GONZALEZ 07 DAVID M GONZALEZ SHERRI R MALLOY-GONZALEZ 24 ALLES DR GREELEY CO 80631 -6829 Description of Vehicle(s) VEH USE* WORK/SCHvOO VEH YEAR TRADE NAME MODEL BODY TYPE AVM Mines OPr i IDENTIFICATION NUMBER SYM �ey week 07 99 TOYOTA SIENA LE/XLE WAG 4X2 4D 10000 4T3ZF13C9XU091812 10 B 08 04 NISSAN MAXIMA SE/SL SED 4D 8000 1N4BA41E54C831527 17 W 01 5 The Vehiclels) described herein is principally garaged at the above address un ess otherwise stated). W/C=Work/SCHoat B=Business; F=Farm;P=Pie enure VEH 07 GREELEY CO 80631-6829 VEH 08 GREELEY CO 80631 -6829 This policy provides ONLY those coverages where a premium is shown below. The limits shown may be reduced by policy provisions and may not be combined regardless of the number of vehicles for which a premium is listed unless specifically authorized elsewhere in this policy. COVERAGES LIMITS OF LIABILITY VEH ((�� VEH VEH VEH (-ACV" MEANS ACTUAL CASH VALUE) D=DED6 PREMIUMH 08 -MONTH PREMIUM D=OED PREMIUM D=DED PREMIUM AMOUNT S AMOUN S AMOUNT S AMOUNT S PART A - LIABILITY BODILY INJURY EA PER $ 100 ,000 EA ACC $ 300,000 66 . 59 39 . 78 PROPERTY DAMAGE EA ACC $ 50 , 000 65 . 54 39 . 99 PART C - UNINSURED MOTORISTS BODILY INJURY EA PER $ 100 , 000 EA ACC $ 300 , 000 SEE UM BI PO ICY PREMIUM BELOW PART D - PHYSICAL DAMAGE COVERAGE COMPREHENSIVE LOSS ACV LESS D 250 56 .06D 250 82 . 70 COLLISION LOSS ACV LESS D 500 104 . 26D 500 118 . 01 TOWING AND LABOR 6 .00 6 . 00 ACCRUED LONGEVITY CREDIT 40% OP #01 , 40% OP #07 . VEHICLE TOTAL PREMIUM 298 . 45 286 . 48 UM BI POLICY PREMIUM $ 32 . 87 TOTAL PREMIUM - SEE FOLLOWING PAGE ( S) LOSS PAYEE VEH 07 COLLEGE CREDIT UNION OF GREELEY , GREELEY CO VEH 08 COLLEGE CREDIT UNION , GREELEY CO ENDORSEMENTS: ADDED 04-17-06 - NONE REMAIN IN EFFECT ( REFER TO PREVIOUS POLICY ) - A400CW( 01 ) A10000( 05 ) 510000(01 ) INFORMATION FORMS( NOT PART OF POLICY ) - 39923( 01 ) 999COCP ( 02) 1A 0000000 0000000 1071201829p001001 I I NI I RD8k55149000POl I I NI I RI I 1 1 111111 R I 1 1 1111 111 In WITNESS WHEREOF, we have caused this policy to be signed by our President and Secretary at an Antonio, Texas, on this date FEBRUARY 21 , 2006 5000 can Bennett, Secretary Joseph H.Wehrle Jr., President • 03/24/2006 23:51 3034947759 AMERICANFAMILY PAGE 01 EVIDENCE OF PROPERTY INSURANCE American Family Insurance Company In American Faintly Mutual Insurance Company If eolection box is not chocked. 6000 American Pky Madison,Wisconsin 53763-0001 Agent's Name,Address and Phone Number(Agt./Diet.) Brent Frlesth (303)449-9595 THIS IS EVIDENCE THAT THE COMPANY INDICATED HAS THE 4895 Riverbend Road,Suite F FOLLOWING INSURANCE IN FORCE, AND CONVEYS ALL THE Boulder,CO 80301 (020/311) RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. Insured's Name and Address Jack Gardner Number Bank One Plaza Suite 500 policy Nuumber 69 01-00 Greeley,CO 80831 Effective Data(MIV Norm Expiration Date(rreare ) 11/1/2005 11)1/2006 • :,:.. ..' .. : .' : ::. .: : :. ..:;PROPERTYdINFORMATION :': . .:.. _. .. .. .-_t; .: :: . ._.:;: PROPERTY LOCATION PROPERTY DESCRIPTION (For Business Insurance Only, indicate It d 122e tan St Skeins.Owen wank Unto u.Otcuueney.Equipment Descnpllon/3erlal at — Greeley,CO 80631 Personal Lines-Property FarmfRanch Lines Business Insurance Policy Typo Policy Type Policy Type Ferro ❑ HO 1 ❑GS 0 MH 1 0 BO ❑FR 01 0 FR 05 m Bueinessowners ❑ Named Peril ❑ HO 2 0 Hoe 0 MHO ❑FR 02 ❑ FR 09 ❑Business Key 0 Basic O HO 3 ❑CV 1 0 DP of ❑FR 03 O FR MH of ( I Property I] Broad ❑ HO 4 ❑cv 3 0 DP 02 ❑moat 0 FR MH 03 [ ) Inland Marine I! Special Amount of Insurance Amount of Insurance Amount of Insurance Cov.A Dwelling $ Cov.A Dwelling $ Building $ 131,010 Coy.B Pars.Property $ Coy.B Pers.Properly $ Bus.Pars.Property $ Coy.B Other Strad.(Fire&E.C.) $ Sec.III Pers.Prop.Blanket $ • Other Liability $ 1,000,000 Cov.C Pars.Prop.(Fire&EC) $ Sec.III Schedule $ Boalowners•Sect.I $ Sec.IV Outbldgs. $ Other $ Other S Deductible Sec.I $ Deductible-Bldg. $ _..,.._20 Deductible $ Deductible Sec.III $ DeductIble-Bus.Pers.Prop.$ Deductible Sec.IV $ Deductible $ REMARKS(Including$paelaI CondhiondlEnderNemeh$) -" , w xi. t \i+y ti W\�� t:4.7n..i '�i�l\:''Y >'fy�v\ \ ^S C �.t7F. . t'.:g4ti\�c 3,,„..1�i+ ~i K T. .'ta'' ' ' ''+gs, .r*'`j.gz.. _'_' ati l.. , t` � ti \v,,,'S e:Iry � r c 4• .. , 1'q�, ' r \` �+a.Z.dt, :•,%,.,.. N1�1 *,a4 \0�,,h1 r 2`l� ,i 'ti '''. • q�, tie*�av,:w\\+,),„\ *r'P` �G`�± y\��T\ <\.t i w., p, 1j'y �, fi ap ,i'.,, ,n^\+•t(� ''\'.,,,g r*„ a `. x ,ti °54., :�'1 � 'Z,��,.� 'w,; :"�, . s a,s C .i... ,r ., ..+...., ...*...,ia 5..k�.� �t: t e �• � . - .`,',EFFECTIVE,DATE/RENEWAL OF COVERAGFJCANCELLA113N >.,._.:. EFFECTIVE DATE • Date additional Interest is added. RENEWAL OF COVERAGE I CANCELLATON-This policy may be ttntintted for sucnassiva policy perimis by payment of the required premium on or before the effective date of each renewal period.If this policy is terminated,the company will give the additional Imerost identified below written notice. The delivery of this notice shall be subject to the laws of the state where this policy Is Issued.We will provide the insurance described In this policy In return for your premium payment and compliance with policy provisions, "The Expiration Date is changed to read'UNTIL CANCELLED'. :.:.ADORI6NAL IN7ERES'):,NAtI,�Ei"AND ADDRESS . _. . `. NAT1JRE'OF;7NTERES'I'','. NI Mortgagee 0 Loss Payee Loan Number PAiE ISSUES PRIZE'S nE 3/28/2006 TO AGENT: R Is very Important that you mail a copy to American Family on the day hammed,along with the application. U-200 Ed.1/96 ORIGINAL-Additional Interest YELLOW-Services PINK-Insured GOLD-Agent Stock No,06664 Rem. Sherri Malloy, Ph.D. Licensed Clinical Psychologist Title Date Number of Hours Critical Care Support and Information Group Printed Name Signature Sherri Malloy, Ph.D. 1228 8th Street • Greeley, CO 80631 970.356.8482 • Fax: 970.356.9646 05/16/2006 12:15 9703517218 SFiERRIMALLOY PAGE 01 bate: : fa�:�.G Ni ber of pages imeludmg ...*6•;!::'•-•-.Aeu 0� 'CIF' OI FROM Sliem Malloy,Ph.•D Pl lone: --Fax# , •.�f6 76 78' : • oaotam confidential mformaaon IDte'ded etyt the the cvmpnsmg eai fac iul.6" % • . ix Ifyo bay :7 use P• themtilt9s ln' a•'therecipient KY° • ttltc � 6av�bi - • ate the la• .• •g S'iaa,mr.uoff;7913 tsoftbaua a?.!,°� .toretri�vetb�s laze.uiAifY me eY,I phone g YsI-i can airmge - thistianiati0o41,e175.7r: ) triiiissiou.'7Lei1c yuu . NOTES - A Y. 05/16/2006 12:15 9703517218 9-ERRIFIALLOY PAGE 02 Sherri Malloy, Ph.D. Licensed Clinical Psychologist 5-21-06 To: Judy Griego From: Sherri Malloy,Ph.D. Re: Core Bid Process Acceptance Letter Dear Ms. Griego, This letter is to confirm that I have received a letter stating that the FIT Commission recommended approval of my bid. I will be pleased to offer Foster Parent Consultation services again this year. Compliance Item:I would not be referring a foster parent to the Weld County/Greeley Housing Authority, since in order to be a foster parent, they need to already have a home. But,1 will call you and talk with you about this item, and will secure the necessary letter if you still believe it is relevant to Foster Parent Consultation. The situation is the same with Employment/Training Partners; but I will call you about whether it is relevant to Foster Parent Consultation to obtain such a letter from that agency as well. The process I would use to facilitate Medicaid eligible foster parents or their children to obtain mental health services at North Range Behavioral Health is to first assist the foster parent in identifying a treatable mental health need,to discuss the appropriateness of treatment, to discuss the possible outcomes of treatment,to support the foster parent in wAring treatment for himself or herself, or for the child, if treatment appears to be needed, and then to give the appropriate telephone numbers,and last,I would follow up with the foster parent to ensure that the referral process went smoothly. Thank you for this opportunity to serve the foster parents of Weld County. Sincerely, aeli441L 19264,Ph Sherri Malloy,Ph.D. Licensed Clinical Psychologist 1228 8th Street • Greeley, CO 80631 970.356.8482 • Fax: 970.356.9646 a rs DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, CO.80632 Website:www.co.weld.co.us ' Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 O COLORADO May ls, 2006 Sherri Malloy, Ph. D. 1228 8 Street Greeley,CO 80631 Re: Bid#06FPC08, (006-00A)Foster Parent Consultation Dear Ms. Malloy: The purpose of this letter is to outline the results of the Core Bid process for PY 2006-2007 and to request written confirmation from you by Monday,May 22, 2006. The Families,Youth and Children(FYC) Commission recommended approval of your Bid#06FPC08 (006-00A)Foster Parent Consultation, for inclusion on our vendor list. This bid scored 92 out of 100 points. The FYC Commission attached the following compliance item to your bid. Compliance Item: You must provide the required letters under the Collaboration Section from Weld County/Greeley Housing Authority,employment/training partners,and other partners as identified in the bidder's assessment of needs. You must identify the process you will utilize to facilitate Medicaid eligible clients receiving mental health services at North Range Behavioral Health. You may fax your response to us at 970.346.7698. If you have questions concerning the above,please call Gloria Romansik, 970.352.1551,extension 6230. Sincerely, J A. go,Dir for cc: Juan Lopez, Chair, FYC Commission Gloria Romansik, Social Services Administrator Hello