HomeMy WebLinkAbout20021314 RESOLUTION
RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR
VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - CHILD ADVOCACY
RESOURCE AND EDUCATION
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 two Notification of Financial Assistance
Awards 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 Child
Advocacy Resource and Education, commencing June 1, 2002, and ending May 31, 2003, with
further terms and conditions being as stated in said awards for the following programs:
1) Family Advocate
2) Visitation, and
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 Notification of Financial
Assistance Awards for the above listed 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 Child Advocacy Resource and Education, be, and hereby
are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said awards.
Cr ; SS
2002-1314
SS0029
TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - CHILD ADVOCACY
RESOURCE AND EDUCATION
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 22nd day of May, A.D., 2002.
BOARD
�OOF��COUNTY COMMISSIONERS
WELD Q COUNTY, COLORADO
ATTEST: fate, �h �r La l
194
7 ` Gle Vaad, Chair
Weld County Clerk to B I I
r 1861 tlf .
David E L.v:, Pro-Tem
BY: / •
Deputy Clerk to the ���: 1�
F��P M. J. Geile
AP D AS Tp3-FO: : i 7`, -,,e
V Iliam H. Jerk n
• my "orney \J 4, 4
Robert D. Masden "------
Date of signature: —
2002-1314
SS0029
itik .
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
VI
WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
COLORADO
MEMORANDUM
TO: Glenn Vaad, Chair Date: May 22, 2002
Board of County Commissioners
FR: Judy Griego, Director -�t�(,C(L C_
Weld County Departmelt bf SoOa1 Servi es U
RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA) under Core
Services Funds-C.A.R.E.
Enclosed for Board approval are the PY 2002-2003 Notifications of Financial Assistance
Awards(NOFAA) for Families, Youth, and Children Commission (FYC) Core Services
Funds, which are for the period of June 1, 2002,through May 31, 2003.
The Families, Youth and Children Commission (FYC) reviewed proposals under a
Request for Proposal process and are recommending approval of these bids.
Child Advocacy Resource and Education. Inc.
Lifeskills
1. Parent Advocate Program: This program is a very intensive home-based
intervention program. Each family would be provided with up to 55 hours per
month of life skills training. Approximately 165 clients in the 12-month program,
40-50 total family units, monthly average is 35 families, three hours per week,
average stay is 20 weeks. Bicultural-bilingual and South County services
available. Rate is$60.00/hour.
2. Visitation Program: A maximum of 15 families per month, or an approximate total
of 90 clients per year. The average stay in the program is 20 weeks.The figures
are approximate. Each family in the program has an individual service plan
depending on the needy of the family and recommendation of the caseworker. The
program has the capacity to be expanded as needed Rate is$59.95/hour.
If you have any questions, please telephone me at extension 6510.
of
2002-1314
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 FY02-PAC-6000
Revision (RFP-FYC-02005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2002 and Child Advocacy
Ending 05/31/2003 Resource&Education
(C.A.R.E.)Family Advocate Program
3700 Golden Street
Evans, CO 80620
Computation of Awards Description
The issuance of the Notification of Financial
Unit of Service Assistance Award is based upon your Request for
Proposal (RFP). The RFP specifies the scope of
The program is a very intensive home-based services and conditions of award. Except where it is
intervention program. Each family would be in conflict with this NOFAA in which case the
provided up to 55 hours per month of Life Skills NOFAA governs, the RFP upon which this award is
Training. Approximately 165 clients in the 12 based is an integral part of the action.
month program,40-50 total family units, 35
families per month, 3 hours per week. The Special conditions
average stay in the program is 20 weeks. 1) Reimbursement for the Unit of Services will be based
Bicultural-bilingual services and South County on an hourly rate per child or per family.
services are available. 2) The hourly rate will be paid for only direct face to face
contact with the child and/or family or as specified in
Cost Per Unit of Service the unit of cost computation.
3) Unit of service costs cannot exceed the hourly and
Hourly Rate Per $ 60.00 yearly cost per child and/or family.
Unit of Service Based on Approved Plan 4) Payment will only be remitted on cases open with, and
referrals made by the County Department of Social
Enclosures: Services.
X Signed RFP:Exhibit A 5) Requests for payment must be an original form and
X Supplemental Narrative to RFP: Exhibit B submitted to the Weld County Department of Social
Services by the end of the 25th calendar day following
X Recommendation(s)
the end of the month of service. The provider must
Conditions of Approval
submit requests for payment on forms approved by
Weld County Department of Social Services.
Approvals: Program Official:
�
By ��� oftee/ By C&
Glenn Vaad, Chair Jud . Grieg ,Directo�
Board of Weld County Commissioners We] County�epartment of Social Services
Date: l t.zat oaa Date: ) t VOL-
Weld County Department of Social Services
Notification of Financial Assistance Award
„QCO -1?/t/
•
EXHIO3IT A
SIGNED RFP
4
INVITATION TO BID
RFP-FYC 02005
DATE:February 27, 2002 BID NO: RFP-FYC-02005
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-02005) for:Family Preservation Program--Life Skills Program Family
Issue's Cash Fund or Family Preservation Program
Funds
Deadline: March 22, 2002, Friday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of
Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement
(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to
run from June 1, 2002, through May 31, 2003, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Life Skills Program must provide services that
focus on teaching life skills which are designed to improve household management competency, parental
competency, family conflict management and effectively accessing 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 111 •
(After receipt of order) BID ST BE SIGNED IN INK
Gwen Schooley
TYPED OR PRINTED SIGNATURE
VENDOR Child Advocacy Resource Will4gaZ
(Name) and Education, Inc. Handwritten Signature By Authorized
(c .a .r.e . ) Officer or Agent of Vender
ADDRESS 3700 Golden Street TITLE Board President
Evans , CO 80620 DATE March 20 , 2002
PHONE # ( 970) 356-6751
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-02005 Attached A
LIFE SKILLS PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2002/2003 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2002-2003
BID #RFP-FYC-02005
NAME OF AGENCY: Child Advocacy Resource and Education, Inc .
ADDRESS: 3700 Golden Street Evans , CO 80620
PHONE: (970 ) 356-6751 x16
CONTACT PERSON: Rose Francella TITLEHome Based Parent Ed . Coordina
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Catepory 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: I2-month contract with actual time lines of:
Start June 1. 2002 Start June 1 , 2002
End May 31. 2003 End May 31 , 2003
TITLE OF PROJECT: Lifeskills - Home-Based Parent Education
AMOUNT REQUESTED: $ 40O. OD
} Yl • 3/20/02
Name an Signature of Person nt, ument Date
'' 3/20/02
Name and Signature Chief Administra ive 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.For renewal bids,please indicate which of the required sections have not changed from Program Fund
Year 2001-2002 to Program Fund year 2002-2003.
Indicate No Change from FY 2001-2002 to 2002-2003
Project Description No c►w e5 it Target/Eligibility Populations othc r than
Types of services Provided ( n� c holes
Measurable Outcomes in vibrate yc
Service Objectives c tarsi
Workload Standards for y
Staff Qualifications
Unit of Service Rate Computation
Program Capacity per Month
Certificate of Insurance
Page 26 of 32
RFP-FYC-02005 Attached A
Date of Meeting(s) with SociSefvi fs Division Supervisor:
Comments by SSD Supervisor: a
r;6
, Nc C/-0— rip
rUer_ Q
Name and Signature of SSD Supervisor Date
C\ &{om01/4r�5 �
Page 27 of 32
RFP-FYC-02005 Attached A
Program Category Life Skills Program Bid Category
Project Title Home-Based Parent Education
Vendor Child Advocacy Resource and Education , Inc . (c . a .r . e . )
PROJECT DESCRIPTION
Provide a brief one-page description of the project.
II. TARGET/ELIGIBILITY POPULATIONS
Provide a brief one-page description of the proposed target/eligibility populations. At a minimum
your description must address:
A. Total number of clients 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. The monthly maximum program capacity.
G. The monthly average capacity.
H. Average stay in the program (weeks).
I. Average hours per week in the program.
III. TYPE OF SERVICES TO BE PROVIDED
Provide a two-page description of the types of services to be provided. Address if your project will
provide the service minimums as follows:
A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients.
B. Training in household management, including budgeting, cleaning, maintenance, purchasing,
menu planning, food preparation, etc.
C. Teaching child rearing and discipline; parenting.
D. Teaching how to establish community linkages/advocacy and making use of services.
E. Demonstrating nurturing/esteem, role modeling.
Provide your quantitative measures as they directly relate to each service. At a minimum,include the
number to be served in each service component. Describe your internal process to assure that FYC
resources will not supplant existing available services in the community; e.g. mental health capitation
services,ADAD and professional services otherwise funded.
IV. MEASURABLE OUTCOMES
Provide a two-page description of your expected measurable outcomes of the project. Address the
following measurable outcomes:
A. Improvement of household management competency as measured by pre and post assessment
instruments.
Page 28 of 32
RFP-FYC-02005 Attached A
B. Improvement of parental competency as measured by pre and post assessment instruments.
C. Parents can independently work with other sources in the community and within the local,
state, and federal governments.
D. Families receiving Life Skills services will remain intact six months after discharge of the
services.
E. Families/participants who complete the Life Skills Services will have improved competency
level or reduced risk on the standardized assessment, such as the risk assessment tool.
Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate,
and monitor each quantitative measure.
V. 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. Improve Household Management Competency-capacity of parents to provide safe household
environment for their children through competent household cleaning and maintenance,
budgeting, and purchasing.
B. Improve Parental Competency-capacity of parents to maintain sound relationships with their
children and provide care, nutrition, hygiene, discipline, protection, instructions, and
supervision.
C. Improve Ability to Access Resources-services shall assist parents to work with other sources
in the community and within the local, state, and federal governments.
Describe the methods you will use to measure, evaluate, and monitor each service objective.
VI. 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.
B. Number of individuals providing the services.
C. Maximum caseload per worker.
D. Modality of treatment.
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.
Page 29 of 32
RFP-FYC-02005 Attached A
VII. STAFF QUALIFICATIONS
Provide a one-page description of staff qualifications and address, at a minimum, the following:
A. Will your staff who are providing direct services have the minimum qualifications in
education and experience? Describe.
B. Total number of staff available for the project.
Page 30 of 32
I. Project Description
Home-Based Parent Education was developed with the primary purpose of
strengthening and preserving families while protecting children from(re) abuse or
neglect; thereby, preventing out-of-home placement or expediting the return to the home
from children living in foster care. Home-Based services are an integral part of an
intervention plan for families struggling with issues of abuse or neglect. Families who
mistreat their children, although in dire need of services, have trouble remaining in
treatment because of their own difficulties in establishing relationships. By providing
services in the home, families can be more comfortable which increases their ability to
make necessary behavioral changes. When parents are able to learn skills and practice
them in the environment they live in, they increase their ability to maintain new skills
through the coaching of the parent educator. Home-based services help to decrease the
isolation prevalent in child maltreatment. Developing a relationship with the parent
educator can increase the family member's ability to transfer that comfort level to other
entities such as schools, neighbors, medical personnel and friends. Finally, because of the
parent educator's frequent visits to the home, they are in a position to become aware of
any increased instances of further abuse or neglect.
Each family that meets the Family Preservation criteria that is referred into the program
would be provided up to 55 hours of Parenting and Life Skills Training which would
enhance and strengthen the parents' ability to create and maintain stable and nurturing
home environments. Services are designed to promote healthy child development, assist
children and families to resolve crisis, connect with appropriate and necessary services,
and remain safely together in their homes, avoiding unnecessary out-of-home placement
of children and helping children already in out-of-home care to be returned to and
maintained with their families.
Home-Based Parent Education is also offered to families that are in need of supervised
visitation. The purpose of the supervised visit is twofold: 1)to allow children to preserve
relationships with people who are important to them, and 2) parent skills training as part
of a treatment plan. During visits, the parent educator will teach childcare and
demonstrate ways of setting and enforcing limits. During the supervised visit, parents
have an opportunity to test and improve the skills they may be learning either with the
parent educator or in other settings such as parenting classes or counseling sessions. The
visits can occur either at the family home or at another agreed upon location. c.a.r.e. is
prepared to make appropriate arrangements as needed to provide supervised visits at
other locations in Weld County, particularly the South Weld County area.
II. Target/Eligibility Populations
A. Total number of clients to be served:
This depends on the amount of referrals into the program; however, as stated below, the
program has the capacity to serve approximately 35 families per month, or an
approximate total of 165 clients per year.
B. Total individual clients and the children's ages:
As stated above, there is a total capacity of 165 clients; this includes parents, plus
children aged birth through teens. Families eligible for this program can vary in age from
pregnant/parenting teens through grandparents or other specific caregivers.
C. Total family units: 40-50 total family units per year.
C. Sub-total of individuals who will receive bicultural/bilingual services:
8-10 families per year. This can change due to referrals. We currently have three part-
time bilingual parent educators.
D. Sub-total of individuals who will receive services in South Weld County:
10-12 families per year.
F. The monthly maximum capacity: 35-40 families
G. The monthly average capacity: 35 families
H. Average stay in the program: 20 weeks
I. Average hours per week in the program: 3 hours per week.
The figures above are approximate. Each family in the program has an individual
service plan depending on the needs of the family and recommendations of the
caseworker. Therefore, not every family utilizes the program for a uniform amount of
hours. The program has the capacity to expand as needed.
III. Type of Service to Be Provided
Each of the following services could be provided to any family enrolled in the program;
however all families do not need all services. Services provided would be determined by
the c.a.r.e. Program Coordinator, c.a.r.e. Parent educator and DSS caseworker.
A. Teaching, modeling, demonstrating and coaching as an interactive process with
the clients:
Home-Based parenting and life skills education by a trained parent educator including
role modeling, teaching and coaching of appropriate interactions with the family. The
parent educator staff will utilize a variety of teaching modalities to achieve the goal of a
healthier functioning family. This includes education through written materials, videos
and homework; role modeling and practicing of new skills in the family environment.
2
B. Training in household management, including budgeting, cleaning, maintenance,
purchasing, menu planning, food preparation, etc.
Intensive home-based training in household management, especially as it pertains to safe
and nurturing child rearing. When it is identified that the family needs to increase their
skills in this area, the parent educator will problem solve and coach the family in keeping
a home environment adequate to the safety of family members.
C. Teaching Child rearing and discipline, parenting:
Provide home-based parent education utilizing ongoing education, support and
encouragement. Parents enrolled in the program will:
- Increase their ability to understand and implement non-physical methods of child
discipline.
- Increase their ability to understand the stages of development of their children and
appropriate ways to manage their children's behavior at each stage.
- Increase their empathic awareness of their child's needs
- Decrease parent/child role reversal
- Increase their stress management and anger management skills
- Increase their ability to implement a"problem solving" model
- Increase the communication and conflict resolution among family members
- Increase their ability to access resources in the community when needed
- Increase their ability to provide a safe home environment
D. Teaching how to establish community linkages /advocacy/and making use of
services.
Provide information, training and role modeling in accessing community resources, as
well as follow through in using resources.
E. Demonstrating nurturing/esteem role modeling:
The parent educator will model and teach a nurturing parent role with a focus on parent /
child self esteem. The goal is to increase positive family relationships.
The supervised visitation service provided through this program includes all of the above
activities when appropriate to the goals for the family. The parent educator will meet with
the family separately from the supervised visit time to debrief, address concerns and work
on issues that will aid them during future visit times. This will include parental support
and guidance, help with the use of community resources and ongoing communication and
feedback about parenting progress and goals.
Quantitative Measures: Each service can be offered to each family enrolled in the
program, depending on need. Therefore,there is a potential for up to 50 families per
year. These figures are estimates, based on the previous year. The program can be
expanded when needed, depending on the number of referrals.
The Family Advocate Program is the only home-based program of its' kind in Weld
County, working with this population of families that are at risk of children's placement.
3
We do not provide mental health services, substance abuse treatment or other
professional services that are funded by another source.
IV. Measurable Outcomes
All families in the program will be evaluated using the following measures. In some
instances, availability and ability of the clients might affect the program's success in
obtaining outcomes. The average number of families available for measurement of
outcomes is 50.
A. Improvement of household management competency as measured by pre and
posttest instruments.
This is measured by staff report and observation.
B. Improvement of Parental Competency as measured by pre and post assessment
instruments.
This will be measured by advocate report and observation, and pre and posttest
scores on the Ongoing Planning and Assessment Form for Home-based Programs.
C. Parents can independently work with other sources in the community and within
the local, state, and federal governments.
This will be measured by advocate report and observation of the family's
progress, and pre and post test scores on the Ongoing Planning and Assessment Form for
Home-based Programs.
D. Families receiving Life Skills services will remain intact six months after
discharge of the services.
Parents will sign a consent to allow c.a.r.e. to do a follow-up contact with
WCDSS six months after completion of the program.
E. Families/Participants who complete the Life Skills Services will have improved
competency level or reduced risk on standardized assessment, such as the Risk
Assessment Tool.
Utilizing the Ongoing Planning and Assessment Form for Home-based Programs.
pre and post test, there will be documentation of improved competency and/or reduced
risk. This will also be measured ongoing by advocate report and observation.
V. Service Objectives
A. Improve Household Management Competency:
Intensive home-based household management techniques taught by parent
educators to improve the capacity of parents to provide a safe, nurturing environment.
This will include but not be limited to cleaning, budgeting, purchasing, safety, and
maintenance.
This will be measured partly through the Ongoing Planning and Assessment Form
for Home-based Programs as well as advocate report and observation.
4
B. Improve Parental Competency:
The program will provide home-based parent education including coaching,
instructing, problem-solving, role modeling, and supervision that will help improve the
parent's ability to provide sound relationships within the family. This will include but
not be limited to nutrition, hygiene, discipline and protection.
This will be measured by advocate record and observation; as well as pre and post
scores on the Nurturing Quiz which tests knowledge of parenting, and the Ongoing
Planning and Assessment Form for Home-based Programs which documents changes for
families.
C. Improve Ability to Access Resources
Advocate will provide information, training, and follow-through to families to
enable them to effectively learn to access appropriate community resources, including
those on the local, state, and federal level.
Outcomes will be measured by advocate record and observation as well as
improved scores on the Ongoing Planning and Assessment Form for Home-based
Programs.
VI. Workload Standards
A. Number of hours per day, week, or month.
Up to 55 hours for each family unit for length of stay in the program. This number
changes depending upon DSS request, contracted hours with the family and any periodic
changes due to the progress and needs of the family.
B. Number of individuals providing services:
12-15 part-time hourly Parent Educators
1 -40 hr. per week Program Coordinator
1 -10 hr. per week Program Assistant
1 - 5 hr. per week Agency Director
C. Maximum caseload per worker:
Each part-time Parent Educator could work with from 1-4 families, depending
upon skill level, amount of contracted hours per family, and personal work preference.
D. Modality of treatment:
Home-based instruction and/or supervision, coaching, role modeling, practicing,
and support.
E. Total number of hours per day /week/month:
From 1-50 hours per month, depending upon needs of the family. On the average,
each family works directly with a parent educator for up to 12 hours per month in the
program
5
F. Total number of individuals providing this service:
12-15 part-time hourly Parent Educators
1 - 40 hr. per week Program Coordinator
2 -10 hr. per week Program Assistant
1 - 5 hr. per week Agency Director
G. The maximum caseload per supervisor:
25-30 families per month.
H. Insurance:
Child Advocacy Resource and Education, Inc. carries a commercial general
liability policy with Non-Profit Mutual Risk Retention Group, Inc.
VII. Staff Qualifications:
A. Yes,the staff that is providing direct services will have the minimum qualifications in
education and experience. The majority of the staff has bachelor's degrees in related
areas.
The 12-15 Parent Educators will meet the minimum qualifications of a Case
Services Aide II, which includes graduation from High School or GED equivalent and six
months full-time public contact experience. In addition, ad advocate will have had
experiences with parenting and/or working with children and families in environments
such as a day care or preschool. Currently, one staff member has a master's degree, two
have high school degrees, and eight have bachelor's degrees in related fields.
The Coordinator of the Home Based Parent Education Program holds a
Bachelor's Degree in General Studies with an emphasis in Early Childhood Education.
She has 22 years of experience in the human services field as both a teacher and
supervisor.
The quarter/time Program Assistant, has a Bachelor's degree and appropriate
experience.
The Executive Director has a Master's in Agency Counseling with an emphasis in
Marriage and Family Therapy. She has seven years experience as a Family Advocate and
four years experience as a Program Coordinator.
B. Total number of staff available for the project:
14-18.
6
RFP-FYC-02005 Home-Based Parent EducaTION Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE
This form is to be used to provide detailed explanation of the hourly 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 the Weld County
Department of Social Services for direct, face-to-face services provided to
clients referred for these services 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, billings must be for hours
of direct service 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.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client 50 Hours (A]
36
Total Clients to be Served
Clients [B]
Total Hours of Direct Service for Year 1800 Hours [C]
(Line (A] Multiplied by Line [B]
19 .00
Cost per Hour of Direct Services $ Per Hour [D]
• 34,-7
Total Direct Service Costs $ [El
(Line (Cl Multiplied by Line [D] )
53 , 859
Administration Costs Allocable to Program $ [F]
20, 000
Overhead Costs Allocable to Program $ (G]
108-,-58
Total Cost, Direct and Allocated, of Program$ [H]
Line (El Plus Line (F] Plus Line (G1 )
Anticipated Profits Contributed by this Program $ 0 (II
Total Costs and Profits to be Covered 108 ,058
by this Program(Line [H] Plus Line (I] ) $ (J]
1800
Total Hours of Direct Service for Year [K]
(Must Equal Line [C])
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of 60 . 00
Social Services $ [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month [M]
Monthly Direct Service Rate $ [N1
Page 31 of32
Weld County's Early Childhood Home Visiting Collaboration
Child's Name: DOB: Age:
Parent's Names: DOB: Phone:
Address: City: Zip:-_
Primary Language: English Spanish Bilingual Other
Families Insurance: Medicaid CHP+ Private Insurance___________
Families Primary Health Care Provider:
Initial Referral Date: Referred By: Phone:
Risk Factors: (Families must have z risk factors to he eligible for Tony Grampsus support)
_Low Income(t66it of poverty) _Caregiver is a Single Parent _Limited English
_Maternal Education<u Years Mother 03 Years or Less _Low Birth Weight
_Limited Intellectual Capacity _Isolated _Documented Mental Health Issues
_History of Abuse/Domestic Violence _Other.
Community Resource Guide Given to Family: Yes No Date: By Whom:
ASSESSMEMT OF PARENT/ FAMILY AGENCY: AGENCY:
PROGRAM AREA OF FOCUS PRE POST DATE PRE POST DATE
Obtains Prenatal Care
Appropriate Weight Gain During Pregnancy
Smoking/Drug /Alcohol Use
Motivated to Receive Support
Appropriate Discipline of Child
Attends to Child's Developmental Needs
Communicates with Child
Bonding with Child
ADDITIONAL FAMILY IMPACT AREAS AGENCY: AGENCY:
PRE POST DATE PRE POST DATE
Habitability of Housing
Housing Stability
Income/Employment
Financial Management
Educational Level
Transportation
Knows and Obtains Emergency Services
Father of Baby/Child Involved
Receives Support from Friends/Family
Internal Collaborative Referral Information:
Referred to: First Steps_FC/PAT_NRBH_c.a.r.e._BB-UW_Date•. By:
Referred to: First Steps_FC/PAT_NRBH—c.a.r.e._BB-UW_Date: By.
Other Resources Family is: A=Accessingor R=Referred To
_Adult Education _Housing _Clothing Banks Job Training
_Child Care-DSS s _ESL Classes Catholic Charities Health Dept
_Food Stamps _WIC _Supplemental Foods _SHARE
Child Find Headstart Preschool/School Right to Read
NCMC Pediatric Rehab CDSI _Special Connections A Woman's Place
Others
taffy Childhood Home Visiting Collaboration-Family y Assessmen and Goal Plan
Child's Name: Home Visitor: Date:
Rating Sole
+2 Always demcnstrates positive st>/&
+I Consistent'y demonstrate ski&bit still acquiring and practicing
0 Baseline-demonstrates the basic sialk
-1 Ls tying bit tat koffieteadds il&
-2 Lad sskits.knowledge nits 4 mu eaten M motivation ferInpvwma'r
-3 La-ssl//s,has wrong kfmm,tiori chncnsridfe no nagyar&dance
Obtains Prenatal Care
O +2 Plans prior to precndny about ore Participates actively in cat and support services.
0 +1 Starts ma cal ore in the I`trimester.
❑ 0 Sad oat In 1`trimester.Patidpatcs in ore and aunts services after starting.
❑ -1 2"r trimester,after 13 weals.
❑ -2 Late cat in 3'"trimester or after 26 wed.
❑ -3 Has not sought ore by and Is not caring for physical needs. Does not hint to seek medical are prior to delivery.
Pre Rating Date Post Rating Date
Observations:
I baventicn Strategy:
Appropriate Weight Gain During Pregnancy
O +2 Starts pregnancy at remrmnended weight and gains appropriate athwnt or slightly more by delivery.
❑ +1 Normal weistt for helght and has no loss in 1`trimester
❑ ()Within normal weight for height pre pregnancy
❑ -1 Norval pre pregnancy weight and slight loss.
❑ -2 Low pre preguny weight or greater than 50 ponds ovsaweight for height and positive gain
❑ -3 Low pre pregnancy weight and at seg ant loss
The Rating fat” Post Rating- Date
reset
Intervention Strategy:
Smoldng&Drug Alcohol Use During Pregnancy+2 Never smokes,uses drugs or alcohol. Never started.
O +1 Used drugs,alcohol or cigarette smoking but stopped prior to pregnancy
❑ 0 Used prior but has stopped or quit by delivery
❑ -1 Has reared me and grit by end of pregnancy
O -2 Has reduced we of drug,sntddng oralcohol bet continues
O -3 tart s es to we drugs,alcohol or smoke at same lead ptortt pregnancy
Pre Rating D Post Rating Date
Obsevatots:
intervertiot Strategy:
Motivate To Receive Stpport
O +2 Seeks supports and kdviAds that can improve present and fntue draatsstanoes
❑ +1 Wiling to work with stppot services when offered
❑ 0 Is receptive to most anet agendes services
❑ -1 May be WON tto make minx charges
❑ -2 Wig consider support wttat offered
❑ -3 NotAatlsfied with anent dreusfancs- Not interested In making change regardless of stppats offered
Pie Rating - Date Post Rating
Observation:
Intervention Strategy:
Appropriate Disdpline of(mild
❑ +2 Understands&Wilms alternatives approadnes mphysical fartG:te ndto be democratic in rile maldrg,.is respectful d dud an
their needs,,rules fir entire-family riot• dild-AbleLndannonstrateerroti.nal corbel drrkgmtRls/defiant timesbyclod
❑ +I Mires lore violet&ixipfrne and time out pradios. Becomes frtstratedwith behavior but contras frustration more than 755i
d the time. Seeks advice fern others with knowledge otpasRhe sat indx%Ikneideas
0 0 Demonstrates moldy verbal rep imads.'Does not have a ca sister tepproadt to dsdplkie for typical to aviors
or adios.When f ustratad will we physic disdpOre btftwith control
O -1 Has limited tnderstardug of what to oiled in behavior tlatistypiol.:Does rtothave any strategies for behavior that omr
routinely in lame'.Disciplines at of emotional stress without taldngbme to Oink abort mreaquen es. Uses both verbal and
physical dfdpWre. Has inconsistent emeda0ons of children and has afferent consequences for same offense
Q -2 Uses physical dsdpinetie majority of the time but does not feefthis Is best approach. Resorts to physical appnoadrs at of
sties or lack of otter strategies. Peet rid not ta.earty positivetlsephine models growing tit.Does rot seek out support to
ford ways to control leftover better.
❑ -3 Ifrding,spanking and slapping are considered appropriate end used as common form of cksdpline.Lacks knowledge or skills ld
use other strategiesbeside caporal punishment, art
strong c sdplkart nee,controlling, egodaorss
Pre Rating
Post Rating Date
Observations:
Intervention Strategy:
•
Attends to Child's Developmental Needs CI +2+2 Understands development and allows dtild to&obit normal behaviors,provides appropriate sbumre,toys are
support for dikd to armem,has positive self concept about ore giving,seas at a variety of developmental
experiences for child to partidpate in ttraghxt the wnurnnity,provides adult stpavision and ayport that Is
age appropriate for child,ensures child knows the barnays at home and wmrnrrYty to be safe
❑ +1 Is Interested in leaning about what to eyect from nheir child,tries activities suggested and seeks advice for
adddional ideas to stimulate development.Is beglnirg m kakyuchitty use afferent settings and toys to provide
f.n lee ming for dill Is exited about hveasky skills and knowledge
❑ ()Knows some things to do with ddkiren because of past eopaletoe or watching others. Provides minimal anourt
of stimulating materials to eroarage child to play and learn Participates with Wild but is not consistent and will
not day for long.
O -1 Is ktte ested In teaming about drill dewloprnertt but becomes stressed easily when child demonstrates typal
behaviors,will try activities suggested by home visitor and will engage with the child for short times when
encouaged to partidpate Still does not stow Independent Initiative to provide activities for child or engage in
--�
❑ -2 Does not how what activities are appropriate(or ddb's age,does not consistently provide stru c re or materials
that would be Into Ming or needed by child,will watch what other parents do with their children and sears
Interested but does rot request ideas from home visitor
❑ -3 Ecedabors eroeed developmental capabilities„lads u de stma g of development,tans to be controlling and
danadirg,Is not willing to learn about new activities related to child's needs,pant is more focused on personal
needs
Pre Rating Date Post Rating Date
Observations:
Intervention Strategy:
Communicates with Child
o +2 h icy r�stone,ld to commutate h length an coolant of sentences,allows time for listairg and
appropriate and ctlUt �y of settings,asks open ended questions that at
way to build aximu iatlon, ds sexing,labeling and wing everyday actMtles are the child's
❑ +lwbwstimed vocabulary
commutation�
cows t how a B�to communicate with child,uses positive tone most&the Unv listens for content without
erred,feels weak In knowkg how to enhance mmmurtianan skills,seeks septet to know
what activities to do,reads with the child but doesn't we engaging mars
❑ 0 tarries on con ersatbrs with child nrotgtout the day,may lads knowledge of what appropriate content or
length of verbalizing staid be,Is not utirahg stills that didt mnrrWcanon and thinking from child
o -I Irtacts with the child but Is not die to obtain much verbalization,,tads skills to promote positive verbal
listnnirg/resporv1 g communication,nail ddb fed rushed when staring
❑ -2 Has limited time to verbally k that with Wild,corrects the child often du-ing their conversations,oaaslonatly
❑ uses obscenities or demeaning mrtments,does not have an Interest in listening/respalang oomnunlotion
❑ -3 Does no*verbally kt a act with the child oder than to give wanes s,tuts the rhN1 off vivn hf!irghhairg
r ces kxd tone,' s deay.a h)rein ks or av am An of arrta it that Is stare]by Mild,uses vulgar or obscenity
ia their conversations with tie child or In tront of child
Pre Rating Date Post Rating Date
Observations:
intervention Strategy:
toneag with
O +2 Holds,cuddles,uses physical touch to comfort at mdse,maintains good eye contact and fadd egressions,
wes emotions a n tone&voice and ahm es the
child In all their activities,Poddes a safe place to risk sharkg
and
lows recognizes ddahas fe In heir chiles both met lds affect,boer and/or fat err at h h whed re
fa'ot�hi
❑ +1 Wants to me thelr c lsphysldad emotkmal needs,seas
e
n� ymay have,Bmmfortablewihall notion neatbildce on Qmtalwyscfferent onfdetInhownality tyres and l
O 0 Provt for the Wild's physical ad emotional needs but ladsneeds but not positive
to a of vice
h how to halide
time,mots for charges h the dhrt?s demeanor
Insight,ubK PosKlve Gore&valve most of the
CI -1 P19Ndes child with physical tout tat sometimes Is ccoforting ad other time rate,Is trcornfortable with ..enodora(oulbtrst but will by for eat periods to meet reed,Is begimi g to recognize Barges In thud's affect
O -2 Fbudoes thaw always respond to nom appropriately
earsthey may spoil child so wid-idi affeiiat,fluctuates between loci agcy tone read Quiet tone&voice,
has idmotional reeds es physiczi tout but t Is when*at warts and not child kitlatad denorstrates krlmdlty when dill
o -3 Does not demonstrate ay nurturhg with did,arty etudes child to meet the test reeds(feeding,y askg,
bathing)touch Is often touch when used,uses loul kettle tae ofvoice,withdraws when child's behaviors are to
dffiaut for than to deal with,seeks to hate their needs met and rot their Wild's
Pre Rating Date Post Rating Date
Observations:
intervention Strategy:
Chiles Name
rc• a• r • e
teyedil
1
Child advocacy resource and education, Inc.
814 9th Street — P.O. Box 945 — Greeley, Colorado 80632 - (970) 356-6751
SUPERVISED VISIT DOCUMENTATION
Name Date
Supervisor Time
Persons Present
Location of Visit
Activities During Visit:
The general tone of the parent/child interaction was..
Any further comments or coacarns related to visit?
Next visit is scheduled for
A UNITED WAY AGENCY " '
Jrt IPTIAL1 r rnsuruuvt,t Cflw
err4fvr - .. - - ---
650 Elm Street AFC 0000549-04 06/01/01 06/01/02
Manchester, NH 03101-2524 11:01 A.M.Standard Time at the
1800) 542-9200 Address of the Insured assigned here
Transaction: RENEWAL OF AFC 0880649-03
Named Insured and Mailing Address Agent
CHILD ADVOCACY RESOURCE &EDUCATION, INC. Agency Code: 30003-01
DBA: C.A.R.E. TALBOT/BOULDER INSURANCE ASSOCIATES, INC.
814 9TH STREET 1601 28 T" STREET
GREELEY, CO. 80632 BOULDER, CO. 80301
Business Description: • Type of Business Audit Period:
NON-PROFIT ORGANIZATION NON-PROFIT NONE
COMMON POLICY DECLARATIONS
In return for the payment of the premium,and subject to all the terms of this policy,we agree with you to provide the insurance as staled in this
policy. This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to adjustment.
Form No. ! Coverage Part Description
NAS-CP-DEC COMMERCIAL PROPERTY $ 460.00
NAS-IM-DEC COMMERCIAL INLAND MARINE $ NOT COVERED
NAS-CR-DEC COMMERCIAL CRIME $ 124.00
NAS-GL-DEC COMMERCIAL GENERAL LIABILITY $ 1,923.00
NAS-CA-DEC1 •t COMMERCIAL AUTOMOBILE $ 311.00
Fees $ PolicyPremium $ 2,818.00
Tares $ Deposit Premium $
Surcharges $ Total Deposit Prexn[urn $ 2,818.00
❑ FACULTATIVE
❑ AUDITABLE
Premium shown is payable: (If applicable) 2,818.00
At Inception 1st Anniversary 2nd Anniversary
Forms and Endorsements applicable to all Coverage Parts:
NAS-POL-001 (7-96) NAS-COM-DEC IL 0017 (11-98) IL 0003 (4-98) IL 0021(4-98)
IL 0169 (4-98) IL 0228 (4-98) NAS-LS-EXT(5-98)
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD.
Countersigned at This Day of By: Qg2G 4Qk v ax / 8'i,
(Authorized Signature)
Issuing Office: PUC Issued Date
INSURED
NAS-COM-DEC (05/98)
Includes copyrighted material of ISO Commercial Risk Services,Inc.,with Its permission. Copyright,ISO Commercial Risk Services,Inc., 1983,1984
EXHIBIT B
SUPPLEMENTAL NARRATIVE TO RFP
RECOMMENDATIONS
c.a.re.le€00) % X
Child Advocacy resource and education, Inc.)
< 00 Golden Sweet " April 16,2002
'4 Evans,'Co 80620
1970} 56-6751 Mrs. Gloria Romansik
k Weld County Department of Social Services
:LnattaeldgOvettirehl P.O.Box A
Greeley,CO 80632
Parent Education •I Dear Mrs. Romansik,
Children'andYouth Kt
SafeTouch Child Advocacy Resource and Education, Inc. (c.a.r.e.) is
Supervised visits pleased to accept the results of the RFP Bid Process for 2002-
and Exchanges 2003.
Home•Based Parent
Education RFP 02005 Parent Advocate Program-Home Based
Parent Education
Ceinintmity Awareness l ifeskills Bid #1
RFP 02005 Visitation Program
Lifeskills Bid #2
PJlrldele e: We accept these results as well as the recommendations
+ .tad outlined by the FYC Commission. We will be in touch with
rat, you in the next month to outline specifics.
4#140,�,•
Thank you for your consideration and approval of these two
'41440 0004 programs for inclusion on your vendor list. We look forward
to meeting the needs of children and families in Weld County
during the 2002 - 2003 year.
c *
rye Sincerely,
4C-AtrGweh Schooley
' ayontaite4Way Executive Director
m
weiacounty
gi("1.413/41Th*PA
DEPARTMENT OF SOCIAL SERVICES
PO BOX
GREELEY,CO 80632' WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
O Child Support(970)352.6933
COLORADO
• April 8, 2002
Ms. Rose Francella, Coordinator
Child Advocacy Resource and Education
3700 Golden Street
Evans, CO 80620 •
Re: RFP 02005 Lifeskills,Parent Advocate Program,Bid#1
RFP 02005 Lifeskills, Visitation Program,Bid#2
RFP 02005 Lifeskills,Keeping Families Healthy,Bid#3
Dear Ms. Francella:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2002-
2003 and to request written confirmation from you by Wednesday,April 17, 2002.
A. Results of the RFP Bid Process for PY 2002-2003
Through the 2002-2003 Core Services bid evaluation process,the Families, Youth
and Children(FYC) Commission approved or did not approve the RFP(s)listed
above for inclusion on our vendor list. The FYC Commission attached the
following recommendation(s)regarding your RFP bid(s).
The FYC Commission approved the following recommendation for all programs
on the vendor list for 2002-2003. The recommendation reads as follows:
Recommendation: Providers will report outcomes specific to their programs.
1. RFP 02005.Parent Advocate Program.Lifeskills.Bid#1:
Approved with the following recommendations:
FYC Recommendations:
• C.A.RE. will report outcomes specific to their programs. (See above
recommendation for all programs.)
• CARE. will establish a protocol when initial contact with the client
will be made in order to begin services in an appropriate timeframe.
• CA.RE. will establish with the caseworker the quality of the advocate
providing the services.
Page 2
C.A.R.E.
Results of RFP Process for PY 2002-2003
2. RFP 02005, Visitation, Lifeskills:
FYC Recommendations:
• C.A.RE. will report outcomes specific to their programs. (See above
recommendation for all programs.)
• C.A.RE. will improve communication between the caseworker and the
parent advocate.
• C.A.RE will provide intervention training for parent advocates.
3. RFP 02005.Keeping Families Healthy,Lifeskills:
This RFP was not approved by the FTC Commission.
B. Required Response by RFP Bidden Concerning FYC Commission
Recommendations
The Weld County Department of Social Services is requesting your written
response to the FYC Commission's recommendations and conditions. Please
respond in writing to Gloria Romansik, Weld County Department of Social
Services, P.O. Box A, Greeley, CO, 80632, by Wednesday, April 17, 2002, close
of business as follows:
FYC Commission Recommendations:
You are requested to review the recommendation and to:
a. accept the recommendation(s)as written by the FYC Commission;
or
b. request alternatives to the FYC Commission's recommendation(s);
or
c. not accept the recommendations) of the FYC Commission.
Please provide in writing how you will incorporate recommendation(s)in
your bid. If you do not accept the recommendation(s), please provide
reasons why. All approved recommendations under the NOFAA will be
monitored and evaluated by the FYC Commission.
If you wish to arrange a meeting to discuss the above conditions and/or
recommendations, please do so though Elaine Furister, 352.1551, extension 6295, and
one will be arranged prior to April 17, 2002.
Sincerely,
Judy A. Griego,Director
Weld County Department of Social Services
of
cc: Dick Palmisano, 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 FY02-CORE-006
Revision (RFP-FYC-02005)
Contract Award Period Name and Address of Contractor
Child Advocacy
Beginning 06/01/2002 and Resource &Education, (C.A.R.E.)Visitation
Ending 05/31/2003 3700 Golden Street
Evans, CO 80620
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Award is based upon your Request for Proposal(RFP).
This program is designed for families in need of The RFP specifies the scope of services and conditions
supervised visitation or safe exchanges for children of award. Except where it is in conflict with this
in the case of high conflict,divorce,or separation. NOFAA in which case the NOFAA governs, the RFP
Visits and exchanges occur at C.A.R.E. House, a upon which this award is based is an integral part of the
family visitation and exchange center housed at the action.
C.A.R.E. facility in Evans. A maximum of 15
families per month per supervisor, or an Special conditions
approximate total of 90 clients per year. The 1) Reimbursement for the Unit of Services will be based on
program has the capacity to be expanded when an hourly rate per child or per family.
needed. The average stay in the program is 20 2) The hourly rate will be paid for only direct face to face
weeks. contact with the child and/or family, as evidenced by
client-signed verification form, and as specified in the
Cost Per Unit of Service unit of cost computation.
3) Unit of service costs cannot exceed the hourly and yearly
Hourly Rate Per $ 59.95 cost per child and/or family.
Unit of Service Based on Approved Plan 4) Payment will only be remitted on cases open with, and
Enclosures: referrals made by the Weld County Department of Social
X Signed RFP:Exhibit A Services.
X_Supplemental Narrative to RFP: Exhibit B 5) Requests for payment must be an original submitted to
X Recommendation(s) the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
Conditions of Approval
month of service.The provider must submit requests for
payment on forms approved by Weld County
Department of Social Services.
Approvals�� Program fficial:
By �l�iiLLLW did.4
By 0,
AtorGlenn Vaad, Chair Judy . Grieg Director
111111 v
Board of Weld County Commissioners Wel oun Department of Social Services
Date: c b,a)anoa Date:
v2 —13/1/
EXHIBIT A
SIGNED RFP
trCm
INVITATION TO BID
RFP-FYC 02005 Z
DATE:February 27, 2002 BID NO: RFP-FYC-02005
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-02005) for:Fami y Preservation Program--Life Skills Program Family
Issue's Cash Fund or Family Preservation Program
Funds
Deadline: March 22, 2002, Friday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of
Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement
(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to
run from June 1, 2002, through May 31, 2003, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Life Skills Program must provide services that
focus on teaching life skills which are designed to improve household management competency, parental
competency, family conflict management and effectively accessing 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 .4 Iti.
(After receipt of order) BID ST BE SIGNED IN INK
Gwen Schooley
TYPED OR PRINTED SIGNATURE
VENDOR Child Advocacy Resource
(Name)and Education , Inc . Handwritten Signature By Authorized
(c.a .r .e . ) Officer or Agent of Vender
ADDRESS 3700 Golden Street TITLE Board President
Fvans . r0 80620 DATE marrh 20 . 2002
PHONE # (970 ) 156-6751
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
✓v .
RFP-FYC-02005 Attached A
LIFE SKILLS PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2002/2003 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2002-2003
BID #RFP-FYC-02005
NAMEOFAGENCY: Child Advocacy Resource and Education, Inc . (c . a . r .e . )
ADDRESS: 3700 Golden Street Evans , CO 80620
PHONE: (970) 356-6751 x20
CONTACT PERSON: Annie Goodrick TITLE: Family Visitation Coordinator
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills 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 accessinp
community resources
12-Month approximate Project Dates: 12-month contract with actual time lines of:
Start June 1. 2002 Start June 1 , 2002
End Nay 31. 2003 End May 31 , 2003
TITLE OF PROJECT: Lifeskills Supervised Visit and Exchange Program
AMOUNT REQUESTED: S',. 4 s
�Vl 3/20/02
Name and gnature of Pe eparin ocument Date
• 1/20/02
Name and Signature Chief Admin. ative 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. For renewal bids,please indicate which of the required sections have not changed from Program Fund
Year 2001-2002 to Program Fund year 2002-2003.
Indicate No Change from FY 2001-2002 to 2002-2003
Project Description
Target/Eligibility Populations c fund .
Types of services Provided
Measurable Outcomes
Service Objectives
Workload Standards
Staff Qualifications
Unit of Service Rate Computation
Program Capacity per Month
Certificate of Insurance
Page 26 of 32
RFP-FYC-02005 Attached A
Date of Meeting(s) with Social ervices Division Supervisor:
Comments by SSD Supervisor: l
C c t Yv-c=,- 1 O`(N. 4 i ) ( ,t0,____-k (k vY�,,v,^ w---L r_-_k-‘‘
U, v
�i\ v �?� �� ���,sIC Q q� co �E'-�ti 6'v�C,i cat O+ -A -0-_
)ems 1- Ccx-,t< �4 ,,,_.0.__,--/t-O l"1--0-j /-Q-ccA v-�- ow 1i—e-
�,.r id y C(--_,A._, ,,fir , �-A-_P ,t t,1/4-0,--kbtc-f w, C
) t&--61/4k5
Name and Signature of SSD Supervisor Date
G Icy C y q Ro lYwh5 i IK
Page 27 of 32
RFP-FYC-02005 Attached A
Program Category Life Skills Program Bid Category
Project Title Supervised Visit and Exchange Program
Vendor Child Advocacy Resource and Education , Inc . (c .a . r .e . )
PROJECT DESCRIPTION
Provide a brief one-page description of the project.
II. TARGET/ELIGIBILITY POPULATIONS
Provide a brief one-page description of the proposed target/eligibility populations. At a minimum
your description must address:
A. Total number of clients 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. The monthly maximum program capacity.
G. The monthly average capacity.
H. Average stay in the program (weeks).
I. Average hours per week in the program.
III. TYPE OF SERVICES TO BE PROVIDED
Provide a two-page description of the types of services to be provided. Address if your project will
provide the service minimums as follows:
A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients.
B. Training in household management, including budgeting, cleaning, maintenance,purchasing,
menu planning, food preparation, etc.
C. Teaching child rearing and discipline; parenting.
D. Teaching how to establish community linkages/advocacy and making use of services.
E. Demonstrating nurturing/esteem, role modeling.
Provide your quantitative measures as they directly relate to each service. At a minimum, include the
number to be served in each service component. Describe your internal process to assure that FYC
resources will not supplant existing available services in the community; e.g. mental health capitation
services, ADAD and professional services otherwise funded.
IV. MEASURABLE OUTCOMES
Provide a two-page description of your expected measurable outcomes of the project. Address the
following measurable outcomes:
A. Improvement of household management competency as measured by pre and post assessment
instruments.
Page 28 of 32
RFP-FYC-02005 Attached A
B. Improvement of parental competency as measured by pre and post assessment instruments.
C. Parents can independently work with other sources in the community and within the local,
state, and federal governments.
D. Families receiving Life Skills services will remain intact six months after discharge of the
services.
E. Families/participants who complete the Life Skills Services will have improved competency
level or reduced risk on the standardized assessment, such as the risk assessment tool.
Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate,
and monitor each quantitative measure.
V. 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. Improve Household Management Competency-capacity of parents to provide safe household
environment for their children through competent household cleaning and maintenance,
budgeting, and purchasing.
B. Improve Parental Competency-capacity of parents to maintain sound relationships with their
children and provide care, nutrition, hygiene, discipline, protection, instructions, and
supervision.
C. Improve Ability to Access Resources-services shall assist parents to work with other sources
in the community and within the local, state, and federal governments.
Describe the methods you will use to measure, evaluate, and monitor each service objective.
VI. 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.
B. Number of individuals providing the services.
C. Maximum caseload per worker.
D. Modality of treatment.
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.
Page 29 of 32
RFP-FYC-02005 Attached A
VII. STAFF QUALIFICATIONS
Provide a one-page description of staff qualifications and address, at a minimum, the following:
A. Will your staff who are providing direct services have the minimum qualifications in
education and experience? Describe.
B. Total number of staff available for the project.
Page 30 of 32
I. Project Description
The Supervised Visitation and Exchange Program through c.a.r.e. was developed with
the primary purpose of protecting children from(re) abuse and neglect while allowing
children to preserve relationships with people who are important to them.
Supervised visits reassure children that they have not been abandoned by a parent who
for many reasons might not be able to have unsupervised contact with their child(ren).
The supervised visit occurs on-site at the careHouse facility under control of a Parent
Educator. During the supervised visit, treatment involves teaching skills to parents, as
well as increasing positive relationships between parents and children.
Supervised exchanges insure safe transport of a child between parents where there is the
propensity for conflict and/or family violence. Monitoring of exchanges between parties
is limited to the exchange time with the remainder of the parent/child contact occurring
unsupervised.
Families enrolled in the program are required to adhere to specific guidelines for
visitation at the careHouse facility which helps to maintain the safety and security of the
environment for clients and staff.
II. Target/Eligibility Populations
A. Total number of clients to be served:
This depends on the amount of referrals into the program; however, as stated
below, the program has the capacity to serve approximately 15 families per
month, or an approximate total of 90 clients per year.
B. Total individual clients and the children's ages:
As stated above, there is a total capacity of 90 clients, this includes parents and
children aged birth to teens. Families eligible for this program vary in age from
pregnant/parenting teens to grandparents or other specific caregivers.
C. Total Family units:
Approximately 35 family units per year.
D. Sub-total of individuals who will receive bicultural/bilingual services:
4-5 families per year. This can change due to referrals and the availability of a
bilingual parent educator.
E. Sub-total of individuals who will receive services in South Weld County:
None- Families who need this service at locations other than careHouse will be
referred to the Home-Based Parent Education Program at c.a.r.e. for
supervised visitation at a client's home or other location.
F. The monthly maximum program capacity: 20 family units
G. The monthly average capacity: 15 families
H. Average stay in the program: 20 weeks
I. Average hours per week in the program: 1 hour for exchanges, 3-4 hours for
visits. In most cases, we do not offer supervised visits that are longer than 2 hours
in duration; however, multiple weekly visits for a family can be scheduled.
The figures above are approximate. Each family in the program has an individual
service plan depending on the needs of the family and recommendation of the
caseworker. Therefore, not every family utilizes the program for a uniform amount
of hours. The program has the capacity to expand as needed.
III. Type of Service To Be Provided
Supervised exchanges insure safe transport of a child between parents where there is the
propensity for conflict and/or family violence. Monitoring of exchanges between parties
is limited to the exchange time, the remainder of the parent/child contact occurrs
unsupervised. One parent or caregiver will drop the children off at the careHouse facility
and leave. The children will then be in the care of a staff person for 15 minutes. During
that time, the children may be occupied in various activities with the staff person, all
helping to provide the child with a neutral time to prepare for their time with the other
parent or caregiver.
Supervised visitation occurs with a twofold purpose:
1) to allow children to preserve relationships with people who are important to them,
and
2) Parent skills training as part of a treatment plan.
A. Visiting parents would attend an initial 1-hr. orientation. At this time,
program staff will review and help the parent fill out program paperwork,
review program guidelines, address parental concerns and share the plan for
parent education which occurs during the visit. Parent education is in the form
of knowledge of the developmental needs of the children, discipline during
the visit and appropriate visit activities. This would be individualized
depending on the dynamics and treatment planning for the family.
B. Supervised visits would be scheduled and occur. During visits, the parent
educator will teach childcare and demonstrate ways of setting and enforcing
limits. Parents will have an opportunity to test and improve the skills they
may be learning either with the parent educator or in other settings such as
parenting classes or counseling sessions.
C. Support meetings would occur as needed with the parent to address ongoing
concerns and provide parent education as it pertains to their interactions
during the visit. When appropriate, families would be provided community
resource information. As families show increase comfort and success during
the visits, meetings would occur less frequently.
A. Teaching, modeling, demonstrating, and coaching as an interactive process with
the clients:
2
Parent education in the form of coaching will occur when appropriate during the visits.
There is an opportunity for more education during scheduled support times.
B. Training in household management, including budgeting, cleaning, maintenance,
purchasing, menu planning, food preparation, etc.
Not applicable except on a limited basis during the clean up of visit rooms during visits
and meals.
C. Teaching child rearing and discipline, parenting:
Ongoing coaching and parent support is included during visit time as appropriate. Other
parenting concerns are addressed during scheduled support meeting with parent as
needed. This is individualized, as not every family has the same degree of need for parent
skills training.
D. Teaching how to establish community linkages/ advocacy/and making use of
services.
Provide information, training and role modeling in accessing community resources, when
applicable on a limited basis.
E. Demonstrating nurturing/esteem role modeling:
Th parent educator will model and coach the parent in healthy parenting techniques.
Greater ongoing concerns will be referred to scheduled support times outside of the visits.
Quantitative Measures: Services are offered to each family enrolled in the program,
depending on need. Therefore, there is a potential for up to 35 families per year. These
figures are estimates, based on the previous year. The program can be expanded when
needed, depending on the number of referrals.
The Supervised Visit and Exchange Program is the only exchange program offered in
Weld County. There are similar supervised visitation services offered through the
Department of Social Services, however c.a.r.e. services are available off-hours and
during weekends. c.a.r.e. does not provide mental health, substance abuse or other
professional services that are funded by another source.
IV. Measurable Outcomes
All families in the program will be evaluated using the following measures. In some
instances, availability and ability of the clients might affect the program's success in
obtaining outcomes. The average number of families available for measurement of
outcomes is 35.
A. Improvement of household management competency as measured by pre and
posttest instruments.
Not applicable
3
B. Improvement of parental competency as measured by pre and post assessment
instruments.
This will be measured by program documentation as well as pre and post test
scores on the Ongoing Planning and Assessment Form.
C. Parents can independently work with other sources in the community and within
the local, state, and federal governments.
This will be measured by program documentation when applicable.
D. Families receiving Life Skills services will remain intact six months after
discharge of the services.
Parents will sign a consent to allow c.a.r.e.to do a follow-up contact with
WCDSS six months after completion of the program.
E. Families/participants who complete the Life Skills Services will have improved
competency level or reduced risk on standardized assessment, such as the Risk
Assessment Tool.
Utilizing the Ongoing Planning and Assessment, pre and posttest, there will be
documentation of improved competency and/or reduced risk. This will also be
measured ongoing by program documentation.
V. Service Objectives
A. Improve Household Management Competency:
Not applicable.
B. Improve Parental Competency:
The program will provide parent skills training as part of a treatment plan.
During visits, the parent educator will teach childcare and demonstrate ways of
setting and enforcing limits. During the supervised visit, parents have an
opportunity to test and improve the skills they may be learning either with the
parent educator or in other settings such as parenting classes or counseling.
C. Improve Ability to Access Resources
Program staff will provide information to families as needed regarding
community resources, including those on the local, state, and federal level.
Outcomes will be measured by program documentation as well as improved
scores on the Ongoing Planning and Assessment Form.
III. Workload Standards
A. Number of hours per day, week, or month.
From 1 — 128 hours for each family unit for length of stay in the program. This
number changes depending upon DSS request, contracted hours with the family
and any periodic changes due to the progress and needs of the family.
4
B. Number of individuals providing services:
One half-time Coordinator, 2 part-time Case Managers, 10-12 part-time Visit
Supervisors, and one Agency Director, working with 35 families per year.
C. Maximum caseload per worker:
This would depend on the referrals received into the program.
D. Modality of Treatment:
Center-based supervision of family visits and exchanges, utilizing parent skills
training in the form of education, coaching and structured education when needed.
E. Total number of hours per day /week/ month:
From I — 15 hours per month, depending upon needs of the family.
F. Total number of individuals providing this service:
One half-time Coordinator, 2 part-time Case Managers, 10-12 part-time Visit
Supervisors, and one Agency Director, working with 35families per year.
G. The maximum caseload per supervisor:
10-15 families per month.
H. Insurance:
Child Advocacy Resource and Education, Inc. carries a commercial general
liability policy with Non-Profit Risk Retention Group, Inc.
IV. Staff Qualifications:
A. Yes, the staff that is providing direct services will have the minimum
qualifications in education and experience.
The Program Coordinator and Case Managers will meet the minimum requirements of a
Case Services Aide II. In addition,they will have experience working with families and
children in environments such as a day care or school.
The Program Coordinator holds an Associate Degree in General Studies with 10 years of
experience in the human service field as a parent educator and administrator.
One Case Manager holds a Bachelor's degrees in Psychology and Criminology. She has
one year of experience in the human service field.
One Case Manager holds a Bachelor's Degree in Rehabilitation Counseling, with
experience with families and children.
The Executive Director has a Master's Degree in Agency Counseling with an emphasis in
Marriage and Family Therapy. She has seven years experience as a Family Advocate and
four years experience as a program coordinator.
B. Total number of staff available for the project:
12-15
5
RFP-FYC-02005 Supervised Visitation AttachedA
VIII. COMPUTATION OF DIRECT SERVICE RATE
This form is to be used to provide detailed explanation of the hourly 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 the Weld County
Department of Social Services for direct, face-to-face services provided to
clients referred for these services 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, billings must be for hours
of direct service to the client, regardless of the number of staff involved in
providing those §ervices. 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.
(Explanations for these Lines are Provided on the Following Page)
42 . 85
Total Hours of Direct Service per Client Hours [A]
35
Total Clients to be Served Clients [B]
1500
Total Hours of Direct Service for Year Hours [C]
(Line [A] Multiplied by Line [B]
16 . 00
Cost per Hour of Direct Services $ Per Hour [D]
24,UQ0
Total Direct Service Costs $ [E]
(Line [C] Multiplied by Line [D] )
44,928
Administration Costs Allocable to Program $ [F]
21 ,000
Overhead Costs Allocable to Program $ [G]
89;928
Total Cost, Direct and Allocated, of Program$ [H]
Line [E] Plus Line [F] Plus Line [G] )
Anticipated Profits Contributed by this Program $ -0 [I]
Total Costs and Profits to be Covered 89 ,928
by this Program(Line [H] Plus Line [I] ) $ [J]
Total Hours of Direct Service for Year 1500 [K]
(Must Equal Line [C] )
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of 59 . 95
Social Services $ [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month [M]
Monthly Direct Service Rate $ [N]
Page 31 of 32
Weld County's Early Childhood Home Visiting Collaboration
Child's Name: DOB: Age:
Parent's Names: DOB: Phon
Address: City: Zip:
Primary Language: English Spanish Bilingual Other
Families Insurance: Medicaid CHP+ Private Insurance
Families Primary Health Care Provider:
Initial Referral Date: Referred By: Phone:
Risk Factors: (Families must have 2 risk factors to he eligible for Tony Grampsus support)
_Low Income(166%of poverty) _Caregiver is a Single Parent _Limited English
Maternal Education<n Years Mother B Years or Less _Low Birth Weight
_Limited Intellectual Capacity _Isolated _Documented Mental Health Issues
_History of Abuse/Domestic Violence _Other.
Community Resource Guide Given to Family: Yes No Date: By Whom:
ASSESSMEMT OF PARENT/ FAMILY AGENCY: AGENCY:
PROGRAM AREA OF FOCUS PRE POST DATE PRE POST DATE
Obtains Prenatal Care
Appropriate Weight Gain During Pregnancy
Smoking/Drug /Alcohol Use
Motivated to Receive Support
Appropriate Discipline of Child
Attends to Child's Developmental Needs
Communicates with Child
Bonding with Child
ADDITIONAL FAMILY IMPACT AREAS AGENCY: AGENCY:
PRE POST DATE PRE POST DATE
Habitability of Housing
Housing Stability
Income/Employment
Financial Management
Educational Level
Transportation
Knows and Obtains Emergency Services
Father of Baby/Child Involved
Receives Support from Friends/Family
Internal Collaborative Referral Information:
Referred to: First Steps_FC/PAT_NRBH_u.r.e._BB-UW_Date By.
Referred to: First Steps_FC/PAT_NRBH_c.a.r.e._BB-UW_Date: By:
Other Resources Family is: A=Accessingor R=Referred To
_Adult Education _Housing _Clothing Banks _Job Training
_Chid Care-DSS s _ESL Classes _Catholic Charities Health Dept
_Food Stamps _WIC _Supplemental Foods _SHARE
_Child Find Headstan Preschool/School Right to Read
NCMC Pediatric Rehab _CDSI _Special Connections A Woman's Place
Others
Faris Childhood Home Wrung Co laboratlon-Famlly A- M and Goal Plamnirra 4yorr;
Child's Name: Home Visitor. Date:
Rating Scale
+2 A/ways demonstrates positive skills
+1 Ca -I*demonstrate SV/es bct.still awing and Frd `n9
0 tbsea -demonstrates the basic skills
-1 Ls fryingbct lads/umHage at/stalls
-2 Lads Wks kAnvk4e and is Inconsistent In motivation letlnprocwwt
-3 Lads skiffs has wrong Information demonstrate he motivation for change
Obtains Prenatal Care
❑ +2 Plats prior to pregnancy ant ore.Patidpabs actively In are and support sauces.
❑ +1 Oats medol ore in the I`trinhester.
❑ ()Seeks ore In 1`trimester.Pa tidpates In are and stpperts services after stating.
❑ -I 2n°trimester,after 13 weds.
❑ -2 Late ore In 3'°trimester or after 26 weds.
❑ -3 Has not�ocaring by and Is not g es physical reeds. Do at Intend to seek medical cat prior to delivery.
Rating Date
Observations:
intervention Strata r
Appropriate Weight Gain During Pregnancy
❑ +2 Starts pregancy at recommended weight ad gains appropriate avant a-slightly more by delivery.
❑ +1 Normal weight for height and has m loss in 1`Molester
❑ 0 WNin normal welt for height pre peep a y
❑ -1 Normal pre pregnancy weight ad slight loss.
❑ -2 Low pre pegaay weight a greater that 50 pouts overweight(or height ad positive gain
❑ -3 Low pre pregnancy weight ad subsequent loss
Pre Rating Date Post Rating- Date
Observations:
irttaventton Sbabagy:
Snaking&Ong Akohol Use During Pregnancy+2 Meyer makes„uses dogs oraldohol.-Neverstarted.
❑ +1 Used Gigs,alcohol or cigarette smoking but stopped prior ti pregnancy
❑ 0 used prior but has stopped or quit by delivery
❑ -1 Has reduced we and quit by end of pregnancy
❑ -2 Has naiad we of drug,winking or alcohol but continues
❑ -3 continues to we drugs,alcohol a make at sane level prior to pregnancy
Pre Rating Date Post hating Dal:
intervention Strategy:
Motivate To Receive Support
❑ +2 Seely supports ad kndNdals that can improve preset it and fugue dranstatces
❑ +1 Waling to work with apart writs when offered
❑ 0 is receptive to most anurt agerdes set
❑ -1 May be willing to make minx changes
❑ -2 Wig co sidaapport when dieted •
❑ -3 Natsatlsfed with current rhumbas. Not kite ested In nekkg charge regardless of supports offered
Pre Rating - Date Post Rating Date
Obsendions:
Intervention Strategy: - .
Appropriate Discipline of Child
❑ +2 Understands es titers alternatives approaches to physical fmme,.terdsto be datoro nark In Me maldng,.k respectful of gild ax
their needs,ales forwarefaily noC}at dig.-Adeto demo-state-emotional control cta kgmrtlkss/defiant times ty dig
0 +1 Utilizes mire verbal dsdpfine ad time out practices. Becomes instatedwih behavior but controls frustration more tarn 75%
d the time. Seelc white flan others with inzdedgeocpxltiveddlshdsdplkeIdeas.
❑ 0 Demonstrates mainly verbal reprburts. Does not have a co shOatepproadt to dsdpline fortypkal behaviors
or actions.When instated wig we physic dsdplkhebt with mitt.
❑ -1 Has limited uderstanci g ofivhat to ap&t in behavior Bet is typical.:Does mthave my strategies fa-behavior that ooar
routinely In home'.Dkdpkees out of motional stresswlt attaldrgtme to tint that consequences.nces. Uses both verbal and
physical dsolptkne- Has khmrdstatt ehperdatlas d children ad uses dffe a t consequences for same offeree-
q -2 Uses physical dsolpf netpe majority of tie time but does not feel thts Is beg approach. Resorts to physkal aria-codes out 0r
stress or ladc of other strategies. Pact cad not tave-an r p asttivedsdpiine models growing to Does not seek out support to
find ways to walled behavior bettor.
❑ -3 tatting,spanking ad slapping we wagered appropate end used as common loam of discipline tads knowledge a situps to
we other strategies beside corporal prtistmai,strong dtcipli nafan,rigid,controlling, nnrayistic eqiectatons
Pre Rating Date Post Rating Date
Observations:
Intervention Strategy:
Attends to Child's Developmental Needs •
❑ +2 Understands develop fie-t and allows child to a.Cebu normal behaviors,provides appropriate Cease,
support(or child to aiueed,has positive sdf oxen about ore gMng,seeks out a variety of devdopmental
eq,eleues for child to partidpate n ttragtout the community,provides adult ageMsion and support that is
age appropriate for child ensues child Mows the borrdarys at home ad community in be safe
❑ +1 Is interested in leaning about what be aped from their child,tries activities suggested and seder advice for
additional ideas to stimulate development.Is beginning to Independently use We-n settings and toys to provide
fun learning for cold Is eaited that increasing skills and knowledge.
❑ 0 Knows some things to de with dtldren ber-awr of past accidence or waning others. Provides minimal amount
d sddmulating materials to erne age dud to play and leant Parddpates with child but Is not consistent and will
rot play(or long.
❑ -I Is interested in tearing about child development but becomes stressed easily when child own:instates typical
behaviors,will by activities suggested by home visitor and will engage with the child for short times when
en:paged to patea Still does not k w dui nitiathe to provide al n
Mties for dtld or engage
aoor
❑ -2 Does not Wow what attMties are approprate for dud's age,does not corsisterdy provide strt,jine or materials
that would be interesting a needed by child will watch what other pasts do with their children and seers
kte ested but does not request Ideas from home vCstar
❑ -3 Emectations armed de dopme ntal capabilities,lads uderstandng of development,tads to be=boiling and
demanding,is rot willing to lean about rear activities related to child's needs,parent is more focused on personal
needs
Pre Rating Date Post Rating Date
Observations:
Intervention Strategy:
Conrrrnka es with Child
❑ +2 Consfstatly tses positive rose,uses appropriate length and cant of se tapes,allows time for listening and
respond g,emuages cold to commutate h a variety d settings,aria open ended questions that we
appnw WM and elidt aommuNation,iderstards reciting,labeling and wing everyday activities are the child's
way to fund vocabulary and communication stilts
O +I Allows time eailh day to cornmutote with child,uses positive tone most of the time,lista for content without
cams how it is shared,feels weak in bowing how bo enhance commutation skills,seeks appal to know
whatactivtdes to do,reads with the child but doeait use engaging tomes
❑ 0 Oinks on conversations with child throughout the day,may lads I owiedge of what appropriate content or
length of verbalizing should be,Is not uttaring skills that edidt wonntrtcajon and thinking k ing from end
q -1 Interacts with the child but is rut able to obtain nun verbalization,fads skills to promote positive verbal
listens g/ras among wnnuncationy males cod fed fisted when sharing
o -2 Has limited time to verbally interact wth did,corrects the child often doing their conversations,occasionally o uses obscenities a demeaning comments,does not have an bteest n astadng/(esponSng wmmtniatton
❑ -3 Does not verbally let tact with the child other than to give commands,Alts Chia child cif when talking/sharing
tees loud tone,uses demeaning remarks or makes to of content that is shored by child,uses vulgar or obscenity
in their wrnersatiars with the child or in front ofdtld
Pre Rating Date Post Rating Date
Observations:
Intervention Strategy
Bonding with
❑ +2 Odds,addles,uses physical touch to contort and nrbre,mairtalns good eye anal and facial egxeysions,
uses a warm tone of voice and a oourages the dtld h all their activities,pnMdcs a safe plan:to riskshxng
child feelings,
razes rfdferens n their dud's affect,both mother ancya lathe are Involved n re
•
with paints
o +I wan to meet thevd they la emotional
reeds they may have,is wntortable with all needs,seder advice b not obeys
ys enctli a types and the
a 0 PCOWdesfa the dmad'sphysialand emotional needsbutlads needsbusno[alwayseofvic nhowftfartde
time,lodsfor charges n the dtld'sdensanar #h4rsesPositivetonedwioerrastdtia
a -1 Provides child with physics tooth that runtimes Is oonforting and otter time mt,Is uhooatatable with ..emotional Mist but will try for short periods to meet need,Is begtttng to recognize ranges in dud's affect
dittoes not❑ -2 Fames tha i
always rd to thern apptprta0ely
they may spot child so wadi old affection,flu:tines bebveen bud angry tone and gatet tone dvolee,
provides physical
hasemoCo al need tooth'Mitts Wien past warts and not child Silted,demonstrates Stability when dtfd
❑ -3 Does not demonstrate any'inuring with child,only touthes dntd to meet the basic needs(feeling,dressing,
telling)toudh Is often tough when used,ass bud hostile the dvoite,withdraws when dtkl's bdavtors we to
dffhatt for than to deal what,seds to have their its met and not their duds
Pre Rating Date Past Rating Date
Obsaaatim::_..
Intervention Strategy:
Quid's Name
i-c- a• r • e
Child advocacy resource and education, Inc.
814 9th Street — P.O. Box 945 — Greeley, Colorado 80632 - (970) 356-6751
SUPERVISED VISIT DOCUMENTATION
Name Date
Supervisor Time
Persons Present
Location of Visit
Activities During Visit:
The general tone of the parent!child interaction was
Any further ramments orconcerns related to visit?
Next visit is scheduled for
A UNITED WAY AGENCY I S
•
N. 03. 0 . 2 ..
650 Elmn Street AFC 0000549-04 06/01/01 06/01/02
Manchester,542-9200 03101 2524 A.M.Standard Time at the
(800) Address of the Insured assigned here
Transaction: RENEWAL OP AFC 0000849-03
Named Insured and Mailing Address Agent
CHILD ADVOCACY RESOURCE &EDUCATION, INC. Agency Code: 30003-01
DBA: C.A.R.E. TALBOT/BOULDER INSURANCE ASSOCIATES, INC.
814 9TH STREET 1601 28TH STREET
GREELEY, CO. 80632 BOULDER, CO. 80301
Business Description: • Type of Business Audit Period:
NON-PROFIT ORGANIZATION NON-PROFIT NONE
COMMON POLICY DECLARATIONS
In return for the payment of the premium,and subject to all the terms of this policy,we agree with you to provide the insurance as stated in this
policy. This policy consists of the following coverage parts for which a premium is indicated. This premium may be subject to adjustment.
Form No. Coverage Part Description
NAS-CP-DEC COMMERCIAL PROPERTY $ 460.00
NAS-IM-DEC COMMERCIAL INLAND MARINE $ NOT COVERED
NAS-CR-DEC COMMERCIAL CRIME $ 124.00
NAS-GL-DEC COMMERCIAL GENERAL LIABILITY $ 1,923.00
NAS-CA-DEC1 r COMMERCIAL AUTOMOBILE $ 311.00
Fees $ Policy Premium $ 2,818.00
Taxes .$ Deposit premium $
Surcharges $ Total Deposit Premium $ 2,818.00
❑ FACULTATIVE
❑ AUDITABLE
Premium shown is payable: (If applicable) 2,818.00
At Inception 1st Anniversary 2nd Anniversary
Forms and Endorsements applicable to all Coverage Parts:
NAS-POL-001 (7-96) NAS-COM-DEC IL 0017 (11-98) IL 0003 (4-98) IL 0021 (4-98)
IL 0169 (4-98) IL 0228 (4-98) NAS-LS-EXT(5-98)
THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE
POLICY PERIOD.
Countersigned at This Day of By: It/csci (,4.t de-2.s et-y,
(Authorized Signature)
Issuing Office: PUC Issued Date
INSURED
NAS-COM-DEC (05/98)
Includes copyrighted material of ISO Commercial Risk Services,Inc.,with its permission. Copyright,ISO Commercial Risk Services,Inc., 1983,1984
EXHIBIT B
SUPPLEMENTAL NARRATIVE TO RFP
RECOMMENDATIONS
c.a.re._ee
(Child advocacy resource and education, Inc.)
3u;ca.r.e.
v 6700 Golden Street Apri116,2002
'L Evens,CO&0620
• (S)0)36&67b1 Mrs. Gloria Romansik
€ 1 Weld County Department of Social Services
` net P.O.Box A
Greeley,CO 80632
Patent Education
Dear Mrs. Romansik,
Children and Youth
SateTouch Child Advocacy Resource and Education, Inc. (c.a.r.e.) is
pleased to accept the results of the RFP Bid Process for 2002-
Supervised Visitsand Exchanges 2003.
Home-Based Parent RFP 02005 Parent Advocate Program-Home Based
• €duration ..
GniAwaren Parent Education
Lifeskills Bid # 1
RFP 02005 Visitation Program
Lifeskills Bid #2
, r
We accept these results as well as the recommendations
1 end outlined by the FYC Commission. We will be in touch with
• frovetifrekteatee you in the next month to outline specifics.
all?"'°fit°° Thank you for your consideration and approval of these two
asentOteet programs for inclusion on your vendor list.We look forward
to meeting the needs of children and families in Weld County
during the 2002-2003 year.
Sincerely,
. n noeaeecr, Gwe Schooley
d thiltSt*al Executive Director
Weld Co
ss
County
.
• DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
WEBSITE:s we.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352.6933
COLORADO
• April 8, 2002
Ms.Rose Francella, Coordinator
Child Advocacy Resource and Education
3700 Golden Street
Evans, CO 80620 •
Re: RFP 02005 Lifeskills,Parent Advocate Program,Bid#1
RFP 02005 Lifeskills,Visitation Program,Bid#2
RFP 02005 Lifeskills,Keeping Families Healthy,Bid#3
Dear Ms.Francella:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2002-
2003 and to request written confirmation from you by Wednesday, April 17, 2002.
A. Results of the RP?Bid Process for PY 2002-2003
Through the 2002-2003 Core Services bid evaluation process,the Families, Youth
and Children(FYC) Commission approved or did not approve the RFP(s) listed
above for inclusion on our vendor list. The FYC Commission attached the
following recommendation(s)regarding your RFP bid(s).
The FYC Commission approved the following recommendation for all programs
on the vendor list for 2002-2003. The recommendation reads as follows:
Recommendation:Providers will report outcomes specific to their programs.
•
1. RFP 02005.Parent Advocate Program.Lifeskills.Bid#1:
Approved with the following recommendations:
FYC Recommendations:
• C.A.RE. will report outcomes specific to their programs. (See above
recommendation for all programs)
• C.A.RE. will establish a protocol when initial contact with the client
will be made in order to begin services in an appropriate timeframe.
• C.A.RE. will establish with the caseworker the quality of the advocate
providing the services.
Page 2
CARE.
Results of RFP Process for PY 2002-2003
2. RFP 02005.Visitation.Lifeskills:
• FYC Recommendations:
• C.A.RE. will report outcomes specific to their programs. (See above
recommendation for all programs.)
• C.A.RE. will improve communication between the caseworker and the
parent advocate.
• C.A.RE. will provide intervention training for parent advocates.
3. RFP 02005.Keeping Families Healthy.Lifeskills:
This RFP was not approved by the FYC Commission.
B. Required Response by RFP Bidden Concerning FYC Commission
Recommendations
The Weld County Department of Social Services is requesting your written
response to the FYC Commission's recommendations and conditions. Please
respond in writing to Gloria Romansik,Weld County Department of Social
Services,P.O. Box A, Greeley, CO, 80632,by Wednesday, April 17,2002, close
of business as follows:
FYC Commission Recommendations:
You are requested to review the recommendation and to:
a. accept the recommendation(s) as written by the FYC Commission;
or
b. request alternatives to the FYC Commission's recommendation(s);
or
c. not accept the recommendation(s)of the FYC Commission.
Please provide in writing how you will incorporate recommendation(s) in
your bid. If you do not accept the recommendation(s),please provide
reasons why. All approved recommendations under the NOFAA will be
monitored and evaluated by the FYC Commission.
If you wish to arrange a meeting to discuss the above conditions and/or
recommendations, please do so though Elaine Furister, 352.1551, extension 6295, and
one will be arranged prior to April 17, 2002.
Sincerely,
Judy A. Griego,Director
Weld County Department of Social Services
of
cc: Dick Palmisano, Chair,FYC Commission
Gloria Romansik, Social Services Administrator
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